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重症监护护士的倦怠水平和护理行为:一项横断面、多中心研究。

Burnout levels and care behaviours in intensive care nurses: A cross-sectional, multicentre study.

机构信息

Department of Nursing, Faculty of Health Sciences, Canakkale Onsekiz Mart University, Canakkale, Turkey.

Department of Nursing, Faculty of Health Sciences, Istanbul Kültür University, Istanbul, Turkey.

出版信息

Intensive Crit Care Nurs. 2022 Aug;71:103246. doi: 10.1016/j.iccn.2022.103246. Epub 2022 Apr 7.

Abstract

OBJECTIVE

To examine the relation between burnout levels and caring behaviours in intensive care nurses in Turkey, and the affecting factors.

RESEARCH METHODOLOGY/DESIGN: The research was conducted as a descriptive, cross-sectional and multi-centred study.

SETTING

In this study, an online questionnaire was applied in April and May 2021, using Google Form. A total of 460 intensive vare nurses responded to the questionnaire.

MAIN OUTCOME MEASURES

Burnout was assessed with the Maslach Burnout Inventory, and care behaviours with the Caring Behaviours Inventory-24.

RESULTS

The nurses reported a high level of emotional exhaustion (73.9%) and depersonalization (52.2%), and a medium level of personal accomplishment (40%). The nurses' levels of perception of care quality were high (5.4 ± 0.6). It was found that their highest score on the subdimensions was on knowledge and skills (5.6 ± 0.5), and the lowest was on connectedness (5.2 ± 0.7). There was a very weak, respectively weak correlation, between nurses' emotional exhaustion (r = -0.1), respectively depersonalization (r = -0.2), and poor care behaviours. There was a strong correlation between low personal accomplishment scores and poor care behaviours (r = 0.8). It was found that the mean scores of the nurses' exhaustion and care behaviours varied according to many descriptive characteristics, such as education, age, professional experience, the unit where they worked, communication difficulties, living conditions and whether they had chosen nursing willingly.

CONCLUSIONS

It appears that the level of personal accomplishment, is the only subscale reflecting risk of burnout, that strongly correlates with care behaviour.

摘要

目的

研究土耳其重症监护病房护士的倦怠水平与护理行为之间的关系,并探讨其影响因素。

研究方法/设计:本研究采用描述性、横断面和多中心研究。

地点

本研究于 2021 年 4 月至 5 月通过 Google 表单在线发放问卷,共 460 名重症监护病房护士对问卷做出回应。

主要观察指标

采用 Maslach 倦怠量表评估倦怠程度,采用关怀行为量表-24 评估护理行为。

结果

护士报告情绪耗竭(73.9%)和去人格化(52.2%)水平较高,个人成就感(40%)水平中等。护士对护理质量的感知水平较高(5.4±0.6)。结果发现,护士在知识和技能方面的得分最高(5.6±0.5),在联系方面的得分最低(5.2±0.7)。护士的情绪耗竭(r=-0.1)和去人格化(r=-0.2)与不良护理行为之间呈弱相关,而个人成就感较低与不良护理行为之间呈强相关(r=0.8)。结果还显示,护士的倦怠和护理行为评分因教育程度、年龄、专业经验、工作单位、沟通困难、生活条件以及是否自愿选择护理等描述性特征而异。

结论

个人成就感水平是唯一与护理行为强烈相关的反映倦怠风险的亚量表。

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