韧性和医院伦理氛围对手术室中手术技术员疲劳的预测作用。
The predictive role of resilience and the ethical climate of hospital in the fatigue of surgical technologists working in operating rooms.
机构信息
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
BMC Psychol. 2024 Jul 8;12(1):380. doi: 10.1186/s40359-024-01881-9.
BACKGROUND
Fatigue in surgical technologists is of paramount importance and is known as a priority because it can be regarded as a threat to the nurse's health and patient's safety. The fatigue level of healthcare workers can be affected by some factors, while the role of part of these factors is less known. This study aimed to determine the predictive role of resilience and the hospital ethical climate in the fatigue of surgical technologists working in operating rooms (ORs).
METHODS
This is a cross-sectional study conducted on 217 surgical technologists working in ORs of hospitals affiliated with Shiraz University of Medical Sciences. Data were collected using Connor-Davidson's Resilience scale, Olson's Hospital Ethical Climate Survey, and the Multidimensional Fatigue Inventory, and then analyzed using Pearson's correlation coefficient and multiple regression analysis.
RESULTS
87.1% and 12.9% of surgical technologists reported low and high fatigue, respectively. All fatigue subscales had significant and negative relationships with resilience (p < 0.05). Moreover, the relationship between fatigue and ethical climate was significant (p = 0.02). The multiple linear regression model showed the predictive role of resilience in fatigue (β=-0.29, P < 0.001). According to the model, 10% of the change of fatigue was related to resilience and ethical climate.
CONCLUSION
The present study demonstrated the relationship between resilience and ethical climate with fatigue. Moreover, resilience was a predictor of the surgical technologists' fatigue, so that their fatigue decreased with increasing resilience. However, future studies are recommended to determine other factors influencing fatigue in surgical technologists.
背景
外科技术员的疲劳至关重要，被认为是首要问题，因为疲劳可能会威胁护士的健康和患者的安全。一些因素会影响医护人员的疲劳水平，而这些因素的部分作用知之甚少。本研究旨在确定韧性和医院伦理氛围在手术室（OR）工作的外科技术员疲劳中的预测作用。
方法
这是一项横断面研究，在 Shiraz 大学医学科学附属医院的手术室工作的 217 名外科技术员中进行。使用 Connor-Davidson 的韧性量表、Olson 的医院伦理氛围调查和多维疲劳量表收集数据，然后使用 Pearson 相关系数和多元回归分析进行分析。
结果
分别有 87.1%和 12.9%的外科技术员报告疲劳程度低和高。所有疲劳分量表与韧性均呈显著负相关（p<0.05）。此外，疲劳与伦理氛围之间存在显著关系（p=0.02）。多元线性回归模型显示韧性对疲劳有预测作用（β=-0.29，P<0.001）。根据该模型，疲劳变化的 10%与韧性和伦理氛围有关。
结论
本研究表明韧性和伦理氛围与疲劳之间存在关系。此外，韧性是外科技术员疲劳的预测因素，因此韧性增加会降低疲劳。但是，建议进行未来的研究以确定影响外科技术员疲劳的其他因素。
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