Watson P, Feld A
Christchurch Hospital.
Nurs Prax N Z. 1996 Nov;11(3):38-46.
High stress and staff turnover in a multispecialty paediatric area prompted this study that aimed to: 1) measure the burnout level of nurses in a multi-specialty paediatric area 2) identify and validate causes of stress 3) identify new ways of preventing stress on the ward. Fifty-four percent (n = 14) of the paediatric nurses completed a questionnaire booklet that included demographic data, the Maslach Burnout Inventory, the Nursing Situations Questionnaire, the Hopkins Symptom Checklist-21, the Ways of Coping Checklist and open-ended questions about sources of stress and satisfaction at work. Results indicated levels of burnout and distress comparable with larger studies. Conflict with doctors was the major source of stress, followed by workload, inadequate preparation in dealing with the emotional needs of patients and their families and death and dying. Conflict with doctors has not previously been identified as the major source of stress. However, workload and death and dying are commonly identified as sources in the literature. Suggestions for further research and the low response rate are discussed.
多专科儿科领域的高压力和员工流动率促使开展了这项研究，其目的是：1）测量多专科儿科领域护士的倦怠程度；2）识别并验证压力源；3）确定预防病房压力的新方法。54%（n = 14）的儿科护士完成了一本问卷手册，其中包括人口统计学数据、马氏倦怠量表、护理情况问卷、霍普金斯症状清单-21、应对方式清单以及关于工作压力源和满意度的开放式问题。结果表明，倦怠和痛苦程度与规模更大的研究相当。与医生的冲突是主要压力源，其次是工作量、应对患者及其家属情感需求的准备不足以及死亡和濒死情况。与医生的冲突此前未被确定为主要压力源。然而，工作量以及死亡和濒死情况在文献中通常被确定为压力源。文中讨论了进一步研究的建议以及低回复率问题。
