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乌干达北部医院护士的职业倦怠及其相关因素:一项横断面调查

Burnout and Associated Factors among Hospital-Based Nurses in Northern Uganda: A Cross-Sectional Survey.

作者信息

Udho Samson, Kabunga Amir

机构信息

Department of Nursing & Midwifery, Faculty of Health Sciences, Lira University, Uganda.

Department of Psychiatry, Faculty of Health Sciences, Lira University, Uganda.

出版信息

Biomed Res Int. 2022 Mar 24;2022:8231564. doi: 10.1155/2022/8231564. eCollection 2022.

Abstract

BACKGROUND

Burnout is a public health problem that disproportionately affects nurses in sub-Saharan Africa because of the weak health systems that create an unconducive workplace environment. In Uganda, there is limited evidence on the burden of burnout among nurses in a manner that undermine advocacy and policy formulation. We aimed to assess the level of burnout and associated factors among nurses in northern Uganda.

METHODS

This was a cross-sectional survey conducted among 375 randomly selected nurses from health facilities in northern Uganda. Data were collected using a self-administered questionnaire. Data analysis consisted of descriptive statistics and logistic regression at a 95% level of significance in SPSS version 25.

RESULTS

Majority of the respondents were female 56.5% ( = 223). Nearly half, 49.1% ( = 194) of respondents had high levels of burnout, 36.2% ( = 143) reported average levels of burnout, and 14.7% ( = 58) reported low levels of burnout. Factors associated with burnout were age (AOR: 2.90; 95% CI: 1.28-6.58; = 0.011), social support (AOR: 0.45; 95% CI: 0.22-0.94; = 0.033), healthy eating (AOR: 0.06; 95% CI: 0.02-0.22; < 0.001), workload (AOR: 0.31; 95% CI: 0.14-0.68; = 0.004), and management responsibilities (AOR: 3.07; 95% CI: 1.54-6.12; = 0.001).

CONCLUSION

Half of the nurses in northern Uganda experienced high levels of burnout. The Ministry of Health should consider recruiting more nurses to reduce workload and adjust working hours to prevent workplace-related burnout among nurses in the country.

摘要

背景

职业倦怠是一个公共卫生问题,由于卫生系统薄弱,撒哈拉以南非洲的护士受到的影响尤为严重,这导致工作环境不利。在乌干达,关于护士职业倦怠负担的证据有限,这不利于宣传和政策制定。我们旨在评估乌干达北部护士的职业倦怠水平及相关因素。

方法

这是一项横断面调查,对乌干达北部医疗机构中随机抽取的375名护士进行了调查。使用自填式问卷收集数据。数据分析包括描述性统计和在SPSS 25版本中以95%的显著性水平进行的逻辑回归。

结果

大多数受访者为女性,占56.5%(n = 223)。近一半,即49.1%(n = 194)的受访者职业倦怠水平较高,36.2%(n = 143)报告职业倦怠水平为中等,14.7%(n = 58)报告职业倦怠水平较低。与职业倦怠相关的因素有年龄(调整后比值比:2.90;95%置信区间:1.28 - 6.58;P = 0.011)、社会支持(调整后比值比:0.45;95%置信区间:0.22 - 0.94;P = 0.033)、健康饮食(调整后比值比:0.06;95%置信区间:0.02 - 0.22;P < 0.001)、工作量(调整后比值比:0.31;95%置信区间:0.14 - 0.68;P = 0.004)和管理职责(调整后比值比:3.07;95%置信区间:1.54 - 6.12;P = 0.001)。

结论

乌干达北部一半的护士经历了高水平的职业倦怠。卫生部应考虑招聘更多护士以减轻工作量并调整工作时间,以防止该国护士出现与工作场所相关的职业倦怠。

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