Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Enfermagem, Porto Alegre, RS, Brazil.
Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brazil.
Rev Esc Enferm USP. 2021 Aug 18;55:e20200409. doi: 10.1590/1980-220X-REEUSP-2020-00409. eCollection 2021.
To evaluate and compare the nursing practice environments in Intensive Care Units of a public and private hospital and the prevalence of burnout among nursing professionals.
Cross-sectional, descriptive study with a quantitative approach to the data. The data collection took place between October 2018 and March 2019, and it was carried out through a questionnaire with socio-occupational variables and with metrics of intensity. The practice environment was assessed through the Nursing Work Index Revised (NWI-R); and the burnout was assessed by the Maslach Burnout Inventory (IBM). We included professionals with, at least, six months of employment, and those who were on leave or on a fixed-term employment contract were excluded.
The sample consisted of 296 professionals. We found Favorable environments in both institutions, however, low results in the subscales autonomy, control and organizational support in the private hospital. The prevalence of burnout among nurses was 2.5% in the public hospital and 9.1% in the private hospital, and among nursing technicians, it was 9.5% and 8.5%, respectively.
The control of the environment, autonomy and support were considered critical points, referring to the importance of assessing institutions factors, that can improve the working conditions for the nursing team.
评估和比较公立医院和私立医院重症监护病房的护理实践环境以及护理专业人员倦怠的发生率。
这是一项横断面、描述性研究，采用定量方法收集数据。数据收集于 2018 年 10 月至 2019 年 3 月之间进行，通过一份包含社会职业变量和强度指标的问卷进行。护理实践环境通过护理工作指数修订版（NWI-R）进行评估；倦怠通过 Maslach 倦怠量表（IBM）进行评估。我们纳入了至少有六个月工作经验的专业人员，并排除了休假或定期劳动合同的人员。
样本由 296 名专业人员组成。我们发现两个机构的环境都很有利，但私立医院的自主权、控制和组织支持子量表得分较低。公立医院护士的倦怠发生率为 2.5%，私立医院为 9.1%；护理技师的倦怠发生率分别为 9.5%和 8.5%。
环境控制、自主权和支持被认为是关键因素，这表明评估机构因素的重要性，可以改善护理团队的工作条件。
