Nurse Stressors and Satisfiers in the NICU
Nurse Stressors and Satisfiers in the NICU
复制标题
DOI：
10.1097/anc.0000000000000514
复制
发表时间：
2018-08-01
影响因子：
1.7
通讯作者：
Fiske, Elizabeth
中科院分区：
文献类型：
--
作者：
Fiske, Elizabeth
背景：在新生儿重症监护室（NICU）工作既有收获，也有压力。压力源可能超过满意度，导致工作不满和离职。护士保留仍然是一个问题，特别是对护士在第一年的就业。目的：本研究的目的是检查目前的护士压力，满意度，和应对过程中的新生儿重症监护室。方法：来自北卡罗来纳州3家磁铁机构的72名新生儿护士完成了ICU压力源调查、应对方式量表、人口统计学数据问题和Qualtrics中的自由文本问题，安全的在线调查系统使用仪器开发者开发和验证的方案分析样品，并使用SPSS统计软件分析定量数据。结果：大多数护士认为NICU护理工作压力大，但能较好地应对工作压力。护士对自己的知识和病人护理能力感到自信，没有受到NICU环境的压力。工作人员不足是最常见的压力源。应对策略的目标是完成任务。护士们希望他们的单位能有更好的团队合作。护士感到更尊重他们的同行和家人比他们的直接主管和医生。
Background: Working in a neonatal intensive care unit (NICU) can be both rewarding and stressful. Stressors can outweigh satisfiers, leading to job dissatisfaction and turnover. Nurse retention remains a problem, particularly for nurses within the first year of employment.Purpose: The purpose of this study was to examine current nurse stressors, satisfiers, and coping processes in the NICU.Methods: Seventy-two neonatal nurses from 3 Magnet facilities in North Carolina completed the ICU Stressors Survey, the Ways of Coping Scale, demographic data questions, and free-text questions in Qualtrics, a secure online survey system. Questionnaires were analyzed using protocols developed and validated by instrument developers, and quantitative data were analyzed using SPSS statistical software. Free-text responses were analyzed using iterative coding and thematic grouping.Results: Most nurses thought that NICU nursing was stressful, but they coped well with work stress. Nurses felt confident in their knowledge and patient care abilities and were not stressed by the NICU environment. Inadequate staffing was the most common stressor. Coping strategies were aimed at task completion. Nurses wanted better teamwork on their units. Nurses felt more respected by their peers and families than by their immediate supervisors and physicians.