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肿瘤护士职业耗竭:使用 CONNECT 方案提供主要姑息治疗干预的效果。

Burnout Among Oncology Nurses: The Effects of Providing a Primary Palliative Care Intervention Using CONNECT Protocol.

机构信息

University of Pittsburgh Medical Center.

University of Pittsburgh.

出版信息

Clin J Oncol Nurs. 2022 Jul 25;26(4):391-398. doi: 10.1188/22.CJON.391-398.

DOI:10.1188/22.CJON.391-398
PMID:35939720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11460563/
Abstract

BACKGROUND

Palliative care clinicians display less burnout than oncology clinicians. Little is known about the impact of providing both oncology care and primary palliative care in the same setting.

OBJECTIVES

The aim was to determine whether nurses providing primary palliative care in addition to oncology care would experience less burnout over time than nurses providing oncology care only.

METHODS

The authors performed secondary analysis of the CONNECT study. Three groups of nurses were evaluated: primary palliative care, non-primary palliative care, and standard care. On study enrollment and after one year, nurses completed the Maslach Burnout Inventory. Multivariable regression analyses were performed to test differences in follow-up burnout scores between groups.

FINDINGS

Overall burnout rates were low at enrollment for all groups. There were no differences in burnout scores at one year between nurses who provided palliative care and nurses in the other two groups.&nbsp.

摘要

背景

姑息治疗临床医生的倦怠程度低于肿瘤学临床医生。在同一环境中提供肿瘤学护理和初级姑息治疗对医生的影响知之甚少。

目的

目的是确定在提供肿瘤学护理的同时提供初级姑息治疗的护士与仅提供肿瘤学护理的护士相比,随着时间的推移倦怠程度是否会更低。

方法

作者对 CONNECT 研究进行了二次分析。评估了三组护士:初级姑息治疗、非初级姑息治疗和标准护理。在研究入组时和一年后,护士完成了马斯拉赫倦怠量表。进行多变量回归分析以检验组间随访倦怠评分的差异。

结果

所有组在入组时的总体倦怠率都较低。在一年时,提供姑息治疗的护士与其他两组护士的倦怠评分没有差异。

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本文引用的文献

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Effect of an Oncology Nurse-Led Primary Palliative Care Intervention on Patients With Advanced Cancer: The CONNECT Cluster Randomized Clinical Trial.肿瘤专科护士主导的初级姑息治疗干预对晚期癌症患者的影响:CONNECT 集群随机临床试验。
JAMA Intern Med. 2021 Nov 1;181(11):1451-1460. doi: 10.1001/jamainternmed.2021.5185.
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Relationship between nurse burnout, patient and organizational outcomes: Systematic review.护士职业倦怠与患者及组织成果之间的关系:系统评价
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Prevalence of and Factors Associated With Nurse Burnout in the US.美国护士职业倦怠的流行状况及相关因素。
JAMA Netw Open. 2021 Feb 1;4(2):e2036469. doi: 10.1001/jamanetworkopen.2020.36469.
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Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis.COVID-19 大流行期间护士的压力、抑郁、焦虑和睡眠障碍患病率:系统评价和荟萃分析。
J Psychosom Res. 2021 Feb;141:110343. doi: 10.1016/j.jpsychores.2020.110343. Epub 2020 Dec 17.
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Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review.提供姑息治疗的医疗保健专业人员的倦怠流行率以及减轻症状的干预措施的效果:系统文献回顾。
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Is Advance Care Planning Associated With Decreased Hope in Advanced Cancer?预先医疗照护计划是否与晚期癌症患者的希望降低有关?
JCO Oncol Pract. 2021 Feb;17(2):e248-e256. doi: 10.1200/OP.20.00039. Epub 2020 Jun 12.
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Describing the emotional exhaustion, depersonalization, and low personal accomplishment symptoms associated with Maslach Burnout Inventory subscale scores in US physicians: an item response theory analysis.描述与美国医生的马氏职业倦怠量表子量表得分相关的情感耗竭、去个性化和低个人成就感症状:一项项目反应理论分析。
J Patient Rep Outcomes. 2020 Jun 1;4(1):42. doi: 10.1186/s41687-020-00204-x.
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Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study.职业因素与护理专业人员健康相关生活质量的关系:一项多中心研究。
Int J Environ Res Public Health. 2020 Feb 5;17(3):982. doi: 10.3390/ijerph17030982.
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Medicina (Kaunas). 2019 Aug 30;55(9):553. doi: 10.3390/medicina55090553.
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Hospice nurse identification of comfortable and difficult discussion topics: Associations among self-perceived communication effectiveness, nursing stress, life events, and burnout.临终关怀护士对舒适和困难讨论话题的识别:自我感知的沟通效果、护理压力、生活事件和倦怠之间的关联。
Patient Educ Couns. 2019 Oct;102(10):1793-1801. doi: 10.1016/j.pec.2019.06.013. Epub 2019 Jun 14.