Patient Safety Research Center, Clinical Research Institute, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.
School of Nursing, Hubei University of Medicine, Shiyan, China.
J Nurs Manag. 2021 Oct;29(7):2084-2091. doi: 10.1111/jonm.13343. Epub 2021 May 17.
To determine nurses' job stress and its relationship with professional autonomy and nurse-physician collaboration in intensive care unit (ICU).
Low professional autonomy, high job stress and lack of nurse-physician collaboration can affect nursing care in ICU and the main reasons ICU nurses leave the occupation or transfer to other clinical units.
A cross-sectional, correlational study was conducted on 398 nurses in teaching hospitals in Urmia, Iran, in 2020. Data were collected using the Dempster Practice Behaviors Scale, the Health and Safety Executive tool and the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration.
The mean job stress (115.53 ± 12.42) and professional autonomy (102.19 ± 11.88) of ICU nurses were 'moderate', and nurse-physician collaboration (74.25 ± 5.10) was 'good'. There was a positive relationship between professional autonomy and job stress (r = .506) and nurse-physician collaboration (r = .242). Professional autonomy was a predictor of job stress in nurses (p < .000), and work experience in ICU can cause job stress in nurses (p = .024).
Increasing nurses' professional autonomy causes an increase in job stress and improves nurse-physician collaboration in ICU.
Nursing managers should implement practical strategies to improve nurses' autonomy, enhance nurse-physician collaboration and decrease their job stress.
确定护士的工作压力及其与重症监护病房（ICU）中专业自主性和护士-医师协作的关系。
低专业自主性、高工作压力和缺乏护士-医师协作会影响 ICU 中的护理工作，这也是 ICU 护士离开职业或转至其他临床科室的主要原因。
2020 年，在伊朗乌尔米亚的教学医院对 398 名护士进行了横断面相关性研究。使用 Dempster 实践行为量表、健康与安全执行工具和 Jefferson 医师-护士协作态度量表收集数据。
ICU 护士的平均工作压力（115.53±12.42）和专业自主性（102.19±11.88）为“中度”，护士-医师协作（74.25±5.10）为“良好”。专业自主性与工作压力（r=.506）和护士-医师协作（r=.242）呈正相关。专业自主性是护士工作压力的预测因素（p<0.000），在 ICU 的工作经验会导致护士工作压力（p=0.024）。
增加护士的专业自主性会导致工作压力增加，并改善 ICU 中的护士-医师协作。
护理管理人员应实施切实可行的策略来提高护士的自主性，增强护士-医师协作，降低其工作压力。
