Dziurka Magdalena, Jedynak Anna, Jurek Krzysztof, Dobrowolska Beata
Department of Holistic Care and Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland.
Provincial Polyclinical Hospital in Skierniewice, Skierniewice, Poland.
J Adv Nurs. 2025 May;81(5):2487-2499. doi: 10.1111/jan.16436. Epub 2024 Sep 5.
To assess the level of stress of conscience experienced by Polish nurses and midwives and its determinants.
Descriptive cross-sectional study.
The study was conducted from March 2019 to December 2020 and included convenience sampling of nurses and midwives working in hospitals in south-eastern Poland. An adapted version of the stress of the conscience questionnaire was used.
A total of 476 nurses and midwives completed the survey. The stress of conscience mean value was 67.57. There were no differences in stress of conscience between nurses and midwives. There were five predictors of stress of conscience for nurses: additional job, place of residence, care for patients over 65 years of age, satisfaction with one's salary and having specialised courses, for midwives: social status, work mode and postgraduate studies.
With the knowledge of predictors of stress of conscience, educational institutions, policymakers and hospital managers should focus their interventions on the factors that lead to a higher level of stress of conscience. It is essential to provide psychological support, building positive relationships between colleagues and focusing on organisational conditions.
Further research in this area is therefore encouraged, along with pre- and postgraduate training in coping with challenging situations such as the death of a patient and caring for elderly patients with dementia or multiple diseases. The study identifies predictors of stress of conscience and problems that can influence their appearance. Factors that increase the stress of conscience, such as organisational conditions and caring after patients are over age 65, should receive special attention in clinical education and result in the provision of an increased level of support from supervisors. Policymakers should also direct their future actions towards the ageing population, staff shortages, the resignation from the profession by improving working conditions and reducing the stress of conscience.
STROBE guidelines.
No patient or public contribution.
评估波兰护士和助产士所经历的良心压力水平及其决定因素。
描述性横断面研究。
研究于2019年3月至2020年12月进行，纳入了波兰东南部医院工作的护士和助产士的便利样本。使用了良心压力问卷的改编版。
共有476名护士和助产士完成了调查。良心压力平均值为67.57。护士和助产士在良心压力方面没有差异。护士良心压力的五个预测因素为：额外工作、居住地点、照顾65岁以上患者、对薪资的满意度以及参加专业课程；助产士的预测因素为：社会地位、工作模式和研究生学习。
鉴于了解良心压力的预测因素，教育机构、政策制定者和医院管理人员应将干预措施重点放在导致更高良心压力水平的因素上。提供心理支持、建立同事之间的积极关系以及关注组织条件至关重要。
因此，鼓励在该领域进行进一步研究，同时进行应对具有挑战性情况（如患者死亡以及照顾患有痴呆症或多种疾病的老年患者）的本科和研究生培训。该研究确定了良心压力的预测因素以及可能影响其出现的问题。增加良心压力的因素，如组织条件和照顾65岁以上患者，在临床教育中应受到特别关注，并应导致主管提供更高水平的支持。政策制定者还应通过改善工作条件和减轻良心压力，将未来行动指向老龄化人口、人员短缺以及职业倦怠问题。
STROBE指南。
无患者或公众贡献。
