Niveles de burnout y de exposición a conflicto ético de los profesionales de enfermería de cuidados intensivos◊

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-01 DOI:10.1016/j.enfi.2023.02.001

V. Salas-Bergüés MSN , E. Lizarazu-Armendáriz RN , M. Eraso-Pérez de Urabayen RN , P. Mateo-Manrique RN , M. Mendívil-Pérez MSN , R. Goñi-Viguria MSN

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引用次数: 0

Abstract

Background

Nursing professionals working in intensive care units (ICU) are at high risk of developing negative emotional responses as well as emotional and spiritual problems related to ethical issues. The design of effective strategies that improve these aspects is determined by knowing the levels of burnout and ethical conflict of these professionals, as well as the influence that the practice environment might have on them.

Objectives

To analyze the relationship between levels of burnout, the exposure to ethical conflicts and the perception of the practice environment among themselves and with sociodemographic variables of the different intensive care nursing professionals.

Methods

Descriptive, correlational, cross-sectional, observational study in an ICU of a tertiary level university hospital. The level of burnout was evaluated with the Maslach Burnout Inventory Human Services Survey scale; the level of ethical conflict with the Ethical Conflict Questionnaire for Nurses; and the perception of the environment with the Practice Environment Scale of the Nursing Work Index. Descriptive and inferential statistics were performed. The association between categorical variables was analyzed using Fisher's exact chi-square test (χ²)

Results

31 nurses and 8 nursing assistants were evaluated, which meant a participation rate of 82.93%. 31.10% of the nursing professionals presented signs of burnout, 14.89% considered that they work in an unfavorable environment and 87.23% presented a medium-high index of exposure to ethical conflict.

The educational level (χ² = 11.084, P = .011) and the professional category (χ² = 5.007, P = .025) influenced the level of burnout: nursing assistants presented higher levels of this.

When comparing the level of burnout with the environment and the index of ethical conflict, there were no statistically significant differences.

Conclusions

The absence of association found in the study between burnout and ethical conflict with the perception of the practice environment suggests that personal factors may influence its development.

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◊重症监护护理专业人员的倦怠程度和道德冲突暴露程度

背景在重症监护室工作的护理专业人员有很高的风险产生负面情绪反应，以及与道德问题有关的情绪和精神问题。改善这些方面的有效策略的设计取决于了解这些专业人员的倦怠程度和道德冲突，以及实践环境可能对他们产生的影响。目的分析不同重症监护护理专业人员的职业倦怠程度、道德冲突暴露程度、对执业环境的感知程度以及与社会人口学变量之间的关系。方法采用描述性、相关性、横断面、观察性研究方法对某三级大学医院ICU进行调查。倦怠程度采用Maslach倦怠量表人力服务调查量表进行评估；与护士道德冲突问卷的道德冲突程度；以及对环境的感知与护理工作实践环境量表的指标。进行描述性和推断性统计。结果对31名护士和8名护理助理进行了评估，参与率为82.93%，14.89%的人认为他们在不利的环境中工作，87.23%的人认为自己存在中高的道德冲突。教育水平（χ2=11.084，P=.011）和专业类别（χ2=5.007，P=.025）影响倦怠水平：护理助理表现出更高的倦怠水平。当将倦怠水平与环境和道德冲突指数进行比较时，没有统计学上的显著差异。结论职业倦怠和道德冲突与实践环境感知之间缺乏关联，这表明个人因素可能影响其发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.