Causes and consequences of occupational stress in emergency nurses, a longitudinal study
Causes and consequences of occupational stress in emergency nurses, a longitudinal study
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DOI：
10.1111/jonm.12138
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发表时间：
2015-04-01
影响因子：
5.5
通讯作者：
Maes, Stan
中科院分区：
文献类型：
--
作者：
Adriaenssens, Jef;De Gucht, Veronique;Maes, Stan
AimThis纵向研究探讨了随着时间的推移，在工作和组织特征的变化对工作满意度，工作投入，情绪耗竭，离职意向和心身困扰在急诊室nurs.BackgroundOrganisational和工作特征的护士压力健康结果的重要预测因素。急诊室护士特别是暴露在紧张的工作相关的事件和不可预测的工作conditions.MethodThe研究进行了15个比利时综合医院的急诊科在2008年（T1）和18个月后（T2）（n=170）。随着时间的推移，在预测因素和结果中发现了重要的变化。工作需求、控制和社会支持的变化对工作满意度、工作投入和情绪衰竭有预测作用。此外，报酬、社会骚扰和工作协议的变化分别预测了工作投入、情绪衰竭和离职意向。结论工作相关干预对改善急诊室护士的职业健康具有重要意义，应侧重于降低工作要求，增加工作控制，改善社会支持，护理管理者应了解急诊室护士职业紧张的原因和后果，以便采取预防措施，干预措施。
AimThis longitudinal study examines the influence of changes over time in work and organisational characteristics on job satisfaction, work engagement, emotional exhaustion, turnover intention and psychosomatic distress in emergency room nurses.BackgroundOrganisational and job characteristics of nurses are important predictors of stress-health outcomes. Emergency room nurses are particularly exposed to stressful work-related events and unpredictable work conditions.MethodThe study was carried out in 15 emergency departments of Belgian general hospitals in 2008 (T1) and 18months later (T2) (n=170).ResultsTurnover rates between T1 and T2 were high. Important changes over time were found in predictors and outcomes. Changes in job demand, control and social support predicted job satisfaction, work engagement and emotional exhaustion. In addition, changes in reward, social harassment and work agreements predicted work engagement, emotional exhaustion and intention to leave, respectively.ConclusionsWork-related interventions are important to improve occupational health in emergency room nurses and should focus on lowering job demands, increasing job control, improving social support and a well-balanced reward system.Implications for nursing managementNursing managers should be aware of the causes and consequences of occupational stress in emergency room nurses in order to enable preventive interventions.