扎博勒市教学医院护士安全氛围与职业疲劳关系的调查
Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol.
作者信息
Poursadeqiyan Mohsen, Arefi Maryam Feiz, Khaleghi Saeed, Moghaddam Ali Sadeghi, Mazloumi Ehsan, Raei Mehdi, Hami Mahsa, Khammar Alireza
机构信息
Department of Occupational Health Engineering, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
出版信息
J Educ Health Promot. 2020 Sep 28;9:238. doi: 10.4103/jehp.jehp_309_20. eCollection 2020.
INTRODUCTION
Some working and organizational conditions, such as psychological stress and shift work, are factors that threaten the health of staff working in health centers. These factors can cause fatigue in a long time. Fatigue reduces the ability to process information and decrease to respond to hazardous conditions and will affect the safety of the environment. Therefore, the purpose of this study was to determine the relationship between safety climate and occupational fatigue in nurses working in Zabol city.
METHODS
This cross-sectional study was performed on 143 nurses working in educational hospitals of Zabol in 2019. The proportional sampling method was used, and the Swedish Occupational Fatigue Questionnaire and the Nurses Safety Questionnaire were used for data collection. Data were analyzed using independent -test, analysis of variance, Mann-Whitney, Kruskal-Wallis tests, and SPSS-21 software.
RESULTS
In the present study, 57.3% were women and 42.7% were men. The mean score of occupational fatigue was 85.09 ± 41.49, and the mean score of safety climate was 67.15 ± 12.73. There is a significant inverse relationship between occupational fatigue and safety climate. The comparison of safety climate and its subscales between occupational and demographic variables showed that the score of male supervisors' attitude was 01.36 ± 2.41 while the score of female supervisors' attitude was 8.88 ± 2.61, and this difference was significant. Furthermore, cumulative burnout, the attitude of supervisors, and the safety climate were significantly different between different educational levels.
CONCLUSION
The results of this study showed that there is a relationship between occupational fatigue and safety climate. Issues related to safety and risk factors in hospitals due to the high risk of disease outbreak and mortality, in addition to being economical, are important in terms of the human aspect as well. In addition, the activity of nursing staff is more important compared to other groups because of providing health care and communicating with patients; thus, more education about the safety climate of the workplace environment in hospitals can reduce nurses' fatigue.
引言
一些工作和组织条件，如心理压力和轮班工作，是威胁健康中心工作人员健康的因素。这些因素长期会导致疲劳。疲劳会降低信息处理能力，并减少对危险情况的反应能力，进而影响环境安全。因此，本研究的目的是确定扎博勒市护士的安全氛围与职业疲劳之间的关系。
方法
本横断面研究于2019年对扎博勒市教学医院的143名护士进行。采用比例抽样法，使用瑞典职业疲劳问卷和护士安全问卷收集数据。使用独立样本t检验、方差分析、曼-惠特尼检验、克鲁斯卡尔-沃利斯检验和SPSS-21软件进行数据分析。
结果
在本研究中，女性占57.3%，男性占42.7%。职业疲劳的平均得分为85.09±41.49，安全氛围的平均得分为67.15±12.73。职业疲劳与安全氛围之间存在显著的负相关关系。职业和人口统计学变量之间安全氛围及其子量表的比较表明，男性主管态度的得分为01.36±2.41，而女性主管态度的得分为8.88±2.61，这种差异具有统计学意义。此外，不同教育水平之间的累积倦怠、主管态度和安全氛围存在显著差异。
结论
本研究结果表明职业疲劳与安全氛围之间存在关系。由于疾病爆发和死亡风险高，医院中与安全和风险因素相关的问题，除了经济方面外，在人文方面也很重要。此外，由于护士提供医疗保健并与患者沟通，其活动比其他群体更为重要；因此，对医院工作场所环境安全氛围进行更多教育可以减轻护士的疲劳。
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