工作场所环境对大学医院医护人员家庭冲突的预测作用

Kabbash Ia, Zayed Ha, Abdo Sa, El-Sallamy Rm
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摘要

工作-家庭冲突在世界范围内呈持续上升趋势。医院环境被认为是这一日益严重的问题的主要预测因素。工作目的:确定工作场所环境对埃及坦塔大学医院医师和护士工作家庭冲突的影响,并探讨积极和消极工作家庭冲突的预测因素。材料与方法:对坦塔大学附属医院676名医生和护士进行横断面调查。数据收集采用自填问卷,内容包括:个人资料、职业史和家庭责任。工作到家庭和家庭到工作溢出量表通过评估4个领域的16个项目和包括5个领域的工作特征量表来评估工作-家庭界面。结果:近一半的被调查者存在中等程度的负性工作对家庭溢出(56.7%)和负性家庭对工作溢出(49.6%)。工作对家庭的负面影响和家庭对工作的溢出效应随着每周轮班数的增加而显著增加(r= 0)。104, p= 0.013, r= 0.125, p=0.003)。同事支持、主管支持与负向工作对家庭溢出均呈显著负相关(r= -0.144, r=- 0.167, p=0)。分别为0.001)和家庭对工作的溢出效应(r = -0)。204, r =- 0.180, p=0。分别为0.001)。技能自由裁量权、决策权、同事支持、主管支持与两者正相关,工作对家庭的正向影响(r= 0.261, r=0.308, r=0.156, r=0.206, p= 0.001)与家庭对工作的正向影响(r= 0.246, r=0.292, r=0.156, r=0.175, p= 0.001)均有统计学意义。结论与建议:存在中等程度的工作家庭冲突,并受工作环境条件的影响。为了有一个健康的工作场所,在规划职业健康和安全方案时;应该有一个友好、支持、积极的工作环境。有效地处理这些冲突是必须的。
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WORK PLACE ENVIRONMENT AS A PREDICTOR OF FAMILY CONFLICT AMONG PHYSICIANS AND NURSES IN A UNIVERSITY HOSPITAL
Key Introduction: Work-family conflicts are in a continuous rise all over the world. Hospital environment is recognized as a major predictor of this growing problem. Aim of Work: To determine the effect of work place environment on family conflicts and explore predictors for positive and negative work family conflicts among physicians and nurses in Tanta University Hospitals, Egypt. Materials and Methods : A cross-sectional study was conducted among a sample of 676 physicians and nurses in Tanta University Hospitals. A self-administered questionnaire was used for data collection which included: personal data, occupational history and household responsibilities. Scales for work to family and family to work spillover were used to assess work-family interface by evaluating 16 items in four domains and Job characteristics scales which included 5 domains. Results: Nearly half of studied participants had Moderate degree of negative work to family spillover (56.7%) and negative family to work spillover (49.6%). The negative work to family and family to work spillovers significantly increased by increasing number of shifts/week (r= 0. 104, p= 0.013, r= 0.125, p=0.003 respectively). Statistically significant negative correlations were detected between coworker’s support, supervisors support and both negative work to family spillover (r= -0.144, r=- 0.167, p=0. 0.001, respectively) and family to work spillovers (r = -0. 204, r =- 0.180, p=0. 0.001, respectively) . Statistically significant positive correlation was found between skill discretion, decision authority, coworkers support, supervisors support and both, positive work to family (r= 0.261, r=0.308, r=0.156, r=0.206, p= 0.001) and positive family to work spillovers (r= 0.246, r=0.292, r=0.156, r=0.175, p= 0.001). Conclusion and Recommendations: There is Moderate degree of work family conflicts which is affected by work environment conditions. In order to have a healthy work place and when planning for occupational health and safety program; there should be friendly supportive positive work place environment. Handling these conflicts effectively are mandatory.
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