湖北省三级甲等医院急诊科护士情绪耗竭现状及影响因素

Emotional exhaustion and its influencing factors among emergency nurses from grade three hospitals in Hubei Province

目的调查湖北省三级甲等医院急诊科护士情绪耗竭现状及影响因素,为制定针对性的干预措施降低急诊科护士情绪耗竭提供参考。方法采用便利抽样法选取湖北省18所三级甲等医院的492名急诊护士,采用情绪耗竭量表、护理执业环境量表和工作排班灵活性量表进行调查。结果急诊科护士情绪耗竭得分为(23.87±12.37)分,工作排班灵活性得分为(1.70±0.91)分,执业环境得分为(92.69±16.12)分。回归分析显示,学历、夜班数量、工作排班灵活性、执业环境中充足的人力与物力以及护理管理者的能力与领导方式是急诊科护士情绪耗竭的主要影响因素(P<0.05,P<0.01)。结论急诊科护士情绪耗竭处于中等水平,其感知的护理管理者管理水平越低,人力物力保障度越低,工作排班灵活性越低,则情绪耗竭程度越严重。护理管理者应着力改善急诊科护士执业环境,实施科学弹性排班机制,减少急诊科护士的情绪耗竭。

Objective To investigate the status and influencing factors of emotional exhaustion among emergency nurses from 3Ahospitals in Hubei Province,and to provide reference for formulating targeted intervention to reduce emotional exhaustion for emergency nurses.Methods Totally 492emergency nurses from 183Ahospitals in Hubei Province were selected using convenient sampling,then they were investigated using the Maslach Burnout Inventory,The Practice Environment Scale of the Nursing Work Index and the Work Scheduling Flexibility scale.Results The emergency nurses′emotional exhaustion score was(23.87±12.37),the work scheduling flexibility score was(1.70±0.91),and the practice environment score was(92.69±16.12).Regression analysis indicated that,educational background,number of night shifts,work scheduling flexibility,adequate manpower and material resources and nursing managers′ability and leadership style in the practice environment were the major influencing factors of emergency nurses′emotional exhaustion(P<0.05,P<0.01).Conclusion Emergency nurses′emotional exhaustion is at a moderate level,the lower the management level of nursing managers they perceived,the lower the manpower and material security,the lower the flexibility of work scheduling,then the emotional exhaustion they perceived is serious.Nursing managers should focus on improving emergency nurses′practice environment,implementing a scientific and flexible scheduling mechanism,and reducing their emotional exhaustion.