Undergraduate Medical Education, Winnipeg, Manitoba.
Health Sciences Centre, Oncology Program, Manitoba Health Sciences Centre, Winnipeg, Manitoba.
Intensive Crit Care Nurs. 2022 Oct;72:103275. doi: 10.1016/j.iccn.2022.103275. Epub 2022 Jun 7.
Healthcare teams include both leaders and followers, with followers making up the majority of the healthcare team. There are five followership styles which have been described by Kelly (1992) based on critical thinking and active engagement. We aim to explore if a relationship exists between followership style and burnout, and also with job satisfaction of followers within the critical care setting. Additionally, we aim to quantify the distribution of followership types amongst followers within the critical care setting.
Participants were recruited in person at random to participate in a single centered, cross sectional, four-part survey to determine their followership type (Kelly followership type), burnout (Maslach Burnout Inventory) and job satisfaction (Brayfiled-Rothe Survey and Work and Meaning Inventory). Correlations between followership type and burnout as well as followership type and job satisfaction were then determined.
A total of 64 participants (27 residents and 37 critical care nurses) took part in the study. There was a weak-moderate correlation between independent critical thinking and personal accomplishment (R = 0.297), and moderate correlation to meaningful work (R = 0.390), and job satisfaction (R = -0.300). Active engagement was moderately correlated with personal accomplishment (R = 0.302), meaningful work (R = 0.448) and job satisfaction (R = -0.418). Neither independent critical thinking nor active engagement showed significant correlation with depersonalization and emotional exhaustion subscales. Most participants were characterized into effective/exemplary followership type with no statistically significant differences between nurses and residents.
This research shows that by creating an environment which promotes critical thinking and active engagement, nurses and residents may display less burnout, and enhanced job satisfaction.
医疗团队包括领导者和追随者，其中追随者占医疗团队的大多数。凯利（1992）根据批判性思维和积极参与描述了五种追随风格。我们旨在探讨追随者的风格与倦怠之间是否存在关系，以及追随者在重症监护环境中的工作满意度。此外，我们旨在量化重症监护环境中追随者的追随类型分布。
参与者以随机的方式在现场招募，参与一项单一中心、横断面、四部分的调查，以确定他们的追随类型（凯利追随类型）、倦怠（马斯拉赫倦怠量表）和工作满意度（布雷菲尔德-罗特量表和工作和意义量表）。然后确定追随类型与倦怠以及追随类型与工作满意度之间的相关性。
共有 64 名参与者（27 名住院医师和 37 名重症监护护士）参加了这项研究。独立批判性思维与个人成就感之间存在弱到中度相关性（R=0.297），与有意义的工作（R=0.390）和工作满意度（R=-0.300）之间存在中度相关性。积极参与与个人成就感（R=0.302）、有意义的工作（R=0.448）和工作满意度（R=-0.418）之间存在中度相关性。独立批判性思维和积极参与都与去个性化和情绪耗竭子量表没有显著相关性。大多数参与者被归入有效/典范的追随类型，护士和住院医师之间没有统计学上的显著差异。
这项研究表明，通过创造一个促进批判性思维和积极参与的环境，护士和住院医师可能会表现出更少的倦怠和更高的工作满意度。
