作　　者： ; ; ; ; ; ; (段银菲）; (林惜君）; (裴多多）;

机构地区： 中山大学护理学院

出　　处： 《中国实用护理杂志》 2016年第15期-,共5页

摘　　要： 目的：探讨广东省二、三级综合性医院护士工作疲溃感的影响因素。方法2013年12月至2014年8月，采用“医院护理人力资源研究”医院、病区、护士问卷对广东省23所医院、133个病区、2066名护士进行调查，分析医院特征、病区特征、护士特征及护理工作负荷对护士工作疲溃感的影响。结果医护比每增加1位医生、超时工作比未超时者、辅助性工作负荷评分每增加1分、工作年限每增加1年，护士发生高度情感衰竭的概率分别增加1.34倍、57.4%、5.4%、2.3%；内科比外科病区、三级比二级医院、超时工作比未超时者，护士发生高度去人格化的概率分别增加42.1%、40.9%、29.5%；主管护师比护士、内科比外科病区、ICU比外科病区的护士发生高度个人成就感降低的概率分别减少37.7%、增加31.2%、增加51.6%。结论广东省护士工作疲溃感水平较高，医院、病区、护士特征及护理工作负荷影响护士工作疲溃感水平。 Objective To explore the influencing factors of job burnout among nurses in level 2 and level 3 hospitals in Guangdong province. Methods A total of 2 066 first line nurses from 133 medical, surgical and intensive care units (ICU) of 23 level 2 and level 3 hospitals in Guangdong province were surveyed employing the questionnaire Hospital Nursing Human Resources Research during December 2013 to August 2014. Results In the multivariate logistic regression models, each additional doctor per nurse was associated with 1.34 times increase in the likelihood of high level of emotional exhaustion(EE). Nurses had a 57.4%higher risk of high level of EE when they worked overtime. Every one point increase in ancillary service score, and every one more year working as a nurse was associated with 5.4%, 2.3%increase in the likelihood of high level of EE, respectively. Nurses were 42.1%,40.9%more likely to exhibit high level of depersonalization(DP) when they worked in medical units or hospitals of level 3, compared with nurses of surgical units and hospitals of level 2. Nurses had a 29.5%higher risk of high level of DP when they worked overtime. Nurses holding higher positions had a lower likelihood(37.7%) of high level of reduced personal accomplishment(PA) compared with nurses holding lower positions. Nurses in medical units or ICUs had a 31.2%, 51.6%higher risk of high level of PA than nurses in surgical units, respectively. Conclusions Job burnout of nurses is at a quite high level in level 2 and level 3 hospitals in Guangdong province. The probability of the occurrence of burnout is related to the hospital, unit and nurse characteristics and nursing workloads.

关 键 词： 护士 工作疲溃感 影响因素

领　　域： [经济管理]