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澳大利亚一组护士(感染控制从业者)的组织因素及其对工作满意度和情绪倦怠的影响的横断面研究。

A cross sectional study of organizational factors and their impact on job satisfaction and emotional burnout in a group of Australian nurses: infection control practitioners.

机构信息

Centre for Health Economics Research and Evaluation, University of Technology Sydney, Level 12, Building 10, 235 Jones Street, PO Box 123, Broadway, 2007, Ultimo, Australia.

Duke-NUS Medical School, National University of Singapore, Singapore, Singapore.

出版信息

BMC Health Serv Res. 2021 May 10;21(1):441. doi: 10.1186/s12913-021-06477-2.

Abstract

BACKGROUND

Infection control practitioners (ICPs) are a group of specialized nurses fundamental to effective healthcare infection prevention and control initiatives. Relative to other groups of nurses much less is known about their working conditions. Organizational factors may impact ICPs' levels of job dissatisfaction and emotional job burnout and, subsequently, their quality of practice. We measure a range of organizational factors to document the working conditions of ICPs and show how these are linked to job satisfaction and emotional burnout in a sample of Australian ICPs.

METHODS

We conducted a cross sectional study using an online survey. All employed ICPs in 50 of the largest public hospitals in Australia were invited to participate. One hundred and fifty three ICPs completed the survey.

RESULTS

ICPs are moderately to highly satisfied with their job but show high levels of emotional burnout, time pressure and cognitive demands. Low job satisfaction was associated with less job control, low perceived organizational support and poor communication. In contrast, emotional burnout was associated with high time pressure and cognitive demands coupled with poor communication.

DISCUSSION

This study provides new evidence about the organizational context of ICPs in Australia, and about the factors that impact on job satisfaction and emotional burnout. These findings may be used to modify national infection prevention and control programs to suit local organizational contexts. Further research is needed to determine the precise nature of these relationships and the downstream impacts on hospital-wide infection control outcomes.

CONCLUSIONS

Organizational context and factors are important to consider when evaluating the impact and implementation of infection control programs.

摘要

背景

感染控制从业者(ICPs)是一组专业护士,对有效医疗保健感染预防和控制计划至关重要。与其他护士群体相比,人们对他们的工作条件知之甚少。组织因素可能会影响 ICP 对工作不满的程度和情绪性职业倦怠,并进而影响他们的实践质量。我们测量了一系列组织因素,以记录 ICP 的工作条件,并展示这些因素如何与澳大利亚 ICP 样本中的工作满意度和情绪倦怠相关联。

方法

我们采用横断面研究设计,使用在线调查。邀请澳大利亚 50 家最大公立医院的所有在职 ICP 参与。共有 153 名 ICP 完成了调查。

结果

ICPs 对其工作满意度中等至高度,但表现出较高的情绪倦怠、时间压力和认知需求。低工作满意度与工作控制程度较低、组织支持感知度较低和沟通不良有关。相比之下,情绪倦怠与时间压力和认知需求高以及沟通不良有关。

讨论

本研究提供了有关澳大利亚 ICP 的组织背景以及影响工作满意度和情绪倦怠的因素的新证据。这些发现可用于修改国家感染预防和控制计划,以适应当地的组织背景。需要进一步研究以确定这些关系的本质以及对医院范围的感染控制结果的下游影响。

结论

在评估感染控制计划的影响和实施时,组织背景和因素是需要考虑的重要因素。

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