中国手术室护士职业倦怠相关因素荟萃分析。

IF 3.1 2区 医学 Q1 NURSING
Xiaoxia Dai, Caixia Xie, Yunlian Wu, Tian Chen, Fang Lu
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引用次数: 0

摘要

背景:职业倦怠在护理人员中普遍存在,尤其是在高强度、高压力、快节奏的手术室工作环境中。随着护士职业倦怠患病率的增加,减少手术室护士的职业倦怠有助于提高护士的身心健康水平。因此,稳定护理团队也可以保证医疗质量,从而提高患者满意度。本研究采用Pearson相关系数进行meta分析,定量分析手术室护士职业倦怠的相关因素,为手术室护士职业倦怠的预防和干预提供可靠依据。方法:检索中国知网(CNKI)、万方数据库、Wipro数据库、中国生物医学数据库、PubMed、Web of Science、Embase、CINAHL、Cochrane图书馆数据库,检索关键词为手术室(operating room)、护士(nurses)、倦怠(burnout)及相应的英文术语。搜索的时间限制从数据库创建到2024年4月。两位具有循证知识的研究人员进行检索,根据纳入和排除标准独立筛选文献,采用美国卫生保健质量与研究机构推荐的观察性研究质量评价标准提取信息并评价纳入文献的质量,并在RevMan 5.4软件中以r值作为结局指标对文献进行meta分析。结果:共纳入论文25篇,样本量6061例。文献质量一般。meta分析显示,工作压力(r = 0.56, 95%可信区间[CI]: 0.42-0.68, I2 = 86%)、工作-家庭冲突(r = 0.52, 95% CI: 0.36-0.64, I2 = 82%)、离职意愿(r = 0.42, 95% CI: 0.34-0.49, I2 = 0%)和隐性缺勤(r = 0.49, 95% CI:0.41 ~ 0.57, I2 = 55%)与倦怠(p = 0%)、社会支持(r = - 0.46, 95%: - 0.58 ~ - 0.33, I2 = 74%)、心理资本(r = - 0.53, 95% CI: - 0.60 ~ - 0.45, I2 = 72%)和幸福感(r = - 0.54, 95% CI: - 0.73 ~ - 0.27, I2 = 88%)呈负相关(p本研究发现手术室护士职业倦怠与工作压力、社会支持、工作家庭冲突、心理资本、幸福感等因素有关。因此,建议医院管理层应从改善工作环境、增强社会支持、提高个人心理资本和幸福感等多维度方面缓解手术室护士的职业倦怠,以有效缓解职业倦怠。试验注册:(PROSPERO)国际前瞻性系统评价注册:CRD42024547524。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with burnout among Chinese operating room nurses: a meta-analysis.

Background: Burnout is prevalent among nursing staff, especially in the operating room, which is a high-intensity, high-pressure and fast-paced work environment. As the prevalence of nurse burnout increases, reducing the burnout of operating room nurses helps to improve the physical and mental health of nurses. Thus, stabilising the nursing team can also guarantee the quality of medical care, which in turn improves patient satisfaction. In this study, we conducted a meta-analysis based on the Pearson correlation coefficient to quantitatively analyse the factors related to burnout among operating room nurses and to provide a reliable basis for preventing and intervening in burnout among operating room nurses.

Methods: CNKI, Wanfang Database, Wipro Database, China Biomedical Database, PubMed, Web of Science, Embase, CINAHL and Cochrane Library Database were searched, and the keywords 'operating room', 'nurses', 'burnout' and the corresponding English terms were used for the search. The time limit for the search was set from the creation of the databases to April 2024. Two researchers with evidence-based knowledge conducted the search, independently screened the literature according to the inclusion and exclusion criteria, extracted the information and assessed the quality of the included literature using the quality assessment criteria for observational studies recommended by the Agency for Healthcare Quality and Research, and performed a meta-analysis of the literature using the r value as an indicator of the outcome in RevMan 5.4 software.

Results: A total of 25 papers were included, with a sample size of 6,061 cases. The quality of the literature was moderate. The meta-analysis showed that job stress (r = 0.56, 95% confidence interval [CI]: 0.42-0.68, I2 = 86%), work-family conflict (r = 0.52, 95% CI: 0.36-0.64, I2 = 82%), willingness to leave (r = 0.42, 95% CI: 0.34-0.49, I2 = 0%) and hidden absenteeism (r = 0.49, 95% CI: 0.41-0.57, I2 = 55%) were positively correlated with burnout (p < 0.01), job immersion (r = - 0.39, 95% CI: - 0.40 to - 0.32, I2 = 0%), social support (r = - 0.46, 95%: - 0.58 to - 0.33, I2 = 74%), psychological capital (r = - 0.53, 95% CI: - 0.60 to - 0.45, I2 = 72%) and well-being (r = - 0.54, 95% CI: - 0.73 to - 0.27, I2 = 88%) were negatively correlated (p < 0.01).

Conclusions and recommendation: This study shows that burnout of operating room nurses is related to various factors, such as job stress, social support, work-family conflict, psychological capital and well-being. Therefore, it is suggested that hospital management should alleviate the burnout of operating room nurses from the multi-dimensional aspects of improving the work environment, enhancing social support and improving personal psychological capital and well-being to effectively alleviate burnout.

Trial registration: (PROSPERO) International prospective register of systematic reviews: CRD42024547524.

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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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