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医疗行业中的暴力暴露与倦怠:工作能力的中介作用。

Violence exposure and burnout in healthcare sector: mediating role of work ability.

机构信息

Department of Psychology, University of Turin.

Department of Psychology, University of Turin, Italy.

出版信息

Med Lav. 2021 Feb 23;112(1):58-67. doi: 10.23749/mdl.v112i1.9906.

DOI:10.23749/mdl.v112i1.9906
PMID:33635295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8023052/
Abstract

BACKGROUND

One of the most difficult problems faced by health care professionals is experiencing verbal and physical abuse from patients and their family members. Some studies have shown that health care workers, especially nurses, are up to 16 times more likely to be subject to violence than other workers.

AIMS

The aim of this study was to analyze the relationship between exposure to violence, work ability and burnout.

METHODS

Data were collected through a questionnaire to investigate health care workers' exposure to violence (Violent Incident Form), burnout (Maslach Burnout Inventory) and work ability (Work Ability Index). A sample of 300 nurses was obtained for the study.

RESULTS

A total of 36% of nurses indicated that they had been a victim of violence in the past 12 months. The data analysis highlighted highly significant differences in work ability, emotional exhaustion and depersonalization between health care workers who had been victims of violence and those who had not experienced violence. Finally, work ability was shown to have a mediating effect on emotional exhaustion (indirect effect: b = 2.7, BCa CI: 1.37-4.33) and depersonalization (indirect effect: b = 1.1, BCa CI: 0.48-1.87).

DISCUSSION

This study is one of the first to consider the mediation effect of work ability between workplace violence experienced and burnout in the healthcare sector; it reports the complexity and severity of the consequences of workplace violence in this sector.

摘要

背景

医护人员面临的最困难问题之一是遭受患者及其家属的言语和身体虐待。一些研究表明,医护人员,尤其是护士,遭受暴力的可能性比其他工作人员高 16 倍。

目的

本研究旨在分析暴露于暴力、工作能力和倦怠之间的关系。

方法

通过问卷调查收集数据,以调查医护人员的暴力暴露情况(暴力事件表)、倦怠(马斯拉赫倦怠量表)和工作能力(工作能力指数)。研究获得了 300 名护士的样本。

结果

共有 36%的护士表示在过去 12 个月中曾遭受过暴力。数据分析突出了在经历过暴力和未经历过暴力的医护人员之间,工作能力、情绪疲惫和去人性化方面存在高度显著差异。最后,工作能力对情绪疲惫(间接效应:b = 2.7,BCa CI:1.37-4.33)和去人性化(间接效应:b = 1.1,BCa CI:0.48-1.87)具有中介作用。

讨论

本研究首次考虑了工作能力在医疗保健领域中经历的工作场所暴力与倦怠之间的中介效应;它报告了该领域工作场所暴力后果的复杂性和严重性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc9a/8023052/dac4652ba223/MDL-112-58-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc9a/8023052/dac4652ba223/MDL-112-58-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc9a/8023052/dac4652ba223/MDL-112-58-g001.jpg