福州市某三甲医院ICU护士职业倦怠状况调查

目的了解ICU护士职业倦怠的状况,为医院管理者采取相应措施降低ICU护士职业倦怠的发生率提供理论依据。方法采用便利抽样方法,运用职业倦怠量表(MBI-HSS)对120名ICU护士进行问卷调查。结果最终回收有效问卷107份,有效回收率为89.2%。107名调查对象中,ICU护士的职业倦怠中情绪衰竭、去人格化的评分较高,个人成就感的评分较低。结论 ICU护士职业倦怠状况不容忽视,医院的管理者应采取相应措施进行干预,从而有效减轻其职业倦怠感。     

ICU护士发生职业倦怠高危因素分析及对策研究

目的探究ICU护士发生职业倦怠的高危因素以及相关对策。方法选择本院400例ICU护士做调查问卷调查,问卷包括护士一般情况调查表、护士职业倦怠问卷、护士工作压力源量表与一般自我效能感问卷。采用Logistic逐步回归分析影响ICU护士发生职业倦怠的高危因素。结果根据职业倦怠量表(MBI),400例ICU护士发生轻度倦怠169例(42.3%),中度倦怠117例(29.3%),重度倦怠14例(3.5%),未发生倦怠100例(25.0%),总体倦怠发生率为75.0%。Logistic回归分析表明,性别、年龄、婚姻状况、最高学历等因素对ICU护士是否发生职业倦怠影响较小。家庭交流状况、护龄、倒班状况、专业知识培训、心理素质训练、沟通训练、身体健康以及投诉状况是影响ICU护士发生职业倦怠的高危因素。经Logistic回归逐步分析可知,专业知识训练对ICU护士是否发生职业倦怠影响最大(OR=6.213),身体健康状况较差、家庭交流状况较差、家庭交流状况较差、未参加心理素质训练、护龄、夜班多、未参加沟通训练、被投诉影响最小(OR=2.473)。结论家庭交流状况、护龄、倒班状况、专业知识培训、心理素质训练、沟通训练、身体健康以及投诉状况等均是影响ICU护士发生职业倦怠的高危因素。医院管理者通过加强护患沟通能力并积极进行心理培训等对策,能够显著缓解ICU护士的职业倦怠的状况。     

伤口治疗师职业倦怠现状及影响因素分析

目的调查我国伤口治疗师职业倦怠现状水平及其影响因素, 为伤口治疗师的成长和发展提供支持。方法于2022年9月—2023年3月, 采用便利抽样法选取全国235名经过伤口治疗师认证的专科护士作为研究对象, 使用伤口治疗师一般资料调查表、个人-工作匹配量表、专科护士工作投入量表和马氏职业倦怠量表-服务行业版对其进行问卷调查。采用二项Logistic回归分析探讨伤口治疗师职业倦怠的影响因素。结果本研究共发放问卷235份, 回收有效问卷219份, 问卷有效问卷回收率为93.2%。219名伤口治疗师中职业倦怠阳性人数为125名(57.1%)。二项Logistic回归分析结果显示, 职称、工作负荷、团队氛围和工作价值是伤口治疗师职业倦怠的影响因素(P<0.05)。结论伤口治疗师的职业倦怠检出率较高, 职称、工作负荷、团队氛围和工作价值影响其职业倦怠, 提示护理管理者应采用相对应的措施改善伤口治疗师职业环境, 降低其职业倦怠。     

长沙市省级综合三级甲等医院ICU护士职业倦怠现状及其影响因素分析

目的调查长沙市省级综合三级甲等医院ICU护士职业倦怠现状,并探讨其影响因素。方法采用工作倦怠量表对215名ICU护士进行问卷调查。结果护士的轻、中、重度职业倦怠的检出率分别为30.70%、22.79%、5.58%;性别、班次轮换、自评家庭交流质量和职务是ICU护士职业倦怠的影响因素。结论长沙市省级综合三级甲等医院ICU护士的职业倦怠问题比较严重,家庭交流质量差、夜班多的女性ICU护士应为职业倦怠干预的重点对象。     

