儿科/成人重症监护护士的人格、伦理和专业生活质量研究：PERSEPRO PAIN 研究。
PERSonality, Ehical, and PROfessional quality of life in Pediatric/Adult Intensive Nurses study: PERSEPRO PAIN study.
机构信息
Neuroscience Nursing, St. Luke's International University, Tokyo, Japan.
International Medical Center, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan.
出版信息
PLoS One. 2022 Mar 7;17(3):e0259721. doi: 10.1371/journal.pone.0259721. eCollection 2022.
BACKGROUND
The World Health Organization included burnout syndrome criteria that reduce both professional quality of life and work satisfaction in its 11th Revision of the International Classification of Diseases in 2019 while nursing bodies have issued action calls to prevent burnout syndrome. Despite this, the effect of social factors, personality traits and cross-interaction on professional quality of life is still unclear.
AIM
To reveal the association between ethical climate, personal trait and professional quality of life.
METHOD
An online survey of registered nurses working in adult, pediatric or both ICUs. We used the ten-item personality measure based on The Big Five theory and Type-D personality Scale-14 then measured the ethical climate with the Hospital Ethical Climate Survey and the professional domains of burnout syndrome, secondary traumatic stress and compassion satisfaction by the Professional Quality of Life Scale Version 5 simultaneously. Multivariate analysis confirmed the triangular association of hospital ethical climate, personality traits and professional quality of life.
RESULT
We enrolled 310 participants from September 2019 to February 2020. Mean age was 33.1 years (± 5.9) and about 70% were female. In the multivariate analysis, neuroticism (p = 0.03, p = 0.01) and Type D personality (both of p<0.01) were associated with burnout syndrome and secondary traumatic stress while agreeableness (p<0.01) was associated with secondary traumatic stress. Conversely, extraversion (p = 0.01), agreeableness (p<0.01) and openness (p<0.01) were associated with compassion satisfaction. We also observed interactions between hospital ethical climate and conscientiousness (p = 0.01) for burnout syndrome and secondary traumatic stress. Neuroticism was related to (p<0.01) BOS and compassion satisfaction while Type D personality (p<0.01) correlated with burnout syndrome and secondary traumatic stress.
CONCLUSION
Hospital ethical climate strongly affects professional quality of life in nurses with specific personality traits. Therefore, it is important to maintain an ethical hospital climate, considering individual personalities to prevent burnout syndrome.
背景
2019 年，世界卫生组织在其《国际疾病分类》第 11 次修订版中纳入了倦怠综合征标准，这降低了专业生活质量和工作满意度，而护理机构已经发布了行动呼吁以预防倦怠综合征。尽管如此，社会因素、个性特征和交叉相互作用对专业生活质量的影响仍不清楚。
目的
揭示伦理气候、个性特征和专业生活质量之间的关联。
方法
对成人、儿科或两者兼具的 ICU 注册护士进行在线调查。我们使用基于大五理论的十项人格量表和 Type-D 人格量表-14，然后同时使用医院伦理气候调查和职业倦怠综合征、二次创伤应激和同情满足的专业领域量表版本 5 测量伦理气候和专业生活质量。多变量分析证实了医院伦理气候、个性特征和专业生活质量的三角形关联。
结果
我们于 2019 年 9 月至 2020 年 2 月招募了 310 名参与者。平均年龄为 33.1 岁（±5.9），约 70%为女性。在多变量分析中，神经质（p=0.03，p=0.01）和 Type D 人格（均为 p<0.01）与倦怠综合征和二次创伤应激有关，而宜人性（p<0.01）与二次创伤应激有关。相反，外向性（p=0.01）、宜人性（p<0.01）和开放性（p<0.01）与同情满足有关。我们还观察到医院伦理气候与尽责性之间的相互作用（p=0.01），对倦怠综合征和二次创伤应激均有影响。神经质与 BOS 和同情满足有关（p<0.01），而 Type D 人格与倦怠综合征和二次创伤应激有关（p<0.01）。
结论
医院伦理气候强烈影响具有特定个性特征的护士的专业生活质量。因此，维护一个伦理医院的气候，考虑到个体的个性，以防止倦怠综合征是很重要的。
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