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印度尼西亚一家公立医院急诊科护士的努力回报与工作-生活失衡对职业倦怠的影响

The Relationship between Effort-Reward and Work-Life Imbalances on Job Burnout among Emergency Ward Nurses in an Indonesian Public Hospital.

作者信息

Rahman Ferry Fadzlul, Haris Fahni, Irawati Kellyana

机构信息

Department of Public Health,Universitas Muhammadiyah Kalimantan Timur, Indonesia.

School of Nursing, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia.

出版信息

Acta Med Philipp. 2025 Jun 30;59(8):87-93. doi: 10.47895/amp.vi0.9175. eCollection 2025.

Abstract

BACKGROUND

Burnout is a pressing concern among Emergency Ward (EW) nurses, stemming from the intense demands of their profession, including long hours, exposure to traumatic events, and the need for quick decision-making. This issue not only affects nurses' well-being but also has repercussions for patient care and the healthcare system.

OBJECTIVE

This study aimed to investigate the association between effort-reward and work-life imbalance on burnout among EW nurses in a public hospital.

METHODS

The study was a cross-sectional analytical study conducted from February to May 2022 involving 32 EW nurses employed at Public Hospital I.A. Moeis Hospital in Samarinda City, Indonesia. The research employed several instruments for data collection through stratified random sampling. Chi square and logistic regression analysis were performed to assess the factors contributing to burnout among EW nurses, including effort-reward imbalance, work-life balance, namely monotonous work, self-efficacy, communication among healthcare professionals, and workload.

RESULT

There was positive correlation between effort-reward and work-life imbalance on burnout among EW nurses. The multivariate test results showed that workload, self-efficacy, communication, and monotonous work had higher risk of developing burnout in EW nurses.

CONCLUSION

In this study, we found that effort-reward and work-life imbalance were significantly associated with burnout in EW nurses in a public hospital. The development of comprehensive assessment of burnout among EW nurses and its early intervention should be warranted.

摘要

背景

职业倦怠是急诊病房护士面临的一个紧迫问题,源于其职业的高强度要求,包括长时间工作、接触创伤性事件以及需要快速做出决策。这个问题不仅影响护士的幸福感,也会对患者护理和医疗系统产生影响。

目的

本研究旨在调查公立医院急诊病房护士中努力-回报与工作-生活失衡对职业倦怠的关联。

方法

该研究是一项横断面分析研究,于2022年2月至5月进行,涉及印度尼西亚三马林达市I.A. Moeis公立医院雇佣的32名急诊病房护士。研究通过分层随机抽样采用多种工具收集数据。进行卡方检验和逻辑回归分析,以评估导致急诊病房护士职业倦怠的因素,包括努力-回报失衡、工作-生活平衡,即单调工作、自我效能感、医护人员之间的沟通以及工作量。

结果

急诊病房护士中努力-回报与工作-生活失衡对职业倦怠之间存在正相关。多变量测试结果表明,工作量、自我效能感、沟通和单调工作使急诊病房护士出现职业倦怠的风险更高。

结论

在本研究中,我们发现努力-回报与工作-生活失衡与公立医院急诊病房护士的职业倦怠显著相关。应对急诊病房护士职业倦怠进行综合评估并进行早期干预。

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