护士工作倦怠与身心健康、工作满足感相关性的调查研究

目的探讨护士工作倦怠与身心健康、工作满足感的关系。方法采用Maslach工作倦怠量表、心身症状量表、工作满足感量表对245名护士进行问卷调查,并对结果进行分析。结果(1)护士情绪疲惫与个人成就感呈中度倦怠、去人格化呈低度倦怠,身心健康水平、工作满足感呈中度水平。(2)护士情绪疲惫、去人格化与身心健康呈正相关(r=0.459,r=0.180,P<0.01),与工作满足感呈负相关(r=-0.284,r=-0.208,P<0.01),个人成就感与工作满足感呈正相关(r=0.303,P<0.01),与身心健康无显著相关性。(3)多元线性逐步回归分析显示,情绪疲惫是身心健康的主要预测因子、个人成就感与情绪疲惫是工作满足感的主要预测因子。结论护士工作倦怠影响身心健康与工作满足感。     

临床护理人员工作倦怠与家庭功能的相关性研究

目的调查临床护理人员工作倦怠的现状,分析家庭功能与工作倦怠之间的关系。方法采用整群抽样的方法,应用工作倦怠感量表、家庭功能评定量表对165名临床一线护理人员进行调查。结果护理人员的去人性化、个人成就感呈高度倦怠,情绪耗竭呈中度倦怠,家庭总的功能处于健康水平。情绪耗竭与家庭角色呈正相关（P〈0．05）,去人性化与角色、行为控制、总的功能呈正相关（P〈0．01）。结论家庭功能对护士工作倦怠有显著的影响,护理管理者应重视对护理人员家庭的支持,从而预防和降低护理人员的工作倦怠,维护其身心健康。     

儿科护士工作压力、工作倦怠感与自我效能感的调查分析

目的:了解儿科护士工作压力、工作倦怠感与自我效能感之间的关系。方法:采用问卷调查法,对天津市3家三级甲等医院的153名儿科护士进行调查,对儿科护士的工作压力、工作倦怠感及自我效能感的相互关系进行分析。结果 :儿科护士工作压力得分为2.63±0.41,压力较大;工作倦怠感中情绪衰竭得分为27.48±3.26,属于高度倦怠;去人格化得分为7.18±2.81,属中度倦怠;个人成就感得分为34.47±5.92,属中度倦怠。自我效能感得分为24.68±4.52,呈中等水平。工作压力与工作倦怠中情绪衰竭呈正相关(r=0.295,P0.01),与工作倦怠中去人格化呈正相关(r=0.262,P0.05),与工作倦怠中个人成就感呈负相关(r=-0.231,P0.05)。自我效能感得分与情绪衰竭呈负相关(r=-0.538,P0.01),与去人格化呈负相关(r=-0.294,P0.01),与个人成就感呈正相关(r=0.693,P0.01)。结论:护理管理者应有针对性措施减轻儿科护士的工作压力,以减轻工作倦怠,有助于提高其自我效能感。     

门诊护士职业倦怠与工作压力、社会支持的相关性分析

目的探讨综合性医院门诊护士职业倦怠现状及其与工作压力、社会支持的相关性。方法利用职业倦怠量表、工作压力量表、社会支持量表,以简单随机抽样方法抽取江苏省盐城市3所综合性医院,对其中86名门诊护士进行调查,采用SPSS11．7软件对反馈数据进行统计分析。结果86名门诊护士中25．58％处于高度情绪衰竭状态,53．49％处于中度情绪衰竭状态;11．63％处于高度去人格化状态,75．58％处于中度去人格化状态;8．14％感到较低的个人成就感,75．58％感到中度的个人成就感。中专、大专、本科护士职业倦怠中情绪衰竭维度得分分别为（21．70±7．28）,（26．02±7．52）,（21．33±8．39）,三者比较差异有统计学意义（F=3．67,P〈0．05）;职业倦怠中情绪衰竭、个人成就感与工作压力相关（r分别为0．277,-0．262;P〈0．01或P〈0．05）,情绪衰竭与社会支持呈负相关（r=-0．555,P〈0．01）。结论综合性医院门诊护士职业倦怠程度较高,本身工作压力的降低及获取更多的社会支持能缓解其职业倦怠感。     

