面对疫情时的心理韧性：探究心理灵活性对新冠肺炎医院重症监护护士离职意愿和职业倦怠的影响
Resilience in the face of pandemic: exploring the influence of psychological flexibility on turnover intentions and burnout among critical care nurses in COVID-19 hospitals.
作者信息
El-Ashry Ayman Mohamed, Seweid Mohamed Mahmoud, Ghoneam Mohamed Adel, Abdelaliem Sally Mohammed Farghaly, Sabek Elsayed Mahmoud
机构信息
Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt.
出版信息
BMC Nurs. 2024 Jul 10;23(1):471. doi: 10.1186/s12912-024-02039-z.
AIM
Assess the levels of psychological flexibility, burnout, and turnover intention among critical care nurses and assess the impact of psychological flexibility on burnout, and turnover intention among critical care nurses.
BACKGROUND
Burnout and turnover intentions among critical care nurses are rapidly increasing because of the challenges of COVID-19. There is a need for evidence-based interventions like psychological flexibility to be addressed in research to overcome those challenges.
METHODS
A descriptive correlational research. A convenient sample of 200 critical care nurses working in COVID-19 hospitals from two governorates in Egypt. The sociodemographic and clinical data sheet, the work-related acceptance and action questionnaire, the Copenhagen burnout inventory, and the adopted version of the staff nurses' intention to leave the nursing profession questionnaire were used.
RESULTS
The majority of critical care nurses reported a moderate level of psychological flexibility (75.5%, Mean = 31.23), a moderate level of burnout (65.5%, Mean = 59.61), and low to moderate levels of intention to leave (73%, Mean = 5.95). Psychological flexibility has a statistically significant negative correlation with burnout (PC = -0.304, Sig = 0.000) and the intention to leave (PC = -0.258, Sig = 0.000). In addition, psychological flexibility has a predictable effect on decreasing burnout (R = 0.232) and intention to leave (R = 0.127) among critical care nurses.
CONCLUSION
critical care nurses in COVID-19 hospitals reported varied levels of burnout and an intention to leave that must be considered. The effect of psychological flexibility on burnout and intention to turnover highlighted the importance of improving it among critical care nurses by applying acceptance and commitment therapy as a management intervention.
目的
评估重症监护护士的心理灵活性、职业倦怠和离职意愿水平，并评估心理灵活性对重症监护护士职业倦怠和离职意愿的影响。
背景
由于新冠疫情的挑战，重症监护护士的职业倦怠和离职意愿迅速增加。需要在研究中采用基于证据的干预措施，如心理灵活性，以克服这些挑战。
方法
一项描述性相关性研究。从埃及两个省份的新冠医院中抽取200名重症监护护士作为便利样本。使用社会人口统计学和临床数据表、工作相关的接纳与行动问卷、哥本哈根职业倦怠量表以及护士离职意愿问卷的改编版。
结果
大多数重症监护护士报告心理灵活性处于中等水平（75.5%，均值=31.23），职业倦怠处于中等水平（65.5%，均值=59.61），离职意愿处于低至中等水平（73%，均值=5.95）。心理灵活性与职业倦怠（PC=-0.304，显著性=0.000）和离职意愿（PC=-0.258，显著性=0.000）在统计学上呈显著负相关。此外，心理灵活性对降低重症监护护士的职业倦怠（R=0.232）和离职意愿（R=0.127）有预测作用。
结论
新冠医院的重症监护护士报告的职业倦怠和离职意愿水平各不相同，必须予以考虑。心理灵活性对职业倦怠和离职意愿的影响凸显了通过应用接纳与承诺疗法作为管理干预措施来提高重症监护护士心理灵活性的重要性。
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