Zhang Xiaoyan, Zhang Liya, Xue Bowen, Li Yanping, Yan Mengmeng, Luo Hong, Huang Xiaoyu
Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310007, Zhejiang, China.
BMC Nurs. 2024 Sep 11;23(1):635. doi: 10.1186/s12912-024-02301-4.
Psychiatric nurses face additional challenges due to negative perceptions, workplace violence, and a lack of respect, impacting their well-being and job satisfaction, which are crucial for improving psychiatric care and patient outcomes.
This study aims to examine the relationship between effort-reward imbalance, well-being, burnout, and decent work among psychiatric nurses.
This study used a cross-sectional design. Data were collected using a convenience sampling method in February 2024 from 397 psychiatric nurses at two psychiatric hospitals in Hangzhou and Huzhou, Zhejiang Province. The Effort-Reward Imbalance Scale, Decent Work Perception Scale, Maslach Burnout Inventory-General Survey, and General Well-Being Schedule Scale were used for data collection. Data analysis was conducted using SPSS 26.0 and the PROCESS macro.
The study found that effort-reward imbalance among psychiatric nurses was negatively correlated with decent work (r = -0.564, p < 0.001) and well-being (r = -0.541, p < 0.001), and positively correlated with burnout (r = 0.603, p < 0.001). Burnout mediated the relationship between effort-reward imbalance and well-being (95% CI [-0.386, -0.257]), while decent work also served as a mediator (95% CI [-0.100, -0.012]). Additionally, burnout and decent work were found to mediate the relationship between effort-reward imbalance and well-being (95% CI [-0.050, -0.006]).
This study highlights the impact of effort-reward imbalance on well-being, confirming that burnout and decent work serve as mediators. Enhancing support, fair compensation, reasonable work schedules, and professional development can promote psychiatric nurses' perception of decent work and improve their well-being.
由于负面认知、工作场所暴力和缺乏尊重，精神科护士面临额外挑战，这影响了他们的幸福感和工作满意度，而幸福感和工作满意度对于改善精神科护理和患者治疗效果至关重要。
本研究旨在探讨精神科护士的努力-回报失衡、幸福感、职业倦怠和体面工作之间的关系。
本研究采用横断面设计。2024年2月，采用便利抽样法，从浙江省杭州和湖州的两家精神病医院的397名精神科护士中收集数据。使用努力-回报失衡量表、体面工作感知量表、马氏职业倦怠通用调查量表和总体幸福感量表进行数据收集。使用SPSS 26.0和PROCESS宏进行数据分析。
研究发现，精神科护士的努力-回报失衡与体面工作（r = -0.564，p < 0.001）和幸福感（r = -0.541，p < 0.001）呈负相关，并与职业倦怠呈正相关（r = 0.603，p < 0.001）。职业倦怠在努力-回报失衡与幸福感之间起中介作用（95% CI [-0.386, -0.257]），而体面工作也起中介作用（95% CI [-0.100, -0.012]）。此外，职业倦怠和体面工作在努力-回报失衡与幸福感之间起中介作用（95% CI [-0.050, -0.006]）。
本研究强调了努力-回报失衡对幸福感的影响，证实职业倦怠和体面工作起中介作用。加强支持、公平薪酬、合理工作安排和职业发展可以提高精神科护士对体面工作的认知并改善他们的幸福感。