北京市二级精神病专科医院护士工作倦怠与工作压力源的相关分析

目的探讨北京市二级精神病专科医院护士工作倦怠与压力水平现状及两者相关性。方法采用工作倦怠量表（MBI）、工作压力源量表对北京市2家二级精神病专科医院的119名精神科护士进行调查。结果不同一般资料护士工作怠倦、工作压力源差异均无统计学意义（P〉0．05）;精神科护士工作倦怠各维度得分均低于MBI常模,差异均有统计学意义（19〈0．01）。工作倦怠总分及情绪枯竭与护士压力源总分及各维度呈正相关（r=0．194～0．627,P〈0．05或P〈0．01）。去人格化倾向与除工作量及时间分配以外其余4项呈正相关（r分别为0．227,0．326,0．224,0．294,0．291;P〈0．05或P〈0．01）。个人成就感仅与管理及人际关系呈负相关（r=一0．323,P〈0．01）。精神科护士工作压力源5个维度由高至低依次为工作环境及资源方面（2．43±0．921）分、护理专业及工作方面（2．42±0．839）分、工作量及时间分配（2．40±0．892）分、患者护理方面（2．37．4-0．673）分、管理及人际关系方面（1．82．4-0．708）分。结论建议医院管理者应采取有效措施减少或消除护士工作压力源,重视应对工作倦怠的技能培训,缓解护士工作倦怠情况,提高护理质量。     

军队医院合同制护士工作倦怠与主观幸福感的相关性研究

目的了解军队医院合同制护士工作倦怠及主观幸福感现状,分析工作倦怠与主观幸福感的相关性。方法采用Maslach工作倦怠量表和中国城市居民主观幸福感量表对北京市某三级甲等军队医院的109名合同制护士进行问卷调查。结果军队医院合同制护士工作倦怠感中情感衰竭、去人格化及个人成就感得分分别为(21.48±8.60)分、(8.48±5.75)分和(28.34±9.09)分;主观幸福感总分为(78.76±9.96)分,高于常模(P<0.01);主观幸福感总分与个人成就感呈正相关(r=0.248,P<0.01),与情感衰竭(r=-0.362,P<0.01)及去人格化(r=-0.444,P<0.01)呈负相关。结论军队医院合同制护士工作倦怠中情感衰竭及去人格化处于中度倦怠水平、个人成就感处于高度倦怠水平,军队医院护理管理者应采取有效措施预防和减轻合同制护士的工作倦怠水平。     

妇产科护士工作倦怠现象的调查

目的了解妇产科护士工作倦怠现状,为改善护士身心健康、提高护士工作质量提供参考依据。方法采用护士工作倦怠量表调查三明市118名妇产科护士,并分析其工作倦怠水平。结果妇产科护士情感耗竭得分较Maslach常模高,而去人格化、个人成就感得分较Maslach常模低（P〈0．01）;初级职称护士、合同制护士工作倦怠分别较中级职称、编制内护士明显（P〈0．05）;已婚护士情感耗竭的维度高于未婚护士（P〈0．01）,而去人格化和个人成就感的维度虽高于未婚护士,但两组比较差异均无统计学意义（P〉0．05）。结论医院管理者应高度关注妇产科护士群体的工作倦怠现象,给予人性化管理,以利于护理质量的提高。     

ICU护士角色认知、共情能力与工作倦怠的关系研究

[目的]探讨重症监护室(ICU)护士角色认知、工作倦怠与共情能力的相关性。[方法]2013年6月—2014年6月应用角色认知量表、Maslcah工作倦怠量表及杰佛逊共情量表对我省6家三级甲等医院128名ICU护士进行问卷调查,分析ICU护士角色认知、工作倦怠与共情能力的关系。[结果]ICU护士工作倦怠中去人格化、情绪衰竭得分分别为6.42分±2.45分、23.25分±7.12分,均属中度倦怠,而个人成就感得分为32.08分±8.25分,属高度倦怠。Pearson相关分析显示,角色冲突、角色模糊与情绪衰竭、去人格化呈负相关(P0.05),而与个人成就感呈正相关(P0.05)。共情能力总分及各维度与情绪衰竭、去人格化呈负相关(P0.05),与个人成就感呈正相关(P0.05)。[结论]ICU护士工作倦怠程度较严重,主要受角色认知及共情能力影响,可通过提高其角色认知能力和共情能力来改善其工作倦怠感。     

