个人心理资源能否减少澳大利亚医院护士的倦怠和离职?

IF 1.2 4区 医学 Q3 NURSING
Sam Eley, Peter Hassmen
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Hospital nurses (n= 258) from six states of Australia responded to an online anonymous survey between June and November 2022. Results: Respondents indicated a high degree of experienced burnout: 68.6% experienced high emotional exhaustion, 31.8% had high depersonalisation, and 31.8% had low personal accomplishment. Additionally, 38.8% had high intentions to leave the profession. Emotional exhaustion (p<.001, b=.56) and personal accomplishment (p=.006, b=-.15) were significant predictors of turnover intentions. Higher psychological capital was significantly associated with lower emotional exhaustion (p<.001, b=-.42), lower depersonalisation (p<.001, b=-.29), higher personal accomplishment (p<.001, b=.60), and lower turnover intentions (p<.001, b=.44). Discussion: Much of the nursing burnout and intent to leave literature focuses on negative rather than positive aspects of the work environment. 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引用次数: 0

摘要

目的:探讨个人心理资源是否能保障医院护士免受职场不良后果,特别是职业倦怠和离职意愿的影响。背景:护理研究广泛记录了工作倦怠和员工离职的不利影响。随着目前的护理短缺,必须确定资源和战略,可以减轻不利的工作场所的结果。然而,个人心理资源或心理资本在帮助护士在其工作环境中有效执行方面的作用仍然相对未被探索。研究设计与方法:本研究采用横断面调查设计。调查评估护士经历过的职业倦怠(MBI-HSS)、心理资本(PCQ-24)和离职意向。来自澳大利亚六个州的医院护士(n= 258)在2022年6月至11月期间参与了一项在线匿名调查。结果:被调查者经历过高度的倦怠,68.6%的人经历过高度的情绪耗竭,31.8%的人经历过高度的人格解体,31.8%的人经历过低的个人成就感。此外,38.8%的人有很高的意愿离开这个行业。情绪衰竭(p<。001, b=.56)和个人成就(p=。006, b=- 0.15)是离职意向的显著预测因子。较高的心理资本与较低的情绪耗竭显著相关(p<。001, b=- 0.42),人格解体程度较低(p<。001, b=- 0.29),个人成就感较高(p<。001, b=.60),离职意向较低(p<。001年,b =无误)。讨论:很多关于护士职业倦怠和离职意向的文献关注的是工作环境的消极方面,而不是积极方面。对工作场所刺激的积极反应促进积极的态度,如授权、工作满意度和组织承诺,对个人和职业福祉有切实的影响。这也许可以解释为什么拥有更强个人心理资源的护士更少感到倦怠,也更少表达离开职业的意愿。结论:护士的健康和福祉应该是医疗机构的优先事项;澳大利亚医院护士面临的工作条件导致许多人受到工作压力的负面影响。对研究、政策和实践的影响:护士将受益于增强其心理资源的举措。有针对性的干预措施,以发展心理资本应检查护理人群。这可以改变政策,从而使医疗保健系统受益。关于这个话题我们已经知道了什么?澳大利亚目前正面临合格护士短缺的问题。由于工作环境的挑战性,医院护士经常经历工作倦怠和高水平的流动率。在不同的环境中,个人心理资源与积极的工作成果有关,比如工作满意度和组织承诺。本文补充的内容:它表明,拥有更多个人心理资源的护士经历了较低水平的倦怠,并且不太可能考虑离开这个职业。本文认为,实施有针对性的干预措施,旨在提高护士的个人心理资源可能是一个可行的途径,以减轻倦怠和离职意向(TI)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can personal psychological resources reduce burnout and turnover in Australian hospital nurses?
Objective: To examine whether personal psychological resources safeguard hospital nurses against adverse workplace consequences, particularly job burnout and the desire to leave the profession. Background: Nursing research has extensively documented the adverse effects of job burnout and staff turnover. With the current nursing shortage, it is imperative to identify resources and strategies that can mitigate adverse workplace outcomes. However, the role of personal psychological resources, or psychological capital, in aiding nurses to perform effectively in their work environment remains relatively unexplored. Study design and methods: This study adopted a cross-sectional survey design. The survey assessed nurses’ experienced burnout (MBI-HSS), psychological capital (PCQ-24), and intentions to leave nursing. Hospital nurses (n= 258) from six states of Australia responded to an online anonymous survey between June and November 2022. Results: Respondents indicated a high degree of experienced burnout: 68.6% experienced high emotional exhaustion, 31.8% had high depersonalisation, and 31.8% had low personal accomplishment. Additionally, 38.8% had high intentions to leave the profession. Emotional exhaustion (p<.001, b=.56) and personal accomplishment (p=.006, b=-.15) were significant predictors of turnover intentions. Higher psychological capital was significantly associated with lower emotional exhaustion (p<.001, b=-.42), lower depersonalisation (p<.001, b=-.29), higher personal accomplishment (p<.001, b=.60), and lower turnover intentions (p<.001, b=.44). Discussion: Much of the nursing burnout and intent to leave literature focuses on negative rather than positive aspects of the work environment. Positive responses to workplace stimuli promote positive attitudes such as empowerment, job satisfaction, and organisational commitment that have a tangible impact on personal and occupational wellbeing. This may explain why nurses with stronger personal psychological resources experienced less burnout and voiced fewer intentions to leave the profession. Conclusion: The health and wellbeing of nurses should be a priority for healthcare organisations; the working conditions nurses face in Australian hospitals cause many to be negatively impacted by work stress. Implications for Research, Policy, and Practice: Nurses would benefit from initiatives to enhance their psychological resources. Targeted interventions to develop psychological capital should be examined in a nursing population. This can change policy, thereby benefitting the healthcare system. What is already known about the topic? Australia is currently facing a shortage of qualified nurses. Hospital nurses often experience job burnout and high levels of turnover due to the challenging nature of their work environment. Personal psychological resources have been linked to positive workplace outcomes, such as job satisfaction and organisational commitment, in various settings. What this paper adds: It demonstrates that nurses possessing greater personal psychological resources experience lower levels of burnout and are less likely to consider leaving the profession. The paper suggests that implementing targeted interventions designed to enhance nurses’ personal psychological resources could be a viable approach for mitigating burnout and turnover intentions (TI).
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来源期刊
CiteScore
2.30
自引率
7.10%
发文量
27
审稿时长
>12 weeks
期刊介绍: The Australian Journal of Advanced Nursing publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to nursing and midwifery practice, health- maternity- and aged- care delivery, public health, healthcare policy and funding, nursing and midwifery education, regulation, management, economics, ethics, and research methodology. Further, the journal publishes personal narratives that convey the art and spirit of nursing and midwifery. As the official peer-reviewed journal of the ANMF, AJAN is dedicated to publishing and showcasing scholarly material of principal relevance to national nursing and midwifery professional, clinical, research, education, management, and policy audiences. Beyond AJAN’s primarily national focus, manuscripts with regional and international scope are also welcome where their contribution to knowledge and debate on key issues for nursing, midwifery, and healthcare more broadly are significant.
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