早期职业注册护士的心理社会工作特征与睡眠质量：一项横断面潜在剖面分析。
Psychosocial work characteristics and sleep quality among early career registered nurses: a cross-sectional latent profile analysis.
机构信息
Doctoral Programme in Population Health, Faculty of Medicine, University of Helsinki, P.O. Box 63, Helsinki, 00014, Finland.
Finnish Institute for Health and Welfare, P.O. Box 30, Helsinki, 00271, Finland.
出版信息
BMC Health Serv Res. 2023 Sep 21;23(1):1020. doi: 10.1186/s12913-023-09949-9.
BACKGROUND
Individual psychosocial work characteristics have been associated with health and well-being of registered nurses. However, it is yet to be determined whether different types of psychosocial work characteristics form patterned profiles and how these profiles are associated with the health and well-being. The purpose of this study was to identify latent psychosocial work characteristic profiles, including procedural, interactional and distributive justice, job demand and job control, and examine whether the profiles are associated with sleep quality among early career registered nurses.
METHODS
We conducted a cross-sectional study comprising 632 early career registered nurses. Data were collected between November and December 2018 using an electronic survey with internationally validated measures including the Organizational Justice Scale, the Nurse Stress Index Scale, the Job Content Questionnaire, and the Sleep Problems Questionnaire. Latent profile analysis was used to identify groups with similar psychosocial work characteristic profiles. Multinomial and linear regression analyses were used to examine the association between latent work characteristics profiles and sleep quality.
RESULTS
Analysis yielded four profiles. The profiles were named based on the descriptions of classes as high strain/low justice, medium strain/high justice, medium strain/medium justice, and low strain/high justice. The low strain/high justice profile group (p = < 0.001) and the medium strain/high justice profile group (p = 0.002) had statistically significantly better sleep quality compared to the high strain/low justice profile group.
CONCLUSIONS
High procedural and interactional justice may alleviate strain in early career registered nurses and protect them against sleep problems. Promoting organizational justice in early career stages seems an efficient way to enhance registered nurses' well-being and sleep quality.
背景
个体的心理社会工作特征与注册护士的健康和幸福感有关。然而，目前尚不清楚不同类型的心理社会工作特征是否形成模式化的特征，以及这些特征与健康和幸福感的关系如何。本研究的目的是确定潜在的心理社会工作特征特征，包括程序公正、交互公正和分配公正、工作需求和工作控制，并研究这些特征是否与早期职业注册护士的睡眠质量有关。
方法
我们进行了一项横断面研究，包括 632 名早期职业注册护士。2018 年 11 月至 12 月期间，使用国际公认的测量工具（包括组织公正量表、护士压力指数量表、工作内容问卷和睡眠问题问卷）进行了电子调查，收集了数据。使用潜在剖面分析来识别具有相似心理社会工作特征特征的群体。使用多项和线性回归分析来检验潜在工作特征特征与睡眠质量之间的关联。
结果
分析产生了四个特征。根据班级描述，这些特征被命名为高压力/低公正、中压力/高公正、中压力/中公正和低压力/高公正。低压力/高公正特征组（p<0.001）和中压力/高公正特征组（p=0.002）的睡眠质量明显优于高压力/低公正特征组。
结论
较高的程序公正和交互公正可能会减轻早期职业注册护士的压力，保护他们免受睡眠问题的影响。在早期职业阶段促进组织公正似乎是一种提高注册护士幸福感和睡眠质量的有效途径。
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