儿科ICU护士仪器设备报警疲劳风险预测模型的构建

目的探讨儿科ICU护士仪器设备报警疲劳风险的影响因素, 并建立预测模型验证其预测效能。方法采用多阶段抽样法选取2020年10月—2021年3月河南省2所三级儿童专科医院的300名儿科ICU护士为研究对象进行模型构建, 其中发放问卷300份, 回收有效问卷225份。于2021年4—5月选取河南省儿童医院的110名儿科ICU护士用于模型验证, 其中发放问卷110份, 回收有效问卷100份。采用自制基线评分量表采集相关基线信息, 采用医疗设备报警管理问卷及仪器设备报警疲劳相关量表进行调查, 采用Logistic回归模型进行预测模型建立, Hosmer-Lemeshow检验模型拟合效果, 采用受试者工作特征曲线进行预测价值评估。结果 225名儿科ICU护士医疗设备报警管理因素得分为(48.67±4.35)分, 医疗设备报警管理阻碍因素得分为(39.67±3.67)分, 临床报警疲劳总分为(22.32±2.83)分。多因素分析结果显示, 年龄<30岁、工作年限<5年、带病工作、护师及以下职称、倒班、无设置医疗设备警报的习惯、医疗设备管理因素均为儿科ICU护士仪器设备报警疲劳的独立危险...     

造血干细胞移植层流病房护士职业倦怠现状及影响因素分析

目的 调查造血干细胞移植层流病房的护士职业倦怠及其相关的影响因素,为针对性干预职业倦怠提供相应的参考依据。方法 于2022年3—4月采用整群抽样法,选取安徽省9所医院造血干细胞移植层流病房护士135名为调查对象,根据护士发生职业倦怠程度分为中重度组66名和无或轻度组69名。采用一般资料问卷、职业倦怠问卷、中国护士工作压力源量表、匹兹堡睡眠质量指数量表对护士进行调查。结果 安徽省造血干细胞移植层流病房护士职业倦怠量表中3个维度得分及检出率分别为情感衰竭24.08±10.21分,38.52%;去人格化7.15±5.43分,45.93%;低个人成就感15.09±8.48分,84.44%。护士职业倦怠总分与工作压力总分、睡眠质量总分均呈正相关（P<0.05）。多因素Logistic回归分析发现,平均每周工作时长> 50 h、工作压力、睡眠质量是造血干细胞移植层流病房护士中重度职业倦怠的独立影响因素（P<0.05）。结论 安徽省造血干细胞移植层流病房护士发生职业倦怠的风险较高,需重点关注此类人群,从心理减压、人力资源配置、专业培训等方面加强干预,以保证临床护理质量。     

ICU年轻护士职业性下腰痛患病现状及影响因素

目的调查ICU年轻护士职业性下腰痛患病现状,探讨影响因素。方法采取便利抽样法对160名ICU护士进行问卷调查。调查问卷包括:一般资料调查问卷、护士工作压力源量表、匹兹堡睡眠质量指数量表、标准版Nordic问卷。结果 ICU年轻护士下腰痛患病率为23.0%,工龄、工作压力、睡眠质量是护士患病的危险因素。结论 ICU年轻护士下腰痛患病率较高,需要引起相应的重视,管理部门应该制定政策改善护士的健康状况,提高护士的生活质量和工作质量。     

静脉用药调配中心工作人员职业倦怠现状及其影响因素分析

目的调查静脉用药调配中心护士职业倦怠现状及其影响因素。方法选取2019年7—10月本市三级甲等综合医院静脉用药调配中心护士199名为研究对象,查阅资料,咨询相关专家,确定调查问卷内容,调查分析静脉用药调配中心护士职业倦怠现状。采用单因素和多元线性回归分析,影响其职业倦怠的的独立危险因素。结果本研究调查结果显示,199名护士中,无职业倦怠感的护士112名,占56.28%;有职业倦怠感的护士87名,占43.72%。其中,情感耗竭平均得分为(20.44±6.02)分,去人格化平均得分为(12.51±4.31)分,个人成就感平均得分为(13.32±4.35)分,以个人成就感维度检出职业倦怠感率最高,占59.80%。单因素分析结果显示,学历、职称、护龄、身体健康状况、职业损伤、社会支持度、心理弹性、工作压力感为影响静脉用药中心护士职业倦怠感的相关因素(P 0.05)。多元线性回归分析结果显示,学历、职业损伤、心理弹性及工作压力为影响静脉用药中心护士职业倦怠感的独立危险因素(P 0.05)。结论静脉用药调配中心护士职业倦怠感处于较高水平,学历、职业损伤、心理弹性及工作压力为影响静脉用药中心护士职业倦怠感的独立危险因素,应重视护士的在职教育培训工作,加强护士职业危害自我防护意识,同时加强仪器维护及保养,帮助其学习自我调节方式及创造良好的工作环境,以降低其职业倦怠感。     

