Chachula Kathryn M
College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Department of Nursing, Faculty of Health Studies, Brandon University, Brandon, Manitoba, Canada.
SAGE Open Nurs. 2021 Feb 17;7:2377960821994394. doi: 10.1177/2377960821994394. eCollection 2021 Jan-Dec.
Professional quality of life (ProQOL) that encompasses compassion satisfaction (CS) and compassion fatigue (CF) comprised of burnout (BO) and secondary traumatic stress (STS) has been raised as a world-wide issue for the nursing profession. Limited attention has been paid to the vulnerabilities of nursing students to ProQOL and the associated mechanisms.
Determine what factors are predictive of ProQOL in a population of undergraduate nursing and psychiatric nursing students. Methods: A cross-sectional survey was conducted comprised demographic questions and four validated measures: the Professional Quality of Life Scale (version 5), Core Self-Evaluations Scale, Perceived Stress Scale, and Life Events Checklist (version 5).
Students in long-term care-palliative care rotations reported significantly higher levels of BO in comparison to other care areas. Regression analysis revealed students with low self-efficacy and high perceived stress were predictive of BO. Students with increased exposures to prior traumatizing life events were predictive of STS. Students with high levels of self-efficacy and less intent-to-leave were predictive of having CS.
Findings assist educators, clinicians, and policy makers in understanding at-risk clinical settings and predictors of ProQOL in pre-licensure students. Curricular recommendations that include mindfulness, coping and crisis peer-debriefing, and emotional intelligence are discussed.
职业生活质量(ProQOL)包括同情满足感(CS)和同情疲劳(CF),而同情疲劳由职业倦怠(BO)和继发性创伤压力(STS)组成,这已成为全球护理行业面临的一个问题。护理专业学生在职业生活质量方面的脆弱性及其相关机制受到的关注有限。
确定哪些因素可预测本科护理专业和精神科护理专业学生的职业生活质量。方法:进行了一项横断面调查,包括人口统计学问题以及四项经过验证的测量工具:职业生活质量量表(第5版)、核心自我评价量表、感知压力量表和生活事件清单(第5版)。
与其他护理领域相比,参与长期护理 - 姑息治疗轮转的学生报告的职业倦怠水平显著更高。回归分析显示,自我效能感低且感知压力高的学生更容易出现职业倦怠。经历过更多既往创伤性生活事件的学生更容易出现继发性创伤压力。自我效能感高且离职意愿低的学生更容易有同情满足感。
研究结果有助于教育工作者、临床医生和政策制定者了解岗前学生职业生活质量的高风险临床环境和预测因素。文中讨论了包括正念、应对和危机同伴汇报以及情商等方面的课程建议。