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加纳一家三甲医院护士和助产士职业倦怠的决定因素:一项横断面研究。

Determinants of burnout among nurses and midwives at a tertiary hospital in Ghana: A cross-sectional study.

机构信息

Department of Occupational and Environmental Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Allen Clinic, Family Healthcare Services, Kumasi, Ghana.

出版信息

Nurs Open. 2023 Feb;10(2):869-878. doi: 10.1002/nop2.1355. Epub 2022 Sep 9.

Abstract

AIM

This study determined the prevalence and key determinants of burnout among nurses and midwives in Kumasi, Ghana.

DESIGN

Hospital-based cross-sectional study.

METHOD

A questionnaire was used to obtain data from 391 nurses and midwives at a tertiary hospital in Kumasi, Ghana using simple random sampling.

RESULTS

About 84.4% of the participants were females. The majority of the study participants experienced low burnout for all dimensions (58% in emotional exhaustion, 55.5% poor personal accomplishment and 38.3% depersonalization). Multiple regression analysis revealed that high emotional exhaustion was independently predicted by post-graduate education (β = 6.42, p = .003), lack of support from management (β = 2.07, p = .024), dislike for leadership style, (β = 3.54, p < .001) and inadequate number of staff (β = 2.93, p = .005). Age (β = 0.35, p = .004), lack of support from management (β = 1.60, p = .012), and inadequate number of staff (β = 1.49, p = .034) independently predicted high depersonalisation. Female sex (β = 4.36, p < .001) and years of practice (β = -0.26, p < .001) independently predicted low personal accomplishment.

摘要

目的

本研究旨在确定加纳库马西的护士和助产士中倦怠的流行情况和主要决定因素。

设计

基于医院的横断面研究。

方法

采用问卷调查法,通过简单随机抽样,从加纳库马西一家三级医院的 391 名护士和助产士中获取数据。

结果

约 84.4%的参与者为女性。大多数研究参与者在所有维度上都经历了低度倦怠(58%在情绪耗竭,55.5%在个人成就感低,38.3%在去人性化)。多因素回归分析显示,研究生教育(β=6.42,p=0.003)、缺乏管理层支持(β=2.07,p=0.024)、不喜欢领导风格(β=3.54,p<0.001)和人员不足(β=2.93,p=0.005)可独立预测高度情绪耗竭。年龄(β=0.35,p=0.004)、缺乏管理层支持(β=1.60,p=0.012)和人员不足(β=1.49,p=0.034)可独立预测高度去人性化。女性(β=4.36,p<0.001)和工作年限(β=-0.26,p<0.001)可独立预测个人成就感低。

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