2018年埃塞俄比亚中部奥罗米亚州阿尔西区公立医院护士职业压力及相关因素分析

B. Hailu, Yohannes Ejigu, Y. Siraneh
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引用次数: 7

摘要

从本质上讲,护理是一项压力很大的职业。这个职业的工作对象本身也承受着相当大的压力。职业压力降低了服务质量,也导致了员工的倦怠、离职和缺勤。本研究的目的是了解护士的职业压力水平及相关因素。该研究采用基于设施的横断面研究于2018年8月13日至9月2日进行。采用自填式结构化问卷对所有在Arsi区公立医院服务至少6个月的护士进行调查。收集到的数据经过手工核对、编辑、编码后输入Epi-data 3.1版本,最后导出到social science version 24统计包中进行清理和分析。使用描述性统计来估计频率百分比和平均值。因变量(职业压力)根据被调查者在扩展护理压力量表中平均及以上得分计算。然后,首先使用二元逻辑回归分析自变量和因变量之间的关联。将双变量二元逻辑回归中p<0.25的变量纳入多变量二元逻辑回归,并报告校正优势比(AOR), 95% CI。研究发现,202名(53%)护士存在职业压力(95% CI: 48.2 ~ 58.1)。与护士职业压力显著相关的因素有性别(女性:AOR=2.37, 95% CI: 1.41, 3.97)、婚姻状况(曾经结婚:AOR=2.49, 95% CI: 1.35, 4.60)、角色模糊(有角色模糊的护士:AOR=3.01, 95% CI: 1.79, 5.05)和工作时间。(每天≥8小时:AOR=2.85, 95% CI: 1.10, 7.36)。在本研究中,超过一半的护士有职业压力,因此,Arsi地区公立医院与相关利益相关者合作,设计减压方案,以解决护士的职业压力。
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Occupational Stress and Associated Factors among Nurses working in Public Hospitals of Arsi Zone, Oromia Regional State, Central Ethiopia, 2018
Nursing, by its nature, is an occupation subject to a high degree of stress. This profession involves working with people who are themselves suffering a considerable degree of stress. Occupational stress compromised quality of service delivery and also leads as employees’ burnout, turnover and absenteeism. The Objective of the study is to determine the level of occupational stress and associated factors among nurses. The study employed facility based cross sectional study was conducted from August 13 –September 02, 2018. All nurses who served at least for 6 months in Arsi zone public hospitals were asked using self-administered structured questionnaire. The collected data was checked manually, edited, coded and entered into Epi-data version 3.1 and finally it was exported in to statistical package for social science version 24 for cleaning and analysis. Descriptive statistics were used to estimate frequency percent and mean. Dependent variables (occupational stress) were computed based on the respondents having average score of mean and above in expanded nursing stress scale. Then, associations between independent and dependent variables were analyzed first using bivariate binary logistic regression. Variables that had p<0.25 on bivariate binary logistic regression were entered into multivariable binary logistic regression and adjusted odds ratio (AOR) with 95% CI were reported. The study finding showed that 202 (53%) with (95% CI: 48.2-58.1) of nurses were occupationally stressful. Factors significantly associated with occupational stress among nurses were sex of respondents (female: AOR=2.37, 95% CI: 1.41, 3.97), marital status (ever married: AOR=2.49, 95% CI: 1.35, 4.60), Role ambiguity (nurses who had Role ambiguity: AOR=3.01, 95% CI: 1.79, 5.05) and working hours. (≥8hrs hours per day: AOR=2.85, 95% CI: 1.10, 7.36). In this study, more than half of nurses had occupational stress, Thus, Arsi zone public hospitals collaborative with concerned stakeholders to design stress reduction program for tackling occupational stress among nurses.
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