Institute for Patient Safety, University Hospital Bonn, Bonn, Germany
Department for Nursing Science, University Medical Center Göttingen, Goettingen, Germany.
BMJ Open Qual. 2023 Mar;12(1). doi: 10.1136/bmjoq-2022-002025.
The study aimed to assess job demands at the patient's bedside and to evaluate the contribution of this central workplace to the stress and satisfaction of nurses.
In this cross-sectional survey study, a questionnaire was compiled and all registered nurses from intensive, general and intermediate care wards at a large German hospital were invited to participate.
The questionnaire used a list of care activities to assess nurses' workload at the patient's bed. The German Copenhagen Psychosocial Questionnaire and an adapted version of the German Perceived Stress Scale were used to measure nurses' stress and burn-out, and single items to assess health status, organisational commitment, job satisfaction, and satisfaction with the quality of care. The questionnaire was returned by 389 nurses.
Expected correlations of workload at the patient's bed with stress, burn-out and satisfaction of the nurses were shown. A moderating effect of organisational commitment was non-existent but was shown for the self-assessed health on the correlation between workload and satisfaction with the quality of care. Organisational commitment correlated negatively with stress and burn-out and positively with satisfaction. The study provides evidence that rates of burn-out and stress do not differ based on the work area of nurses. Because job demands at the patient's bed correlated with all outcomes, measures to improve this specific workspace are sensible.
本研究旨在评估患者床边的工作要求，并评估该中心工作场所对护士压力和满意度的贡献。
在这项横断面调查研究中，编制了一份问卷，并邀请了一家德国大型医院的重症监护、普通和中级护理病房的所有注册护士参与。
问卷使用护理活动清单来评估护士在患者床边的工作量。使用丹麦哥本哈根心理社会问卷和经过改编的德国感知压力量表来衡量护士的压力和倦怠程度，以及单项来衡量健康状况、组织承诺、工作满意度和对护理质量的满意度。该问卷由 389 名护士回复。
显示了患者床边工作量与护士压力、倦怠和满意度的预期相关性。组织承诺的调节作用不存在，但在自我评估的健康状况与对护理质量的满意度之间的相关性中表现出来。组织承诺与压力和倦怠呈负相关，与满意度呈正相关。该研究表明，护士的倦怠和压力发生率与工作区域无关。由于患者床边的工作要求与所有结果相关，因此采取措施改善这一特定工作空间是合理的。
