新疆地区高级职称护理人员工作倦怠现状及影响因素研究

Study on the current status and influencing factors of job burnout among nursing staff with senior professional titles in Xinjiang

目的了解新疆地区不同单位级别高级职称护理人员工作倦怠和工作满意度的现况,探讨工作满意度对工作倦怠的影响,以期提高高级职称护理人员工作满意度,降低其工作倦怠水平。方法采用整群抽样的方法对506名不同单位级别的高级职称护理人员运用工作倦怠量表、工作满意度问卷进行调查。结果所有研究对象工作倦怠各维度得分中,情绪衰竭为(25.29±11.35)分、去人格化为(5.57±5.51)分、个人成就感为(30.99±9.78)分,其中情绪衰竭和个人成就感均处于高水平倦怠,去人格化处于低水平倦怠。工作满意度总分中,地州级高级职称护理人员为(30.79±5.41)分,明显高于自治区级[(29.66±6.55)分]和县级及以下[(28.23±6.50)分]。单因素分析结果显示:年龄、民族、文化程度、个人平均月收入、是否具有行政职务之间在不同单位级别的高级职称护理人员之间比较,差异有统计学意义(P<0.05)。多重线性回归结果表明,情绪衰竭维度的影响因素有单位级别、工作满意度、是否具有行政职务,去人格化维度的影响因素有文化程度和工作满意度,个人成就感维度的影响因素是工作满意度(P<0.05)。结论该地区高级职称护理人员工作倦怠处于高水平,工作满意度是其主要影响因素。

Objective To understand the current situation of job burnout and job satisfaction of nursing staff with senior titles in different units in Xinjiang,and to explore the influence of job satisfaction on job burnout,so as to improve the job satisfaction of nursing staff with senior titles and reduce their job burnout level.Methods The method of cluster sampling was used to investigate 506 senior professional nursing staff in different units with job burnout scale and job satisfaction questionnaire.Results All the subjects scored in all dimensions of job burnout,emotional exhaustion was(25.29±11.35)points,depersonalization was(5.57±5.51)points,and personal accomplishment was(30.99±9.78)points,among which emotional exhaustion and personal accomplishment were high horizontal burnout,depersonalize burnout at a low level.Among the total scores of job satisfaction,nursing staff with senior professional titles at prefectural and state level was(30.79±5.41)points,which was significantly higher than the autonomous region level[(29.66±6.55)points]and the county level[(28.23±6.50)points].The results of single factor analysis showed that:age,ethnicity,education level,average monthly income of individuals,whether or not they had administrative positions were compared among nursing staff with senior professional titles at different unit levels,the difference was statistically significant(P<0.05).Multiple linear regression results showed that the influencing factors of the emotional exhaustion dimension were unit level,job satisfaction,and whether or not they had an administrative position,the depersonalization dimension was affected by education level and job satisfaction,while the personal achievement dimension was affected by job satisfaction(P<0.05).Conclusion The job burnout of senior nurses in this area is at a high level,and job satisfaction is the main influencing factor.