护士长职业倦怠状况及相关因素调查研究

目的:探讨护士长职业倦怠程度及相关因素,进一步分析其相关性.方法:采用Maslach 工作倦怠量表、护士压力源量表、应对方式量表、工作满足感量表和健康状况调查表对86名综合性教学医院护士长进行调查分析.结果:护士长职业倦怠呈中高度水平.护士长情绪疲惫与其工作压力源、压力应对方式呈正相关,与工作满足感、健康状况呈负相关;去人格化倾向与工作压力源呈正相关,与压力应对方式呈负相关;个人成就感与工作满足感呈正相关,与工作压力源呈负相关.结论:护士长的职业倦怠程度较为严重,并受多因素影响;呼吁护理决策者设法缓解护士长的工作压力,提高其压力应对水平及工作满足感,保障她们的身心健康.     

急诊护士遭受工作场所暴力后对工作倦怠的影响

目的探讨急诊护士工作倦怠与遭受工作场所暴力之间的关系,为采取干预措施提供依据。方法采用护士职业倦怠调查表及遭受工作场所暴力情况问卷,对北京市4家三级甲等医院的166名护士进行调查。结果急诊护士遭受暴力组在情绪衰竭、去人格化、个人成就感丧失的维度得分高于未遭受暴力组,2组个人成就感丧失比较差异有统计学意义（P〈0．05）,而情绪衰竭、去人格化比较差异无统计学意义（P〉0．05）。躯体冲突严重影响了护士的心理健康（P〈0．01）。结论工作场所暴力事件可以导致急诊护士工作倦怠的产生,对护士造成严重的心理伤害,应采取有效预防措施控制工作场所暴力的发生,减少护士对工作及患者的倦怠不满,确保护士的心理健康。     

护士工作压力源的探讨

还严重的影响护理质量,应给予高度重视.     

Occupational stress, job satisfaction, and working environment among Icelandic nurses: a cross-sectional questionnaire survey

BACKGROUND: Nurses' occupational stress decreases job satisfaction, increases turnover rate, and reduces nursing quality. At different workplaces nurses are confronted with different work tasks, working conditions and hence different sources of stress. OBJECTIVES: The purpose of this study was to explore what factors contribute to work-related stress among Icelandic nurses working within and outside the hospital environment. DESIGN: The study used a cross-sectional survey design. SETTINGS AND PARTICIPANTS: The study population was composed of all working nurses registered at the Icelandic Nurses' Association (INA). Approximately 95% (N=2,234) of Icelandic nurses are members of the INA. Questionnaires were posted to 522 (23.4%) randomly selected participants. The response rate was 42% (N=219), representing 9.8% of the population. Data was analyzed from 206 nurses; 35% worked outside the hospital setting and 65% were hospital based. METHODS: Data was gathered on demographic information and indicators of working conditions, occupational stress, workload, and job satisfaction. A stepwise, multiple linear regression model was employed to calculate significant predictors of occupational stress. RESULTS: The findings suggest that the strenuous conditions of Icelandic nurses are felt more severely among hospital nurses than among nurses working outside hospital settings. The study identified which sources of occupational stress are specific to each of the two groups. CONCLUSIONS: The study found several factors that contribute to work-related stress. These findings can be used to guide preventive measures to diminish occupational stress among Icelandic nurses.     

