Demographic and occupational predictors of stress and fatigue in French intensive-care registered nurses and nurses' aides: A cross-sectional study
Demographic and occupational predictors of stress and fatigue in French intensive-care registered nurses and nurses' aides: A cross-sectional study
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DOI：
10.1016/j.ijnurstu.2014.07.015
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发表时间：
2015-01-01
影响因子：
8.1
通讯作者：
Temime, Laura
中科院分区：
文献类型：
--
作者：
Jones, Gabrielle;Hocine, Mounia;Temime, Laura
背景：在重症监护病房（icu）工作的卫生保健工作者（HCWs）面临着可能影响其健康或对患者护理产生影响的高身心需求。虽然有几项研究探讨了医院工作条件某些方面与妇幼保健人员健康之间的联系，但尚未完全了解其中的复杂动态。目的：本研究旨在探讨与法国ICU医护人员疲劳和压力相关的一系列人口、就业和组织因素的影响。设计与设置：横断面研究于2013年1月18日至2013年4月2日在巴黎地区医院的icu进行。包括所有类型的成人icu（内科、外科和多价）。研究对象：包括与患者有接触的医护人员（医生、住院医师、注册护士、护工和理疗师）。建议所有符合条件的卫生保健员参加现场访问。排除了通常不分配到特定ICU的临时工作人员。方法：在白班和夜班期间，采用个人问卷收集资料（N= 682）。压力和疲劳结果包括10项感知压力量表（PSS10）、诺丁汉健康概况睡眠和能量水平标准以及访谈时的当前疲劳状态。多变量分析仅限于护士和护工的数据（n = 536）。结果：医生和住院医生报告的睡眠困难较少，但更有可能报告当前的疲劳状态。在所有结果中，女性与更高的压力水平和更大的疲劳有关，而上级或同事的更多社会支持则减少了压力和疲劳。在组织层面，较长的轮班（12小时vs. 8小时）与疲劳的当前状态和更大的睡眠困难有关。轮班人员的压力较低，当前状态较好，而夜班人员的睡眠和能量水平困难较大。结论：即使在控制人口因素时，就业和组织因素仍然与压力和疲劳结果显着相关。为了改善HCW健康，重要的是同时考虑个人和组织层面的因素。(C) 2014 Elsevier Ltd.版权所有。
Background: Healthcare workers (HCWs) working in intensive-care units (ICUs) are exposed to high physical and mental demands potentially affecting their health or having repercussions on patient care. Although several studies have explored the links between some aspects of working conditions in hospitals and HCW health, the complex dynamics at play are not fully understood.Objectives: This study aimed to explore the impact of a wide array of demographic, employment and organizational factors related to fatigue and stress of French ICU HCWs.Design and setting: A cross-sectional study was conducted in ICUs of Paris-area hospitals between January 18, 2013 and April 2, 2013. All types of adult ICUs were included (medical, surgical and polyvalent).Participants: Included in the study were HCWs with patient contact (doctors, residents, registered nurses, nurse's aides and physical therapists). Participation was proposed to all eligible HCWs present during on-site visits. Temporary staff not typically assigned to the given ICU was excluded.Methods: Data were collected using an individual questionnaire administered in interviews during day and night shifts (N= 682). Stress and fatigue outcomes included the 10-item Perceived Stress Scale (PSS10), the Nottingham Health Profile sleep and energy level rubrics and the current fatigue state at the interview. Multivariate analysis was restricted to nurse and nurse's aide data (n = 536).Results: Doctors and residents reported fewer sleep difficulties but were more likely to report a tired current state. Female gender was associated with higher stress levels and greater fatigue for all outcomes, while greater social support of supervisor or colleagues decreased stress and fatigue. At the organizational level, longer shifts (12 h vs. 8 h) were associated with tired current state and greater sleep difficulties. Personnel on rotating shifts had lower stress and a better current state, while those on night shifts had greater sleep and energy level difficulties.Conclusions: Even when controlling for demographic factors, employment and organizational elements remained significantly associated with stress and fatigue outcomes. To improve HCW health it is important to consider simultaneously factors at the individual and organizational level. (C) 2014 Elsevier Ltd. All rights reserved.