Yu Ming, Ji Jing, Kan Dongying, Gu Dandan, Yin Xixi, Cai Suping, Geng Ronghui, Jiang Lingling
Department of Nursing, Affiliated Rudong Hospital of Xinglin College, Nantong University, Nantong, Jiangsu, China.
Nursing Department, Nantong Tongzhou Hospital of Traditional Chinese Medicine, Nantong, Jiangsu, China.
Front Public Health. 2025 Apr 9;13:1566534. doi: 10.3389/fpubh.2025.1566534. eCollection 2025.
As the healthcare environment undergoes rapid evolution, nurses frequently confront multifaceted changes, resulting in significant change fatigue. This fatigue adversely impacts their well-being, diminishes job satisfaction, elevates turnover rates, and undermines the quality of care provided.
To comprehend the fatigue levels experienced by clinical nurses amidst environmental changes and to analyze the factors influencing this fatigue.
A survey was conducted among 451 clinical nurses at a tertiary general hospital in Nantong City, utilizing the and .
The change fatigue score was 19.01 ± 3.63, indicating a moderate level of fatigue. Change fatigue was inversely correlated with emotional intelligence and care perception (all < 0.05). Multiple linear stepwise regression analysis revealed that monthly income, professional title, years of work, number of night shifts, care perception, and emotional intelligence were significant factors influencing the change fatigue experienced by clinical nurses amidst environmental changes (all < 0.05). These factors collectively accounted for 76.1% of the total variation.
Clinical nurses exhibit moderate levels of change fatigue. Therefore, it is recommended that nursing managers implement regular emotional intelligence training and reduce night shifts to actively address the rapid changes brought about by the healthcare industry and, consequently, enhance the quality of nursing care.
随着医疗环境的迅速演变，护士经常面临多方面的变化，从而导致严重的变革疲劳。这种疲劳对他们的幸福感产生不利影响，降低工作满意度，提高离职率，并损害所提供护理的质量。
了解临床护士在环境变化中所经历的疲劳程度，并分析影响这种疲劳的因素。
对南通市一家三级综合医院的451名临床护士进行了一项调查，采用了[具体量表1]和[具体量表2]。
变革疲劳得分为19.01±3.63，表明疲劳程度中等。变革疲劳与情商和护理感知呈负相关（均P<0.05）。多元线性逐步回归分析显示，月收入、职称、工作年限、夜班次数、护理感知和情商是影响临床护士在环境变化中所经历的变革疲劳的重要因素（均P<0.05）。这些因素共同解释了总变异的76.1%。
临床护士表现出中等程度的变革疲劳。因此，建议护理管理者定期开展情商培训并减少夜班，以积极应对医疗行业带来的快速变化，从而提高护理质量。
