Department of Medical-Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Psychiatric Nursing and Management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Adv Nurs. 2022 Apr;78(4):1066-1074. doi: 10.1111/jan.15080. Epub 2021 Oct 12.
The present study aimed to investigate the effects of various job stressors on caring behaviours of nursing staff.
A cross-sectional nationwide study.
This cross-sectional, descriptive-correlational study was conducted on 260 nurses employed in the inpatient wards of seven teaching hospitals in Tehran, Iran during December 2019-February 2020. The participants were selected via convenience sampling. Data were collected using a demographic questionnaire, the nursing stress scale and the caring behaviours inventory. Data analysis was performed in SPSS version 20 using descriptive statistics and linear regression analysis.
The results of regression analysis indicated that job stress is correlated with nurses' caring behaviours (β = -.36; p = .001). Factors such as workload (β = -.27; p = .001), uncertainty about patient treatment (β = -.26; p = .017) and lack of emotional preparation (β = -.20; p = .017) were the important stressors associated with nurses' caring behaviours.
According to the results, high levels of perceived job stress due to workload, uncertainty about patient treatment and lack of emotional preparation are associated with lower levels of nurses' caring behaviours.
The findings of this study showed that to provide patients with optimal caring behaviours, hospital and nursing managers should design interventions to reduce nurses' job stressors, especially in terms of their interactions with their colleagues and physicians.
本研究旨在探讨各种工作压力源对护理人员关爱行为的影响。
一项全国性的横断面研究。
本横断面描述性相关性研究于 2019 年 12 月至 2020 年 2 月期间在伊朗德黑兰的七所教学医院的住院病房中对 260 名护士进行。采用便利抽样法选取参与者。使用人口统计学问卷、护理压力量表和关爱行为量表收集数据。使用 SPSS 20 版进行数据分析，采用描述性统计和线性回归分析。
回归分析的结果表明，工作压力与护士的关爱行为相关（β=-0.36；p=0.001）。工作量（β=-0.27；p=0.001）、对患者治疗的不确定性（β=-0.26；p=0.017）和缺乏情绪准备（β=-0.20；p=0.017）等因素是与护士关爱行为相关的重要压力源。
根据研究结果，由于工作量、对患者治疗的不确定性和缺乏情绪准备等原因导致的工作压力感知水平较高与护士的关爱行为水平较低有关。
本研究结果表明，为了提供患者最佳的关爱行为，医院和护理管理人员应设计干预措施来减轻护士的工作压力源，特别是在与同事和医生的互动方面。
