护士-管理者双重干预 (NMDI) 计划对 ICU 职业倦怠护士的工作投入和工作塑造的影响:准实验研究

IF 3.7 2区 医学 Q2 MANAGEMENT Journal of Nursing Management Pub Date : 2024-10-28 DOI:10.1155/2024/6828123
Fang-Yan Yue, Si-Jia Wang, Yun Du, Feng-Ye Sun, Yu-Ping Wang, Yu-Fang Guo
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引用次数: 0

摘要

目的评估护士-管理者二元干预(NMDI)计划对重症监护室职业倦怠护士的工作参与度和工作匠心的影响。 背景:工作投入对护士的工作绩效和临床质量至关重要:工作投入对护士的工作表现和临床护理质量至关重要。个人和工作资源是工作投入的重要前因。然而,很少有干预研究关注改善护士的个人和工作资源,以促进职业倦怠护士的工作投入和工作设计。 研究方法这是一项准实验研究。招募了来自山东省两家三级医院的 120 名 ICU 护士。其中一家医院的 42 名 ICU 护士被设为干预组,接受 NMDI 治疗。另一家医院的 60 名 ICU 护士组成对照组,接受医院的常规职业健康指导。分别在基线(T0)、干预后(T1)和干预后 3 个月(T2)收集人口统计学特征、职业倦怠、工作投入度和工作工艺。 结果显示与基线相比,干预后(T1)干预组的工作投入度和工作设计得分均有所提高。在干预后(T1),干预组的工作投入度和工作雕琢度显著高于对照组(βworkengagement = 3.894,p = 0.016;βjobcrafting = 6.104,p = 0.010),但在3个月的随访中,两组之间的差异并不显著(βworkengagement = 3.618,p = 0.066;βjobcrafting = 3.554,p = 0.15)。 结论NMDI项目能明显改善ICU职业倦怠护士的工作参与度和工作创造力。然而,随着时间的推移,这些效果的持续性有限,这表明未来的研究需要探索和实施相关策略,以提高这一干预措施的长期有效性。 对护理管理的启示:建议护士长将 NMDI 计划纳入日常护理管理。管理者应优先考虑自己与护士之间的赞赏性和建设性对话,以支持护士查询个人和工作资源,并鼓励护士制定工作计划以利用资源。这将有助于提高护士的参与度和工作精心度。 试验注册:ClinicalTrials.gov identifier:ChiCTR2100047974
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effects of a Nurse–Manager Dualistic Intervention (NMDI) Program on Work Engagement and Job Crafting of ICU Burnout Nurses: A Quasi-Experimental Study

Objective: To assess the effects of the nurse–manager dualistic intervention (NMDI) program on work engagement and job crafting of ICU burnout nurses.

Background: Work engagement is crucial for nurses’ job performance and quality of clinical care. Personal and work resources are important antecedents of work engagement. However, few intervention studies focused on improving nurses’ personal and work resources to promote work engagement and job crafting of burnout nurses.

Methods: This was a quasi-experimental study. One hundred and two ICU nurses from two tertiary hospitals in Shandong Province were recruited. Forty-two ICU nurses from one hospital were set as the intervention group and underwent NMDI. Sixty ICU nurses from the other hospital constituted the control group, which received routine occupational health guidance from the hospital. Demographic characteristics, burnout, work engagement, and job crafting were collected at baseline (T0), postintervention (T1), and 3-month postintervention (T2).

Results: Compared to baseline, both work engagement and job crafting scores increased in the intervention group at postintervention (T1). At postintervention (T1), work engagement and job crafting were significantly higher in the intervention group than in the control group (βworkengagement = 3.894, p = 0.016 and βjobcrafting = 6.104, p = 0.010), but the difference between the two groups was not significant at the 3-month follow-up (βworkengagement = 3.618, p = 0.066 and βjobcrafting = 3.554, p = 0.15).

Conclusion: The NMDI program can significantly improve ICU burnout nurses’ work engagement and job crafting. Nevertheless, the sustainability of these effects over time has been found to be limited, indicating that future research needs to explore and implement strategies to bolster the long-term efficacy of this intervention.

Implications for Nursing Management: Nurse managers are suggested to integrate the NMDI program into routine nursing management. Managers ought to prioritize appreciative and constructive dialog between themselves and nurses in order to support nurses in inquiring personal and work resources and encourage nurses to develop work plans to utilize resources. This will help to increase nurses’ engagement and job crafting.

Trial Registration: ClinicalTrials.gov identifier: ChiCTR2100047974

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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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