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评估压力、社会人口学变量和与工作相关因素对护理资源分配的影响。

Assessment of The Effect of Stress, Sociodemographic Variables and Work-Related Factors on Rationing of Nursing Care.

机构信息

Department of Nursing, Pomeranian Medical University in Szczecin, Żołnierska 48, 71-210 Szczecin, Poland.

Center for Research and Innovation, 4th Military Hospital, 5 Weigla Street, 50-981 Wrocław, Poland.

出版信息

Int J Environ Res Public Health. 2023 Jan 29;20(3):2414. doi: 10.3390/ijerph20032414.

Abstract

(1) Rationing of nursing care is withholding, limiting or not fulfilling the necessary nursing activities for patients. It may have a negative effect on patient safety and the quality of care. The aim of the present paper is the assessment of the effect of stress on the rationing of nursing care. (2) The current research has a cross-sectional, observational design. The study sample comprised 567 nurses. The following questionnaires were used in the study PIRNCA and PSS-10. (3) It was demonstrated that nurses with a high level of perceived stress rationed nursing care to a greater extent and showed lower assessment of nursing care and lower job satisfaction in comparison with nurses with average and low levels of perceived stress. (4) 1. Stress in nurses has a negative effect on rationing of nursing care and job satisfaction. It is recommended that actions aimed at developing effective stress coping skills be implemented as early as at the stage of training to become a nurse. 2. Factors such as marital status, sex, form of employment, place of employment and the level of professional burnout syndrome may have an influence on the level of experienced stress. In turn, the level of experienced stress, marital status, education, place of work as well as the place of residence may have an effect on rationing of nursing care and, consequently, affect the quality of care.

摘要

(1) 护理配给是指 withholding、limiting 或不履行患者所需的护理活动。它可能对患者安全和护理质量产生负面影响。本文的目的是评估压力对护理配给的影响。

(2) 目前的研究采用了 cross-sectional、observational 设计。研究样本包括 567 名护士。研究中使用了以下问卷:PIRNCA 和 PSS-10。

(3) 研究表明,与感知压力水平中等和较低的护士相比,感知压力水平较高的护士更有可能进行护理配给,并且对护理的评估和工作满意度较低。

(4) 1. 护士的压力对护理配给和工作满意度有负面影响。建议在护士培训阶段就实施旨在培养有效应对压力技能的措施。2. 婚姻状况、性别、就业形式、工作地点和职业倦怠综合征水平等因素可能对压力水平产生影响。反过来,压力水平、婚姻状况、教育程度、工作地点以及居住地可能会对护理配给产生影响,并因此影响护理质量。

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