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医护人员在姑息治疗中的工作相关压力:一项横断面调查。

Healthcare Professionals' Work-Related Stress in Palliative Care: A Cross-Sectional Survey.

机构信息

Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands; Netherlands Association for Palliative Care (PZNL), Utrecht, The Netherlands; Centre of Expertise in Palliative Care, Leiden University Medical Centre, Leiden, The Netherlands.

Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands; Netherlands Association for Palliative Care (PZNL), Utrecht, The Netherlands.

出版信息

J Pain Symptom Manage. 2021 Sep;62(3):e38-e45. doi: 10.1016/j.jpainsymman.2021.04.004. Epub 2021 Apr 20.

DOI:10.1016/j.jpainsymman.2021.04.004
PMID:33864848
Abstract

CONTEXT

Providing palliative care can lead to work-related stress and ultimately to burnout. The need for palliative care will further increase due to population aging and people living longer with life-threatening diseases. Therefore, a healthy palliative care workforce is vital.

OBJECTIVES

This study aims to get insight into the experienced work-related stress among healthcare professionals providing palliative care in the Netherlands and their strategies and needs in relation to maintaining a healthy work-life balance.

METHODS

A cross-sectional online survey among members of the Dutch Association for Palliative Care Professionals was conducted between February and March 2020. Burnout was assessed by the validated Burnout Assessment Tool. Self-constructed questions assessed strategies and needs of healthcare professionals providing palliative care regarding work-related stress.

RESULTS

In total 179 eligible respondents responded (response rate 54%). Respondents were mostly female (79%) and older than 50 years (66%). Most respondents were nurses (47%) and physicians (39%). Two-thirds of respondents (69%) experienced a median level of burnout and 2% a (very) high level. Furthermore, 7% had been on sick leave due to burnout. Although healthcare professionals engage on average in 3.7 coping activities, a quarter (23%) felt that these activities were not sufficient to maintain balanced. Respondents feel a need for activities aimed at the team and organisation level such as feeling emotionally safe within their team.

CONCLUSION

Symptoms of burnout are quite prevalent among healthcare professionals providing palliative care in the Netherlands. Healthcare professionals have a need for team and organisation approaches to maintain a healthy work-life balance.

摘要

背景

提供姑息治疗可能会导致与工作相关的压力,最终导致倦怠。由于人口老龄化和人们患有危及生命的疾病的时间延长,对姑息治疗的需求将进一步增加。因此,拥有一支健康的姑息治疗劳动力至关重要。

目的

本研究旨在深入了解荷兰姑息治疗医护人员所经历的与工作相关的压力,以及他们在维持健康的工作与生活平衡方面的策略和需求。

方法

2020 年 2 月至 3 月期间,对荷兰姑息治疗专业人员协会的成员进行了横断面在线调查。使用经过验证的倦怠评估工具评估倦怠。自我构建的问题评估了姑息治疗医护人员在与工作相关的压力方面的策略和需求。

结果

共有 179 名符合条件的受访者(应答率为 54%)做出回应。受访者主要为女性(79%),年龄大于 50 岁(66%)。大多数受访者为护士(47%)和医生(39%)。三分之二的受访者(69%)处于倦怠的中等水平,2%(非常)高。此外,7%的人因倦怠而请病假。尽管医护人员平均参与了 3.7 项应对活动,但有四分之一(23%)的人认为这些活动不足以维持平衡。受访者感到需要采取针对团队和组织层面的活动,例如在团队中感到情绪安全。

结论

在荷兰,提供姑息治疗的医护人员中,倦怠症状相当普遍。医护人员需要团队和组织层面的方法来维持健康的工作与生活平衡。

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