县级公立医院护理人员工作场所暴力与职业倦怠研究
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南京医科大学医政学院

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国家社科基金重点项目“基本医疗服务治理体系研究”(20AZD081)


Study on workplace violence and job burnout of nursing staff in county-level public hospitals
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    摘 要:本文探究县级公立医院护理人员工作场所暴力与职业倦怠情况。本研究利用系统抽样方式选取某一县域内县级医院886名护理人员开展横断面调查,运用描述性统计分析暴力及职业倦怠情况,并采用方差分析分析不同特征研究对象的倦怠得分差异,利用多元分层回归分析探究工作场所暴力对职业倦怠的影响。研究结果显示样本县级医院暴力发生率为73.02%,情感虐待是最主要的暴力形式。研究对象的职业倦怠得分高于M氏常模,职业倦怠情况不容忽视,护龄5-14年、身为独生子女、中级职称、加班天数较多的护理人员倦怠情况更为突出。遭受工作场所暴力是影响职业倦怠的一个重要变量。结论:应重视县级医院中的工作场所暴力和职业倦怠情况,建立安全机制有效防范化解工作场所暴力,合理分配工作负荷,激励工作成效,构建职业发展规划,创建社会支持系统,降低职业倦怠。

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    Abstract:To explore the situation of workplace violence and job burnout of nursing staff in county-level public hospitals. A cross-sectional study was conducted among 886 systemic sampling nurses. Descriptive statistical analysis was used to analyze the prevalence, and variance analysis were used to analyze the differences between different groups. Multivariate hierarchical regression analysis was carried out to explore the impact of workplace violence on job burnout. The incidence of workplace violence in sample hospitals was 73.02 %, and emotional abuse was the main form of violence. The score of job burnout was higher than the norm. The job burnout of nursing staff with 5-14 years of nursing age, only-child generation, medium-grade professional title and working overtime was much more serious. Workplace violence was also an important variable affecting job burnout. Conclusions: Attention should be paid to workplace violence and job burnout in county hospitals, including the establishment of security mechanisms to effectively prevent and resolve workplace violence, reasonable distribution of workload, incentive work effectiveness, building career development planning, create social support systems and other measures.

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  • 收稿日期:2021-01-12
  • 最后修改日期:2021-02-26
  • 录用日期:2021-06-22
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