Scheepers Renée A, Vollmann Manja
Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University of Rotterdam, Burgemeester Oudlaan 50, PO Box 1738, Rotterdam, 3062 PA, The Netherlands.
BMC Nurs. 2024 Dec 18;23(1):902. doi: 10.1186/s12912-024-02481-z.
Clients are especially satisfied about treatment of nurses providing person-centered care. Such care benefits from the co-creation of care, in which nurses and clients together shape the care process by investing in effective communication and supportive nurse-client relationships. Co-creation of care can especially benefit longitudinal collaboration between clients and their nurses in long-term care settings. However, it is unknown how nurses in these settings perceive the co-creation of care to affect their job demands, and ultimately, their levels of job burnout. We studied whether nurses' perceptions of job demands (workload and emotional demands) mediated the association between the co-creation of care and job burnout in long-term care settings.
A web-based survey was completed by 256 nurses from two long-term care facilities in the Netherlands. Nurses were sent an email that included information about the study and a link to the web-based survey, consisting of items from validated questionnaires on the co-creation of care, job demands, and job burnout. Resulting data were analyzed using mediation analyses.
The co-creation of care was associated with lower levels of burnout through the perception of fewer emotional demands (ß = -0.07; 95% percentile bootstrap confidence interval (PBCI) -0.12 to -0.02). Workload was also associated with lower burnout levels, but workload did not mediate the association between the co-creation of care and job burnout (ß = -0.01; 95% PBCI -0.07 to 0.05).
The co-creation of care supports nurses' perception of their work in long-term care as less emotionally demanding, which helps them to experience less burnout. Thus, long-term care facilities could consider the promotion of the co-creation of care in efforts to reduce emotional demands and job burnout among nurses. Ultimately, investing in the co-creation of care can facilitate well-being of nurses as well as facilitate their person-centeredness in caring for their clients.
客户对提供以患者为中心护理的护士的治疗尤其满意。这种护理受益于共同创造护理，即护士和客户通过投入有效的沟通和支持性的护患关系来共同塑造护理过程。共同创造护理在长期护理环境中对客户与其护士之间的长期合作尤其有益。然而，这些环境中的护士如何看待共同创造护理对其工作要求的影响，以及最终对其职业倦怠水平的影响尚不清楚。我们研究了护士对工作要求（工作量和情感要求）的看法是否介导了长期护理环境中共同创造护理与职业倦怠之间的关联。
来自荷兰两家长期护理机构的256名护士完成了一项基于网络的调查。向护士发送了一封电子邮件，其中包含有关该研究的信息以及基于网络的调查链接，该调查由关于共同创造护理、工作要求和职业倦怠的经过验证的问卷项目组成。使用中介分析对所得数据进行分析。
通过感知较少的情感要求，共同创造护理与较低的倦怠水平相关（β = -0.07；95%百分位数自举置信区间（PBCI）-0.12至-0.02）。工作量也与较低的倦怠水平相关，但工作量并未介导共同创造护理与职业倦怠之间的关联（β = -0.01；95% PBCI -0.07至0.05）。
共同创造护理有助于护士将其在长期护理中的工作视为情感要求较低，这有助于他们减少倦怠感。因此，长期护理机构可以考虑促进共同创造护理，以努力减少护士的情感要求和职业倦怠。最终，投资于共同创造护理可以促进护士的幸福感，并促进他们在照顾客户时以患者为中心。
