Molassiotis A, Haberman M
University of Liverpool, U.K.
Cancer Nurs. 1996 Oct;19(5):360-7. doi: 10.1097/00002820-199610000-00005.
The study examined incidence of burnout syndrome, psychopathology, and job satisfaction in bone marrow transplant nurses, in relation to existence of an informal psychosocial support programme for staff needs. Forty nurses participated in the study completing four standardised measures related to burnout, anxiety, depression, satisfaction with aspects of their job, and social support. Results indicated that burnout among these nurses was low, and high personal accomplishment from working with marrow transplant patients was the response of the majority. Job satisfaction was also found to be high, with outpatient nurses scoring significantly higher than inpatient nurses in most aspects of job satisfaction. One out of four subjects presented with the psychic manifestations of the anxiety neurosis, suggesting the stressfullness of the marrow transplant environment, which requires a high degree of responsibility and advanced nursing skills. Social support was not found to influence burnout, psychopathology, or job satisfaction. Presence of depression, low personal accomplishment, and dissatisfaction with pay were the variables predicting high emotional exhaustion, one of the main components of burnout. These results were suggestive of less burned out and more satisfied nurses compared to marrow transplant nurses working in environments with no formal or informal staff support programmes. This highlights the need for development of support services for the nursing staff, allowing them to ventilate their feelings, discuss issues of concern to them and seek professional support where necessary.
该研究调查了骨髓移植护士的职业倦怠综合征发病率、精神病理学状况及工作满意度,并探讨了是否存在满足员工需求的非正式社会心理支持项目。40名护士参与了该研究,完成了四项与职业倦怠、焦虑、抑郁、工作各方面满意度以及社会支持相关的标准化测量。结果显示,这些护士的职业倦怠程度较低,大多数人表示与骨髓移植患者一起工作能带来很高的个人成就感。工作满意度也很高,门诊护士在工作满意度的大多数方面得分显著高于住院部护士。四分之一的受试者出现焦虑神经症的精神症状,这表明骨髓移植环境压力较大,需要高度的责任感和先进的护理技能。研究未发现社会支持会影响职业倦怠、精神病理学状况或工作满意度。抑郁、个人成就感低以及对薪酬不满是预测高情绪耗竭(职业倦怠的主要组成部分之一)的变量。与在没有正式或非正式员工支持项目的环境中工作的骨髓移植护士相比,这些结果表明护士的职业倦怠程度较低,满意度较高。这凸显了为护理人员开发支持服务的必要性,使他们能够抒发情感、讨论关切问题并在必要时寻求专业支持。