关键词: burnout community nurses coping distress hospital nurses nurses

Mesh : Humans Adaptation, Psychological Adult Burnout, Professional / psychology Female Cross-Sectional Studies Male Middle Aged Surveys and Questionnaires Nursing Staff, Hospital / psychology Stress, Psychological / psychology

来  源:   DOI:10.1111/scs.13281

Abstract:
BACKGROUND: Psychological distress can cause burnout, which affects mental and physical well-being. It is important to identify factors associated with psychological distress and physical discomfort and how nurses deal with these problems.
OBJECTIVE: The aim was to investigate distress, burnout and coping among community nurses (CN) and hospital nurses (HN).
METHODS: In this cross-sectional study, 409 nurses completed three questionnaires: Perceived Stress Scale (PSS), Copenhagen Burnout Inventory (CBI) and Ways of Coping (WOC).
RESULTS: Participants younger than 40 demonstrated significantly more distress and burnout than those older than 40 years. Participants who had moderate and high distress on the PSS were significantly more at risk for experiencing personal, work-related and patient-related burnout. A significant positive correlation was found between distress and behavioural escape-avoidance, cognitive escape-avoidance and distancing. Significant positive correlations were also seen between all the subscales of the CBI and behavioural escape-avoidance, cognitive escape-avoidance and distancing. Positive significant correlation was also obtained between staff resources and distress and personal-related and work-related burnout. Negative correlation was demonstrated between staff resources and patient-related burnout. Participants with longer work experience were less likely to report moderate or high distress, and those who scored higher on personal burnout and behavioural escape-avoidance were more likely to have moderate or high distress.
CONCLUSIONS: The results of this study call for increased attention to the younger generation in the nursing profession. The results also validate the need to investigate further the correlation between distress, burnout and coping and how these issues might influence each other among nurses working in the community and hospitals. Findings should be taken with precaution, they do not describe in detail what underlying factors contribute to distress and discomfort found in this study, they do, however, indicate certain coping strategies nurses use to deal with distress and burnout.
摘要:
背景:心理困扰会导致倦怠,影响身心健康。重要的是要确定与心理困扰和身体不适相关的因素以及护士如何处理这些问题。
目的:目的是调查痛苦,社区护士(CN)和医院护士(HN)的倦怠和应对。
方法:在这项横断面研究中,409名护士完成了三份问卷:感知压力量表(PSS),哥本哈根职业倦怠清单(CBI)和应对方式(WOC)。
结果:40岁以下的参与者比40岁以上的参与者表现出更多的痛苦和倦怠。在PSS上有中度和高度痛苦的参与者明显更容易经历个人,工作相关和患者相关的倦怠。在困扰和行为逃避之间发现了显着的正相关,认知逃避-回避和疏远。在CBI的所有子量表和行为逃避之间也看到了显着的正相关,认知逃避-回避和疏远。员工资源和困扰与个人和工作相关的倦怠之间也存在正相关。员工资源与患者相关的倦怠之间存在负相关。工作经验较长的参与者不太可能报告中度或高度痛苦,那些在个人倦怠和行为逃避方面得分较高的人更有可能患有中度或高度痛苦。
结论:这项研究的结果呼吁在护理行业中增加对年轻一代的关注。结果还验证了需要进一步调查痛苦之间的相关性,倦怠和应对以及这些问题如何在社区和医院工作的护士之间相互影响。发现应采取预防措施,他们没有详细描述这项研究中发现的导致痛苦和不适的潜在因素,他们确实如此,然而,指出护士用来应对痛苦和倦怠的一些应对策略。
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