BURNOUT AND THE SEXUAL ASSAULT NURSE EXAMINER: WHO IS EXPERIENCING BURNOUT AND WHY?
BURNOUT AND THE SEXUAL ASSAULT NURSE EXAMINER: WHO IS EXPERIENCING BURNOUT AND WHY?
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DOI：
10.1016/j.jen.2021.10.008
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发表时间：
2022-03-04
影响因子：
1.7
通讯作者：
Cline, David
中科院分区：
文献类型：
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作者：
Zelman, Stacie;Goodman, Elizabeth;Cline, David
介绍：性侵犯护士检查员的角色证实了高压力和高度情绪化的病人互动，往往与倦怠。本研究的目的是探讨在北卡罗来纳州的性侵犯护士考官之间的倦怠频率：这种横断面研究是一个匿名的调查练习性侵犯护士考官在北卡罗来纳州内使用Maslach倦怠量表和其他人口统计学。采用比值比、置信区间、Fisher精确检验、卡方检验和Kruskal沃利斯检验对结果进行分析。在95名受访者中，停止急诊和护士检查员工作的性侵犯护士检查员的倦怠更常见（55.6%，比值比4.41，95%置信区间1.07-18.06）和双重职能护士（急诊和护士检查员工作，35.7%，OR 2.71，95%可信区间1.04-7.06）。性侵犯护士审查员谁有很高的比例，儿科病例（高于中位数40%）更有可能达到情绪耗竭得分> 26的倦怠阈值（48.78%对25.93%，卡方（2）= 5.30，P = 0.02），更有可能达到去人格化评分> 9的倦怠阈值（48.78%vs24.07%，chi（2）= 6.28，P= .01）。讨论：同时担任性侵犯检查护士和急诊护士以及从这两个专业退休的人的倦怠阈值标准频率较高。我们还发现，性侵犯护士审查员与儿科病例的情况下，更高的混合有较高的情绪衰竭分数和较高的人格解体分数。
Introduction: A sexual assault nurse examiner role exemplifies the high-stress and highly emotional patient interactions that are often associated with burnout. The purpose of this study was to examine the frequency of burnout among sexual assault nurse examiners in North Carolina.Methods: This cross-sectional study was an anonymous survey of practicing sexual assault nurse examiners within North Carolina using the Maslach Burnout Inventory and additional demographics. Results were analyzed with odds ratios, confidence intervals, Fisher exact, chi-square, and Kruskal Wallis tests as appropriate.Results: Among 95 respondents, burnout was more frequent in sexual assault nurse examiners who stopped both emergency and nurse examiner work (55.6%, odds ratio 4.41, 95% confidence interval 1.07-18.06) and in dual function nurses (both emergency and nurse examiner work, 35.7%, odds ratio 2.71, 95% confidence interval 1.04-7.06). Sexual assault nurse examiners who had a high percentage of pediatric cases (above the median of 40%) were more likely to meet burnout thresholds for emotional exhaustion scores > 26 (48.78% vs 25.93%, chi(2) = 5.30, P = .02) and more likely to meet burnout thresholds for depersonalization scores > 9 (48.78% vs 24.07%, chi(2) = 6.28, P= .01).Discussion: Higher frequency of burnout threshold criteria was found in those people who worked concurrently as a sexual assault nurse examiner and an emergency nurse and in those who had retired from both specialties. We also found that sexual assault nurse examiners with a higher case mix of pediatric cases had higher emotional exhaustion scores and higher depersonalization scores.