District Nurse, Berkshire Healthcare Foundation Trust, Maidenhead.
Br J Community Nurs. 2020 Nov 2;25(11):555-561. doi: 10.12968/bjcn.2020.25.11.555.
This literature review aimed to identify the consequences of working in a highly stressful environment within district nursing teams and the implications this has on nursing practice and the welfare of nurses. The review analysed 10 primary research studies, resulting in three emerging themes that formed the foundation of a discussion; burnout and compassion fatigue; reduced job satisfaction and retention; and emotional injury. The results identified that healthy behaviours, emotional intelligence and effective caseload and staffing management can reduce the negative impact that stress can have on nurses. Organisations need to promote healthy behaviours through support and training and need to reassess how caseloads are managed in correlation with staffing levels. Coaching in emotional intelligence skills is vital and should be provided to all nurses within the DN service.
本文献综述旨在确定在地区护理团队中工作于高度紧张环境下的后果，以及这对护理实践和护士福利的影响。该综述分析了 10 项主要的研究，得出了三个新出现的主题，这些主题构成了讨论的基础：职业倦怠和同情心疲劳；工作满意度和保留率降低；以及情绪伤害。结果表明，健康行为、情绪智力和有效的病例量及人员配备管理可以减轻压力对护士的负面影响。组织需要通过支持和培训来促进健康行为，需要重新评估如何管理与人员配备水平相关的病例量。情绪智力技能的辅导至关重要，应该向 DN 服务中的所有护士提供。
