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工作环境和相关倦怠水平:意大利南部两家医院医护人员的调查。

Work environment and related burnout levels: survey among healthcare workers in two hospitals of Southern Italy.

机构信息

"San Giuseppe da Copertino" Hospital, ASL (Local Health Authority) Lecce (LE), Italy.

ANT Italia ONLUS Foundation (National Cancer Association) Lecce (LE), Italy.

出版信息

Acta Biomed. 2021 Mar 31;92(S2):e2021009. doi: 10.23750/abm.v92iS2.11307.

Abstract

BACKGROUND AND AIM OF THE WORK

Safety in hospitals is a structural variable on which depends not only on health, but also on physical safety of patients and employees, whom are increasingly exposed to risks as a result of which they may suffer from occupational diseases and/or develop important psycho-physical consequences. The study aimed to evaluate the association between work environment and perceived burnout levels in two hospitals of Southern Italy.

METHOD

From March to August 2019 an observational study was carried out through a survey consisting of four sections: sociodemographic data; the Post Occupancy Evaluation (POE) questionnaire; the perception of the environment and possible causes of stress; the burnout levels perceived through the Maslach Burnout Inventory (MBI). A convenience sample of 169 healthcare workers participated in the study. All nurses (including nursing coordinators), clinicians, support staff of the "Vito Fazzi" Hospital of Lecce (Le) and "San Giuseppe da Copertino" Hospital of Copertino (Le) with at least one year of work experience and who signed the informed consent were recruited.

RESULTS

The healthcare workers involved in the survey declared limits in handling and usability of the equipment, both for the patient n=77 (45.6%) and for the healthcare worker n=75 (44.4%), a lack of visual privacy n=89 (52.6%) and acoustic n=128 (75.7%).  The analysis also shows higher scores on the 'depersonalization' scale among the health care workers of San Giuseppe da Copertino" Hospital (LE) (M= 9.36; DS= 9.439) and higher levels on the 'emotional exhaustion' scale in the surgical areas (M= 22.0; DS= 11.86) and in the female gender (M= 23.10; DS=. 12.01).  Conclusions. The study reveals a poor condition of environmental comfort and safety, which generate high levels of stress and burnout in healthcare workers. Such a study can encourage further multicenter studies.

摘要

背景与工作目的

医院安全不仅关系到患者的健康,还关系到患者和员工的人身安全,而员工由于工作环境的原因,越来越多地面临着职业风险,从而可能患上职业病,或发展出重要的身心影响。本研究旨在评估意大利南部两家医院的工作环境与职业倦怠感知水平之间的关联。

方法

2019 年 3 月至 8 月期间,我们通过问卷调查进行了一项观察性研究,问卷共分为四个部分:社会人口统计学数据;使用后评估(POE)问卷;对环境的感知以及可能的压力源;通过 Maslach 职业倦怠量表(MBI)感知到的倦怠水平。本研究共招募了 169 名医护人员参与。所有护士(包括护理协调员)、临床医生、莱切(Le)的“Vito Fazzi”医院和科普蒂诺(Le)的“San Giuseppe da Copertino”医院的辅助人员,均具有至少一年的工作经验,并签署了知情同意书。

结果

参与调查的医护人员报告称,设备的使用和可用性存在局限性,包括对患者的影响(n=77,45.6%)和对医护人员的影响(n=75,44.4%),缺乏视觉隐私(n=89,52.6%)和声学隐私(n=128,75.7%)。分析还显示,“人格解体”量表上的得分较高的医护人员来自“San Giuseppe da Copertino”医院(LE)(M=9.36;DS=9.439),“情绪耗竭”量表上的得分较高的医护人员在外科区域(M=22.0;DS=11.86)和女性医护人员中(M=23.10;DS=0.12.01)。

结论

本研究揭示了环境舒适度和安全性较差的情况,这会导致医护人员产生较高水平的压力和职业倦怠。这样的研究可以鼓励进一步的多中心研究。

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