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伊朗医院护士的职业压力与工作绩效:一项横断面调查。

Occupational stress and job performance among Iranian hospital nurses: A cross-sectional survey.

机构信息

Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Work. 2023;74(4):1437-1445. doi: 10.3233/WOR-211015.

DOI:10.3233/WOR-211015
PMID:36530116
Abstract

BACKGROUND

Occupational stress is one of the most important factors affecting nurse performance. However, there is a lack of data about the association between occupational stress and performance.

OBJECTIVE

The aim of this study was to determine the occupational stress level and its association with job performance in hospital staff.

METHODS

This cross-sectional study was conducted among 400 hospital staff of Tehran University of medical sciences in 2018. Subjects completed the World Health Organization Health and Work Performance questionnaire (WHO HPQ) for demographic and occupational characteristics, and the Short Form of Copenhagen questionnaire.

RESULTS

The demand and individual interface domain received the highest and the lowest score of occupational stress respectively. We found that the median for absenteeism distribution was 16 hours and, in our study, less than 10 % of the nurses had low performance. Working in intensive care units, fewer night shifts, higher income, higher levels of vitality, and social support could decrease absenteeism. In addition, staff who felt more supported and reported lower emotional demands had higher performance.

CONCLUSION

Since higher levels of social support could have positive influences on reducing absenteeism and improving performance, it is recommended that hospital managers should be encouraged to use educational programs, coping behaviors, and effective interventions to improve social support. Financial incentives are a factor that could also be used to reduce absenteeism.

摘要

背景

职业压力是影响护士绩效的最重要因素之一。然而,关于职业压力与绩效之间的关系,数据却十分缺乏。

目的

本研究旨在确定医院工作人员的职业压力水平及其与工作绩效的关系。

方法

本横断面研究于 2018 年在德黑兰大学医学科学的 400 名医院工作人员中进行。研究对象填写了世界卫生组织健康和工作表现问卷(WHO HPQ),以了解人口统计学和职业特征,以及哥本哈根短式问卷。

结果

需求和个体界面域的职业压力得分最高和最低。我们发现缺勤分布的中位数为 16 小时,在我们的研究中,不到 10%的护士绩效较低。在重症监护病房工作、夜班较少、收入较高、活力水平较高和社会支持较高,可减少缺勤。此外,感到得到更多支持和报告情绪需求较低的员工绩效更高。

结论

由于较高水平的社会支持可以积极影响减少缺勤和提高绩效,因此建议医院管理人员应鼓励使用教育计划、应对行为和有效的干预措施来提高社会支持。经济激励也是减少缺勤的一个因素。

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