Jeong Yun Jeong, Shin Sujin
The Graduate School of Converging Clinical and Public Health, Ewha Womans University, Ewha Womans University, Mokdong Hospital, Republic of Korea.
College of Nursing, Ewha Womans University, Republic of Korea.
Intensive Crit Care Nurs. 2023 Feb;74:103327. doi: 10.1016/j.iccn.2022.103327. Epub 2022 Oct 5.
To examine the mediating factor on the association of secondary traumatic stress and burnout among critical care nurses.
A correlational study.
Data were collected from a convenience sampling of 147 nurses from two general hospitals who had six or more months of experience working in an intensive care unit. The collected data were analyzed through t-test, ANOVA, Scheffé test, Mann-Whitney test, Kruskal-Wallis test, Bonferroni correction, and Pearson's correlation coefficient using SPSS 25.0. The mediating effect of resilience was analyzed through the three-stage mediation effect test procedure using hierarchical regression analysis and the Sobel test.
Secondary traumatic stress had a statistically significant positive correlation with burnout (r = 0.45, p <.001), and a statistically significant negative correlation between burnout and resilience (r = -0.54, p <.001) was observed. Secondary traumatic stress was found to have a statistically significant effect on resilience, which was the mediating variable (β = -0.17, p =.042). Additionally, secondary traumatic stress had a statistically significant effect on burnout (β = 0.45, p <.001). The significance of the mediating effect of resilience on the relationship between secondary traumatic stress and burnout was investigated using the Sobel test, and the mediating effect of resilience was found to be statistically significant (Z = 1.98, p =.048).
Resilience was found to have a partial mediating effect in the relationship between critical care nurses' secondary traumatic stress and burnout. The study thus provides basic data on the importance of resilience in preventing burnout from secondary traumatic stress.
探讨重症监护护士继发性创伤应激与职业倦怠之间关联的中介因素。
一项相关性研究。
数据来自对两家综合医院147名护士的便利抽样，这些护士在重症监护病房有6个月或更长时间的工作经验。使用SPSS 25.0对收集的数据进行t检验、方差分析、谢费检验、曼-惠特尼检验、克鲁斯卡尔-沃利斯检验、邦费罗尼校正和皮尔逊相关系数分析。通过使用分层回归分析和索贝尔检验的三阶段中介效应检验程序分析心理韧性的中介作用。
继发性创伤应激与职业倦怠之间存在统计学上显著的正相关（r = 0.45，p <.001），并且观察到职业倦怠与心理韧性之间存在统计学上显著的负相关（r = -0.54，p <.001）。继发性创伤应激对作为中介变量的心理韧性有统计学上显著的影响（β = -0.17，p =.042）。此外，继发性创伤应激对职业倦怠有统计学上显著的影响（β = 0.45，p <.001）。使用索贝尔检验研究了心理韧性在继发性创伤应激与职业倦怠关系中的中介效应的显著性，发现心理韧性的中介效应具有统计学显著性（Z = 1.98，p =.048）。
心理韧性在重症监护护士继发性创伤应激与职业倦怠的关系中具有部分中介作用。因此，该研究为心理韧性在预防继发性创伤应激导致的职业倦怠中的重要性提供了基础数据。
