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正念、情绪智力与重症监护护士职业倦怠:中介效应模型。

Mindfulness, emotional intelligence and occupational burnout in intensive care nurses: A mediating effect model.

机构信息

Department of Nursing, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

J Nurs Manag. 2021 Apr;29(3):535-542. doi: 10.1111/jonm.13193. Epub 2020 Dec 8.

Abstract

AIM(S): To construct structural equation models to test the mediating role of emotional intelligence in the relationship between mindfulness and occupational burnout.

BACKGROUND

Reports assessing the relationships among mindfulness, emotional intelligence and burnout, specifically in ICU nurses, are scarce.

METHODS

This was a descriptive, correlational, cross-sectional research design with 883 ICU nurses enrolled by convenience sampling from 29 ICUs in seven tertiary hospitals in urban areas of Chengdu, China. Mediation analysis was performed by structural equation modelling. Indirect effects were evaluated through bootstrapping.

RESULTS

The associations among mindfulness, emotional intelligence, emotional exhaustion, depersonalization and personal accomplishment were all significant (p < .001). In the mediation models, emotional intelligence partially mediates the relationships between mindfulness and emotional exhaustion (indirect effect 0.118, p = .006; direct effect -0.374, p = .010; total effect -0.492, p = .011) and between mindfulness and depersonalization (indirect effect -0.182, p = .006; direct effect -0.452, p = .015; total effect -0.633, p = .018). Emotional intelligence plays a total mediating role between mindfulness and personal accomplishment (indirect effect 0.293, p = .004; direct effect 0.119, p = .053).

CONCLUSIONS

The results suggest that nursing manager could implement mindfulness training to improve occupational burnout in ICU nurses.

IMPLICATIONS FOR NURSING MANAGEMENT

Nursing managers could help create a more favourable working environment by providing mindfulness training. Such mindfulness training could help improve nursing quality, reduce errors and ensure patient safety, possibly improving patient prognosis and probably satisfaction.

摘要

目的

构建结构方程模型,以检验情绪智力在正念与职业倦怠之间的关系中的中介作用。

背景

评估正念、情绪智力和倦怠之间关系的报告,特别是在 ICU 护士中,很少。

方法

这是一项描述性、相关性、横断面研究设计,采用方便抽样法从中国成都市 7 家三级医院的 29 个 ICU 中招募了 883 名 ICU 护士。通过结构方程模型进行中介分析。通过自举法评估间接效应。

结果

正念、情绪智力、情绪衰竭、去个性化和个人成就感之间的关联均具有统计学意义(p<0.001)。在中介模型中,情绪智力部分中介了正念与情绪衰竭(间接效应 0.118,p=0.006;直接效应-0.374,p=0.010;总效应-0.492,p=0.011)和正念与去个性化(间接效应-0.182,p=0.006;直接效应-0.452,p=0.015;总效应-0.633,p=0.018)之间的关系。情绪智力在正念与个人成就感之间发挥完全中介作用(间接效应 0.293,p=0.004;直接效应 0.119,p=0.053)。

结论

结果表明,护理管理者可以实施正念训练,以改善 ICU 护士的职业倦怠。

对护理管理的意义

护理管理者可以通过提供正念训练来帮助创造更有利的工作环境。这种正念训练可以帮助提高护理质量,减少错误,确保患者安全,可能改善患者预后,提高患者满意度。

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