Why is change a challenge in acute mental health wards? A cross-sectional investigation of the relationships between burnout, occupational status and nurses' perceptions of barriers to change
Why is change a challenge in acute mental health wards? A cross-sectional investigation of the relationships between burnout, occupational status and nurses' perceptions of barriers to change
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DOI：
10.1111/inm.12517
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发表时间：
2019-02-01
影响因子：
5.6
通讯作者：
Wykes, Til
中科院分区：
文献类型：
--
作者：
Laker, Caroline;Cella, Matteo;Wykes, Til
英国精神病房的改革很难实施。护理人员抵抗的具体领域仍不清楚。先前的医疗保健研究表明，职业倦怠很常见，而且管理人员比直接护理人员更积极地看待变化。因此，我们将研究职业倦怠和劳动力特征是否影响精神科护士对变革障碍的看法。精神科护士 (N=125) 完成了对变革障碍的看法测量”（VOCALISE：子量表包括无力感、信心和消极动力”）；和倦怠”（Maslach 倦怠量表：子量表包括情绪耗竭、个人成就和人格解体）。还收集了员工特征，如工作年限、职业地位、教育程度、种族、性别和年龄。这些测量值之间的相关性为随机效应回归模型提供了信息，该模型用于预测改变分数的障碍并探索 VOCALISE 子量表中的差异效应。对变革障碍的看法 (VOCALISE) 与倦怠 (r=0.39)、职业状态 (r=-0.18) 和年龄 (r=0.22) 相关。倦怠（Coef.：10.52；P>0.001）和职业状态（Coef.：-4.58；P=0.05）预测 VOCALISE。情绪疲惫（系数：0.18；P
Changes in UK psychiatric wards have been difficult to implement. Specific areas of nursing staff resistance remain unclear. Previous healthcare research suggests that burnout is common and that managers' regard changes more positively than direct care staff. We will therefore examine whether burnout and workforce characteristics influence psychiatric nurses' perceptions of barriers to change. Psychiatric nurses (N=125) completed perceptions measures of barriers to change' (VOCALISE: subscales included powerlessness, confidence and demotivation'); and burnout' (Maslach Burnout Inventory: subscales included emotional exhaustion, personal accomplishment and depersonalization ). Staff characteristics, such as length of employment, occupational status, education, ethnicity, gender and age, were also collected. Correlations between these measures informed random-effects regression models, which were conducted to predict the barriers to change score and to explore differential effects in the subscales of VOCALISE. Perceptions of barriers to change (VOCALISE) were correlated with burnout (r=0.39), occupational status (r=-0.18) and age (r=0.22). Burnout (Coef. : 10.52; P>0.001) and occupational status (Coef. : -4.58; P=0.05) predicted VOCALISE. Emotional exhaustion (Coef. : 0.18; P