复原力,道德伤害和RN的倦怠:时间序列分析
Sara L Hubbell1, Susan E Young, Stephanie R Duea
1Author Affiliations: Clinical Associate Professor (Dr Hubbell), Assistant Professor (Dr Young), and Associate Professor (Dr Duea), School of Nursing; and Professor (Dr Prentice), Center for Social Impact, University of North Carolina at Wilmington.
在疫情期间,注册护士经历了更多的倦怠和道德伤害,恢复力下降. 这些发现凸显了对护理工作人员福利的系统性支持的需要.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 医疗保健劳动力研究 劳动力研究
背景情况:
- COVID-19大流行严重影响了医疗保健系统,加剧了护理劳动力的现有挑战.
- 了解护士长期心理健康后果至关重要.
研究的目的:
- 在北卡罗来纳州的注册护士 (RN) 中,在18个月的时间内,量化评估燃烧,道德伤害和弹性方面的变化.
- 评估这些心理结果之间的时间关系,以应对与流行病有关的压力因素.
主要方法:
- 采用了量化,时间序列设计.
- 在18个月内,在三个不同的时间点从RN收集了调查数据.
- 使用了经过验证的仪器,包括专业生活质量测量,卫生专业人员的道德伤害症状量表和康纳-戴维森弹性量表.
主要成果:
- 燃烧和道德伤害水平在前六个月内显著增加.
- 恢复力和同情满意度在最初的六个月内显著下降.
- 在随后的12个月内,这些心理指标没有显著改善.
结论:
- 疫情对护士心理健康的长期影响需要在多个层面进行干预:个人,组织和系统.
- 改变工作场所的文化,环境和结构对于支持护理劳动力的福祉至关重要.
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