意大利ICU护士COVID-19急诊后的职业倦怠症状、工作动机及其关系多中心研究。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Annali di igiene : medicina preventiva e di comunita Pub Date : 2024-01-01 DOI:10.7416/ai.2023.2588
V Muschitiello, M Milani, C Marseglia, V Damico
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引用次数: 0

摘要

背景:尽管卫生突发事件已经结束,但卫生保健专业人员仍面临发展长期精神健康问题的风险。本研究的目的是观察重症监护护士在最后一名SARS-CoV-2阳性拭子患者入住重症监护病房一年后的倦怠症状和工作动机。研究设计:采用多中心横断面研究设计,并于2023年4月至2023年5月对21个意大利重症监护病房进行全国性网络调查。方法:采用单项选择题和多项选择题进行问卷调查,问卷分为人口统计学样本数据、马斯拉克倦怠量表(倦怠症状评估)和多维工作动机量表(工作动机评估)3个部分。结果:共纳入调查问卷490份。其中272人为男性(66.5%)。至少79%的ICU护士存在倦怠相关症状。在分析的169名护士中(41.3%)观察到严重的职业倦怠症状,在大流行期间感染COVID-19或SARS-COV-2阳性拭子的护士中,这种症状尤为明显(RR= 1.55;CI= 1.24-1.95, p= 0.0004),至少有一个孩子的护士(RR= 1.37;CI = 1.07 - -1.76;p = .011)。有内在动机的护士为281名(68.7%)。具有5-10年工作经验的护士发生内在动机丧失的风险显著更高(RR= 2.44;CI = 1.48 - -4.02;p = .0002)。情绪耗竭与动机丧失和内源性动机增加有关。人格解体与动机丧失有关。个人成就与外在动机和动机的增加有关。结论:意大利ICU护士在COVID-19紧急情况下存在高水平的职业倦怠和低工作动机。应采取干预措施和策略,防止职业倦怠,提高工作动机。
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Burnout symptoms, work motivation and their relationships among Italian ICU's nurses after COVID-19 emergency. A multicenter study.

Background: Despite the end of the health emergency, healthcare professionals are at risk of developing long-term mental health problems. The aim of this study was to observe Burnout symptoms and work motivation among Intensive Care Nurses, one year after admission to the Intensive Care Unit of the last positive SARS-CoV-2 swab patients.

Study design: A multicenter cross-sectional study design was carried out and a national web-based survey was conducted between April, 2023 and May, 2023 among 21 Italian Intensive Care Units.

Methods: The survey consisted of single- and multiple-choice questions structured into 3 sections: demographic sample data, Maslach Burnout Inventory Scale for the assessment of Burnout-symptoms and Multidimensional Work Motivation Scale for the assessment of work motivation.

Results: Four hundred-nine surveyed and questionnaires were included in the study. Of these 272 were male (66.5%). Burnout-related symptoms were identified in at least 79% of ICU nurses. Symptoms of severe Burnout was observed in 169 nurses analysed (41.3%) and they are significantly among nurses who had COVID-19 or positive SARS-COV-2 swab during the pandemic (RR= 1.55; CI= 1.24-1.95, p= .0004) and among nurses with at least one child (RR= 1.37; CI= 1.07-1.76; p= .011). Motivated nurses for the intrinsic motivation's level have been 281 (68.7%). The risk of being intrinsically demotivated is significantly greater among nurses with 5-10 years of work experience (RR= 2.44; CI= 1.48-4.02; p= .0002). Emotional exhaustion was associated in increase in demotivation and introjected estrinsic motivation. Depersonalization was associated with demotivation. Personal accomplishment was associated with increase in external estrinsic motivation and amotivation.

Conclusions: High level of Burnout has been observed among Italian ICU nurses associated with low work motivation after COVID-19 emergency. Interventions and strategies should be adopted to prevent burnout and improve work motivation.

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Annali di igiene : medicina preventiva e di comunita
Annali di igiene : medicina preventiva e di comunita HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
69
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