Chen Chiu-Chu, Lee Tzu-Yueh, Chao Li-Mei, Wu Tzu-Jung
MSN, RN, Supervisor, Department of Nursing, Chung Shan Medical University Hospital, and Adjunct Instructor, School of Nursing, Chung Shan Medical University, Taiwan, ROC.
MSN, RN, Head Nurse, Infectious Disease Word, Chung Shan Medical University Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2024 Aug;71(4):44-56. doi: 10.6224/JN.202408_71(4).07.
Individuals in the asymptomatic incubation period of COVID-19 are highly contagious. This threat of asymptomatic transmission contributes to increased stress among nursing staffs and undermines their resilience.
This study was designed to explore the correlates and predictive factors of resilience in the contexts of work stress and job satisfaction among nursing staffs.
A cross-sectional study design was employed on a convenience sample of 408 nurses. The survey included a demographic datasheet, the Nurse Occupational Stressor Scale, Job Satisfaction Scale, and Resilience Scale. Inferential statistics were conducted using independent sample t test, Pearson correlation analysis, and stepwise multiple linear regression.
The participants were an average 32.6 years old. The average resilience score indicated a "moderate" resilience level. Resilience was treated as the dependent variable, while the demographic variables, Nurse Occupational Stressor Scale score, and job satisfaction dimension scores were treated as independent variables. Stepwise regression analysis was used to identify the key predictors of resilience, which included professional autonomy and development (β = .468, p <.001), occupational hazards (β = .163, p <.001), interpersonal interaction and collaboration (β = .223, p < .001), self-perceived economic status (β = -.093, p < .05), supervisor's leadership style (β = -.118, p < .05), and marital status (β = .078, p < .05). The model explained 39.4% of the total variance.
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results of this study support healthcare providers promoting resilience in several specific ways. Healthcare organizations should enhance professional competence through professional education and training programs; improve workplace safety; foster an atmosphere conducive to team cooperation; provide job support through mentorship and apprenticeship systems and caring leadership from nursing supervisors; continuously conduct caring and stress-relief activities; and utilize online self-report health questionnaires to enable nursing staff facing psychological and emotional challenges to seek professional counseling and support. Enhancing resilience strategies on a long-term basis can improve the mental health of nursing staff, which may be expected to enhance the quality of patient care.
新型冠状病毒肺炎(COVID-19)无症状潜伏期的个体具有高度传染性。这种无症状传播的威胁加剧了护理人员的压力,并削弱了他们的心理韧性。
本研究旨在探讨护理人员在工作压力和工作满意度背景下心理韧性的相关因素和预测因素。
采用横断面研究设计,对408名护士进行便利抽样。调查包括一份人口数据表、护士职业压力源量表、工作满意度量表和心理韧性量表。采用独立样本t检验、Pearson相关分析和逐步多元线性回归进行推断性统计。
参与者的平均年龄为32.6岁。平均心理韧性得分表明其心理韧性水平为“中等”。将心理韧性作为因变量,将人口统计学变量、护士职业压力源量表得分和工作满意度维度得分作为自变量。采用逐步回归分析确定心理韧性的关键预测因素,包括职业自主性与发展(β = 0.468,p < 0.001)、职业危害(β = 0.163,p < 0.001)、人际互动与协作(β = 0.223 , p < 0.001)、自我感知经济状况(β = -0.093 , p < 0.05)、上级领导风格(β = -0.118 , p < 0.05)和婚姻状况(β = 0.078 , p < 0.05)。该模型解释了总方差的39.4%。
结论/实践启示:本研究结果支持医疗保健提供者通过几种特定方式提升心理韧性。医疗保健机构应通过专业教育和培训项目提高专业能力;改善工作场所安全;营造有利于团队合作的氛围;通过导师制和学徒制以及护理主管的关怀型领导提供工作支持;持续开展关怀和减压活动;并利用在线自我报告健康问卷,使面临心理和情绪挑战的护理人员能够寻求专业咨询和支持。长期加强心理韧性策略可以改善护理人员的心理健康,这有望提高患者护理质量。