Cross-Sectional Analysis of Burnout, Secondary Traumatic Stress, and Compassion Satisfaction Among Emergency Nurses in Southern California Working Through the COVID-19 Pandemic.
Cross-Sectional Analysis of Burnout, Secondary Traumatic Stress, and Compassion Satisfaction Among Emergency Nurses in Southern California Working Through the COVID-19 Pandemic.
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在新冠疫情期间南加州急诊护士职业倦怠、二次创伤应激和同情满意度的横断面分析
DOI：
10.1016/j.jen.2022.03.008
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发表时间：
2022-07
影响因子：
1.7
通讯作者：
Lee J
中科院分区：
文献类型：
--
作者：
Lopez J;Bindler RJ;Lee J
本研究旨在使用第5版职业生活质量量表评估在新冠疫情期间工作后的急诊护士的职业倦怠、继发性创伤应激和同情满意度得分，并将这些得分与疫情前进行的类似研究进行比较。
对一项描述性调查进行横断面分析，该调查包括第5版职业生活质量量表问卷，问卷发送给2021年之前在南加州的城市成人及儿科接诊医院急诊科工作的护士。对结果进行分析，以深入了解与文献中使用相同的第5版职业生活质量量表工具进行的疫情前研究相比，新冠疫情对职业倦怠、继发性创伤应激和同情满意度水平的影响。
职业倦怠（25.6分）、继发性创伤应激（24.5分）和同情满意度（38.7分）的平均子类别得分处于中等范围。发现中班护士的职业倦怠得分显著高于白班护士（平均差值为5，P = 0.02），继发性创伤应激得分也是如此（平均差值为4.6，P = 0.007）。此外，家中有1个孩子的护士的同情满意度子类别得分显著高于有2个孩子的护士（平均差值为6.7，P = 0.02）。
未标准化的平均结果与使用相同的第5版职业生活质量量表工具进行的疫情前研究相似，表明护士存在同情疲劳的风险。此外，中班护士的得分反映出职业倦怠和继发性创伤应激增加，而有2个孩子的护士同情满意度较低。这意味着领导层需要积极寻求干预措施，为每个班次的护士提供支持。
The purpose of this study was to assess burnout, secondary traumatic stress, and compassion satisfaction scores in emergency nurses after working through the COVID-19 pandemic using the Professional Quality of Life Scale version 5 and compare those scores with similar studies conducted before the pandemic. A cross-sectional analysis of a descriptive survey including the Professional Quality of Life Scale version 5 questionnaire was sent to nurses working in the emergency department before 2021 from urban, adult, and pediatric receiving hospitals in Southern California. Results were analyzed to provide insight into the effect of the COVID-19 pandemic on the levels of burnout, secondary traumatic stress, and compassion satisfaction compared with prepandemic studies found in the literature using the same Professional Quality of Life Scale version 5 instrument. Mean subcategory scores were in the moderate range for burnout (25.6), secondary traumatic stress (24.5), and compassion satisfaction (38.7). Burnout scores for midshift nurses were found to be significantly higher than day shift nurses (mean difference 5, P = .02) as were secondary traumatic stress scores (mean difference 4.6, P = .007). In addition, compassion satisfaction subcategory scores in nurses with 1 child living at home were significantly higher than those with 2 (mean difference 6.7, P = .02). The unnormalized mean findings were similar to prepandemic studies conducted using the same Professional Quality of Life Scale version 5 instrument indicating nurses are at risk of compassion fatigue. In addition, the scores from midshift nurses reflect increased burnout and secondary traumatic stress whereas nurses with 2 children had lower compassion satisfaction. This implies the need for leadership to proactively seek interventions to support nurses on each shift.
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