Vévodová Šárka, Vévoda Jiří, Grygová Bronislava
Department of Humanities and Social Sciences, Faculty of Health Sciences, Palacky University in Olomouc, Olomouc, Czech Republic.
Cent Eur J Public Health. 2020 Oct;28 Suppl:S57-S64. doi: 10.21101/cejph.a6211.
The aim of the study was to assess the prevalence of burnout syndrome and mobbing, to determine their mutual relationship, and to identify predictors related to the probability of occurrence of burnout syndrome in general nurses working in hospitals.
The work is designed as a cross-sectional study. The research took place in 2018 and the sample included 250 general nurses. Statistical evaluation was performed by means of descriptive statistics, Spearman's correlation coefficient, and logistic regression. Three standardized questionnaires were used - Maslach Burnout Inventory, Negative Questionnaire Act and SUPSO.
The research revealed burnout syndrome in the area of emotional exhaustion in 28.8% of nurses, of depersonalization in 15.2%, and in the area of personal accomplishment in 38.4%. 51.2% of nurses never experienced mobbing at workplace, one act of mobbing over the last six months was reported by 17.6% of respondents, two and more acts by 31.2%. Logistic regression revealed that the probability of occurrence of burnout syndrome in the area of emotional exhaustion is influenced by age, sex and by the size of an urban area, it is increased by anxiety and depression. In the area of depersonalization the probability of incidence increases with impulsiveness and dejection. In the area of personal accomplishment the probability of burnout syndrome incidence is increased by the lack of psychological wellbeing and activeness, by restlessness and impulsiveness. Though there were found significant relationships between all component parts of burnout syndrome and mobbing, multivariate logistic regression did not show the impact of any component part of mobbing on the probability of occurrence of burnout syndrome.
The research revealed that the probability of burnout syndrome incidence is related to socio-demographic factors as well as to an individual's psychological states and perceptions. Direct impact of mobbing on the probability of burnout syndrome incidence was inconclusive.
本研究旨在评估职业倦怠综合征和职场暴力的患病率,确定它们之间的相互关系,并识别与医院普通护士发生职业倦怠综合征可能性相关的预测因素。
本研究设计为横断面研究。研究于2018年进行,样本包括250名普通护士。通过描述性统计、Spearman相关系数和逻辑回归进行统计评估。使用了三份标准化问卷——马氏职业倦怠量表、消极行为问卷和SUPSO。
研究发现,28.8%的护士存在情感耗竭领域的职业倦怠综合征,15.2%存在去个性化领域的职业倦怠综合征,38.4%存在个人成就感领域的职业倦怠综合征。51.2%的护士在工作场所从未经历过职场暴力,17.6%的受访者报告在过去六个月中发生过一次职场暴力行为,31.2%报告发生过两次及以上职场暴力行为。逻辑回归显示,情感耗竭领域发生职业倦怠综合征的可能性受年龄、性别和城市地区规模的影响,焦虑和抑郁会增加这种可能性。在去个性化领域,发病率随冲动性和沮丧情绪增加。在个人成就感领域,缺乏心理健康和积极性、烦躁不安和冲动性会增加职业倦怠综合征的发病率。尽管发现职业倦怠综合征的所有组成部分与职场暴力之间存在显著关系,但多变量逻辑回归未显示职场暴力的任何组成部分对职业倦怠综合征发生可能性的影响。
研究表明,职业倦怠综合征的发病率与社会人口统计学因素以及个人的心理状态和认知有关。职场暴力对职业倦怠综合征发病率的直接影响尚无定论。