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了解手术室护士的职业倦怠:一项定性研究。

Understanding burnout among operating room nurses: a qualitative study.

作者信息

Li Yufang, Xiang Dan, Jiang Yun, Gu Su

机构信息

Nursing Department, Anqing Municipal Hospital, Anqing, China.

Yancheng Clinical Medical College of Jiangsu University/The First People's Hospital of Yancheng, Yancheng, China.

出版信息

Front Public Health. 2025 May 26;13:1604631. doi: 10.3389/fpubh.2025.1604631. eCollection 2025.

Abstract

OBJECTIVE

This study aimed to explore the lived experiences of job burnout among operating room nurses and to provide an evidence-based foundation for developing targeted nursing interventions to mitigate job burnout in this population.

METHOD

A purposive sampling method, guided by the principle of maximum variation, was employed to recruit 14 operating room nurses from a tertiary Grade A hospital in Anhui Province in January 2025. A phenomenological research approach was adopted, utilizing semi-structured interviews for data collection. Interview data were analyzed using Colaizzi's seven-step method. Data collection continued until thematic saturation was achieved-meaning no new themes emerged in subsequent interviews.

RESULTS

Eight major themes and thirteen subthemes were extracted. Among these, five major themes were identified as factors contributing to occupational burnout among operating room nurses, while three major themes were related to coping strategies. Specifically, the findings indicated that occupational burnout among nurses was closely associated with excessive workload, insufficient emotional support, career development stagnation, and the high-pressure dynamics of healthcare relationships. Nurses commonly reported a lack of professional fulfillment and an absence of effective strategies to cope with emotional exhaustion in their work.

CONCLUSION

Burnout among operating room nurses results from the interplay of multiple factors. This study identifies key mechanisms underlying burnout in nurses working in high-pressure environments, emphasizing the importance of improving organizational support, optimizing nurse-physician communication, and clarifying career development pathways. These findings provide a theoretical basis for the development of targeted nursing management strategies and interventions, which may effectively alleviate nurse burnout and enhance both nursing quality and team stability.

摘要

目的

本研究旨在探讨手术室护士职业倦怠的生活经历,为制定针对性的护理干预措施以减轻该人群的职业倦怠提供循证基础。

方法

采用目的抽样法,遵循最大差异原则,于2025年1月从安徽省一家三级甲等医院招募14名手术室护士。采用现象学研究方法,利用半结构式访谈收集数据。访谈数据采用Colaizzi七步法进行分析。数据收集持续到达到主题饱和,即后续访谈中不再出现新主题。

结果

提取出八个主要主题和十三个子主题。其中,五个主要主题被确定为导致手术室护士职业倦怠的因素,三个主要主题与应对策略相关。具体而言,研究结果表明护士的职业倦怠与工作量过大、情感支持不足、职业发展停滞以及医疗关系中的高压态势密切相关。护士普遍表示缺乏职业成就感,且在工作中缺乏应对情感耗竭的有效策略。

结论

手术室护士的职业倦怠是多种因素相互作用的结果。本研究确定了高压环境下护士职业倦怠的关键机制,强调了改善组织支持、优化医护沟通以及明确职业发展路径的重要性。这些研究结果为制定针对性的护理管理策略和干预措施提供了理论依据,可能有效减轻护士的职业倦怠,提高护理质量和团队稳定性。

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本文引用的文献

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Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Review and Meta-Analysis.
JAMA Netw Open. 2024 Nov 4;7(11):e2443059. doi: 10.1001/jamanetworkopen.2024.43059.
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Viewpoint of operating room nurses about factors associated with the occupational burnout: A qualitative study.
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Relationship between nurse burnout, patient and organizational outcomes: Systematic review.
Int J Nurs Stud. 2021 Jul;119:103933. doi: 10.1016/j.ijnurstu.2021.103933. Epub 2021 Mar 26.
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A cross-sectional survey on workplace psychological violence among operating room nurses in Mainland China.
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