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重症监护病房护士的情商与应对策略

Emotional intelligence and coping strategies among intensive care unit nurses.

作者信息

Cichoń Jakub, Płaszewska-Żywko Lucyna, Kózka Maria

机构信息

Clinical Nursing Department, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Kraków, Poland.

出版信息

Nurs Crit Care. 2023 Mar;28(2):322-328. doi: 10.1111/nicc.12839. Epub 2022 Sep 1.

Abstract

BACKGROUND

Stress is an integral part of daily work for nurses, especially those who work in intensive care units (ICUs). However, chronic stress can affect nurses' mental and physical well-being, increasing their risk of burnout and decreasing the quality of care. A higher emotional intelligence (EI) level may be correlated with greater use of effective coping strategies, leading to a reduction of the adverse effects of stress.

AIM

This study aimed to examine the relationship between EI and coping strategies among adult ICU nurses in Poland.

STUDY DESIGN

A cross-sectional survey design was used. Current adult ICU nurses in nine Polish hospitals were invited to participate. The survey instruments used were: the Polish version of the Schutte Self-Report Emotional Intelligence Test, the Inventory to Measure Coping Strategies with Stress (Brief-COPE), and a self-constructed questionnaire.

RESULTS

114/543 (21%) nurses completed the survey. ICU nurses showed an average level of EI (70.2%). The main stress coping strategies were active coping and planning, the rarest being substance use, behavioural disengagement, and denial. For nurses with a higher EI level, the most frequently used strategies included positive reframing (R = 0.43; p < .001), active coping (R = 0.38; p < .001), planning (R = 0.37; p < .001) and religion (R = 0.25; p = .006). Nurses were less likely to utilize strategies of behavioural disengagement (R = -0.32; p = .001) and self-blame (R = -0.40; p < .001).

CONCLUSIONS

EI may have an impact on coping strategies, as a higher EI level was correlated with the greater use of effective coping strategies in ICU nurses.

RELEVANCE TO CLINICAL PRACTICE

Training in coping with stress and increasing EI may have a positive impact on reducing the risk of burnout in nurses and thus improving the quality of care delivered.

摘要

背景

压力是护士日常工作中不可或缺的一部分,尤其是那些在重症监护病房(ICU)工作的护士。然而,长期压力会影响护士的身心健康,增加他们职业倦怠的风险,并降低护理质量。较高的情商(EI)水平可能与更多地使用有效的应对策略相关,从而减少压力的负面影响。

目的

本研究旨在探讨波兰成年ICU护士的情商与应对策略之间的关系。

研究设计

采用横断面调查设计。邀请了波兰九家医院的在职成年ICU护士参与。使用的调查工具包括:波兰版的舒特自我报告情商测试、压力应对策略测量量表(简易应对方式问卷)以及一份自行编制的问卷。

结果

114/543(21%)名护士完成了调查。ICU护士的情商水平处于平均水平(70.2%)。主要的压力应对策略是积极应对和计划,最不常用的是物质使用、行为脱离和否认。对于情商水平较高的护士,最常使用的策略包括积极重新评价(R = 0.43;p <.001)、积极应对(R = 0.38;p <.001)、计划(R = 0.37;p <.001)和宗教(R = 0.25;p =.006)。护士较少使用行为脱离(R = -0.32;p =.001)和自我责备(R = -0.40;p <.001)策略。

结论

情商可能会影响应对策略,因为较高的情商水平与ICU护士更多地使用有效应对策略相关。

与临床实践的相关性

应对压力的培训和提高情商可能对降低护士职业倦怠风险产生积极影响,从而提高护理质量。

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