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应对 COVID-19 护士工作压力对倦怠的影响:韧性的中介作用。

Effect of Job Stress on Burnout among Nurses Responding to COVID-19: The Mediating Effect of Resilience.

机构信息

Department of Health Promotion, Graduate School of Public Health and Healthcare Management, The Catholic University of Korea, Seoul 06591, Korea.

Seoul National University Bundang Hospital, Seongnam 13620, Korea.

出版信息

Int J Environ Res Public Health. 2022 Apr 29;19(9):5409. doi: 10.3390/ijerph19095409.

Abstract

Background: This study was conducted to evaluate the relationship of job stress, burnout, and resilience of 271 nurses who worked alternately at a university hospital in South Korea Province and a state-designated inpatient ward for COVID-19 in Korea. Methods: The study sample included nurses who worked at a university hospital in South Korea, during the period between February 2020 and May 2021. The participants (n = 271) responded to an online survey between April 2021 and 12 May 2021. The questionnaire included information related to job stress, burn out, and resilience. Results: In phase 1 of regression, job stress had a significant negative effect on resilience of recovery (β = −0.397, p < 0.001). In phase 2, job stress had a significant positive effect on burnout (β = 0.513, p < 0.001). In phase 3, resilience had a significant negative effect on burnout (β = −0.459, p < 0.001). Seventy-five percent of burnout was directly associated with job stress, while 25% of burnout was indirectly associated through mediated effects, through resilience. Conclusions: The promotion of resilience would not only serve as the basis for active coping in situations where burnout and stress are severe, but also serve as a basic driving force for actively overcoming them. Further study to cope with stress and reduce burnout at the organizational level should be conducted.

摘要

背景

本研究旨在评估在韩国某省一所大学医院和一家指定的 COVID-19 住院病房交替工作的 271 名护士的工作压力、倦怠和适应力之间的关系。方法:研究样本包括 2020 年 2 月至 2021 年 5 月期间在韩国某大学医院工作的护士。参与者(n=271)于 2021 年 4 月至 5 月 12 日期间在线完成了问卷调查。问卷包括与工作压力、倦怠和适应力相关的信息。结果:在回归的第一阶段,工作压力对恢复适应力有显著的负向影响(β=−0.397,p<0.001)。在第二阶段,工作压力对倦怠有显著的正向影响(β=0.513,p<0.001)。在第三阶段,适应力对倦怠有显著的负向影响(β=−0.459,p<0.001)。75%的倦怠与工作压力直接相关,而 25%的倦怠通过适应力的中介作用间接相关。结论:促进适应力不仅可以作为在倦怠和压力严重的情况下积极应对的基础,也是积极克服倦怠和压力的基本动力。应在组织层面开展应对压力和减少倦怠的进一步研究。

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