Exploring the burden of emergency care: predictors of stress-health outcomes in emergency nurses
Exploring the burden of emergency care: predictors of stress-health outcomes in emergency nurses
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DOI：
10.1111/j.1365-2648.2010.05599.x
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发表时间：
2011-06-01
影响因子：
3.8
通讯作者：
Maes, Stan
中科院分区：
文献类型：
--
作者：
Adriaenssens, Jef;De Gucht, Veronique;Maes, Stan
目的：本研究旨在探讨(1)急诊护士在工作和组织特征上是否与普通医院护理对照组不同；(2)这些特征在多大程度上预测急诊护士的工作满意度、离职意向、工作投入、疲惫和心身痛苦。方法：采用莱顿护士工作质量问卷、个体力量量表、乌得勒支工作投入量表和简明症状自评量表对2007-2008年比利时综合医院15个急诊科的254名急诊护士进行横断面调查。结果急诊护士的工作压力和体力需求较大，决策权较低，工作程序较差，报酬较低。然而，他们报告说，同事有更多的机会获得技能判断和更好的社会支持。工作时间需求似乎是急诊护士心身抱怨和疲劳的重要决定因素。除了个人特征外，决策权威、技能自由裁量权、适当的工作程序、领奖感和主管的社会支持被证明是急诊护士工作满意度、工作投入和较低离职倾向的强烈决定因素。结论：应定期对急诊科的工作和组织特征进行筛查，以确定可作为预防干预目标的应激-健康结果的决定因素。
P>Aims.This paper is a report of a study that examines (1) whether emergency nurses differ from a general hospital nursing comparison group in terms of job and organizational characteristics and (2) to what extent these characteristics predict job satisfaction, turnover intention, work engagement, fatigue and psychosomatic distress in emergency nurses.Background.The work environment and job characteristics of nurses are important predictors of stress-health outcomes. Emergency nurses are particularly exposed to stressful events and unpredictable work conditions.Methods.This cross-sectional study (N = 254) was carried out in 15 emergency departments of Belgian general hospitals in 2007-2008 by means of the Leiden Quality of Work Questionnaire for Nurses, the Checklist Individual Strength, the Utrecht Work Engagement Scale and the Brief Symptom Inventory.Results.Emergency nurses report more time pressure and physical demands, lower decision authority, less adequate work procedures and less reward than a general hospital nursing population. They report, however, more opportunity for skill discretion and better social support by colleagues. Work-time demands appear to be important determinants of psychosomatic complaints and fatigue in emergency nurses. Apart from personal characteristics, decision authority, skill discretion, adequate work procedures, perceived reward and social support by supervisors prove to be strong determinants of job satisfaction, work engagement and lower turnover intention in emergency nurses.Conclusion.Emergency departments should be screened regularly on job and organizational characteristics to identify determinants of stress-health outcomes that can be the target of preventive interventions.