博茨瓦纳精神病专科医院和综合三级医院护士的职业倦怠及其相关因素：一项横断面研究。
Burnout and associated factors among nurses in psychiatric and general tertiary hospitals in Botswana: A cross-sectional study.
作者信息
Molebatsi Keneilwe, Musindo Otsetswe, Bojosi Kagiso, Wambua Nduku, Olashore Anthony A
机构信息
Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana.
Department of Psychiatry, Nelson Mandela School of Clinical Medicine, University of Kwa-Zulu Natal, Durban, South Africa.
出版信息
SAGE Open Med. 2024 Oct 9;12:20503121241272636. doi: 10.1177/20503121241272636. eCollection 2024.
INTRODUCTION
Research has consistently documented that nurses are at a higher risk for developing burnout syndrome due to the nature of their jobs. The high prevalence of burnout among nursing staff negatively affects healthcare delivery. Nurses experiencing burnout cannot provide quality care or actively participate in health promotion, and those experiencing emotional exhaustion are unlikely to be able to tend to the emotional needs of patients.
OBJECTIVE
The study aimed to determine the prevalence and factors associated with burnout syndrome among nursing staff in Botswana referral general and psychiatric hospitals.
METHODS
A cross-sectional survey was conducted among 249 nursing staff working in a referral psychiatric and general hospital. The job satisfaction survey, Maslach burnout inventory, and the OCEAN-20 were used to assess job satisfaction, burnout occurrence, and personality traits, respectively. A researcher-designed sociodemographic questionnaire was used to capture demographic data. Variables identified to be associated with burnout on bivariate analyses were entered into a regression analysis to determine to what extent these factors predicted burnout.
RESULTS
The prevalence of emotional exhaustion, depersonalization, and reduced personal accomplishment was 65.7%, 56.9%, and 54%, respectively. Being in a general hospital, neuroticism, poor operating condition, and poor communication predicted emotional exhaustion, = 28%, (9, 229) = 9.937, < 0.001. Depersonalization was predicted by neuroticism and poor operating conditions, = 17%, (9, 229) = 4.709, < 0.001. Reduced personal achievement was significantly predicted by the number of people in the household, time at the current hospital, agreeableness, and nature of work, = 21%, (7, 203) = 7.875, < 0.001.
CONCLUSIONS
Our findings highlight the need for interventions to be developed to address burnout among nursing staff to optimize healthcare delivery.
引言
研究一直表明，由于工作性质，护士患职业倦怠综合征的风险更高。护理人员中职业倦怠的高发生率对医疗服务产生负面影响。经历职业倦怠的护士无法提供高质量的护理或积极参与健康促进工作，而那些经历情感耗竭的护士不太可能满足患者的情感需求。
目的
本研究旨在确定博茨瓦纳转诊综合医院和精神病医院护理人员中职业倦怠综合征的患病率及其相关因素。
方法
对一家转诊精神病医院和综合医院的249名护理人员进行了横断面调查。分别使用工作满意度调查、马氏职业倦怠量表和OCEAN - 20来评估工作满意度、职业倦怠的发生情况和人格特质。使用研究人员设计的社会人口学问卷来收集人口统计学数据。在双变量分析中确定与职业倦怠相关的变量被纳入回归分析，以确定这些因素在多大程度上预测职业倦怠。
结果
情感耗竭、去个性化和个人成就感降低的患病率分别为65.7%、56.9%和54%。在综合医院工作、神经质人格、工作条件差和沟通不畅可预测情感耗竭，χ² = 28%，F(9, 229) = 9.937，P < 0.001。神经质人格和工作条件差可预测去个性化，χ² = 17%，F(9, 229) = 4.709，P < 0.001。家庭人口数量、在当前医院工作的时间、宜人性和工作性质可显著预测个人成就感降低，χ² = 21%，F(7, 203) = 7.875，P < 0.001。
结论
我们的研究结果强调需要制定干预措施来解决护理人员的职业倦怠问题，以优化医疗服务。
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