Quality Assurance and Continuing Education Unit, General Hospital of Lamia, Lamia, Greece.
Haemodialysis Unit, General Hospital of Lamia, Lamia, Greece.
J Ren Care. 2021 Jun;47(2):133-140. doi: 10.1111/jorc.12353. Epub 2020 Oct 28.
The work environment can contribute to the occurrence of nurses' burnout.
This study assessed the work environment of haemodialysis nurses and the extent of burnout they have suffered, and it explored the connection between work environment and burnout.
A multicentre cross-sectional study was conducted in 53 public, hospital-based haemodialysis units in Greece.
A total of 537 haemodialysis nurses participated. The majority consisted of females (90.8%) who possessed a university degree or a degree from a technological institute (72.6%). They had an average of 15 years of experience in dialysis.
The Practice Environment Scale of the Nursing Work Index and the Copenhagen Burnout Inventory (CBI) were used. The demographic characteristics of the participants were also collected.
Although the nurses rated their work environment as healthy, they were experiencing a moderate degree of burnout. The multivariate linear regression analysis with the CBI scales as dependent variables was applied. The increased nurses' participation in hospital affairs was associated with decreased personal (coefficient β = -9.4, 95% confidence interval [CI] = -17.4 to -1.3, p = 0.023), work-related (coefficient β = -12.9, 95% CI = -22.5 to -3.5, p = 0.008) and patient-related burnout (coefficient β = -15.9, 95% CI = -24.5 to -7.4, p = < 0.001). The better collegial nurse-physician relationships were associated with decreased personal (coefficient β = -10.7, 95% CI = -18.3 to -3.0, p = .007) and work-related burnout (coefficient β = -15.1, 95% CI = -23.3 to -7.0, p = < 0.001).
The work environment of haemodialysis nurses was associated with burnout. Its improvement is an important tool in administrations' effort to ensure the nursing staff's well-being.
工作环境可能导致护士出现倦怠。
本研究评估了血液透析护士的工作环境以及他们所经历的倦怠程度，并探讨了工作环境与倦怠之间的关系。
在希腊的 53 家公立、医院内血液透析单位进行了一项多中心横断面研究。
共有 537 名血液透析护士参与了研究。大多数参与者为女性（90.8%），拥有大学或技术学院学位（72.6%）。他们平均有 15 年的透析经验。
使用护理工作指数的实践环境量表和哥本哈根倦怠量表（CBI）。还收集了参与者的人口统计学特征。
尽管护士对工作环境的评价较为健康，但他们仍经历着中度的倦怠。将 CBI 量表作为因变量进行多元线性回归分析。护士更多地参与医院事务与个人（系数 β=-9.4，95%置信区间 [CI]：-17.4 至 -1.3，p=0.023）、与工作相关（系数 β=-12.9，95% CI：-22.5 至 -3.5，p=0.008）和与患者相关的倦怠（系数 β=-15.9，95% CI：-24.5 至 -7.4，p<0.001）呈负相关。更好的医护关系与个人（系数 β=-10.7，95% CI：-18.3 至 -3.0，p=0.007）和与工作相关的倦怠（系数 β=-15.1，95% CI：-23.3 至 -7.0，p<0.001）呈负相关。
血液透析护士的工作环境与倦怠有关。改善工作环境是管理部门确保护理人员福祉的重要工具。
