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护理助理职业倦怠经历的复杂性:一种以个人为导向的职业倦怠模式研究方法

The Complexity of Burnout Experiences among Care Aides: A Person-Oriented Approach to Burnout Patterns.

作者信息

Duan Yinfei, Song Yuting, Thorne Trina E, Iaconi Alba, Norton Peter G, Estabrooks Carole A

机构信息

Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada.

School of Nursing, Qingdao University, Qingdao 266071, China.

出版信息

Healthcare (Basel). 2023 Apr 17;11(8):1145. doi: 10.3390/healthcare11081145.

DOI:10.3390/healthcare11081145
PMID:37107979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10137655/
Abstract

Care aides working in nursing homes experience burnout attributed to various workplace stressors. Burnout dimensions (exhaustion, cynicism, and reduced professional efficacy) interact to form distinct burnout patterns. Using a person-oriented approach, we aimed to identify burnout patterns among care aides and to examine their association with individual and job-related factors. This was a cross-sectional, secondary analysis of the Translating Research in Elder Care 2019-2020 survey data collected from 3765 care aides working in Canadian nursing homes. We used Maslach Burnout Inventory to assess burnout and performed latent profile analysis to identify burnout patterns, then examined their associations with other factors. We identified an pattern (43.2% of the care aide sample) with low exhaustion and cynicism and high professional efficacy; an pattern (38.5%) with high levels of the three dimensions; two intermediate patterns-a pattern (2.4%) and a pattern (15.8%). The group reported the most favorable scores on work environment, work-life experiences, and health, whereas the group reported the least favorable scores. The findings suggest complex experiences of burnout among care aides and call for tailored interventions to distinct burnout patterns.

摘要

在养老院工作的护理员会因各种工作压力源而产生职业倦怠。职业倦怠的维度(疲惫、玩世不恭和职业效能降低)相互作用,形成不同的职业倦怠模式。我们采用以人为本的方法,旨在识别护理员中的职业倦怠模式,并研究其与个人因素和工作相关因素的关联。这是一项横断面的二次分析,数据来自于2019 - 2020年对加拿大养老院3765名护理员进行的老年护理研究转化调查。我们使用马氏职业倦怠量表来评估职业倦怠,并进行潜在类别分析以识别职业倦怠模式,然后研究它们与其他因素的关联。我们识别出一种模式(占护理员样本的43.2%),其疲惫和玩世不恭程度低,职业效能高;一种模式(占38.5%),三个维度得分都高;还有两种中间模式——一种模式(占2.4%)和一种模式(占15.8%)。模式组在工作环境、工作与生活体验以及健康方面的得分最有利,而模式组的得分最不利。研究结果表明护理员职业倦怠的经历复杂,需要针对不同的职业倦怠模式采取量身定制的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d1/10137655/82ceb50d7dc1/healthcare-11-01145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d1/10137655/82ceb50d7dc1/healthcare-11-01145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d1/10137655/82ceb50d7dc1/healthcare-11-01145-g001.jpg

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本文引用的文献

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A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19.新型冠状病毒肺炎疫情期间医护人员职业倦怠的系统评价与Meta分析
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The use of cluster analysis to identify different burnout profiles among nurses and care assistants for older adults.
检验长期护理(LTC)机构护理员的职业生活质量(ProQoL-9)量表的因子效度和内部一致性。
BMC Health Serv Res. 2025 Jan 2;25(1):4. doi: 10.1186/s12913-024-12143-0.
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Analyzing Latent Burnout Profiles in a Sample of Spanish Nursing and Psychology Undergraduates.分析西班牙护理与心理学专业本科学生样本中的潜在职业倦怠特征
Healthcare (Basel). 2024 Feb 8;12(4):438. doi: 10.3390/healthcare12040438.
运用聚类分析来识别老年护士和护理助理的不同倦怠特征。
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Reciprocal effects between job stressors and burnout: A continuous time meta-analysis of longitudinal studies.工作压力源与职业倦怠之间的相互影响:纵向研究的连续时间元分析
Psychol Bull. 2020 Dec;146(12):1146-1173. doi: 10.1037/bul0000304. Epub 2020 Oct 29.
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Care Aides Working Multiple Jobs: Considerations for Staffing Policies in Long-Term Care Homes During and After the COVID-19 Pandemic.从事多份工作的护理助理:新冠疫情期间及之后长期护理机构人员配置政策的考量
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