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摩洛哥肿瘤护理人员和技术人员的职业倦怠:患病率、风险因素及结构方程模型

Burnout among oncology nurses and technicians in Morocco: Prevalence, risk factors, and structural equation modeling.

作者信息

Errami Imane, Boutayeb Saber, Errihani Hassan

机构信息

Faculty of Medicine and Pharmacy, University Mohammed V of Rabat, Rabat 10100, Morocco.

出版信息

Oncoscience. 2025 Jul 31;12:79-90. doi: 10.18632/oncoscience.623. eCollection 2025.

DOI:10.18632/oncoscience.623
PMID:40772005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327364/
Abstract

BACKGROUND

Burnout is an increasing concern in oncology, with significant implications for staff well-being and the quality of care delivery. This study aimed to determine the prevalence of burnout among oncology healthcare professionals in Morocco, primarily nurses and technicians, and to identify associated sociodemographic and occupational factors.

MATERIALS AND METHODS

A cross-sectional study was conducted from September to December 2024 at the National Institute of Oncology in Rabat. Ninety-one healthcare professionals completed the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Structural Equation Modeling (SEM) was used to explore the interrelationships among the three burnout dimensions.

RESULTS

Severe burnout was identified in 61.5% of participants. Emotional exhaustion was the most affected dimension (70.4% moderate or high), followed by depersonalization (57.1%). While 50.5% reported high levels of personal accomplishment, 24.2% reported low fulfillment. Higher levels of burnout were associated with younger age, female gender, nursing roles, and night shift work. SEM analysis confirmed the central role of emotional exhaustion in predicting both increased depersonalization (β = 0.524, = 0.002) and reduced personal accomplishment (β = -0.820, = 0.003).

DISCUSSION AND CONCLUSION

Burnout is highly prevalent among oncology healthcare professionals in Morocco, particularly among young female nurses. Key contributing factors include age, gender, level of seniority, and shift schedules. Participants emphasized the importance of reducing workload, improving working conditions, adjusting salaries, and promoting continuing education. Institutional interventions are urgently needed to address burnout and protect healthcare worker well-being.

摘要

背景

职业倦怠在肿瘤学领域日益受到关注,对员工福祉和护理质量有重大影响。本研究旨在确定摩洛哥肿瘤医疗专业人员(主要是护士和技术人员)中职业倦怠的患病率,并确定相关的社会人口学和职业因素。

材料与方法

2024年9月至12月在拉巴特的国家肿瘤研究所进行了一项横断面研究。91名医疗专业人员完成了马氏职业倦怠量表-人类服务调查(MBI-HSS)。采用结构方程模型(SEM)探讨职业倦怠三个维度之间的相互关系。

结果

61.5%的参与者被确定为严重职业倦怠。情感耗竭是受影响最大的维度(70.4%为中度或高度),其次是去个性化(57.1%)。虽然50.5%的人报告个人成就感较高,但24.2%的人报告成就感较低。较高水平的职业倦怠与年轻、女性、护士角色和夜班工作有关。SEM分析证实了情感耗竭在预测去个性化增加(β = 0.524,P = 0.002)和个人成就感降低(β = -0.820,P = 0.003)方面的核心作用。

讨论与结论

职业倦怠在摩洛哥肿瘤医疗专业人员中非常普遍,尤其是年轻女性护士。主要影响因素包括年龄、性别、资历水平和轮班安排。参与者强调了减轻工作量、改善工作条件、调整薪资和促进继续教育的重要性。迫切需要采取机构干预措施来解决职业倦怠问题,保护医护人员的福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c65a/12327364/4246b21120ce/oncoscience-12-623-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c65a/12327364/be6bf9d31930/oncoscience-12-623-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c65a/12327364/4246b21120ce/oncoscience-12-623-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c65a/12327364/be6bf9d31930/oncoscience-12-623-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c65a/12327364/4246b21120ce/oncoscience-12-623-g002.jpg

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