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护士在 COVID-19 大流行之前和期间的倦怠:系统比较综述。

Nurse burnout before and during the COVID-19 pandemic: a systematic comparative review.

机构信息

Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Agri, Türkiye.

出版信息

Front Public Health. 2023 Sep 5;11:1225431. doi: 10.3389/fpubh.2023.1225431. eCollection 2023.

DOI:10.3389/fpubh.2023.1225431
PMID:37732086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10507882/
Abstract

INTRODUCTION

This review aimed to compare available evidence examining burnout using the Maslach Burnout Inventory (MBI) in nurses before and during the COVID-19 pandemic. The specific objective was to compare nurse burnout scores in terms of emotional exhaustion, depersonalization, and personal accomplishment.

METHODS

A comprehensive search was conducted for studies on nurses' burnout using the MBI published between 1994 and 2022. In total, 19 studies conducted prior to the pandemic and 16 studies conducted during the pandemic were included and compared using the criteria from the Joanna Briggs Institute Critical Appraisal Tool.

RESULTS

Surprisingly, the results indicated that nurses' burnout scores did not differ significantly before ( = 59,111) and during ( = 18,629) the pandemic. The difference observed was qualitative rather than quantitative.

DISCUSSION

The outbreak of the COVID-19 pandemic exacerbated an already critical situation, and while COVID-19 may serve as an additional triggering factor for staff mental illness, it cannot solely explain the observed burnout levels. These findings underscore the need for long-term clinical and preventive psychological interventions, suggesting that psychological resources should not be limited to emergencies but extended to address the ongoing challenges faced by nurses.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=399628, identifier: CRD42023399628.

摘要

简介

本综述旨在比较使用 Maslach 职业倦怠量表(MBI)在 COVID-19 大流行前后对护士进行的职业倦怠研究中的现有证据。具体目标是比较护士在情绪衰竭、去人性化和个人成就感方面的倦怠得分。

方法

对 1994 年至 2022 年间发表的使用 MBI 对护士职业倦怠进行的研究进行了全面检索。共纳入了 19 项大流行前的研究和 16 项大流行期间的研究,并使用 Joanna Briggs 研究所批判性评价工具的标准进行了比较。

结果

令人惊讶的是,结果表明护士的倦怠得分在大流行前后没有显著差异( = 59,111)。观察到的差异是定性的,而不是定量的。

讨论

COVID-19 大流行加剧了已经严峻的形势,虽然 COVID-19 可能成为员工精神疾病的额外触发因素,但它不能单独解释观察到的倦怠水平。这些发现强调了需要长期的临床和预防心理干预,表明心理资源不应仅限于紧急情况,而应扩展到解决护士面临的持续挑战。

系统评价注册

https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=399628,标识符:CRD42023399628。

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