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血液肿瘤护理人员中倦怠和工作生活平衡的流行率及其预测因素。

Prevalence and predictors of burnout and work-life balance within the haematology cancer nursing workforce.

机构信息

Southern Health and Social Care Trust, Craigavon Area Hospital, Craigavon, Northern Ireland, United Kingdom.

Ulster University*/ South Eastern Health and Social Care Trust, *Newtownabbey, Co. Antrim, United Kingdom.

出版信息

Eur J Oncol Nurs. 2021 Jun;52:101973. doi: 10.1016/j.ejon.2021.101973. Epub 2021 May 13.

DOI:10.1016/j.ejon.2021.101973
PMID:34015591
Abstract

PURPOSE

The effects of burnout can have serious consequence for individual nurse's, patients and healthcare organisations. The aim of this study was to assess prevalence and predictors of burnout and work-life balance amongst haemato-oncology nurses.

METHODS

This study employed a cross-sectional survey design. Haematology cancer nurses attending a 2-day conference in Ireland, during Oct 2019 were recruited. Anonymised data were collected on: 1) socio-demographics and occupational variables, 2) burnout using Maslach Burnout Inventory and 3) satisfaction with work-life balance.

RESULTS

There was an 80.4% survey completion rate (n = 78 of 97). One-third of haemato-oncology nurses reported high levels of emotional exhaustion, with an additional 46% experiencing moderate levels. Despite this, 64% of nurses highlighted a moderate or high level of personal accomplishment. Demographics such as <40yrs old, unmarried, working ≥25hrs per week and having 6-10 years' experience in haemato-oncology, all showed trends towards increased burnout, although none reached statistical significance. Over half (58%) surveyed were dissatisfied with their work-life balance. Nurses with dependent children had statistically significant poorer work-life balance scores. In addition, one-third reported they did not receive adequate support or reasonable adjustments from their organisation, with inpatient nurses finding this particularly challenging.

RELEVANCE TO CLINICAL PRACTICE

Taking into consideration the high levels of burnout, healthcare organisations should have a responsibility to teach approaches of stress management, self-care and foster resilience within their workforce. Oncology nurses with dependent children, working in in-patient settings, have identified a need for greater flexibility with working conditions, to improve work-life balance.

摘要

目的

倦怠的影响可能会对个体护士、患者和医疗机构产生严重后果。本研究旨在评估血液肿瘤护士的倦怠和工作生活平衡的患病率和预测因素。

方法

本研究采用横断面调查设计。2019 年 10 月,在爱尔兰举行的为期两天的会议上,招募了血液癌症护士。匿名收集了以下数据:1)社会人口统计学和职业变量,2)使用 Maslach 倦怠量表评估倦怠,3)对工作生活平衡的满意度。

结果

调查完成率为 80.4%(n=78/97)。三分之一的血液肿瘤护士报告情绪耗竭程度较高,另有 46%的护士报告情绪耗竭程度中等。尽管如此,仍有 64%的护士表示自己具有中等或高等程度的个人成就感。年龄<40 岁、未婚、每周工作≥25 小时、在血液肿瘤科工作 6-10 年等人口统计学特征,都显示出倦怠程度增加的趋势,但均未达到统计学意义。超过一半(58%)的调查对象对工作生活平衡不满意。有受抚养子女的护士工作生活平衡评分明显较差。此外,三分之一的护士报告他们没有从组织那里获得足够的支持或合理的调整,住院护士尤其感到困难。

临床相关性

考虑到倦怠程度较高,医疗机构有责任教授压力管理、自我保健方法,并在其员工中培养适应力。有受抚养子女、在住院环境中工作的肿瘤护士,已经确定需要更大的工作条件灵活性,以改善工作生活平衡。

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