儿科血液学/肿瘤学护士精神、压力、应对、精神健康和离职意向:一项混合方法研究。

IF 1.9 3区 医学 Q2 NURSING
Journal of Pediatric Oncology Nursing Pub Date : 2021-11-01 Epub Date: 2021-06-02 DOI:10.1177/10434542211011061
Jane M Murphy, Elizabeth D Chin, Cheryl A Westlake, Marilyn Asselin, Maryellen D Brisbois
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引用次数: 5

摘要

背景:肿瘤护理人员强烈的情感需求造成了紧张的工作环境,增加了离职的可能性。本研究旨在探讨、描述和了解照顾慢性疾病或临终病人的儿科血液科/肿瘤科护士如何利用他们的精神来应对工作压力,保持精神健康(SWB),并继续在本专业工作。方法:采用混合方法并行研究设计,包括基于网络的调查和访谈。数据收集包括人口统计数据、留下问题的意向和四种有效可靠的研究工具,测量灵性、压力、应对和主观幸福感。响应式面试指南指导面试。结果:定量分析(n = 130)显示中高水平的灵性,中等压力,应对和SWB。应力与SWB呈弱负相关(r = -)。221, p = .011),表明较低的压力与较高的SWB相关。应对与主观幸福感呈弱正相关(r =。248, p = .005),表明更强的应对能力与更强的幸福感相关。有5.4%的人打算在明年离职。从定性数据(n = 22)中出现的主题包括信仰信息或存在性灵性、工作环境和情绪/心理压力源,如感到不知所措或目睹痛苦,并通过自我照顾和灵性来应对。主观幸福感的维度包括以精神为基础的应对和生活的意义和目的。离职意向与工作环境或出行距离有关。讨论:护士的灵性提供了一种机制来应对临床实践中遇到的积累的损失和悲伤,从而支持SWB。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pediatric Hematology/Oncology Nurse Spirituality, Stress, Coping, Spiritual Well-being, and Intent to Leave: A Mixed-method Study.

Background: Intense emotional demands of oncology nursing create a stressful work environment and increase the likelihood of leaving. The study aims to explore, describe, and understand how pediatric hematology/oncology nurses caring for chronically ill or dying patients use their spirituality to cope with job stress, maintain spiritual well-being (SWB), and continue to work in this specialty. Methods: A concurrent mixed-method research design consisted of a web-based survey and interview. Data collection included demographics, intent to leave questions, and four valid and reliable research instruments measuring spirituality, stress, coping, and SWB. A responsive interview guide directed interviews. Results: Quantitative analysis (n = 130) revealed moderate to high levels of spirituality, moderate stress, coping, and SWB. Stress and SWB were weakly, inversely correlated (r = -.221, p = .011) indicating lower stress was associated with greater SWB. Coping and SWB were weakly, positively correlated (r = .248, p = .005) indicating greater coping was associated with greater SWB. An intent to leave in the next year was reported by 5.4%. Emerging themes from qualitative data (n = 22) included faith-informed or existential spirituality, work environment, and emotional/psychological stressors such as feeling overwhelmed or witnessing suffering and coping through self-care and spirituality. Dimensions of SWB included spiritually based coping and life's meaning and purpose. Intent to leave was related to the work environment or travel distance. Discussion: A nurse's spirituality offers a mechanism for coping with accumulated losses and grief encountered in clinical practice and in turn supports SWB.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: SPECIAL PATIENTS NEED SPECIAL NURSES Caring for children with cancer is one of the most technically and emotionally difficult areas in nursing. Not only are you dealing with children and adolescents who hurt, you must reassure and educate families, balance a multitude of other health care professionals, and keep up with ever-changing nursing practice and care. To help special nurses stay aware of the newest effective nursing practices, innovative therapeutic approaches, significant information trends, and most practical research in hematology and pediatric oncology nursing, you need the Journal of Pediatric Oncology Nursing. The journal offers pediatric hematology, oncology, and immunology nurses in clinical practice and research, pediatric social workers, epidemiologists, clinical psychologists, child life specialists and nursing educators the latest peer-reviewed original research and definitive reviews on the whole spectrum of nursing care of childhood cancers, including leukemias, solid tumors and lymphomas, and hematologic disorders. JOPON covers the entire disease process--diagnosis, treatment, recovery, and survival, as well as end-of-life care. Six times a year, the Journal of Pediatric Oncology Nursing introduces new and useful nursing care practice and research from around the world that saves you time and effort. Just some of the spirited topics covered include: Cancer survivorship including later-life effects of childhood cancer, including fertility, cardiac insufficiency, and pulmonary fibrosis Combination therapies Hematologic and immunologic topics Holistic, family-centered supportive care Improvement of quality of life for children and adolescents with cancer Management of side effects from surgery, chemotherapy, and radiation Management of specific symptoms/diseases/co-infections Medication tolerance differences in children and adolescents Pain control Palliative and end of life care issues Pharmacologic agents for pediatrics/clinical trial results Psychological support for the patient, siblings, and families The dynamic articles cover a wide range of specific nursing concerns, including: Advanced practice issues Clinical issues Clinical proficiency Conducting qualitative and quantitative research Developing a core curriculum for pediatric hematology/oncology nursing Encouraging active patient participation Ethical issues Evaluating outcomes Professional development Stress management and handling your own emotions Other important features include Guest Editorials from experts in the discipline, Point/Counterpoint debates, Roadmaps (personal insights into the nursing experience), and Proceedings and Abstracts from the annual Association for Pediatric Hematology/Oncology Nurses (APHON) conference. Your special patients need special nurses--stay special by subscribing to the Journal of Pediatric Oncology Nursing today! This journal is a member of the Committee on Publication Ethics (COPE).
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