伊朗护士在照顾 COVID-19 患者中的精神工作负荷与工作绩效之间的关系：一项横断面研究。
The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: A cross-sectional study.
机构信息
Department of Pediatric Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
出版信息
J Nurs Manag. 2021 Sep;29(6):1723-1732. doi: 10.1111/jonm.13305. Epub 2021 Mar 20.
AIMS
To evaluate the relationship between mental workload and job performance among nurses providing care to patients with COVID-19, and to explain the factors predicting their performance.
BACKGROUND
The increased workload of health care workers in the COVID-19 pandemic affects their job performance, causes medical errors, contributes to patients' mortality and is a major concern for all health care organisations in the world.
METHODS
This cross-sectional study recruited 139 nurses selected from the ICUs, infectious disease wards and emergency units of two hospitals in Iran. The NASA-Task Load Index and Paterson's job performance questionnaire were used.
RESULTS
Mean scores of mental workload and job performance of the nurses were 67.14 ± 30.53 and 37.37 ± 7.36, respectively. A total of 71.95% and 96.4% of the nurses had high mental workload and job performance levels, respectively. The results indicated a weak positive correlation between mental workload and the mean score of job performance(r = .057). Unlike the mental demand (r = .175, p = .04) and temporal demand (r = .307, p < .001) that had a significant positive correlation with job performance, frustration had a significant negative correlation with job performance (r = -.183, p = .032). The following variables explained 33% of the variance of nurses' job performance: age, gender, type of ward, working shift, experience of providing care to patients with COVID-19 and frustration.
CONCLUSION
The nurses' mental workload increased during the COVID-19 pandemic. Given the negative effect of mental workload on the nurses' behaviour and performance, the rise in their job performance and its weak positive correlation with their mental workload should be further addressed.
IMPLICATIONS FOR NURSING MANAGEMENT
The present study results support the need for focusing on implementing strategies such as providing social and psychological support to moderate mental workload and improve job performance of nurses who provide care to patients with COVID-19.
目的
评估 COVID-19 患者护理护士的心理工作量与工作绩效之间的关系，并解释预测其绩效的因素。
背景
COVID-19 大流行期间医疗保健工作者的工作量增加，影响了他们的工作绩效，导致医疗失误，导致患者死亡，这是世界上所有医疗保健组织的主要关注点。
方法
本横断面研究招募了来自伊朗两家医院的 ICU、传染病病房和急诊室的 139 名护士。使用 NASA 任务负荷指数和 Paterson 工作绩效问卷。
结果
护士的心理工作量和工作绩效平均得分为 67.14±30.53 和 37.37±7.36。分别有 71.95%和 96.4%的护士心理工作量和工作绩效水平较高。心理工作量与工作绩效平均得分呈弱正相关(r=.057)。与工作绩效呈显著正相关的心理需求(r=.175，p=.04)和时间需求(r=.307，p<.001)不同，挫折与工作绩效呈显著负相关(r=-.183，p=.032)。有以下变量可以解释护士工作绩效的 33%：年龄、性别、病房类型、轮班工作、照顾 COVID-19 患者的经验和挫折。
结论
COVID-19 大流行期间护士的心理工作量增加。鉴于心理工作量对护士行为和绩效的负面影响，应进一步关注提高护士的工作绩效及其与心理工作量的弱正相关。
启示
本研究结果支持需要关注实施策略，如提供社会和心理支持，以适度护士的心理工作量，提高照顾 COVID-19 患者的护士的工作绩效。
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