新疆地区三级甲等医院重症监护室护士职业倦怠及影响因素的研究

目的 调查新疆三级甲等医院重症监护室护士职业倦怠现状及其影响因素.方法 以问卷调查的方式向新疆地区9所三级甲等综合医院301名在岗重症监护室护士发放调查问卷,问卷包括一般情况调查表、职业倦怠量表、护士工作压力源量表和应对方式问卷4部分.结果 新疆重症监护室护士的轻、中、重度倦怠的检出率分别为42.19%、30.56...     

临床护士重度职业倦怠预测模型的构建

目的 了解临床护士重度职业倦怠发生的危险因素,并构建预测模型。方法 通过便利抽样法收集2021年10月至12月湖北、山西、四川等地区594名临床护士作为调查对象,采用一般资料调查表、职业倦怠量表、良心压力问卷、组织支持量表进行调查。将职业倦怠作为二分类资料处理,应用最优子集回归法筛选出预测因素并构建列线图模型,采用曲线下面积评估预测模型区分度,运用校准度曲线评价模型校准度。结果 594名护士检出重度职业倦怠181名,占30.47%。经最优子集回归法筛选出5个预测变量为妇产科、儿科(OR=0.399,95%CI[0.193,0.824])、轮值夜班(OR=1.637,95%CI[1.031,2.587])、加班频率3～5次/周(OR=0.383,95%CI[0.151,0.967])、良心压力(OR=0.236,95%CI[0.088,0.634])、组织支持感(OR=5.664,95%CI[2.326,13.796])。构建的预测模型AUC为0.709,校准曲线与理想概率曲线基本平行。结论 临床护士重度职业倦怠预测模型预测效果良好,可为评估护士职业倦怠严重程度提供借鉴。     

Burnout in ICU doctors and nurses in mainland China–A national cross-sectional study

PurposeA national cross-sectional study was performed to investigate the severity of burnout and its associated factors among doctors and nurses in ICUs in mainland China.MethodThis is a cross-sectional survey. A total of 2411 ICU doctors and nurses in mainland China were included. Demographic and psychological data were collected via questionnaire. The Maslach Burnout Inventory (MBI) was used to evaluate burnout. Differences among regions and departments were analyzed. Multivariate logistic regression was applied to determine the associated factors.ResultsAmong the participants, 1122 (46.54%) were doctors, and 1289 (53.46%) were nurses. A total of 800 doctors (71.3% of all doctors) and 881 nurses (68.3% of all nurses) were deemed to be burnout. People working in the general ICU were most likely to be burnout. Factors associated with burnout included having low frequency of exercise, having comorbidities, working in a high-quality hospital, having more years of work experience, having more night shifts and having fewer paid vacation days.ConclusionsThe burnout rate of ICU doctors and nurses in mainland China is 69.7%. Our study provides baseline data about burnout among Chinese medical staff predating COVID-19, which could help in the analysis and interpretation of burnout during the COVID-19 pandemic.     

A preliminary analysis of psychophysiological variables and nursing performance in situations of increasing criticality

OBJECTIVE: To examine the relationship between psychological, physiological, and performance variables in intensive care unit (ICU) nurses in situations of increasing criticality. SUBJECTS AND METHODS: Psychophysiological variables and endotracheal suctioning performance were examined in a classroom, a skills laboratory, and an ICU. Situation-specific anxiety (state anxiety) and the predisposition to view situations as threatening (trait anxiety), cognitive appraisal, and heart rate were measured and compared with self-appraisal and a nurse instructor's ratings of suctioning performance. Baseline data were obtained during class on 45 novice ICU nurses. RESULTS: Twenty-six nurses provided complete data, which included being videotaped and monitored in the classroom, in the skills laboratory performing endotracheal suctioning, and in the ICU during suctioning. High state anxiety significantly predicted poor ICU suctioning performance (P<.04). Nurses high in state and trait anxiety, worry, and heart rate performed poorly compared with less anxious nurses. Nurses in this study who performed best had a mean heart rate of 94 beats/min. CONCLUSION: Those nurses who are high state anxious, high trait anxious, and worried and who had a faster heart rate performed less well than their more relaxed peers. Nurses with high state anxiety may be at risk for attrition, burnout, medical errors, and poor performance in other ICU nursing tasks.     

