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妇产科医护人员职业倦怠的预测因素及其与人格因素的相关性:一项多中心研究。

Predictors of burnout of health professionals in the departments of maternity and gynaecology, and its association with personality factors: A multicentre study.

机构信息

Brain, Mind and Behaviour Research Center (CIMCYC), Faculty of Psychology, University of Granada, Granada, Spain.

Faculty of Health Sciences, University of Granada, Ceuta, Spain.

出版信息

J Clin Nurs. 2021 Jan;30(1-2):207-216. doi: 10.1111/jocn.15541. Epub 2020 Nov 10.

Abstract

AIMS AND OBJECTIVES

To analyse the prevalence, levels and phases of burnout syndrome in midwives and obstetrics and gynaecology nurses, and to evaluate the relationship between burnout and sociodemographic, occupational and psychological factors.

BACKGROUND

Burnout syndrome is a major problem in occupational health, characterised by feelings of exhaustion, depersonalisation and a low sense of personal achievement that appears after long-term occupational stress. Recent research has found that burnout harms the physical and mental well-being of workers, and jeopardises the quality of care provided. The association between burnout and a risk profile in maternity wards has not previously been investigated but it deserves special attention since it is a highly stressful area to work in.

DESIGN

A cross-sectional survey design was selected.

METHODS

A total of 150 nurses and midwives at 18 hospitals participated in this study. The data were collected using the Maslach Burnout Inventory, NEO Personality Inventory and the Educational-Clinical Questionnaire: Anxiety and Depression. This study adhered to the STROBE guideline.

RESULTS

17% of participants presented high levels of emotional exhaustion, 16.6% high depersonalisation and 55.1% a sense of low personal accomplishment. The sociodemographic and occupational variables related to burnout were gender, marital status and work shift. The three dimensions of the syndrome, emotional exhaustion, depersonalisation and personal accomplishment were predicted by depression, neuroticism, agreeableness and openness.

CONCLUSIONS

One third of the sample presented high levels of burnout, which was most strongly experienced as feelings of low personal accomplishment. Furthermore, personality factors play an important role in the development of burnout syndrome.

RELEVANCE TO CLINICAL PRACTICE

Managers and policy makers should promote strategies to reduce burnout. To prevent the syndrome, personality factors should be taken into account, for the early identification of a profile of professionals most at risk of developing burnout.

摘要

目的和目标

分析助产士和妇产科护士中倦怠综合征的流行率、水平和阶段,并评估倦怠与社会人口统计学、职业和心理因素之间的关系。

背景

倦怠综合征是职业健康的一个主要问题,其特征是长期职业压力后出现疲惫、去人性化和成就感低的感觉。最近的研究发现,倦怠会损害工人的身心健康,并危及所提供的护理质量。倦怠与产房风险特征之间的关系尚未得到调查,但值得特别关注,因为这是一个工作压力很大的领域。

设计

选择了横断面调查设计。

方法

共有 18 家医院的 150 名护士和助产士参与了这项研究。使用 Maslach 倦怠量表、NEO 人格量表和教育临床问卷:焦虑和抑郁收集数据。本研究遵循 STROBE 指南。

结果

17%的参与者表现出高度的情绪疲惫,16.6%的参与者表现出高度的去人性化,55.1%的参与者表现出成就感低。与倦怠相关的社会人口统计学和职业变量是性别、婚姻状况和工作班次。综合征的三个维度,即情绪疲惫、去人性化和个人成就感,可由抑郁、神经质、宜人性和开放性预测。

结论

三分之一的样本表现出高度的倦怠,最强烈的体验是成就感低。此外,人格因素在倦怠综合征的发展中起着重要作用。

对临床实践的意义

管理人员和政策制定者应推行策略以减少倦怠。为了预防该综合征,应考虑人格因素,以便及早识别出最有可能出现倦怠的专业人员的风险特征。

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