背景:职业倦怠的患病率,抑郁症,中国护士的焦虑率为34%,55.5%,和41.8%。心理健康问题对他们的个人福祉有重大影响,工作表现,患者护理质量,以及整个医疗系统。心理健康受多个层面的因素及其相互作用的影响。
方法:这是一项使用现象学方法的描述性定性研究。我们从长沙某三甲医院招募了48名护士,湖南省,中国。数据是通过焦点小组访谈收集的。对音频记录的数据进行转录和感应分析。
结果:根据社会生态模型确定了具有13个子主题的四个主要主题:(1)个体水平因素,包括人格特质,睡眠质量,工作场所适应性,和多年的工作经验;(2)人际关系因素,包括人际支持和角色冲突;(3)组织层面因素,比如组织氛围,组织支持,职业高原,和工作控制;和(4)社会层面因素,其中包括补偿方案,社会地位,以及立法规定和政策。
结论:我们的研究提供了对影响护士心理健康的多方面因素的细致理解。认识到个人的相互联系,人际关系,组织,和社会因素对于制定有针对性的干预措施和综合策略以促进和保障临床环境中护士的心理健康至关重要。
■更大的研究已在中国临床试验注册中心注册:ChiCTR2300072142(2023年6月5日)https://www。chictr.org.cn/showproj.html?proj=192676。
■本研究是根据报告定性研究的综合标准(COREQ)报告的。
BACKGROUND: The prevalence of burnout, depression, and anxiety among Chinese nurses was 34%, 55.5%, and 41.8% respectively. Mental health problems have significant impacts on their personal well-being, work performance, patient care quality, and the overall healthcare system. Mental health is influenced by factors at multiple levels and their interactions.
METHODS: This was a descriptive qualitative study using phenomenological approach. We recruited a total of 48 nurses from a tertiary hospital in Changsha, Hunan Province,
China. Data were collected through focus group interviews. Audio-recorded data were transcribed and inductively analysed.
RESULTS: Four major themes with 13 subthemes were identified according to the social ecological model: (1) individual-level factors, including personality traits, sleep quality, workplace adaptability, and years of work experience; (2) interpersonal-level factors, encompassing interpersonal support and role conflict; (3) organization-level factors, such as organizational climate, organizational support, career plateau, and job control; and (4) social-level factors, which included compensation packages, social status, and legislative provision and policy.
CONCLUSIONS: Our study provides a nuanced understanding of the multifaceted factors influencing nurses\' mental health. Recognizing the interconnectedness of individual, interpersonal, organizational, and social elements is essential for developing targeted interventions and comprehensive strategies to promote and safeguard the mental well-being of nurses in clinical settings.
UNASSIGNED: The larger study was registered with Chinese Clinical Trial Registry: ChiCTR2300072142 (05/06/2023) https://www.chictr.org.cn/showproj.html?proj=192676 .
UNASSIGNED: This study is reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).