重症监护室和普通病房护士职业倦怠、错过护理和离职意向的发生率和风险因素：COVID-19 时代欧洲六国的横断面研究。

IF 4.9 2区医学 Q1 NURSING

Intensive and Critical Care Nursing Pub Date : 2024-11-09 DOI:10.1016/j.iccn.2024.103885

Arnaud Bruyneel , Simon Dello , Jérôme E. Dauvergne , Dorothea Kohnen , Walter Sermeus

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引用次数: 0

摘要

研究目的本研究旨在比较在普通护理病房和重症监护病房（ICU）工作的护士的职业倦怠、错过护理和离职意向的发生率，并分析两组护士出现这些结果的风险因素：这是一项横断面研究，在 2020 年 11 月至 2021 年 7 月期间对参与医院的护士进行在线调查，作为 Magnet4Europe 计划的一部分：调查对象：方便抽样调查，包括 6 个国家的 67 家急症护理医院：比利时、英国、德国、爱尔兰、挪威和瑞典。共分析了 1,150 名重症监护病房护士和 5,145 名普通病房护士（1,901 名来自外科病房，3,250 名来自内科病房）的数据：重症监护室护士的职业倦怠发生率明显较低（27.1% 对 30.3%），护理缺勤率明显较低（65.5% 对 75.4%），而离职意向与普通病房护士相似（28.1% 对 29.2%）。与工作环境较差、工作量较大的护士相比，工作环境较好、工作量较小的护士的职业倦怠率和离职意向在统计学上明显较低。国别分析表明，与比利时相比，在德国、爱尔兰、斯堪的纳维亚半岛和英格兰工作的护士倦怠率和离职意向更高：与普通病房的护士相比，重症监护室护士的职业倦怠风险并不高，缺勤风险和离职意向也明显较低。较好的工作环境和较低的感知工作量始终与所有研究结果的风险降低相关：临床实践的启示：国家政策应优先考虑创造健康的工作环境、减轻工作量和应对特定国家的挑战，以降低重症监护室和普通病房护士的职业倦怠率、最大限度地减少护理缺失和离职意向。

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Prevalence and risk factors for burnout, missed nursing care, and intention-to-leave the job among intensive care unit and general ward nurses: A cross-sectional study across six European countries in the COVID-19 era

Objective

This study aimed to compare the prevalence of burnout, missed nursing care, and intention-to-leave the job among nurses working in general care units and intensive care units (ICUs), and to analyse the risk factors for these outcomes between the two groups.

Design

This was a cross-sectional study involving online surveys of nurses at participating hospitals conducted between November 2020 and July 2021 as part of the Magnet4Europe initiative.

Setting and Participants

A convenience sample was recruited, consisting of 67 acute care hospitals in 6 countries: Belgium, England, Germany, Ireland, Norway, and Sweden. In total, data for 1,150 ICU nurses and 5,145 general ward nurses (1,901 from surgical wards and 3,250 from medical wards) were analysed.

Results

The prevalence of burnout was significantly lower among nurses in ICUs (27.1 % vs. 30.3 %), missed care from care was significantly less frequent (65.5 % vs. 75.4 %), while intention-to-leave was similar (28.1 % vs. 29.2 %) compared with nurses in general wards. Nurses working in a better work environment and with lower workloads had statistically significant lower rates of burnout and intention-to-leave their job compared to those working in a poorer work environment and with higher workloads. Country-specific analysis showed a higher burnout rate and the intention-to-leave the job for nurses working in Germany, Ireland, Scandinavia, and the England compared to Belgium.

Conclusions

ICU nurses did not have a higher risk of burnout and had significantly lower risks of missing care and intention-to-leave, compared to nurses in general wards. A better work environment and lower perceived workload were consistently associated with reduced risks for all outcomes studied.

Implications for clinical practice

National policies should prioritize creating healthy work environments, reducing workloads, and addressing country-specific challenges to lower burnout rates, minimize missed care, and decrease the intention to leave the job among ICU and general ward nurses.

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来源期刊

Intensive and Critical Care Nursing NURSING-

CiteScore

6.30

自引率

15.10%

发文量

144

审稿时长

57 days

期刊介绍： The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.