Lawrence Jessica N, Schadler Aric D, Shenoi Asha N
All authors: Department of Pediatrics, University of Kentucky, Lexington, KY.
Pediatr Crit Care Med. 2021 Dec 1;22(12):1074-1082. doi: 10.1097/PCC.0000000000002778.
To assess the prevalence of relationship distress and burnout among PICU nurses.
Cross-sectional, web-based survey.
Pediatric intensive care nursing practices in the United States.
Pediatric intensive care nurses.
None.
A total of 254 pediatric intensive care nurses in the United States completed the survey consisting of demographic data, practice, and personal characteristics, Revised Dyadic Adjustment Scale, and modified Maslach Burnout Inventory. Relationship distress in consensus was noted in 45.6% of participants, and 26.3% reported distress in relationship satisfaction. Moderate to high burnout was reported by 65% nurses in the emotional exhaustion domain, 43% in depersonalization, and 27% of nurses reported low personal accomplishment. A significant difference in relationship satisfaction was found among nurses identified in different domains of burnout, showing that nurses who scored higher in depersonalization also reported higher distress in relationship satisfaction (p = 0.045). Interestingly, nurses who reported high personal accomplishment (thereby less burnout) reported higher distress in relationship consensus (p = 0.015). The difference in the satisfaction subscale between different age groups was significant, suggesting distress in satisfaction among nurses over the age of 40 (p = 0.004). Comparison of nurses actively involved in marriage counseling with those not actively involved in marriage counseling demonstrated a significant difference in relationship consensus (p = 0.046; odds ratio = 2.46; 95% CI, 0.99-6.06) and satisfaction (p = 0.004; odds ratio = 3.26; 95% CI, 1.42-7.47), suggesting an association between higher relationship distress and counseling.
This study reflects the prevalence of relationship distress and its association with burnout and other practice and personal factors among PICU nurses. Nurses with high depersonalization experienced significantly higher distress in relationship satisfaction, and nurses who reported high personal satisfaction had significantly higher distress in relationship consensus.
评估儿科重症监护室（PICU）护士中关系困扰和职业倦怠的患病率。
横断面网络调查。
美国的儿科重症监护护理实践机构。
儿科重症监护护士。
无。
共有254名美国儿科重症监护护士完成了调查，内容包括人口统计学数据、工作情况和个人特征、修订版二元调适量表以及改良版马氏职业倦怠量表。45.6%的参与者存在一致性关系困扰，26.3%报告关系满意度方面存在困扰。65%的护士在情感耗竭维度报告有中度至高度职业倦怠，43%在去个性化维度，27%的护士报告个人成就感较低。在职业倦怠不同维度的护士中，关系满意度存在显著差异，表明去个性化得分较高的护士在关系满意度方面的困扰也更高（p = 0.045）。有趣的是，报告个人成就感较高（因此职业倦怠程度较低）的护士在关系一致性方面的困扰更高（p = 0.015）。不同年龄组在满意度子量表上的差异显著，表明40岁以上护士在满意度方面存在困扰（p = 0.004）。将积极参与婚姻咨询的护士与未积极参与婚姻咨询的护士进行比较，发现关系一致性（p = 0.046；优势比 = 2.46；95%置信区间，0.99 - 6.06）和满意度（p = 0.004；优势比 = 3.26；95%置信区间，1.42 - 7.47）存在显著差异，表明较高的关系困扰与咨询之间存在关联。
本研究反映了PICU护士中关系困扰的患病率及其与职业倦怠以及其他工作和个人因素的关联。去个性化程度高的护士在关系满意度方面的困扰显著更高，而报告个人满意度高的护士在关系一致性方面的困扰显著更高。
