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护士在感知患者安全方面的压力及应对策略的代际差异:一项横断面研究。

Generational differences in nurse stress and coping strategies in relation to perceived patient safety: A cross-sectional study.

作者信息

Pawlak Natalia, Serafin Lena, Czarkowska-Pączek Bożena

机构信息

Doctoral School, Medical University of Warsaw, 81 Zwirki i Wigury Street, Warsaw 02-091, Poland.

Department of Clinical Nursing, Faculty of Health Sciences, Medical University of Warsaw, 27 Erazma Ciolka Street, Warsaw 01-445, Poland.

出版信息

Int J Nurs Stud Adv. 2025 Jul 23;9:100385. doi: 10.1016/j.ijnsa.2025.100385. eCollection 2025 Dec.

DOI:10.1016/j.ijnsa.2025.100385
PMID:40787086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12332950/
Abstract

BACKGROUND

Multigenerational nursing teams, composed of Generations X, Y, and Z, face distinctive challenges due to differing perceptions of stress and coping mechanisms. Recognizing these generational variances is crucial for enhancing collaboration and improving patient outcomes.

OBJECTIVES

We investigated intergenerational differences in stress levels and coping strategies and their impact on patient safety among nurses from different generations. The aim was to provide insights that could help optimize the dynamics of multigenerational teams.

PARTICIPANTS

The study involved 692 registered nurses in Poland who were born in Generation X (1965-1980), Generation Y (1981-1996), or Generation Z (1997 and later), all of whom were employed in diverse healthcare settings.

SETTING AND METHODS

Data were collected using the Multidimensional Nursing Generational Questionnaire, Perceived Stress Scale, and Brief Coping Orientation to Problems Experienced Inventory questionnaire. The analyses involved analysis of variance and path analysis to inspect the relationships among stress levels, coping strategies, and generational affiliation.

RESULTS

Significant generational differences surfaced, with Generation Z displaying the highest stress levels and a propensity for active coping, notably seeking support. This was positively correlated with their view of patient safety. Conversely, Generation X nurses exhibited a greater reliance on avoidance behaviors, correlating with poorer views of patient safety. The differences among generations moderated the stress-coping dynamics, suggesting that targeted interventions might improve team unity and patient care.

CONCLUSIONS

We have underlined the possible need for generationally-sensitive approaches in Polish nursing teams. We suggest that generational affiliation may shape how nurses experience stress, select coping strategies, and form views of patient safety. These differences highlight the potential importance of considering generational dynamics in efforts to support nurse well-being and team collaboration.

摘要

背景

由X代、Y代和Z代组成的多代护理团队,由于对压力和应对机制的不同认知而面临独特的挑战。认识到这些代际差异对于加强协作和改善患者治疗效果至关重要。

目的

我们调查了不同代际护士在压力水平和应对策略上的差异及其对患者安全的影响。目的是提供有助于优化多代团队动态的见解。

参与者

该研究涉及波兰的692名注册护士,他们分别出生于X代(1965 - 1980年)、Y代(1981 - 1996年)或Z代(1997年及以后),所有这些护士都受雇于不同的医疗环境。

设置与方法

使用多维护理代际问卷、感知压力量表和经历问题的简短应对取向问卷收集数据。分析包括方差分析和路径分析,以检查压力水平、应对策略和代际归属之间的关系。

结果

出现了显著的代际差异,Z代显示出最高的压力水平以及积极应对的倾向,特别是寻求支持。这与他们对患者安全的看法呈正相关。相反,X代护士表现出对回避行为的更大依赖,这与对患者安全的较差看法相关。代际差异调节了压力应对动态,表明有针对性的干预可能会改善团队凝聚力和患者护理。

结论

我们强调了波兰护理团队中可能需要采用对代际敏感的方法。我们建议代际归属可能会塑造护士体验压力的方式、选择应对策略以及形成对患者安全的看法。这些差异凸显了在支持护士福祉和团队协作的努力中考虑代际动态的潜在重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/5fc271be9ac2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/79018791df07/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/4525d7da012b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/5fc271be9ac2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/79018791df07/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/4525d7da012b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/12332950/5fc271be9ac2/gr3.jpg

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Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review.有毒领导及其与护理人员队伍和患者安全结果的关系:系统评价。
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