Tomaszewska Katarzyna, Kowalczuk Krystyna, Kadučáková Helena, Lehotská Mária, Papp Katalina, Majchrowicz Bożena
Department of Nursing, Institute of Health Protection, The Bronisław Markiewicz Academy of Applied Sciences, 37-500 Jarosław, Poland.
Department of Integrated Medical Care, Medical University of Białystok, 15-222 Białystok, Poland.
Healthcare (Basel). 2024 Dec 4;12(23):2443. doi: 10.3390/healthcare12232443.
Work-related stress has been linked to various negative outcomes among healthcare professionals. For nurses, stress can arise from numerous sources, including their interactions with patients. It is often perceived that nurses working in psychiatric hospitals experience greater stress and occupational burnout compared to nurses working in somatic hospitals. However, there is limited research addressing this specific issue. To bridge this gap, a study was conducted to compare the stress levels of nurses working in a psychiatric hospital and a somatic hospital within the same city. The aim of this paper was to report on the prevalence of stress and burnout among surveyed nurses employed in a somatic hospital and in a psychiatric hospital. The study group consisted of a total of 379 nurses-189 employed at a somatic hospital and 190 employed at a psychiatric hospital. The primary test used for statistical analyses was the nonparametric Mann-Whitney U test for assessing differences. Additionally, correlations between ordinal or quantitative variables were analyzed using Spearman's rho coefficient. Among respondents working at a somatic hospital, the average levels of occupational burnout, emotional exhaustion, depersonalization, and sense of personal accomplishment were moderate. Similar results were observed among respondents employed at a psychiatric hospital. The workplace does not significantly differentiate professional burnout or coping strategies among the nurses surveyed. Among nurses working in hospitals for somatic patients, levels of depersonalization, turning to religion, and seeking support increase with age and seniority. In contrast, psychiatric nurses show higher levels of emotional exhaustion and overall MBI burnout as they age.
工作压力与医护人员的各种负面结果有关。对于护士来说,压力可能源于众多因素,包括他们与患者的互动。人们通常认为,与综合医院的护士相比,精神病医院的护士承受着更大的压力和职业倦怠。然而,针对这一具体问题的研究有限。为了弥补这一差距,开展了一项研究,比较同一城市一家精神病医院和一家综合医院护士的压力水平。本文旨在报告综合医院和精神病医院受调查护士的压力和倦怠患病率。研究组共有379名护士,其中189名受雇于综合医院,190名受雇于精神病医院。用于统计分析的主要测试是评估差异的非参数曼-惠特尼U检验。此外,使用斯皮尔曼等级相关系数分析有序变量或定量变量之间的相关性。在综合医院工作的受访者中,职业倦怠、情感耗竭、去个性化和个人成就感的平均水平为中等。在精神病医院工作的受访者中也观察到了类似的结果。工作场所并未显著区分受调查护士的职业倦怠或应对策略。在为躯体疾病患者服务的医院工作的护士中,去个性化、求助于宗教和寻求支持的程度随着年龄和资历的增长而增加。相比之下,随着年龄的增长,精神科护士表现出更高水平的情感耗竭和整体MBI倦怠。