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Relationship of burnout to medical accident among nurses

护士职业倦怠与医疗事故的关系

基本信息

批准号：
14572238
负责人：
KITAOKA Kazuyo
金额：
$ 1.86万
依托单位：
Ishikawa Prefectural Nursing University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2003
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14572238/
关键词：
nurse burnout medical accident coping style job stressor Maslach Burnout Inventory 看護職者

项目摘要

The first study assessed the reliability and validity of the Japanese research version of the Maslach Burnout Inventory-General Survey (MBI-GS) for use by general professions as well as human service professionals. The Japanese MBI-GS was administered to a sample of 696 male intermediate managers working for a manufacturing company. Six hundred and ninety-one effective data were obtained. The study found support for the construct validity as well as the factorial validity of the Japanese MBI-GS.The second study investigated the relationship of burnout to medical accident among nurses. The subjects were 1,684 nurses working at 16 psychiatric hospitals. The self-administered survey was carried out with 1,295 effective data obtained. The research materials consisted of the Japanese MBI-GS, the Nursing Job Stressor Scale by Higashiguchi et al. (1998), the General Coping Questionnaire by Sasaki & Yamazaki (2002), a medical accident questionnaire, and the face sheet. Lastly, the researchers constructed a casual model showing the correlation among job stressors, individual styles of coping, burnout, and the number of medical accidents. Results were as follows : work overload and personal conflict with patients leads to exhaustion, the first step of the burnout process. Exhaustion subsequently leads to cynicism, the second step of the burnout process. Those nurses who have difficulty dealing with patients are more likely to be cynical, callous and indifferent toward patients. Those nurses who have a personal conflict with co-workers are also prone to have cynical attitudes. Burnout can consequently lead to medical accidents. Finally, it was found that nurses with an emotion-oriented coping style are more likely to experience burnout and to cause accidents.

第一项研究评估了日本版Maslach职业倦怠调查（MBI-GS）的信度和效度，该调查适用于普通专业人员和人力服务专业人员。日本MBI-GS对一家制造企业的696名男性中级管理人员进行了抽样调查。获得有效数据691份。本研究发现日本MBI-GS量表的构念效度和析因效度均得到支持。研究二探讨护士职业倦怠与医疗事故的关系。研究对象是16家精神病院的1684名护士。这项自我管理的调查获得了1295个有效数据。研究资料包括日本MBI-GS量表、Higashiguchi et al.（1998）编制的护理工作压力源量表、Sasaki & Yamazaki（2002）编制的一般应对问卷、医疗事故问卷和人脸表。最后，研究人员构建了一个随机模型，显示了工作压力源、个人应对方式、职业倦怠和医疗事故数量之间的相关性。结果表明：超负荷的工作和与患者的个人冲突导致疲惫，这是倦怠过程的第一步。精疲力竭会导致玩世不恭，这是精疲力竭过程的第二步。那些与病人打交道有困难的护士更有可能愤世嫉俗、冷酷无情、对病人漠不关心。那些与同事有个人冲突的护士也容易有愤世嫉俗的态度。过度劳累会导致医疗事故。最后，我们发现情绪导向的护士更容易经历倦怠和造成意外事故。