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护士感知的医院事务参与度及其与工作疲溃的关系研究
引用本文:陆敏敏,阮卉,邢唯杰,胡雁. 护士感知的医院事务参与度及其与工作疲溃的关系研究[J]. 护理学杂志, 2012, 27(10): 13-15
作者姓名:陆敏敏  阮卉  邢唯杰  胡雁
作者单位:陆敏敏 (复旦大学护理学院 上海,200032) ; 阮卉 (复旦大学护理学院 上海,200032) ; 邢唯杰 (复旦大学护理学院 上海,200032) ; 胡雁 (复旦大学护理学院 上海,200032) ;
基金项目:美国中华医学基金会项目
摘    要:目的了解护士感知的医院事务参与度,并分析其对护士工作疲溃的影响。方法采用护士工作指数量表修订版的医院事务参与度分量表对1 133名护士感知的医院事务参与情况进行测评,同时采用Maslach的疲溃量表对护士疲溃进行测量。结果27.80%的护士认为医院事物参与度较低,44.40%的护士存在情绪耗竭。回归分析显示,护士感知医院事物参与度好能降低护士情绪耗竭、个人成就感和工作冷漠感的比数比(OR),OR值分别为0.281、0.504和0.328。结论护士感知的医院事务参与度尚可,有大量的病区护士存在工作相关的疲溃;改善护士在医院事务的参与度,可以降低护士的工作相关疲溃。

关 键 词:护士  医院事务参与度  工作环境  工作疲溃  情绪耗竭  个人成就感  工作冷漠感

The relationship between the participation of nurses in hospital affairs and their level of burnout
Lu Minmin,Ruan Hui,Xing Weijie,Hu Yan. The relationship between the participation of nurses in hospital affairs and their level of burnout[J]. Journal of Nursing Science, 2012, 27(10): 13-15
Authors:Lu Minmin  Ruan Hui  Xing Weijie  Hu Yan
Affiliation:(School of Nursing,Fudan University,Shanghai 200032,China)
Abstract:Objective To investigate nurses′ participation in hospital affairs,and to explore the effects on nurses′ job-related burnout. Methods A total of 1 133 nurses were surveyed by using the subscale of nurse participation in hospital affairs from the Practice Environment Scale of the Nursing Work Index(PES-NWI),and Maslach Burnout Inventory. Results Among these nurses,27.80% reported poor participation in hospital affairs,and 44.40% presented emotional exhaustion.In regression model,nurses with more active participation in hospital affairs presented lower level of emotional exhaustion,higher personal accomplishment,and less depersonalization(OR=0.281,0.504 and 0.328). Conclusion Nurses have fairly active participation in hospital affairs,and a majority of them present job-related burnout,which can be minimized by improving their involvement into hospital affairs.
Keywords:nurse  participation in hospital affairs  practice environment  job burnout  emotional exhaustion  personal accomplishment  depersonalization
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