Effort-reward imbalance among nurses in stable countries and in countries in transition
Effort-reward imbalance among nurses in stable countries and in countries in transition
复制标题
DOI：
10.1179/oeh.2004.10.4.401
复制
发表时间：
2004-10-01
影响因子：
--
通讯作者：
Peter, R
中科院分区：
文献类型：
--
作者：
Hasselhorn, HM;Tackenberg, P;Peter, R
作为下一项研究的一部分，使用努力-回报不平衡(ERI)模型分析了七个欧洲国家的护士(n=21,229)的职业倦怠和离职意向。数据是使用ERI调查问卷的简短形式收集的。在哥本哈根工作倦怠量表中对工作倦怠进行了评估。多因素Logistic回归分析控制了年龄和性别。波兰、德国、意大利和斯洛伐克的ERI都很高。高ERI与职业倦怠相关。ERI的优势比(OR)为2.6至13.2，过度承诺(OC)的优势比(OR)为3.0至5.5。ERI高的护士使用ITL的OR值也较高(2.6~5.7)。OC与ITL的关联性较弱(1.1~1.7)。ERI模型结果与心理健康和ITL的强烈和一致的关联支持了该模型对检查不同结果水平的相关性。正如预期的那样，转型国家的护士经历了高ERI。稳定国家的高汇率指数表明，它们的经济部门，特别是医疗保健，可能正在转型。
The effort-reward imbalance (ERI) model was used to analyze burnout and intention to leave the nursing profession (ITL) in nurses (n. = 21,229) in seven European countries, as part of the NEXT-Study. Data were gathered using the short form of the ERI questionnaire. Burnout was assessed rising the Copenhagen Burnout Inventory. Multivariate logistic regression analysis controlled for age and gender. ERI was very high in Poland, German),, Italy, and Slovakia. High ERI was associated with burnout. Odds ratios (ORs) ranged from 2.6 to 13.2 for ERI and from 3.0 to 5.5 for over-commitment (OC). Nurses with high ERI also had high ORs for ITL (2.6-5.7). The association of OC and ITL was weaker (1.1-1.7). The strong and consistent associations of ERI model results with psychological health and with ITL support the relevance of the model for examining different outcome levels. Nurses in transitional countries, as expected, experienced high ERI. High ERI in stable Countries suggests that their economic sectors, particularly health care, may be in transition.