神经内科护士工作压力源探究

目的:探讨神经内科护士的主要工作压力源及工作压力的主要影响因素。方法:采用中国护士工作压力源量表对神经内科护士做问卷调查。结果:神经内科护士工作压力源排在前五位的依次是工作量太大、护士工作未被患者及家属认可、患者的要求太高或太过分、担心工作中出现差错事故、患者病情过重。职称和婚姻状况是工作压力的主要影响因素。结论:护理管理者应根据具体工作压力源及其影响因素有的放矢的采取干预措施,以减轻护士工作压力,提高护理质量。     

临床护士职业满意度和专业认可度的调查分析

目的了解临床护士职业满意度和专业认可度，探讨其影响因素并分析专业认可度对职业满意度的影响。方法采用问卷法对100名护士进行职业满意度和专业认可度的调查。通过描述分析和回归分析处理所得数据。结果临床护士职业满意度处于中等水平，待遇、行政体系和自律性是导致护士满意度低的主要因素。护士专业认可度较高，护士的自我概念正确，对职业的认识度高。专业认可度对职业满意度有显著影响，社会对护理的认识是影响职业满意度最重要的方面。结论应对护士进行职业教育，采取人性化管理措施，提高护士的职业满意度和专业认可度。     

浅谈临床工作时间优化管理的做法与效果

目的:探讨临床工作时间优化管理的做法和效果。方法:调整排班模式,提高护理信息化建设,完善护理工作流程。结果:提高了护士工作效率,有限的工作时间能得到最大化利用。结论:临床工作时间的优化管理,能使护士有更多的时间直接为患者服务。     

Establishing process indicators for joint working in mental health: rationale and results from a national survey

Effective joint working in mental health is a national concern as indicated by a series of governmental directives and initiatives aimed at improving practice in this area. Joint working is fundamental to the successful implementation of 'community care'. Many people, particularly the public, equate the introduction of the Community Care Act (Department of Health, 1990), with the beginning of community care as a social policy. In reality, however, community care has a much longer history in the UK involving the shift in the 1950s from providing care in the hospital to providing care in the community. Thus, one of the most obvious reasons for this concern expressed in the media and felt by the public is that 'community care' isn't working. While this is an important consideration, it is not the only explanation as to why joint working has come to occupy such a prominent position in the minds of health strategists and politicians. This paper explores our concern with joint working in mental health and proposes one way in which joint working can be effectively monitored and measured.     

惠州市民营医院护士工作压力与心理健康状况研究

Objective To research the working pressure, mental health and their correlation on nurses in Huizhou private hospitals. Methods The nurse working gauges and SCL -90 symptoms of self rating scale were adopted to investigate 400 nurses in Huizhou private hospitals. Results Working pressure was relevant to nurses'general situation such as age, professional tide. The level of their mental health was worse than other female, and lower than the national norm. Working pressure was detrimental to mental health ( P＜ 0.05 ) . Conclusions We should strengthen the health care for nurses, reduce work pressure, prevent the psychosomatic disease from happening . Meanwhile strengthen the standardized management of the private hospital, safeguard legitimate rights of the nurses, arouse the enthusiasm of the nurses, improve the quality of nursing.     

惠州市民营医院护士工作压力与心理健康状况研究

Objective To research the working pressure, mental health and their correlation on nurses in Huizhou private hospitals. Methods The nurse working gauges and SCL -90 symptoms of self rating scale were adopted to investigate 400 nurses in Huizhou private hospitals. Results Working pressure was relevant to nurses'general situation such as age, professional tide. The level of their mental health was worse than other female, and lower than the national norm. Working pressure was detrimental to mental health ( P＜ 0.05 ) . Conclusions We should strengthen the health care for nurses, reduce work pressure, prevent the psychosomatic disease from happening . Meanwhile strengthen the standardized management of the private hospital, safeguard legitimate rights of the nurses, arouse the enthusiasm of the nurses, improve the quality of nursing.     

护士工作服衣袖细菌污染调查及对策

护士工作服污染是医院交叉感染的原因之一。2006年，感染控制科对全院135人次护士工作服袖端细菌污染情况进行了调查。结果发现，工作服穿后3天，袖端细菌数已超过规定的标准，春夏二季及感染病种疗区护士工作服袖端污染更严重。我们认为，护士工作服应勤换勤洗，工作服袖端的制做工艺需加以改进。