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医护人员的职业倦怠:良心压力的影响。

Burnout in healthcare workers: The effect of stress of conscience.

作者信息

Arslanoğlu Ali, İbrahimoğlu Özlem, Mersin Sevinç, Ergül Seçil, Yavuz Ayşe Esra

机构信息

Department of Health Management, Faculty of Health Sciences, University of Health Sciences, İstanbul, Turkey.

Nursing Department, Faculty of Health Sciences, İstanbul Medeniyet University, İstanbul, Turkey.

出版信息

J Eval Clin Pract. 2025 Mar;31(2):e14148. doi: 10.1111/jep.14148. Epub 2024 Sep 25.

DOI:10.1111/jep.14148
PMID:39319482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11938409/
Abstract

PURPOSE

The stress of conscience occurs in stressful situations that are often encountered in healthcare, leading to an uncomfortable conscience in healthcare workers. They may not be able to control their emotions and feel burnout. Therefore, the aim of this study is to evaluate the effect of stress of conscience on burnout in healthcare workers.

METHODS

This cross-sectional study was performed with 602 healthcare workers between November 2020 and January 2021 in Turkey. Data were collected using a sociodemographic form, Stress of Conscience Scale, and Maslach Burnout Inventory.

RESULTS

A positive and high-level relationship was found between the stress of conscience and burnout (r = 0.603, p < 0.001). The stress of conscience accounted for 36% of burnout. Also, female healthcare workers have high stress of conscience and burnout scores.

CONCLUSION

This study is important in terms of realising the stress and burnout of healthcare workers and for health managers to recognise the stress types of their workers. The increase in the level of burnout of healthcare workers is associated with their stress of conscience. Using the results of this study, national and international consensus can be obtained to reduce the impact of the stress of conscience on healthcare workers.

摘要

目的

良心压力出现在医疗保健中经常遇到的压力情境中,导致医护人员良心不安。他们可能无法控制自己的情绪并感到倦怠。因此,本研究的目的是评估良心压力对医护人员倦怠的影响。

方法

这项横断面研究于2020年11月至2021年1月在土耳其对602名医护人员进行。使用社会人口学表格、良心压力量表和马氏倦怠量表收集数据。

结果

良心压力与倦怠之间存在积极且高水平的关系(r = 0.603,p < 0.001)。良心压力占倦怠的36%。此外,女性医护人员的良心压力和倦怠得分较高。

结论

本研究对于了解医护人员的压力和倦怠以及健康管理者认识其员工的压力类型具有重要意义。医护人员倦怠水平的增加与其良心压力有关。利用本研究结果,可以达成国内和国际共识,以减少良心压力对医护人员的影响。

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本文引用的文献

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Intensified job demands, stress of conscience and nurses' experiences during organizational change.工作要求加剧、良心压力与组织变革期间护士的体验。
Nurs Ethics. 2022 Feb;29(1):217-230. doi: 10.1177/09697330211006831. Epub 2021 Aug 10.
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Burnout among Portuguese healthcare workers during the COVID-19 pandemic.葡萄牙医护人员在 COVID-19 大流行期间的 burnout 现象。
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Int J Ment Health Nurs. 2021 Apr;30(2):533-543. doi: 10.1111/inm.12818. Epub 2020 Nov 21.
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Stress of Conscience Questionnaire (SCQ): exploring dimensionality and psychometric properties at a tertiary hospital in Australia.良心应激问卷(SCQ):在澳大利亚一家三级医院探索其维度和心理测量特性。
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Factors Associated with Burnout Among Physicians: An Evaluation During a Period of COVID-19 Pandemic.医生职业倦怠的相关因素:COVID-19大流行期间的一项评估
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Burnout among Healthcare Professionals in Ghana: A Critical Assessment.加纳医疗保健专业人员的倦怠:批判性评估。
Biomed Res Int. 2020 Mar 21;2020:1614968. doi: 10.1155/2020/1614968. eCollection 2020.
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Managing mental health challenges faced by healthcare workers during covid-19 pandemic.应对医护人员在新冠疫情期间面临的心理健康挑战。
BMJ. 2020 Mar 26;368:m1211. doi: 10.1136/bmj.m1211.
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Stressors and Coping Mechanisms Related to Burnout Within Urology.泌尿科职业倦怠的压力源与应对机制
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Conscience as a Regulatory Function: An Integrative Theory Put to the Test.良心作为一种调节功能:一种被检验的综合理论。
Int J Offender Ther Comp Criminol. 2020 Mar;64(4):375-395. doi: 10.1177/0306624X19881918. Epub 2019 Oct 14.
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The Role of Conscience in Nursing Practice.良心在护理实践中的作用。
Issues Ment Health Nurs. 2019 Mar;40(3):281-283. doi: 10.1080/01612840.2019.1548852. Epub 2019 Jan 11.