IMPACT OF NURSES TAKING DAILY WORK BREAKS IN A HOSPITAL GARDEN ON BURNOUT
IMPACT OF NURSES TAKING DAILY WORK BREAKS IN A HOSPITAL GARDEN ON BURNOUT
复制标题
DOI：
10.4037/ajcc2018131
复制
发表时间：
2018-11-01
影响因子：
2.7
通讯作者：
Perkins, R. Serene
中科院分区：
文献类型：
--
作者：
Cordoza, Makayla;Ulrich, Roger S.;Perkins, R. Serene
背景在医院环境中工作的护士存在职业倦怠的风险。暴露在自然环境中对护士的心理有益，但医院花园对护士职业倦怠的影响了解较少。目的比较在医院综合花园进行日常工作休息和室内休息对护士职业倦怠的影响。在一周的冲洗期后，休息分配被切换到随后的六周。在每6周的开始和结束时执行Maslach工作倦怠问卷，并在每次休息的开始和结束时完成目前有效的视觉模拟量表，以捕捉即时的心理症状。结果与室内休息相比，花园护士在情绪衰竭(4.5vs-0.2；P<；.001)和去人格化(1.8vs 0.0；P=0.02)方面的得分有显著改善，而在个人成就感方面(-0.6vs-0.0；P=.55)无显著改善。与室内休息相比，在花园休息时，护士在当前功能视觉模拟量表上的症状总分显著改善(花园休息对室内休息，4.0vs2.4；P=0.04)。结论每天在室外花园休息有利于减轻在医院环境中工作的护士的职业倦怠。
Background Nurses working in hospital environments are at risk for burnout. Exposure to nature has psychological benefits, but the effect of hospital gardens on nurse burnout is less understood.Objective To compare the effect on nurse burnout of taking daily work breaks in a hospital-integrated garden with the effect of indoor-only breaks.Methods A prospective crossover trial was conducted of nurses assigned to either 6 weeks of a work break in an outdoor hospital garden or 6 weeks of indoor-only breaks. After a 1-week washout period, break assignments were switched for a subsequent 6 weeks. The Maslach Burnout Inventory was administered at the beginning and end of each 6-week period, and a Present Functioning Visual Analogue Scale was completed at the start and end of each break to capture immediate psychological symptoms. Change scores were analyzed by using generalized estimating equations.Results For 29 nurses, for garden compared with indoor breaks, significant improvement was apparent in scores on the Maslach Burnout Inventory subscales for emotional exhaustion (4.5 vs -0.2; P< .001) and depersonalization (1.8 vs 0.0; P=.02) but not for personal accomplishment (-0.6 vs -0.0; P= .55). Compared with indoor breaks, total symptom scores on the Present Functioning Visual Analog Scale improved significantly when nurses took a break in the garden (garden vs indoor breaks, 4.0 vs 2.4; P=.04).Conclusions Taking daily work breaks in an outdoor garden may be beneficial in mitigating burnout for nurses working in hospital environments.