心理韧性对肿瘤护理人员职业生活质量、压力及离职意愿的调节作用

Moderating role of resilience on professional quality of life, stress and turnover intention among oncology nurses.

作者信息

Al Yahyaei Asma, Al Kindi Zainab, Al Sabei Sulaiman, Al Hasni Nabiha, Al Jabri Wafa, Muliira Joshua

机构信息

Sultan Qaboos University, Muscat, Oman.

Sultan Qaboos Comprehensive Cancer Care and Research Centre, Muscat, Oman.

出版信息

BMC Nurs. 2025 Jul 1;24(1):692. doi: 10.1186/s12912-025-03463-5.

DOI:10.1186/s12912-025-03463-5

PMID:40598089

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12211152/

Abstract

BACKGROUND

Oncology nurses often face high levels of stress and emotional demands due to the nature of their work with vulnerable patients and families. These challenges can influence their professional quality of life (ProQOL) and intentions to leave the profession. This study explored whether resilience moderates the relationship between ProQOL, including compassion satisfaction, burnout, and secondary traumatic stress, and turnover intention among oncology nurses in Oman.

METHODS

A descriptive cross-sectional study was conducted using convenience sampling with 456 nurses from two national cancer centers in Oman. Data were collected using a self-administered questionnaire that included the ProQOL Scale, Connor-Davidson Resilience Scale, Brief Nursing Stress Scale, and Turnover Intention Scale. Descriptive statistics summarized the data, and regression analysis was used to examine associations and predictive relationships.

RESULTS

Participants reported high compassion satisfaction (mean = 43.16 ± 5.56), moderate burnout (mean = 25 ± 4.96), and low to moderate secondary traumatic stress (mean = 24.13 ± 8.26). Resilience levels were moderate (mean = 27.18 ± 6.99), as were stress (mean = 1.53 ± 0.59) and turnover intention (mean = 2.45 ± 0.87). Turnover intention was negatively correlated with compassion satisfaction (r = -.31, p < .01) and resilience (r = -.31, p < .01), and positively correlated with burnout (r = .23, p < .01) and secondary traumatic stress (r = .30, p < .01). While resilience was associated with turnover intention, it did not moderate the relationship between professional quality of life and turnover intention. Key predictors of turnover intention included compassion satisfaction, resilience, burnout, secondary traumatic stress, expatriate status, and educational level.

CONCLUSIONS

Turnover intention among oncology nurses in Oman is influenced by both individual traits and job-related factors. While resilience plays a role, modifiable factors such as compassion satisfaction, burnout, and secondary traumatic stress are significant predictors. Addressing these modifiable factors through targeted interventions that enhance compassion satisfaction and reduce burnout, and secondary traumatic stress may help lower turnover intention, strengthen the oncology nursing workforce, and improve the continuity and quality of cancer care.

摘要

背景

肿瘤护理人员因其与脆弱患者及其家属打交道的工作性质，常常面临高度压力和情感需求。这些挑战会影响他们的职业生活质量（ProQOL）以及离职意向。本研究探讨了心理韧性是否会调节阿曼肿瘤护理人员的职业生活质量（包括同情满足感、职业倦怠和继发性创伤压力）与离职意向之间的关系。

方法

采用便利抽样法，对阿曼两个国家癌症中心的456名护士进行了描述性横断面研究。使用自填式问卷收集数据，问卷包括职业生活质量量表、康纳-戴维森心理韧性量表、简短护理压力量表和离职意向量表。描述性统计对数据进行了总结，并使用回归分析来检验关联和预测关系。

结果

参与者报告的同情满足感较高（均值 = 43.16 ± 5.56），职业倦怠程度中等（均值 = 25 ± 4.96），继发性创伤压力为低至中等水平（均值 = 24.13 ± 8.26）。心理韧性水平中等（均值 = 27.18 ± 6.99），压力水平（均值 = 1.53 ± 0.59）和离职意向（均值 = 2.45 ± 0.87）也是如此。离职意向与同情满足感（r = -0.31，p < 0.01）和心理韧性（r = -0.31，p < 0.01）呈负相关，与职业倦怠（r = 0.23，p < 0.01）和继发性创伤压力（r = 0.30，p < 0.01）呈正相关。虽然心理韧性与离职意向有关，但它并未调节职业生活质量与离职意向之间的关系。离职意向的关键预测因素包括同情满足感、心理韧性、职业倦怠、继发性创伤压力、外籍身份和教育水平。

结论

阿曼肿瘤护理人员的离职意向受个人特质和与工作相关因素的影响。虽然心理韧性起一定作用，但诸如同情满足感、职业倦怠和继发性创伤压力等可改变因素是重要的预测指标。通过有针对性的干预措施来提高同情满足感、减少职业倦怠和继发性创伤压力，从而应对这些可改变因素，可能有助于降低离职意向、加强肿瘤护理队伍，并改善癌症护理的连续性和质量。