Jiang Wenjing, Zhao Xing'e, Jiang Jia, Zhou Qidi, Yang Jiahui, Chen Yuqing, Goldsamt Lloyd, Williams Ann Bartley, Li Xianhong
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Department of Nursing, Zigong First People's Hospital, Zigong, Sichuan, China.
Int J Nurs Sci. 2021 May 12;8(3):310-317. doi: 10.1016/j.ijnss.2021.05.002. eCollection 2021 Jul 10.
To describe the professional quality of life and explore its associated factors among nurses coming from other areas of China to assist with the anti-epidemic fight in Wuhan and especially examine whether the hospital ethical climate was independently associated with nurses' professional quality of life.
A cross-sectional online survey was conducted from March 2020 to April 2020. The nurses working in Wuhan from the other parts of China were the target population. The Professional Quality of Life Scale version 5, the Hospital Ethical Climate Survey, and a basic information sheet were used to collect data. Descriptive statistics, -test, ANOVA, Pearson correlation, and multiple linear regression analysis were used to analyze the data.
In total, 236 nurses participated in this study, and 219 valid questionnaires were analyzed. The average age of the participants was 31.2 ± 5.0 years. Most nurses were female (176/219; 80.4%) and married (145/219; 66.2%). In term of professional quality of life, nurses reported moderate (129/219; 58.9%) to high (90/219; 41.1%) levels of compassion satisfaction, low (119/219; 54.3%) to moderate (100/219; 45.7%) levels of burnout, and low (67/219; 36.0%) to high (10/219; 4.6%) levels of secondary traumatic stress. Regarding hospital ethical climate, nurses reported moderately high hospital ethical climates with an average score of 4.46. After controlling for socio-demographic characteristics, the multiple linear regression models showed that the hospital ethical climate subscale of "relationship with physicians" was independently associated with the compassion satisfaction ( = 0.533, < 0.01) and burnout ( = -0.237, < 0.05); the hospital ethical climate subscale of "relationship with peers" ( = -0.191, < 0.01) was independently associated with the secondary traumatic stress.
During the early stage of the pandemic, nurses demonstrated moderate to high level of compassion satisfaction, low to moderate level of burnout, and all nurses experienced secondary traumatic stress. Nurses perceived a high level of hospital ethical climate, and the perceived hospital ethical climate played an important role in promoting nurses' professional quality of life during a life-threatening infectious disease pandemic.
描述援鄂抗疫护士的职业生活质量，并探讨其相关因素，尤其考察医院伦理氛围是否与护士的职业生活质量独立相关。
于2020年3月至4月进行一项横断面在线调查。目标人群为从中国其他地区到武汉工作的护士。采用第5版职业生活质量量表、医院伦理氛围调查问卷及基本信息表收集数据。运用描述性统计、t检验、方差分析、Pearson相关分析和多重线性回归分析进行数据分析。
共有236名护士参与本研究，分析有效问卷219份。参与者的平均年龄为31.2±5.0岁。大多数护士为女性（176/219；80.4%）且已婚（145/219；66.2%）。在职业生活质量方面，护士报告的同情满足感处于中等（129/219；58.9%）至高（90/219；41.1%）水平，倦怠处于低（119/219；54.3%）至中等（100/219；45.7%）水平，继发性创伤压力处于低（67/219；36.0%）至高（10/219；4.6%）水平。关于医院伦理氛围，护士报告医院伦理氛围处于中等偏高水平，平均得分为4.46。在控制社会人口学特征后，多重线性回归模型显示，“与医生的关系”这一医院伦理氛围子量表与同情满足感（β = 0.533，P < 0.01）和倦怠（β = -0.237，P < 0.05）独立相关；“与同事的关系”这一医院伦理氛围子量表（β = -0.191，P < 0.01）与继发性创伤压力独立相关。
在疫情早期，护士表现出中等至高程度的同情满足感、低至中等程度的倦怠，且所有护士都经历了继发性创伤压力。护士感知到较高水平的医院伦理氛围，且在危及生命的传染病大流行期间，感知到的医院伦理氛围对提升护士的职业生活质量发挥了重要作用。
