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中国护士职业生活质量的反思性风险评估模型

The reflective risk assessment model of professional quality of life in Chinese nurses.

作者信息

Li Wendy Wen, West Caryn, Xie Guojun

机构信息

College of Healthcare Sciences, James Cook University, Townsville, Qld, Australia.

Department of Psychiatry, The Third People's Hospital of Foshan City, Foshan, China.

出版信息

J Nurs Manag. 2021 May;29(4):767-775. doi: 10.1111/jonm.13217. Epub 2020 Dec 17.

Abstract

AIM

To apply the reflective risk assessment model in a Chinese health care setting to investigate the relationships between professional quality of life and mental health risk profiles.

BACKGROUND

Few studies have connected the quality of work life with contributing and coexisting factors such as depression, anxiety and stress, but none to date in a Chinese health care setting.

METHOD

A cross-sectional survey of 950 registered Chinese nurses was employed.

RESULTS

299 of 861 participants (34.7%) were categorized into four of five professional quality of life risk profiles, consistent with the reflective risk assessment model. Significant differences were seen with large-sized effects in the mean scores of stress, anxiety and depression among the participants, with participants of the very distressed profile having significantly higher mean scores in stress, anxiety and depression, followed by the at-risk profile group.

CONCLUSION

The reflective risk assessment model and professional quality of life five risk profiles are supported by this study.

IMPLICATIONS FOR NURSING MANAGEMENT

The reflective risk assessment model can be used to detect risk factors for mental health in nurses and for the design of interventions that promote nurses' mental health.

摘要

目的

在中国医疗环境中应用反思性风险评估模型,以探究职业生活质量与心理健康风险状况之间的关系。

背景

很少有研究将工作生活质量与诸如抑郁、焦虑和压力等促成因素及并存因素联系起来,而迄今为止在中国医疗环境中尚无此类研究。

方法

对950名注册中国护士进行了横断面调查。

结果

861名参与者中的299名(34.7%)被归入职业生活质量五个风险状况中的四个,这与反思性风险评估模型一致。参与者在压力、焦虑和抑郁的平均得分上存在显著差异,且效应量较大,其中处于极度困扰状况的参与者在压力、焦虑和抑郁方面的平均得分显著更高,其次是处于风险状况组。

结论

本研究支持反思性风险评估模型和职业生活质量五个风险状况。

对护理管理的启示

反思性风险评估模型可用于检测护士心理健康的风险因素,并用于设计促进护士心理健康的干预措施。

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