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纳米比亚一家地区医院护士倦怠的因素:护士的定性观点。

Factors contributing to burnout among nurses at a district hospital in Namibia: A qualitative perspective of nurses.

机构信息

Department of General Nursing Science, School of Nursing and Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia (UNAM), Rundu, Namibia.

出版信息

J Nurs Manag. 2022 Oct;30(7):2982-2991. doi: 10.1111/jonm.13693. Epub 2022 Jun 1.

Abstract

AIM

The aim of this study was to explore and describe the factors that contribute to burnout among nurses.

BACKGROUND

Burnout remains one of the major occupational health problems, posing risks to human health globally. In Namibia, there has been growing public criticism of nurses, stating that they are rude or act in a manner that does not show professionalism towards their clients. Reasons for such unprofessional behaviour could be linked to negative attitudes on the part of nurses towards their clients, resulting from burnout syndrome.

METHOD

A qualitative, exploratory, descriptive and contextual research design was followed as the basis for conducting the study. Using a purposive sampling technique, a sample of 20 nurses was selected from a population of 69 nurses employed in this setting. This sample size was determined by the saturation of data as reflected in repeating themes. Data were collected using individual semi-structured interviews and were analysed using qualitative thematic analysis.

RESULTS

The following three themes emerged: understanding the concept of burnout, factors leading to burnout and creating a conducive environment as a corrective measure to address burnout and to advance nurses.

CONCLUSIONS

Burnout is indeed real and affects nurses' performance negatively. Burnout has a negative impact on the well-being of nurses both physically and emotionally, which has the potential to compromise staff performance, productivity and the quality of patient care. Burnout among nurses is linked to many stressors such as poor staff management, inadequate resources, lack of support and lack of wellness programmes in the workplace.

IMPLICATIONS FOR NURSING MANAGEMENT

Strengthening communication between frontline health workers and management by engaging and involving them more in decision making in matters that concern them is anticipated to address poor staff management, enhance staff performance and improve the quality of patient care. Staff wellness programmes in the workplace are believed to be a good coping mechanism to address work-related pressure and tensions, and they are believed to resolve some work-related stress that may result in increased staff productivity.

摘要

目的

本研究旨在探讨和描述导致护士 burnout 的因素。

背景

burnout 仍然是主要的职业健康问题之一,对全球人类健康构成威胁。在纳米比亚,公众对护士的批评越来越多,称他们对客户无礼或表现得不专业。这种不专业行为的原因可能与护士对客户的负面态度有关,这种态度可能是 burnout 综合征导致的。

方法

本研究采用定性、探索性、描述性和情境研究设计。使用目的抽样技术,从该环境中雇用的 69 名护士中选择了 20 名护士作为样本。这个样本量是根据数据的饱和情况确定的,即反映在重复的主题中。使用个人半结构化访谈收集数据,并使用定性主题分析进行分析。

结果

出现了以下三个主题:理解 burnout 的概念、导致 burnout 的因素以及创造一个有利的环境,作为解决 burnout 和促进护士发展的纠正措施。

结论

burnout 确实存在,并且对护士的表现产生负面影响。 burnout 对护士的身心健康都有负面影响,有可能影响员工的表现、生产力和患者护理的质量。护士 burnout 与许多压力源有关,如人员管理不善、资源不足、缺乏支持和工作场所缺乏健康计划。

对护理管理的影响

通过让一线卫生工作者和管理层更多地参与和参与与他们相关的决策,加强两者之间的沟通,预计将解决人员管理不善的问题,提高员工绩效,改善患者护理质量。工作场所的员工健康计划被认为是一种很好的应对机制,可以应对与工作相关的压力和紧张,并且可以解决一些可能导致员工生产力提高的工作相关压力。

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