Van Diepen Cornelia, Fors Andreas, Ekman Inger, Bertilsson Monica, Hensing Gunnel
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
J Clin Nurs. 2022 Mar;31(5-6):612-622. doi: 10.1111/jocn.15919. Epub 2021 Jun 17.
To determine the associations between person-centred care (PCC) and job strain, stress of conscience and intent to leave among healthcare professionals in Swedish hospital departments.
Hospitals have experienced difficulty in retaining qualified healthcare personnel. Previous studies have shown that working in a person-centred environment could offset this challenge, but research is scarce.
A cross-sectional survey design using the STROBE checklist.
Healthcare professionals (n = 94) in six hospital departments in Sweden completed a survey measuring perceived PCC, job strain, stress of conscience and intent to leave. Data were collected from April 2019 to April 2020. Bivariate analysis was used to describe the sample and correlations between the explanatory variables and perceived PCC and its subscales. Regression analyses were performed to explore the associations between perceived PCC and job strain, stress of conscience and intent to leave.
The organisational and environmental support subscale of perceived PCC showed significant correlations with all explanatory variables, while the extent of personalising care subscale only correlated with job strain and intent to leave. The regression analyses showed that higher perceived PCC was associated with higher job strain, less stress of conscience and less intent to leave.
Higher perceived PCC is associated with work-related factors in hospital departments. There is scope for further research in this area.
确定瑞典医院科室中以患者为中心的护理（PCC）与工作压力、良心压力和离职意愿之间的关联。
医院在留住合格医护人员方面存在困难。以往研究表明，在以患者为中心的环境中工作可以应对这一挑战，但相关研究较少。
采用STROBE清单的横断面调查设计。
瑞典六个医院科室的医护人员（n = 94）完成了一项调查，该调查测量了感知到的PCC、工作压力、良心压力和离职意愿。数据收集于2019年4月至2020年4月。采用双变量分析来描述样本以及解释变量与感知到的PCC及其子量表之间的相关性。进行回归分析以探讨感知到的PCC与工作压力、良心压力和离职意愿之间的关联。
感知到的PCC的组织和环境支持子量表与所有解释变量均显示出显著相关性，而个性化护理程度子量表仅与工作压力和离职意愿相关。回归分析表明，更高的感知到的PCC与更高的工作压力、更低的良心压力和更低的离职意愿相关。
更高的感知到的PCC与医院科室中的工作相关因素有关。该领域有进一步研究的空间。