Prevalence and Associated Factors of Burnout Risk Among Intensive Care and Emergency Nurses Before and During the Coronavirus Disease 2019 Pandemic: A Cross-Sectional Study in Belgium

IntroductionThis study aimed to assess (1) the prevalence of burnout risk among nurses working in intensive care units and emergency department before and during the coronavirus disease 2019 pandemic and (2) the individual and work-related associated factors.MethodsData were collected as part of a cross-sectional study on intensive care unit and emergency nurses in Belgium using 2 self-administered online questionnaires distributed just before the pandemic (January 2020, N = 422) and during the first peak of the pandemic (April 2020, N = 1616). Burnout was assessed with the Maslach Burnout Inventory scale.ResultsThe overall prevalence of burnout risk was higher among emergency nurses than intensive care unit nurses but was not significantly different after the coronavirus disease 2019 pandemic (from 69.8% to 70.7%, χ^² = 0.15, P = .68), whereas it increased significantly among intensive care unit nurses (from 51.2% to 66.7%, χ^² = 23.64, P < .003). During the pandemic, changes in workload and the lack of personal protective equipment were significantly associated with a higher likelihood of burnout risk, whereas social support from colleagues and from superiors and management were associated with a lower likelihood of burnout risk. Several determinants of burnout risk were different between intensive care unit and emergency nurses.ConclusionOur findings indicate that nurses in intensive care unit and emergency department were at risk of burnout but their experience during the coronavirus disease 2019 pandemic was quite different. Therefore, it is important to implement specific measures for these 2 groups of nurses to prevent and manage their risk of burnout.     

不同护士群体工作倦怠特征的调查

目的 了解不同护士群体间工作倦怠的情况。方法 对北京市和广州市25家医院的在岗临床执业护士进行问卷调查,问卷包含一般情况和MBI—SS问卷两部分。结果 不同年龄段的护士群体,去人格化分值的差异较为显著,其中以21～25岁年龄段护士的分值为最高;已生育的护士去人格化程度低于未生育的护士;不同科室的护士群体间,工作倦怠3个维度的分值均有差异,其中急诊科、ICU和内科的护士工作倦怠程度较高;不同文化程度和婚姻状况的护士群体间工作倦怠无差异;不同职称的护士群体间,副主任护师的个人成就感最高,护师的个人成就感最低。结论 21—25岁年龄段的护士,急诊科、ICU、内科的护士,以及护师是工作倦怠程度较高的群体,应是管理者干预的重点对象。     

重症监护室护士职业倦怠的现状与对策

目的探讨某医院重症监护室（intensi care unit,ICU）护士职业倦怠的现状,并提出应对措施。方法 采用职业倦怠调查问卷对某医院31名ICU护士进行调查分析。结果 ICU护士在情绪维度的平均分为（3.6±1.2）分,去人性化维度的平均分为（3.4±1.4）分,个人成就感维度的平均分为（2.3±0.9）分。结论 ICU护士职业倦怠情况比较严重,要重视引导护士采取积极的应对措施,以减轻职业倦怠的程度。     

北京市ICU护士工作倦怠感的调查

目的 了解北京市ICU护士的工作倦怠感的情况.方法 采用Maslach工作疲溃感量表,对北京市23家三级综合医院的792名ICU护士进行评测.结果 ICU护士的工作倦怠感中情绪倦怠感得分为(20.04±10.37),工作冷漠感得分为(6.94±5.98),均属于中度倦怠感,个人成就感得分为(28.32±8.84),属于高度倦怠感.不同年龄、不同学历、不同工作年限及职称的ICU护士的工作倦怠感存在差异,有统计学意义(P＜0.05).结论 应重视ICU护士的工作倦怠感,护理管理者应寻求缓解护士工作倦怠感的有效措施,以保障ICU护士的心身健康.     

Professional burnout among physicians and nurses in Asian intensive care units: a multinational survey

Purpose

Professional burnout is a multidimensional syndrome comprising emotional exhaustion, depersonalization, and diminished sense of personal accomplishment, and is associated with poor staff health and decreased quality of medical care. We investigated burnout prevalence and its associated risk factors among Asian intensive care unit (ICU) physicians and nurses.

