基于工作压力的护士职业倦怠:心理资本与应对策略的中介作用

Sajad Sohrabijam, R. Amani, M. Farhadi, Tahereh Haghtalab
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引用次数: 0

摘要

背景:职业倦怠是显著降低护士工作绩效的因素之一,其影响因素多种多样。目的:在心理资本和护士应对策略的中介作用下,建立基于工作压力的职业倦怠模型。材料与方法:本相关研究属于描述性横断面研究的范畴。研究对象包括在克尔曼沙阿省公立医院工作的所有护士。采用随机整群抽样的方法,选取404名护士参与研究。采用人口统计信息问卷、护理压力量表、Maslach倦怠量表、应激情境应对量表和心理资本问卷进行数据收集。采用SPSS软件第24版和Amos软件第24版对收集到的数据进行分析。结果:模型具有可接受的拟合优度(χ2/df=3.05, GFI=0.90, CFI=0.93, RMSEA=0.07)。结果表明,职业压力在问题导向应对(β=0.028, P=0.001)、情绪导向应对(β=0.069, P=0.001)、回避导向应对(β=0.046, P=0.001)和心理资本应对(β=0.144, P=0.001)的中介作用下间接影响护士职业倦怠。结论:工作压力直接影响护士的职业倦怠,并通过问题导向应对、情绪导向应对、回避导向应对和心理资本的中介作用。因此,建议当局组织培训课程,提高护士的应对策略和心理资本,从而减轻职业压力的影响。
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Modeling Occupational Burnout Based on Job Stress With the Mediating Role of Psychological Capital and Coping Strategies Among Nurses
Background: Occupational burnout is one of the factors that can significantly decline the performance of nurses, and can be influenced by various factors. Objectives: The present study seeks to model occupational burnout based on job stress with the mediation of psychological capital and coping strategies used by nurses. Materials & Methods: The present correlational article falls into the category of descriptive-crosssectional studies. The population of the study includes all nurses working in public hospitals of Kermanshah province. A total of 404 nurses selected through random cluster sampling participated in the study. Demographic Information Questionnaire, Nursing Stress Scale, Maslach Burnout inventory, The Coping Inventory for Stressful Situations and psychological capital questionnaire were used for data collection purposes. The collected data were analyzed using SPSS software, version 24 and Amos software, version 24. Results: The results showed that the proposed model had an acceptable goodness of fit (χ2/df=3.05, GFI=0.90, CFI=0.93, RMSEA=0.07). The results suggest that occupational stress with the mediating role of problem -focused coping (β=0.028, P=0.001), emotion-focused coping (β=0.069, P=0.001), avoidant-oriented coping (β=0.046, P=0.001) and psychological capital (β=0.144, P=0.001) can indirectly affect nurses’ occupational burnout. Conclusion: Job stress affects nurses’ burnout directly as well as through the mediation of problem-focused coping, emotion-focused coping, avoidant-oriented coping and psychological capital. Accordingly, authorities are advised to organize training courses to improve coping strategies and psychological capital of nurses and thereby mitigate the effect of occupational stress.
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