2020 年，埃塞俄比亚亚的斯亚贝巴私立医院护士的倦怠水平及其决定因素：一项多中心机构间横断面研究。

Levels of Burnout and Its Determinant Factors Among Nurses in Private Hospitals of Addis Ababa, Ethiopia, Ethiopia, 2020. A Multi Central Institutional Based Cross Sectional Study.

机构信息

Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Tigur Ambessa Hospital, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Front Public Health. 2022 Apr 25;10:766461. doi: 10.3389/fpubh.2022.766461. eCollection 2022.

DOI:10.3389/fpubh.2022.766461

PMID:35548091

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9082415/

Abstract

BACKGROUND

Burnout among nurses is a significant problem in healthcare establishments and has negative implications on clinical outcomes. International studies have shown the prevalence of burnout ranged from 10 to 70%. However, this is unknown among nurses in private hospitals in Addis Ababa. The study was intended to assess the levels of burnout and the associated factors among nurses working in private hospitals in Addis Ababa, Ethiopia, 2020.

METHODS

An institution-based cross-sectional study was used. A probability sampling, specifically, a simple random sampling technique was employed to collect data, and the Maslach burnout inventory human services survey (MBI-HSS) instrument was adapted to measure the levels of burnout. The data obtained was edited manually and entered into EPI-data version 4.6 and then exported to SPSS version 25 for analysis. Logistic regression was used to identify the association between the dependent and independent variables and variables with < 0.25 on bivariate analysis were taken into multivariate logistic regression, and then variables with < 0.05 were considered statistically significant.

RESULT

A total of 385 questionnaires were distributed to participants, but only 368 (96%) of them were collected and included in this study. The majority 56% and 69.8% of them were females and belonged to the age group of 20-29 years, respectively. Two hundred seven (56.5%) of them reported suffering from a high level of burnout. In the multivariate logistic regression analysis, night duty shift [AOR = 2.699; 95% CI: (1.043-6.987)], excessive workload [AOR = 6.013; 95% CI: (3.016-11.989)], staff shortage [AOR = 6.198; 95% CI: (3.162-12.147)], persistent interpersonal conflict [AOR = 2.465; 95% CI: (1.225-4.961)], and nurses' poor health status [AOR = 3.4878; 95% CI: (1.815-8.282)] demonstrated a statistical significant association with the professional burnout.

CONCLUSIONS AND RECOMMENDATIONS

Nurses' burnout in private hospitals of Addis Ababa was highly prevalent. Therefore, ensuring adequate staffing and minimizing the workload of nurse professionals are mandatory to prevent it.

摘要

背景

护士职业倦怠是医疗机构中的一个严重问题，对临床结果有负面影响。国际研究表明，职业倦怠的患病率在 10%至 70%之间。然而，这在亚的斯亚贝巴的私立医院的护士中尚不清楚。本研究旨在评估埃塞俄比亚亚的斯亚贝巴私立医院护士的倦怠水平及其相关因素，时间为 2020 年。

方法

采用基于机构的横断面研究。采用概率抽样，特别是简单随机抽样技术收集数据，并采用 Maslach 职业倦怠量表（MBI-HSS）来衡量倦怠水平。获得的数据手动编辑并输入 EPI-data 版本 4.6，然后导出到 SPSS 版本 25 进行分析。使用逻辑回归来确定因变量和自变量之间的关联，并且在单变量分析中 <0.25 的变量被纳入多变量逻辑回归，然后考虑 <0.05 的变量具有统计学意义。

结果

共向参与者发放了 385 份问卷，但仅收集并纳入了 368 份（96%）。他们中的大多数（56%）和 69.8%分别为女性和 20-29 岁年龄组。其中有 207 人（56.5%）报告患有高度职业倦怠。在多变量逻辑回归分析中，夜班（AOR=2.699；95%CI：（1.043-6.987））、工作量过大（AOR=6.013；95%CI：（3.016-11.989））、人员短缺（AOR=6.198；95%CI：（3.162-12.147））、持续的人际冲突（AOR=2.465；95%CI：（1.225-4.961））和护士健康状况不佳（AOR=3.4878；95%CI：（1.815-8.282））与职业倦怠有统计学显著关联。