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手术室护士对职业倦怠相关因素的观点:一项定性研究。

Viewpoint of operating room nurses about factors associated with the occupational burnout: A qualitative study.

作者信息

Teymoori Esmaeil, Zareiyan Armin, Babajani-Vafsi Saeed, Laripour Reza

机构信息

Department of Surgical Technology, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran.

Public Health Department, Health in Disaster and Emergencies Department, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Front Psychol. 2022 Aug 11;13:947189. doi: 10.3389/fpsyg.2022.947189. eCollection 2022.

Abstract

BACKGROUND

Occupational burnout is a mental health problem that among nurses may lead not only to physical and psychological complications, but also to a decrease in the quality of patient care. Considering the stressful nature of surgery, operating room nurses may be at a greater risk. Therefore, the present study aimed to identifying factors associated with the occupational burnout from the perspective of operating room nurses.

MATERIALS AND METHODS

This qualitative study was conducted in Iran in 2021 using conventional content analysis. Sampling was performed using purposeful sampling method with maximum variation. In order to collect data, individual, semi-structured interviews were performed with 18 operating room nurses. Interviews continued until data saturation. Data were recorded, transcribed and analyzed using steps proposed by Graneheim and Lundman. Data management was performed using MAXQDA-2020 software. Four criteria provided by Guba and Lincoln were used to improve the study's trustworthiness and rigor.

RESULTS

A main theme, 4 categories and 15 subcategories were extracted from the data. The main theme is "gradual burnout due to job tension" and categories and subcategories include organizational factors (manager incompetence, organizational indifference, ambiguity in organizational role, organizational inconsistency), interpersonal factors (surgeon aggression, surgeon authoritarianism, surgeon failure to manage stress, unprofessional behavior of nurses), Occupational nature factors (psychological factors and occupational hazards) as well as individual factors (occupational attitude, unprofessional behavior, emotional involvement, demographic factors, physical factors).

CONCLUSION

Numerous factors associated with burnout in operating room nurses, which may put the personnel under more pressure. According to these factors, nursing managers and operating room nurses can consider effective strategies to prevent or coping with burnout.

摘要

背景

职业倦怠是一个心理健康问题,在护士中不仅可能导致身体和心理并发症,还会降低患者护理质量。考虑到手术工作的压力性质,手术室护士可能面临更大风险。因此,本研究旨在从手术室护士的角度识别与职业倦怠相关的因素。

材料与方法

本定性研究于2021年在伊朗进行,采用常规内容分析法。采用目的抽样法进行抽样,最大限度地增加样本的多样性。为收集数据,对18名手术室护士进行了个人半结构式访谈。访谈持续进行直至数据饱和。数据记录、转录并按照Graneheim和Lundman提出的步骤进行分析。使用MAXQDA - 2020软件进行数据管理。采用Guba和Lincoln提出的四项标准来提高研究的可信度和严谨性。

结果

从数据中提取出一个主主题、4个类别和15个子类别。主主题是“工作紧张导致的渐进性倦怠”,类别和子类别包括组织因素(管理者无能、组织冷漠、组织角色模糊、组织不一致)、人际因素(外科医生攻击性、外科医生专制、外科医生压力管理不善、护士的不专业行为)、职业性质因素(心理因素和职业危害)以及个人因素(职业态度、不专业行为、情感投入、人口统计学因素、身体因素)。

结论

手术室护士存在许多与倦怠相关的因素,这些因素可能给工作人员带来更大压力。根据这些因素,护理管理者和手术室护士可以考虑采取有效策略来预防或应对倦怠。

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