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集体生活单元和养老院中照顾痴呆患者的工作人员的情感体验、同理心和职业倦怠

Emotional experiences, empathy and burnout among staff caring for demented patients at a collective living unit and a nursing home.

作者信息

Kuremyr D, Kihlgren M, Norberg A, Aström S, Karlsson I

机构信息

Department of Geriatric Medicine, Orebro Medical Centre Hospital, Sweden.

出版信息

J Adv Nurs. 1994 Apr;19(4):670-9. doi: 10.1111/j.1365-2648.1994.tb01137.x.

Abstract

Experiences of empathy and burnout were compared among staff caring for demented patients, at a collective living unit (n = 10) and a nursing home (n = 10) in the middle of Sweden. In both milieus, the staff showed great confidence in their own caring ability and disclosed a deep care and concern for their patients. All staff had the requisite attributes of empathy, and none had burnout scores indicating risk of burnout. The staff of the collective living unit gave exclusively positive descriptions of their patients, but expressed an emotional exhaustion and a feeling of being overutilized. The staff of the nursing home gave positive and negative descriptions of their patients, and experienced physical exhaustion and a feeling of being only partly utilized. The study indicates that exhaustion in staff may be related both to overwhelming experiences connected with being close to demented patients, and to feelings of guilt for not being closely related to their patients.

摘要

在瑞典中部的一个集体生活单元(n = 10)和一家养老院(n = 10)中,对照顾痴呆患者的工作人员的共情和职业倦怠经历进行了比较。在这两个环境中,工作人员对自己的护理能力表现出极大的信心,并对患者表现出深切的关怀和关注。所有工作人员都具备共情的必要特质,且没有人的职业倦怠得分表明有职业倦怠风险。集体生活单元的工作人员对患者的描述全是积极的,但表现出情感耗竭和过度劳累的感觉。养老院的工作人员对患者既有积极描述也有消极描述,并经历了身体疲惫和感觉自己仅被部分利用的情况。该研究表明,工作人员的疲惫可能既与接近痴呆患者所带来的压倒性经历有关,也与未与患者建立密切关系的内疚感有关。

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