Department of Nursing, Umeå University, Skellefteå, Sweden.
Scand J Caring Sci. 2022 Mar;36(1):131-141. doi: 10.1111/scs.12970. Epub 2021 Mar 18.
Studies points to that levels of stress of conscience and burnout among staff in healthcare contexts may seriously affect their health.
To compare assessments and associations of stress of conscience, perceptions of conscience, social support and burnout amongst care providers working in home care respectively residential care for older people.
This cross-sectional descriptive comparative study was performed among all care providers working in home care (n = 227) and residential care of older people (n = 354) in a municipality in northern Sweden. Data was collected using four different questionnaires. Analysis were performed using partial least square regression, descriptive statistics, statistical tests and effect size measures.
Care providers in residential care of older people assessed higher levels of stress of conscience compared to those working in home care. Exhaustion was an important predictor for belonging to the group of care providers working in residential care of older people. The most important predictor for belonging to the group of care providers working in home care were social support from one's immediate superior and co-workers. Women assessed significantly higher levels of stress of conscience and exhaustion compared to men.
Further research seems needed to investigate what the high levels of stress of conscience is caused by. A combined intervention consisting of work-directed measures against burnout and measures aiming at reducing stress of conscience is suggested.
研究表明，医护人员的良心压力和倦怠水平可能会严重影响他们的健康。
比较分别在家庭护理和老年人居住护理环境中工作的护理人员的良心压力、良心感知、社会支持和倦怠评估及其相关性。
这是一项在瑞典北部一个市的家庭护理（n=227）和老年人居住护理（n=354）中所有护理人员中进行的横断面描述性比较研究。使用了四种不同的问卷收集数据。采用偏最小二乘回归、描述性统计、统计检验和效应量测量进行分析。
与家庭护理相比，老年人居住护理的护理人员评估的良心压力水平更高。疲惫是属于老年人居住护理的护理人员的重要预测因素。社会支持来自直接上级和同事是属于家庭护理的护理人员的最重要预测因素。女性评估的良心压力和疲惫水平明显高于男性。
似乎需要进一步研究高良心压力的原因。建议采取综合干预措施，包括针对倦怠的工作导向措施和旨在减轻良心压力的措施。
