肿瘤科护士经历患者欺凌行为对工作满意度、共情疲劳的影响

Effects of bullying on job satisfaction and compassion fatigue in oncology nurses

目的 探讨肿瘤科护士经历患者欺凌行为现状,并探讨其对工作满意度、共情疲劳的影响。 方法 采用便利抽样法,于2018年3月选取天津市4所三级甲等医院肿瘤科工作的临床护士450名为研究对象。采用一般资料调查表,患者欺凌行为量表,工作满意度量表,专业生活质量-共情疲劳量表(Pro-QOL)对其进行调查。采用分层回归分析进行影响因素分析。 结果 本研究共发放问卷450份,回收有效问卷400份。400名肿瘤科护士患者欺凌行为量表总分(43.72±15.14)分、工作满意度量表总分(3.41±0.99)分,Pro-QOL总分(90.84±12.13)分。分层回归分析结果显示,护士经历患者欺凌行为对工作满意度、同情满意、职业倦怠、继发性创伤应激均有影响(P<0.05)。 结论 肿瘤科护士经历的患者欺凌行为稍高于其他职业;肿瘤科护士经历患者欺凌行为越频繁,他们的共情疲劳越明显,工作满意度越低。

Objective To explore oncology nurses' perspectives towards patient bullying, and to investigate its impact on job satisfaction and compassion fatigue.Methods A total of 450 nurses from the oncology department of four ClassⅢ Grade A hospitals in Tianjin in March 2018 by convenience sampling method. The investigation was carried out by the general information questionnaire, Patients Bullying Behaviors Questionnaire, Job Satisfaction Scale and Professional Quality of Life Scale (Pro-QOL) . Hierarchical regression analysis was applied for influencing factors.Results A total of 450 questionnaires were distributed and 400 valid questionnaires were collected. The total scores of Patients Bullying Behaviors Questionnaire, Job Satisfaction Scale and Pro-QOL were (43.72±15.14) , (3.41±0.99) and (90.84±12.13) respectively. Hierarchical regression analysis showed that the bullying behavior of nurses affected job satisfaction, sympathy satisfaction, job burnout and secondary traumatic stress (P<0.05) . Conclusions Nurses in oncology department experienced a slightly higher level of bullying than other occupations. The more frequently oncology nurses experience bullying, the more obvious their compassion fatigue is, and the lower their job satisfaction is.