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护士职业倦怠与韧性特征分析:情绪衰竭、情绪旺盛和情绪恢复的潜在剖面分析。

Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery.

机构信息

Duke University School of Nursing, Duke University, Durham, North Carolina, USA.

Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, North Carolina, USA.

出版信息

Nurs Open. 2023 Nov;10(11):7279-7291. doi: 10.1002/nop2.1980. Epub 2023 Sep 3.


DOI:10.1002/nop2.1980
PMID:37661657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10563410/
Abstract

AIMS: To identify subgroups of nurses with distinct profiles of burnout (emotional exhaustion) and resilience (emotional thriving and emotional recovery) and describe nurse characteristics associated with each profile. DESIGN: Cross-sectional, correlational design. METHODS: Data were collected via electronic survey from 2018 to 2019. Latent profile analysis was used to identify subgroups of nurses with distinct profiles of emotional exhaustion, emotional thriving and emotional recovery, with each measured on a 0-100 scale. Bivariate statistics were used to determine profile differences in nurse sociodemographic, professional and psychological characteristics. RESULTS: Four distinct profile subgroups were identified: (1) "exhausted" (14% with very high emotional exhaustion, low emotional thriving and moderate emotional recovery), (2) "exhausted with thriving" (6% with high emotional exhaustion, moderate-high emotional thriving and low emotional recovery), (3) "exhausted with thriving and recovery" (52% with moderate-high emotional exhaustion, emotional thriving and emotional recovery), and (4) "thriving and recovery" (27% with low emotional exhaustion and very high emotional thriving and emotional recovery). Nurses in the "exhausted" and "exhausted with thriving" profiles reported greater depression and poorer work-life integration. Nurses in "exhausted" profile were more likely to work in an inpatient setting. Nurses in the "exhausted with thriving and recovery" and "thriving and recovery" profiles reported more positive emotions, more well-being behaviours, and better work-life integration, with the "thriving and recovery" subgroup having the highest levels of these characteristics, lower depression scores and greater racial minority representation. CONCLUSION: Approaches designed to improve nurse well-being should be tailored to the nurses' profile of emotional exhaustion, thriving and recovery to maximize effectiveness. IMPACT: Given the growing shortage of nurses in healthcare systems, it is critical that multilevel strategies be investigated to retain nursing staff that consider the intersectionality and complexity of the different aspects of burnout and resilience experienced by the nurse. NO PATIENT OR PUBLIC CONTRIBUTION: The aim was to assess burnout and resilience among nurses.

摘要

目的:确定具有不同倦怠(情绪衰竭)和韧性(情绪蓬勃发展和情绪恢复)特征的护士亚组,并描述与每个特征相关的护士特征。 设计:横断面相关性设计。 方法:数据通过 2018 年至 2019 年的电子调查收集。使用潜在剖面分析来确定具有不同情绪衰竭、情绪蓬勃发展和情绪恢复特征的护士亚组,每个特征的测量范围为 0-100。使用双变量统计来确定护士社会人口统计学、专业和心理特征在特征上的差异。 结果:确定了四个不同的特征亚组:(1)“疲惫”(14%的人情绪衰竭非常严重,情绪蓬勃发展程度低,情绪恢复程度中等);(2)“疲惫与蓬勃发展”(6%的人情绪衰竭高,情绪蓬勃发展程度高-中等,情绪恢复程度低);(3)“疲惫与蓬勃发展和恢复”(52%的人情绪衰竭程度中等-高,情绪蓬勃发展程度高,情绪恢复程度高);(4)“蓬勃发展与恢复”(27%的人情绪衰竭程度低,情绪蓬勃发展程度非常高,情绪恢复程度高)。处于“疲惫”和“疲惫与蓬勃发展”特征中的护士报告的抑郁程度更高,工作-生活融合度更差。处于“疲惫”特征的护士更有可能在住院环境中工作。处于“疲惫与蓬勃发展和恢复”和“蓬勃发展与恢复”特征的护士报告的积极情绪更多,更多的健康行为,更好的工作-生活融合度,而“蓬勃发展与恢复”亚组具有这些特征的最高水平,抑郁评分更低,少数族裔比例更高。 结论:旨在提高护士福祉的方法应根据护士的情绪衰竭、蓬勃发展和恢复特征进行调整,以最大限度地提高效果。 影响:鉴于医疗保健系统中护士的短缺日益严重,至关重要的是,要调查多层次的策略来留住护理人员,这些策略要考虑到护士经历的倦怠和韧性的不同方面的交叉性和复杂性。 无患者或公众贡献:目的是评估护士的倦怠和韧性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df2/10563410/1a09da327774/NOP2-10-7279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df2/10563410/1a09da327774/NOP2-10-7279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df2/10563410/1a09da327774/NOP2-10-7279-g001.jpg

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本文引用的文献

[1]
A qualitative exploration of the National Academy of medicine model of well-being and resilience among healthcare workers during COVID-19.

J Adv Nurs. 2022-8

[2]
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Int J Nurs Stud. 2021-12

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Arch Pathol Lab Med. 2021-9-1

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J Perinatol. 2021-9

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J Posit Psychol. 2020

[6]
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JAMA Netw Open. 2021-4-1

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Prevalence of and Factors Associated With Nurse Burnout in the US.

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