Bu Tianyi, Peng Chundi, Liu Jiangheng, Qiu Xiaohui, Qiao Zhengxue, Zhou Jiawei, Ke Siyuan, Kan Yuecui, Hu Xiaomeng, Qiao Kexin, Liu Xuan, Cao Depin, Yang Yanjie
Psychology and Health Management Center, Harbin Medical University, Harbin, Heilongjiang, China.
Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
BMC Nurs. 2024 Aug 2;23(1):531. doi: 10.1186/s12912-024-02190-7.
Burnout is very important to nurses' physical and mental health and career development. Current approaches to assessing nurse burnout tend to use a total score modeling paradigm to explore the impact of external factors on burnout. The purpose of this study is to delve into the item-level relationship between nurse burnout and its influencing factors at both the social and psychological levels using a network analysis approach.
This study was conducted in June 2023 and 1,005 nurses from 4 hospitals out of 8 tertiary care hospitals in Harbin were selected to participate in this study using whole cluster sampling method. Measurements included a general demographic questionnaire, Trait coping styles questionnaire, Organizational commitment questionnaire, Work-family conflict scale, Transformational leadership questionnaire, and Maslach Burnout Inventory-General Survey.
Our results suggest that "C1 Time-Based work interference with family" showed the strongest centrality and bridging in the overall network. This finding underscores its centrality to burnout. Other strongest bridge symptoms included "E2 Reduced personal accomplishment" and "A1 Positive coping styles" indicating their strongest connections to other clusters.
Nurse administrators should be encouraged to pay more attention to nurses' work situations and family distress, and to help nurses in a flexible way.
职业倦怠对护士的身心健康和职业发展非常重要。当前评估护士职业倦怠的方法倾向于使用总分建模范式来探讨外部因素对职业倦怠的影响。本研究的目的是使用网络分析方法深入研究护士职业倦怠与其在社会和心理层面的影响因素之间的项目层面关系。
本研究于2023年6月进行，采用整群抽样方法从哈尔滨8家三级甲等医院中的4家医院选取了1005名护士参与本研究。测量工具包括一般人口学调查问卷、特质应对方式问卷、组织承诺问卷、工作家庭冲突量表、变革型领导问卷和马氏职业倦怠量表通用版。
我们的结果表明，“C1基于时间的工作对家庭的干扰”在整个网络中显示出最强的中心性和桥梁作用。这一发现强调了其对职业倦怠的核心地位。其他最强的桥梁症状包括“E2个人成就感降低”和“A1积极应对方式”，表明它们与其他集群的联系最为紧密。
应鼓励护士管理人员更多地关注护士的工作状况和家庭困扰，并以灵活的方式帮助护士。
