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护理实践环境对工作投入和职业倦怠的影响:一项系统综述。

Impact of Nursing Practice Environments in Work Engagement and Burnout: A Systematic Review.

作者信息

Chiminelli-Tomás Virginia, Tutte-Vallarino Verónica, Ferreira-Umpiérrez Augusto, Hernández-Morante Juan José, Reche-García Cristina

机构信息

Department of Health and Wellness, Universidad Católica del Uruguay, Montevideo 11600, Uruguay.

Eating Disorders Research Unit, Universidad Católica de Murcia, Guadalupe, 30107 Murcia, Spain.

出版信息

Healthcare (Basel). 2025 Mar 31;13(7):779. doi: 10.3390/healthcare13070779.

DOI:10.3390/healthcare13070779
PMID:40218076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11989056/
Abstract

: Work environment greatly affects nursing activities. This study aimed to explore the impact of the professional nursing environment on the risk of burnout symptomatology and work engagement (a burnout-moderating variable). : A systematic review has been carried out. Selection criteria included cross-sectional studies that evaluated the professional nursing environment with the PES-NWI scale and also evaluated the levels of burnout and/or engagement in nurses. The PubMed, Scopus, Cinahl and WoS databases have been reviewed until November 2024, and potential articles manually selected by two researchers independently. : Eighty-four articles were selected, and after applying selection and exclusion criteria, 14 papers were finally included. Most studies were conducted in Europe. The quality evaluation was carried out using the JBI critical appraisal checklist. All retrieved studies focused on burnout, and only two works also evaluated work engagement. : Overall, the trend indicates that a favorable professional environment was related to lower burnout symptoms, lower intentions to leave work and higher levels of work engagement. In addition, an adequate work environment was associated with less stress and higher quality of care, social support, professional development, leadership, nurse-doctor collaboration, nurse participation in hospital issues, staffing and job satisfaction.

摘要

工作环境对护理活动有很大影响。本研究旨在探讨专业护理环境对职业倦怠症状风险和工作投入(一种职业倦怠调节变量)的影响。

进行了一项系统综述。选择标准包括使用PES-NWI量表评估专业护理环境,并评估护士职业倦怠和/或工作投入水平的横断面研究。截至2024年11月,对PubMed、Scopus、Cinahl和WoS数据库进行了检索,并由两名研究人员独立手动筛选潜在文章。

共筛选出84篇文章,在应用选择和排除标准后,最终纳入14篇论文。大多数研究在欧洲进行。使用JBI批判性评价清单进行质量评估。所有检索到的研究都聚焦于职业倦怠,只有两项研究还评估了工作投入。

总体而言,趋势表明良好的专业环境与较低的职业倦怠症状、较低的离职意愿和较高的工作投入水平相关。此外,适宜的工作环境与较少的压力、较高的护理质量、社会支持、专业发展、领导力、医护协作、护士参与医院事务、人员配备和工作满意度相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45c/11989056/24ef2a3d5b49/healthcare-13-00779-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45c/11989056/1ae92095b4c1/healthcare-13-00779-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45c/11989056/24ef2a3d5b49/healthcare-13-00779-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45c/11989056/1ae92095b4c1/healthcare-13-00779-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45c/11989056/24ef2a3d5b49/healthcare-13-00779-g002.jpg

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本文引用的文献

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Nursing Work Engagement, Professional Quality of Life, and Intent to Leave: A Structural Equation Modeling Pathway Analysis.护理工作投入、专业生活质量与离职意向:结构方程建模路径分析
J Nurs Res. 2024 Oct 1;32(5):e345. doi: 10.1097/jnr.0000000000000632.
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Nurses' intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study.
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Professional Nursing Practice Environment and Work Engagement: The Mediating Roles of Self-Efficacy and Achievement Motivation.专业护理实践环境与工作投入:自我效能感和成就动机的中介作用。
J Nurs Res. 2023 Aug 1;31(4):e285. doi: 10.1097/jnr.0000000000000563.
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Working Conditions Among Chinese Nurses Employed in Japan: A Cross-Sectional Survey-Based Study.在日本工作的中国护士的工作条件:一项基于横断面调查的研究。
SAGE Open Nurs. 2023 Apr 17;9:23779608231169382. doi: 10.1177/23779608231169382. eCollection 2023 Jan-Dec.
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The relationship between work practice environment and work engagement among nurses: The multiple mediation of basic psychological needs and organizational commitment a cross-sectional survey.护士工作实践环境与工作投入的关系:基本心理需求和组织承诺的多重中介作用:一项横断面调查。
Front Public Health. 2023 Mar 7;11:1123580. doi: 10.3389/fpubh.2023.1123580. eCollection 2023.
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Association of burnout and intention-to-leave the profession with work environment: A nationwide cross-sectional study among Belgian intensive care nurses after two years of pandemic.职业倦怠和离职意向与工作环境的关联:疫情两年后比利时重症监护护士的全国性横断面研究。
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