ICU护士专业生活品质对工作投入的影响

The influence of professional quality of life on work engagement among nurses in the Intensive Care Unit

目的:调查ICU护士专业生活品质和工作投入现状,并分析专业生活品质对工作投入的影响。方法:采取便利抽样法,选取湖南省14所三级甲等医院的434名ICU护士作为研究对象,采用一般资料问卷、中文版工作投入量表和中文版护士专业生活品质量表进行问卷调查。结果:ICU护士工作投入总分为(57.24±20.33)分,专业生活品质的原始得分为:慈心满意(28.62±7.85)分,工作倦怠(27.95±6.26)分,二次创伤(24.52±6.27)分;工作投入总分与慈心满意得分呈正相关(r=0.751,P<0.01),与工作倦怠得分呈负相关(r=-0.555,P<0.01),与二次创伤的得分不相关(r=0.038,P>0.05);在控制一般资料的影响后,专业生活品质对ICU护士工作投入有显著影响(P<0.05),可独立解释工作投入49.5%的变异。结论:ICU护士工作投入处于中等水平,护士专业生活品质对工作投入有一定的预测性,护理管理者可通过改善护士的专业生活品质来提高其工作投入,从而提升护理质量。

Objective:To investigate the status of professional quality of life and work engagement among nurses in the Intensive Care Unit(ICU),and to analyze the influence of professional quality of life on work engagement.Methods:A convenient sample of 434 ICU nurses recruited from 14 tertiary grade A hospitals in Hunan were evaluated using the general information questionnaire,the Chinese version Professional Quality of Life Scale,and the Chinese version Utrecht Work Engagement Scale.Results:The mean scores of work engagement and the three dimensions of professional quality of life:compassion satisfaction,burnout,and secondary traumatic stress,among ICU nurses were 57.24±20.33,28.62±7.85,27.95±6.26,and 24.52±6.27,respectively.Work engagement was significantly and positively correlated with compassion satisfaction(r=0.751,P<0.01)as well as negatively correlated with burnout(r=-0.555,P<0.01),but not correlated with secondary traumatic stress(r=0.038,P>0.05).The overall professional quality of life can independently explain 49.5%variation of work engagement after controlling for demographic variables.Conclusion:In our study,the level of work engagement is moderate in ICU nurses.It is suggested that the overall professional quality of life can partially predict work engagement in this sample.The level of work engagement could be encouraged by improving the professional quality of life among ICU nurses,therefore,to increase quality of care.