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精神科护士的职业生活质量:系统评价和荟萃分析。

Professional Quality of Life Among Mental Health Nurses: A Systematic Review and Meta-Analysis.

机构信息

School of Humanities, Social Sciences, and Management, National Institute of Technology Karnataka, Mangalore, India.

Indian Institute of Management, Mumbai, India.

出版信息

Int J Ment Health Nurs. 2024 Dec;33(6):2005-2025. doi: 10.1111/inm.13424. Epub 2024 Sep 11.

Abstract

The professional quality of life (ProQOL) is increasingly applied to nurses and is a measure of the positive and negative aspects of their work. This systematic review and meta-analysis evaluated the level of compassion satisfaction, burnout and secondary traumatic stress (STS) in empirical studies. Electronic databases Scopus, PubMed and Web of Science were searched on 7th February 2024, and the review followed PRISMA guidelines. The pooled estimate of compassion satisfaction, burnout and secondary traumatic stress mean scores using a random-effects model for meta-analyses was undertaken. R statistical software and the dmetar program were used to execute the analysis. Heterogeneity was evaluated with the I statistics, while publication bias was evaluated using Egger's regression test. Twenty-four studies (sample size = 4274) were systematically reviewed and 18 studies (n = 3163) were incorporated into the meta-analysis. Burnout, secondary traumatic stress and compassion satisfaction are found to be at moderate levels in this research. The qualitative analysis informs that variables such as healthy lifestyle, work environment and psychological resilience contribute towards optimum ProQOL scores. The pooled mean estimate was 32.79 (95% CI = 29.57-36) for compassion satisfaction, 24.99 (95% CI = 23.75-26.23) for burnout and 21.99 (95% CI = 18.93-25.06) for secondary traumatic stress, respectively. Mental health nurse managers need to address the factors in the work environment and promote interventions to enhance coping with burnout and STS. Subgroup analyses of country-based economies & regions and years revealed significant results.

摘要

专业生活质量(ProQOL)越来越多地应用于护士,是衡量其工作积极和消极方面的一个指标。本系统评价和荟萃分析评估了经验研究中同情满足、倦怠和二次创伤性压力(STS)的水平。2024 年 2 月 7 日在 Scopus、PubMed 和 Web of Science 电子数据库中进行了检索,并遵循 PRISMA 指南进行了综述。使用随机效应模型进行荟萃分析,得出同情满足、倦怠和二次创伤性压力的平均得分汇总估计。使用 R 统计软件和 dmetar 程序执行分析。使用 I 统计量评估异质性,使用 Egger 回归检验评估发表偏倚。对 24 项研究(样本量=4274)进行了系统评价,并将 18 项研究(n=3163)纳入荟萃分析。研究发现,倦怠、二次创伤性压力和同情满足处于中等水平。定性分析表明,健康的生活方式、工作环境和心理弹性等变量有助于获得最佳的 ProQOL 评分。同情满足的汇总平均估计值为 32.79(95%CI=29.57-36),倦怠为 24.99(95%CI=23.75-26.23),二次创伤性压力为 21.99(95%CI=18.93-25.06)。心理健康护士管理者需要解决工作环境中的因素,并促进干预措施,以增强应对倦怠和 STS 的能力。基于国家经济和地区以及年份的亚组分析显示出显著结果。

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