Methods

We conducted a cross-sectional survey of 159 ICUs in 16 Asian countries and regions. The main outcome measure was burnout as assessed by the Maslach Burnout Inventory-Human Services Survey. Multivariate random effects logistic regression analyses of predictors for physician and nurse burnout were performed.

Results

A total of 992 ICU physicians (response rate 76.5%) and 3100 ICU nurses (response rate 63.3%) were studied. Both physicians and nurses had high levels of burnout (50.3% versus 52.0%, P?=?0.362). Among countries or regions, burnout rates ranged from 34.6 to 61.5%. Among physicians, religiosity (i.e. having a religious background or belief), years of working in the current department, shift work (versus no shift work) and number of stay-home night calls had a protective effect (negative association) against burnout, while work days per month had a harmful effect (positive association). Among nurses, religiosity and better work-life balance had a protective effect against burnout, while having a bachelor’s degree (compared to having a non-degree qualification) had a harmful effect.

Conclusions

A large proportion of Asian ICU physicians and nurses experience professional burnout. Our study results suggest that individual-level interventions could include religious/spiritual practice, and organizational-level interventions could include employing shift-based coverage, stay-home night calls, and regulating the number of work days per month.

     

Factors that contributed to burnout among intensive care nurses during the COVID-19 pandemic in Saudi Arabia: A constructivist grounded theory

BackgroundIntensive care unit (ICU) nurses experience high levels of burnout during the COVID-19 pandemic due to multiple stressors. It has long been known that burnout is negatively associated with patient and staff outcomes. Understanding the triggers for intensive care nurses’ burnout during the pandemic can help to develop appropriate mitigation measures.ObjectiveThe objective of this study was to examine intensive care nurses’ experiences during the COVID-19 pandemic in Saudi Arabia to develop insights into the factors that influenced burnout.MethodsThe study was informed by a constructivist grounded theory design. The study was conducted in an adult ICU in a tertiary hospital in the Makkah province in the Kingdom of Saudi Arabia. All participants were registered nurses with at least 6 months’ experience in intensive care and experienced caring for COVID-19 patients.FindingsThis paper reports on preliminary findings from interviews with 22 intensive care nurses. A core category ‘pandemic pervasiveness’ was identified from the interview data, which makes reference to the ever-present nature of the pandemic beyond the ICU context. Family, work, and the wider world context are the three groups of contextual factors that influenced nurses' experience and perception of burnout.ConclusionMany issues identified from the findings in this study can be attributed to shortages in the intensive care nursing workforce. Thus, we join others in calling for healthcare organisations and policymakers to be creative in finding new ways to meet nurses' needs, motivate, and empower them to maintain and sustain the nursing workforce in highly demanding areas, such as ICUs. Nursing managers can play a crucial role in mitigating nurses’ burnout by identifying and tackling sources of stress that exist among their staff, specifically team conflict, workplace harassment, and discrimination.     

Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium

ObjectiveBurnout is a global work-related phenomenon. Intensive care unit (ICU) nurses are at risk of burnout and the COVID-19 pandemic may increase this risk. The objectives of this study were to assess the prevalence of burnout risk and identify risk factors among ICU nurses during the COVID-19 pandemic.Research methodologyWeb-based survey performed during the first wave of the COVID-19 pandemic in French speaking Belgium.Main outcome measuresRisk of burnout was assessed with the Maslach Burnout Inventory scale.ResultsA total of 1135 ICU nurses responded to the questionnaire. The overall prevalence of burnout risk was 68%. A total of 29% of ICU nurses were at risk of depersonalisation (DP), 31% of reduced personal accomplishment (PA), and 38% of emotional exhaustion (EE). A 1:3 nurse-to-patient ratio increased the risk of EE (OR = 1.77, 95% CI: 1.07–2.95) and DP (OR = 1.38, 95% CI: 1.09–2.40). Those who reported having a higher perceived workload during the COVID-19 pandemic were at higher risk for all dimensions of burnout. Shortage of personal protective equipment increased the risk of EE (OR = 1.78, 95% CI: 1.35–3.34) and nurses who reported having symptoms of COVID-19 without being tested were at higher risk of EE (OR = 1.40, 95% CI: 1.68–1.87).ConclusionsTwo-thirds of ICU nurses were at risk of burnout and this risk was associated with their working conditions during the first wave of the COVID-19 pandemic. We recommend monitoring the risk of burnout and implementing interventions to prevent and manage it, taking into account the factors identified in this study.