Bad Versus Good, What Matters More on the Treatment Floor? Relationships of Positive and Negative Events With Nurses' Burnout and Engagement.

Bad Versus Good, What Matters More on the Treatment Floor? Relationships of Positive and Negative Events With Nurses' Burnout and Engagement.
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坏与好,在治疗层面什么更重要?

DOI:
10.1002/nur.21696
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发表时间:
2015
影响因子:
2
通讯作者:
Jacobs,Laurie
Jacobs,Laurie
中科院分区:
医学4区
文献类型:
--
作者:
Sinclair,RobertR;Sliter,Michael;Mohr,CynthiaD;Sears,LindsayE;Deese,MarylinNicole;Wright,RobertR;Cadiz,David;Jacobs,Laurie

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许多调查人员报告了护理的压力方面;很少有人关注护士的积极工作经历。在这项研究中,我们开发了一种与护理工作任务以及工作的社会和组织背景相关的积极和消极事件的2 × 2类型:成功、支持、限制和冲突。我们假设积极事件会预测敬业度,消极事件会预测倦怠,而消极事件与倦怠和敬业度的关系更强。在对310名急症护理护士的二次分析中,这些护士在一个时间点完成了工作事件的调查测量,并在大约8个月后完成了职业倦怠和敬业度的测量,回归结果表明,积极和消极的工作事件都对敬业度有贡献,而只有消极的工作事件与职业倦怠有关。支配分析的结果表明,约束和冲突比支持和成功更能预测倦怠。此外,与“坏比好”的观点一致,尽管成功、支持和冲突也能预测敬业度,但最能预测敬业度的因素是较低的约束。©2015 Wiley期刊公司
Many investigators have reported the stressful aspects of nursing; fewer have focused on nurses' positive work experiences. For this study, we developed a 2 × 2 typology of positive and negative events related to the tasks of nursing work and the social and organizational context of that work: successes, supports, constraints, and conflicts. We hypothesized that positive events would predict engagement, negative events would predict burnout, and negative events would be more strongly related to both burnout and engagement. In secondary analyses of data from 310 acute care nurses who completed survey measures of workplace events at one time point and burnout and engagement measures approximately eight months later, regression results indicated that both positive and negative work events contributed to engagement, whereas only negative events were related to burnout. The results of dominance analyses established that constraints and conflicts more strongly predicted burnout than did supports and successes. Additionally, consistent with a “bad is stronger than good” perspective, the strongest predictor of engagement was lower constraints, although successes, supports, and conflicts also predicted engagement. © 2015 Wiley Periodicals, Inc.
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