手术室护士的潜在创伤事件：独立效应、累积风险和潜伏类方法

Full text

Aims

The objective of this study is to explore and compare the strength of associations between work-related potential traumatic events and burnout among operating room nurses based on three different approaches.

Design

The study followed a multisite cross-sectional design.

Methods

A stratified sampling method was conducted. Cities in the Shandong Province were divided into four groups, and two tertiary hospitals were randomly selected from all tertiary hospitals in cities of each group. A total of 361 eligible operating room nurses provided valid questionnaires between June and November 2019. Work-related potential traumatic events questionnaire and the Chinese version of the Maslach Burnout Inventory were conducted. Associations between individual, cumulative potential traumatic events, as well as latent class analysis-derived patterns of potential traumatic experiences with burnout were examined using logistic regression analysis.

Results

Specific traumatic events (e.g., patients’ sudden death, bullying and ostracism from colleagues) were independently associated with an increased risk of burnout. Work-related potential traumatic events had a cumulative effect on burnout, whereby operating room nurses exposed to cumulative potential traumatic events carried a higher risk for burnout than others. The “multiple work-related potential traumatic events” pattern derived by latent class analysis was related to an increased risk of high depersonalization.

Conclusion

Operating room nurses who reported specific or multiple work-related potential traumatic events were at high risk for burnout. It is of great significance to provide qualified and timely counselling or support.

Impact

This study is the first to focus on work-related potential traumatic events among operating room nurses and examine their relationship with burnout based on three perspectives. The findings could help identify those operating room nurses who are at high risk of burnout in clinical practice. Hospital managers should develop targeted interventions to prevent or mitigate the harmful impact of potential traumatic events on occupational health.

全文翻译（仅供参考）

目的

本研究的目的是探索和比较基于三种不同方法的手术室护士中与工作相关的潜在创伤事件和倦怠之间的关联强度。

设计

本研究采用了多地点横断面设计。

方法

采用了分层抽样的方法。将山东省内的城市分为四组，并从每组城市的所有三级医院中随机抽取两家三级医院。2019年6月至11月，共有361名符合条件的手术室护士提供了有效问卷。进行了工作相关的潜在创伤事件调查问卷和中文版的马斯拉赫职业倦怠量表。使用逻辑回归分析考察了个体、累积性潜在创伤事件以及潜在类分析得出的潜在创伤经历模式与倦怠之间的关联。

结果

特定的创伤性事件（如病人的突然死亡、欺凌和同事的排斥）与职业倦怠风险的增加独立相关。与工作有关的潜在创伤事件对职业倦怠有累积效应，即手术室护士暴露在累积的潜在创伤事件中的职业倦怠风险比其他人高。通过潜在类分析得出的 "多个工作相关的潜在创伤事件 "模式与高度人格解体的风险增加有关。

结论

报告特定或多个工作相关潜在创伤事件的手术室护士处于高风险的倦怠状态。提供合格和及时的咨询或支持是非常重要的。

影响

本研究首次关注手术室护士中与工作相关的潜在创伤事件，并从三个角度研究其与职业倦怠的关系。研究结果可以帮助识别那些在临床实践中处于职业倦怠高风险的手术室护士。医院管理者应制定有针对性的干预措施，防止或减轻潜在创伤事件对职业健康的有害影响。

原文链接：

https://doi.org/10.1111/jan.15114

打赏