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新冠疫情期间护士孤独感和倦怠感的混合方法研究。

A mixed-methods exploration of nurse loneliness and burnout during COVID-19.

机构信息

Virginia Commonwealth University School of Nursing, Box 980567, 1100 East Leigh Street, Richmond, VA 23298-0567, United States.

Virginia Commonwealth University School of Nursing, Box 980567, 1100 East Leigh Street, Richmond, VA 23298-0567, United States.

出版信息

Appl Nurs Res. 2023 Oct;73:151716. doi: 10.1016/j.apnr.2023.151716. Epub 2023 Jul 24.

DOI:10.1016/j.apnr.2023.151716
PMID:37722784
Abstract

AIM

This study investigated the phenomenon of nurse loneliness as a potential contributor to burnout.

BACKGROUND

Nurse wellbeing is critical for safe and efficient healthcare delivery. However, evidence indicates nurses' wellbeing is at risk. The levels of burnout, the most commonly measured symptom of suboptimal wellbeing, are rising and may relate to a largely unexplored phenomenon: loneliness.

METHODS

A mixed-methods approach was used to investigate burnout and loneliness in direct-care nurses in four diverse hospitals in the midwestern and southeastern United States. Burnout and loneliness were measured, prevalence was estimated, and correlation was examined. Interpretive descriptive inquiry and analysis was used to develop a richer understanding of nurse loneliness in the context of burnout. While this study did not explicitly explore the impact of the global pandemic, data was collected in late 2021 and early 2022, during the Delta variant wave.

RESULTS

In the study population (n = 117), rates of burnout are high and positively correlate with loneliness. Qualitative interviews (n = 11) revealed that nurses feel unseen, emotionally detached from their work, and dehumanized. However, social connection with peers is protective and nurses still report a strong sense of devotion to the profession and solidarity with peers.

CONCLUSIONS

This study offers insight into nurse loneliness, highlighting the importance of social connectedness to improve nurse wellbeing.

摘要

目的

本研究调查了护士孤独感这一潜在 burnout 因素的现象。

背景

护士的健康对于安全和高效的医疗保健服务至关重要。然而,有证据表明护士的健康状况存在风险。倦怠水平是衡量护士健康状况最常用的指标,它呈上升趋势,可能与一个尚未得到充分探索的现象有关:孤独感。

方法

采用混合方法研究,在美国中西部和东南部的四家不同医院调查直接护理护士的 burnout 和孤独感。测量了倦怠和孤独感,估计了其流行率,并对其相关性进行了检验。采用解释性描述性探究和分析来深入了解 burnout 背景下护士孤独感的情况。虽然本研究没有明确探讨全球大流行的影响,但数据是在 2021 年末和 2022 年初收集的,正值 Delta 变体波期间。

结果

在研究人群(n=117)中,倦怠率较高,与孤独感呈正相关。11 名护士的定性访谈揭示了护士感到被忽视、与工作情绪脱节以及被去人性化的感受。然而,与同事的社交联系具有保护作用,护士仍然报告对职业的强烈奉献感和与同事的团结感。

结论

本研究深入了解了护士孤独感,强调了社交联系对改善护士健康的重要性。

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