Melchior M E, van den Berg A A, Halfens R, Huyer Abu-Saad H, Philipsen H, Gassman P
Department of Nursing Science, University of Limburg, Maastricht, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 1997 Apr;32(3):158-64. doi: 10.1007/BF00794615.
The aim of this study was to investigate the relationship between burnout and a number of work-related factors among nurses working in psychiatric long-stay care settings. Another aim was to investigate the differences between these associations at individual and at group level. Differences were found in the correlations, as well as in the regression analyses, at individual and group level. The correlations between burnout and the independent variables were more often significant at individual level and the explained variances of the regression analyses were much higher at ward than at individual level. Results showed that work environments associated with low levels of burnout were those in which workers had good support and feedback, job clarity, autonomy and low levels of complexity in their work, who had managers with a social leadership style and who had realistic expectations about their patients' potential for rehabilitation. Furthermore, it was found that it was not the individual work experience of the nurse that was important in determining burnout, but the mean work experience of the nursing staff.
本研究的目的是调查在精神科长期护理机构工作的护士职业倦怠与一些工作相关因素之间的关系。另一个目的是调查这些关联在个体层面和群体层面的差异。在个体和群体层面的相关性以及回归分析中均发现了差异。职业倦怠与自变量之间的相关性在个体层面更常具有显著性,回归分析的解释方差在病房层面比在个体层面要高得多。结果表明,与低水平职业倦怠相关的工作环境是那些员工获得良好支持与反馈、工作清晰、有自主权且工作复杂性低的环境,有具有社会领导风格的管理者以及对患者康复潜力有现实期望的环境。此外,研究发现,决定职业倦怠的并非护士的个人工作经历,而是护理人员的平均工作经历。