郑州市三甲医院急诊科护士道德困境与职业倦怠的现状及相关性研究

The status quo and correlation of moral distress and job burnout among emergency nurses in class-3 grade-A hospitals in Zhengzhou

目的调查郑州市三甲医院急诊科护士的道德困境与职业倦怠的现状,并分析两者之间的相关性。方法采用便利抽样法选取郑州市5所三甲医院的228名急诊科护士作为研究对象,采用一般资料调查表、中文版护士道德困境量表、护士职业倦怠量表对其进行问卷调查。结果郑州市三甲医院急诊科护士道德困境总分为(49.41±13.35)分,职业倦怠总分为(63.51±17.25)分。单因素分析显示,不同学历、工作年限的急诊护士的道德困境得分比较,差异均有统计学意义(F=4.830,P=0.015;F=6.302,P=0.001);不同年龄急诊护士的职业倦怠得分比较,差异有统计学意义(F=8.328,P=0.005),急诊科护士道德困境与职业倦怠呈正关性(r=0.412,P<0.05)。结论郑州市三甲医院急诊科护士的道德困境与职业倦怠普遍存在,护士的道德困境与职业倦怠呈正相关。

Objective To investigate the moral distress and job burnout among nurses in the emergency department of class-3 grade-A hospitals in Zhengzhou,and to explore their correlation.Methods Totally 228 nurses were selected from the emergency department of 5 class-3 grade-A hospitals of Zhengzhou by the convenience sampling method,and investigated using a self-made general information questionnaire,the Chinese version of moral distress scale and Maslach burnout inventory.Results The score of moral distress and job burnout were 49.41±13.35 and 63.51±17.25 respectively.Single factor analysis found significant differences in the moral distress between nurses of different educational levels and years of working(F=4.830,P=0.015;F=6.302,P=0.001),as well as in the job burnout between nurses of different ages(F=8.328,P=0.005).Moreover,their moral distress was positively correlated to the job burnout(r=0.412,P<0.05).ConclusionThe moral distress and job burnout are common among emergency nurses in class-3 grade-A hospitals in Zhengzhou,and are positively correlated with each other.