心理安全和护士的倦怠:一个全面的审查
Tomoo Sato1, Kyosuke Kakuda2, Eri Sekiguchi2
1Division of Acute Care Nursing, Kobe City College of Nursing, Kobe, JPN.
Cureus
|October 20, 2025
概括
通过培养心理安全,可以减轻经历倦怠的护士. 这次审查发现了一种一致的反向关系,表明心理安全是高压环境中护士的关键保护因素.
科学领域:
- 护理研究 护理研究
- 职业健康心理学 职业健康心理学
- 医疗保健管理的管理
背景情况:
- 在强烈的临床环境中,护士倦怠的全球患病率超过40%.
- 心理安全,团队对安全冒险的信念,是潜在的保护因素.
- 有限的研究同时研究心理安全和倦怠,阻碍了干预措施的发展.
研究的目的:
- 对调查心理安全与护士倦怠之间的关系的文献进行范围审查.
- 综合结合关于这些护理构造的概念化,测量和上下文因素的发现.
- 为促进心理安全和预防护士倦怠提供基于证据的干预信息.
主要方法:
- 根据乔安娜·布里格斯研究所的方法和PRISMA-ScR指南进行范围审查.
- 在主要数据库 (如PubMed,CINAHL,Embase) 中进行全面的文献搜索.
- 包括检查医院护士心理安全和倦怠的研究;提取研究特征和研究结果的数据.
主要成果:
- 六项涉及5个国家的4984名护士的研究符合纳入标准 (2021-2025年).
- 发现了一致的反向关系:更高的心理安全与更低的倦怠相关.
- 仆人领导,工作场所条件 (敏性,暴力) 和团队动态是关键影响因素.
结论:
- 心理安全与护士的倦怠相反,支持埃德蒙森和马斯拉赫的框架.
- 促进心理安全是高强度临床环境中的重要组织策略.
- 需要针对领导力,沟通和支持系统的多层次干预,以减少护士倦怠.
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