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心脏外科护士职业倦怠与工作生活质量调查:一项横断面研究。

Investigation of burnout and quality of work life of cardiac surgery nurses: A cross-sectional study.

机构信息

Faculty of Nursing, Ege University, Izmir, Turkey.

出版信息

Nurs Crit Care. 2024 Nov;29(6):1373-1384. doi: 10.1111/nicc.13124. Epub 2024 Jul 14.

Abstract

BACKGROUND

The care processes of cardiac surgery patients are difficult, complex and stressful. Nurses, who have an important role in the care of these patients, may experience burnout or poor quality of work life may be affected because of difficult care processes, and professional difficulties.

AIM

This study analysed burnout and quality of work life in cardiac surgery nurses.

STUDY DESIGN

This cross-sectional study was conducted with 68 nurses in the clinic and intensive care unit of a university hospital's cardiovascular surgery department. Clinical nurses care for inpatients in this department, while intensive care nurses care for patients in the intensive care unit. The 'Sociodemographic and Descriptive Characteristics of Nurses Form', 'Maslach Burnout Inventory' and 'Nursing Work Quality of Life Scale' were used to collect the data.

RESULTS

The mean score of emotional exhaustion sub-dimension of Maslach Burnout Inventory was 15.25 ± 5.08 (min: 7, max: 27), the mean score of the personal accomplishment sub-dimension was 17.48 ± 4.90 (min: 8, max: 27), and the mean score of depersonalization sub-dimension was 5.60 ± 2.70 (min: 0, max: 13). The mean scores of the emotional exhaustion sub-dimension (t: -2.380, p: .020, risk ratio [RR]: 1.67, confidence interval [CI]: [14.21, 18.82]) and the personal accomplishment sub-dimension (t: -2.604, p: .011, RR: 1.00, CI: [16.08, 19.92]) were higher in intensive care nurses. The mean total score of the nursing quality of work life scale was 107.20 ± 14.60 (min: 72, max: 149). A negative statistically significant relationship was found between the mean scores of emotional exhaustion (r: -0.243, p: .045) and depersonalization sub-dimension (r: -0.325, p: .007) of the Maslach Burnout Scale and the mean total score of the nursing quality of work life scale.

CONCLUSION

In this study, it can be said that cardiac surgery nurses had moderate levels of emotional burnout, personal accomplishment and quality of work life, and low levels of depersonalization. At the same time, it can be seen that intensive care nurses have higher levels of emotional burnout. The increased emotional burnout and depersonalization in nurses decreased the quality of work life.

RELEVANCE TO CLINICAL PRACTICE

This study provided an understanding of burnout and quality of work life of cardiac surgery nurses. Strategies can be developed to reduce burnout and improve the quality of the work life of cardiac surgery nurses. Particular attention should be paid to intensive care nurses who experience more burnout on several sub-dimensions. This may be a good approach to improving the quality of patient care.

摘要

背景

心脏外科患者的护理过程困难、复杂且紧张。护士在这些患者的护理中起着重要作用,由于护理过程困难和专业困难,他们可能会经历倦怠或工作生活质量下降。

目的

本研究分析了心脏外科护士的倦怠和工作生活质量。

研究设计

这是一项横断面研究,共纳入了一家大学医院心血管外科诊所和重症监护病房的 68 名护士。临床护士负责照顾该部门的住院患者,而重症监护护士则负责照顾重症监护病房的患者。使用“护士一般情况和描述特征表”、“Maslach 倦怠量表”和“护理工作生活质量量表”收集数据。

结果

Maslach 倦怠量表的情感衰竭分量表的平均得分为 15.25±5.08(最小值:7,最大值:27),个人成就感分量表的平均得分为 17.48±4.90(最小值:8,最大值:27),去人格化分量表的平均得分为 5.60±2.70(最小值:0,最大值:13)。重症监护护士的情感衰竭分量表(t=-2.380,p=0.020,风险比[RR]:1.67,置信区间[CI]:[14.21,18.82])和个人成就感分量表(t=-2.604,p=0.011,RR:1.00,CI:[16.08,19.92])的平均得分更高。护理工作生活质量量表的平均总分为 107.20±14.60(最小值:72,最大值:149)。情感衰竭(r=-0.243,p=0.045)和去人格化分量表(r=-0.325,p=0.007)与护理工作生活质量量表的平均总分之间存在负相关。

结论

在这项研究中,可以说心脏外科护士的情感倦怠、个人成就感和工作生活质量处于中等水平,去人格化程度较低。同时,可以看出重症监护护士的情感倦怠程度更高。护士的情感倦怠和去人格化程度增加会降低工作生活质量。

临床意义

本研究了解了心脏外科护士的倦怠和工作生活质量。可以制定策略来减少心脏外科护士的倦怠并提高他们的工作生活质量。应特别关注经历多个亚量表倦怠程度更高的重症监护护士。这可能是提高患者护理质量的一个好方法。

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