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团队合作、非工作时间与工作的心理脱离以及医院护士的职业倦怠。

Teamwork, psychological detachment from work during nonwork time, and burnout experienced by hospital-based nurses.

作者信息

Cho Hyeonmi, Han Kihye, Baek Hyang

机构信息

College of Nursing, Research Institute of AI and Nursing Science, Gachon University, Incheon, South Korea.

College of Nursing, Chung-Ang University, Seoul, South Korea.

出版信息

Int Nurs Rev. 2024 Nov 27. doi: 10.1111/inr.13079.

Abstract

AIMS

To assess the relationships in nursing teamwork, psychological detachment from work during nonwork time, and burnout, and the mediating effect of psychological detachment on the relationship between nursing teamwork and burnout.

BACKGROUND

Nurse burnout has serious implications for nurses' health and performance and the overall functioning of their organizations. Evidence on the relationships between nursing teamwork, psychological detachment, and nurse burnout is limited. This study adds to the international body of knowledge by examining the interplay between nursing teamwork, psychological detachment, and burnout in nurses, a topic of global relevance.

METHODS

This cross-sectional study used survey data collected in May 2021 from 1115 Korean hospital nurses. The measurements included the Nursing Teamwork Survey, a subscale of the Recovery Experience Questionnaire, and the Copenhagen Burnout Inventory. We performed mediation analysis using PROCESS Macro based on 5000 bootstrapped samples to estimate the indirect effect of nursing teamwork.

RESULTS

Nurses in units with stronger teamwork were more likely to report being psychologically detached from work during nonwork time. Nurses who distanced themselves from work-related thoughts during nonwork time reported lower personal, work-related, and patient-related burnout. Nursing teamwork had significant indirect effects on each burnout outcome through psychological detachment.

CONCLUSION

By providing empirical evidence on the associations between nursing teamwork, psychological detachment, and burnout, this study enriches the international discourse on nurse burnout and the benefits of psychological detachment. Enhanced nursing teamwork can facilitate nurses' mental distance from work during nonwork time, thereby reducing burnout.

IMPLICATIONS FOR NURSING AND NURSING POLICY

Organizational efforts to manage nurse burnout can include increasing nursing teamwork among nurses and improving nurses' psychological detachment during nonwork hours. Interventions should include improving nursing teamwork and developing a supportive and collaborative unit culture.

摘要

目的

评估护理团队合作、非工作时间的工作心理脱离与职业倦怠之间的关系,以及心理脱离在护理团队合作与职业倦怠关系中的中介作用。

背景

护士职业倦怠对护士的健康和工作表现以及其所在组织的整体运作有着严重影响。关于护理团队合作、心理脱离与护士职业倦怠之间关系的证据有限。本研究通过考察护理团队合作、心理脱离与护士职业倦怠之间的相互作用,为国际知识体系增添了内容,这是一个具有全球相关性的话题。

方法

这项横断面研究使用了2021年5月从1115名韩国医院护士收集的调查数据。测量工具包括护理团队合作调查问卷、恢复体验问卷的一个子量表以及哥本哈根职业倦怠量表。我们使用基于5000个自抽样样本的PROCESS宏程序进行中介分析,以估计护理团队合作的间接效应。

结果

团队合作更强的科室的护士更有可能报告在非工作时间从工作中实现心理脱离。在非工作时间将自己与工作相关想法拉开距离的护士报告的个人、工作相关和患者相关的职业倦怠较低。护理团队合作通过心理脱离对每种职业倦怠结果都有显著的间接影响。

结论

本研究通过提供护理团队合作、心理脱离与职业倦怠之间关联的实证证据,丰富了关于护士职业倦怠和心理脱离益处的国际讨论。加强护理团队合作可以促进护士在非工作时间与工作保持心理距离,从而减少职业倦怠。

对护理及护理政策的启示

管理护士职业倦怠的组织努力可以包括加强护士之间的护理团队合作,以及改善护士在非工作时间的心理脱离。干预措施应包括改善护理团队合作以及营造支持性和协作性的科室文化。

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