{"title":"调查组织压力在护士心身不适中的作用:来自意大利东北部一项研究的证据。","authors":"Francesco Marcatto, Emilia Patriarca, Davide Bramuzzo, Emanuela Lucci, Francesca Larese Filon","doi":"10.3934/publichealth.2024021","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nursing is pivotal to healthcare delivery but is often associated with high levels of organizational stress. In this cross-sectional study, we aimed to investigate the associations between exposure to organizational stressors, measured using the Health and Safety Executive Management Standards Indicator Tool, and psychosomatic complaints among nurses in a medium-sized city hospital in northeastern Italy.</p><p><strong>Methods: </strong>A total of 215 nurses participated in the study, completing self-report questionnaires assessing organizational stressors and the prevalence of psychosomatic complaints experienced over the preceding six months.</p><p><strong>Results: </strong>Significant associations were observed between various organizational stressors and psychosomatic complaints among nurses. Specifically, the Relationships factor emerged as a significant predictor of palpitations, irritability, anxiety, physical and mental tiredness, and headache. Additionally, Demands and Managers' support were identified as significant predictors of specific psychosomatic complaints.</p><p><strong>Conclusion: </strong>This study highlights the critical role of addressing organizational stressors, particularly those related to interpersonal relationships, in promoting nurse well-being and optimizing patient care delivery. Despite its strengths, including the use of a well-established measurement tool and a comprehensive assessment of psychosomatic complaints, limitations such as the cross-sectional design and self-report measures warrant consideration. By prioritizing supportive work environments and implementing targeted interventions, healthcare organizations can cultivate a culture of well-being among nurses, ultimately enhancing the quality and safety of healthcare delivery.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 2","pages":"420-431"},"PeriodicalIF":3.1000,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252574/pdf/","citationCount":"0","resultStr":"{\"title\":\"Investigating the role of organizational stress in nurses' psychosomatic complaints: Evidence from a study in northeastern Italy.\",\"authors\":\"Francesco Marcatto, Emilia Patriarca, Davide Bramuzzo, Emanuela Lucci, Francesca Larese Filon\",\"doi\":\"10.3934/publichealth.2024021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Nursing is pivotal to healthcare delivery but is often associated with high levels of organizational stress. In this cross-sectional study, we aimed to investigate the associations between exposure to organizational stressors, measured using the Health and Safety Executive Management Standards Indicator Tool, and psychosomatic complaints among nurses in a medium-sized city hospital in northeastern Italy.</p><p><strong>Methods: </strong>A total of 215 nurses participated in the study, completing self-report questionnaires assessing organizational stressors and the prevalence of psychosomatic complaints experienced over the preceding six months.</p><p><strong>Results: </strong>Significant associations were observed between various organizational stressors and psychosomatic complaints among nurses. Specifically, the Relationships factor emerged as a significant predictor of palpitations, irritability, anxiety, physical and mental tiredness, and headache. Additionally, Demands and Managers' support were identified as significant predictors of specific psychosomatic complaints.</p><p><strong>Conclusion: </strong>This study highlights the critical role of addressing organizational stressors, particularly those related to interpersonal relationships, in promoting nurse well-being and optimizing patient care delivery. Despite its strengths, including the use of a well-established measurement tool and a comprehensive assessment of psychosomatic complaints, limitations such as the cross-sectional design and self-report measures warrant consideration. By prioritizing supportive work environments and implementing targeted interventions, healthcare organizations can cultivate a culture of well-being among nurses, ultimately enhancing the quality and safety of healthcare delivery.</p>\",\"PeriodicalId\":45684,\"journal\":{\"name\":\"AIMS Public Health\",\"volume\":\"11 2\",\"pages\":\"420-431\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2024-03-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252574/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AIMS Public Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3934/publichealth.2024021\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AIMS Public Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3934/publichealth.2024021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
背景:护理工作在医疗保健服务中举足轻重,但往往与高水平的组织压力有关。在这项横断面研究中,我们旨在调查意大利东北部一家中型城市医院的护士所面临的组织压力与心身疾病之间的关系,我们使用的是健康与安全执行委员会管理标准指标工具(Health and Safety Executive Management Standards Indicator Tool):共有 215 名护士参加了这项研究,他们填写了自我报告问卷,评估了组织压力因素和前六个月的心身不适症状:结果:研究发现,各种组织压力因素与护士的心身不适之间存在显著关联。具体来说,关系因素是心悸、易怒、焦虑、身心疲惫和头痛的重要预测因素。此外,要求和管理者的支持也被确定为特定心身不适的重要预测因素:本研究强调了解决组织压力(尤其是与人际关系相关的压力)在促进护士福祉和优化患者护理服务方面的关键作用。尽管这项研究具有使用成熟的测量工具和全面评估心身不适等优点,但其局限性,如横断面设计和自我报告措施,值得考虑。通过优先考虑支持性工作环境并实施有针对性的干预措施,医疗机构可以在护士中培养一种健康文化,最终提高医疗服务的质量和安全性。
Investigating the role of organizational stress in nurses' psychosomatic complaints: Evidence from a study in northeastern Italy.
Background: Nursing is pivotal to healthcare delivery but is often associated with high levels of organizational stress. In this cross-sectional study, we aimed to investigate the associations between exposure to organizational stressors, measured using the Health and Safety Executive Management Standards Indicator Tool, and psychosomatic complaints among nurses in a medium-sized city hospital in northeastern Italy.
Methods: A total of 215 nurses participated in the study, completing self-report questionnaires assessing organizational stressors and the prevalence of psychosomatic complaints experienced over the preceding six months.
Results: Significant associations were observed between various organizational stressors and psychosomatic complaints among nurses. Specifically, the Relationships factor emerged as a significant predictor of palpitations, irritability, anxiety, physical and mental tiredness, and headache. Additionally, Demands and Managers' support were identified as significant predictors of specific psychosomatic complaints.
Conclusion: This study highlights the critical role of addressing organizational stressors, particularly those related to interpersonal relationships, in promoting nurse well-being and optimizing patient care delivery. Despite its strengths, including the use of a well-established measurement tool and a comprehensive assessment of psychosomatic complaints, limitations such as the cross-sectional design and self-report measures warrant consideration. By prioritizing supportive work environments and implementing targeted interventions, healthcare organizations can cultivate a culture of well-being among nurses, ultimately enhancing the quality and safety of healthcare delivery.