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Self-endangering:A qualitative study on psychological mechanisms underlying nurses’burnout in long-term care 被引量:1
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作者 Lara Luisa Eder Bertolt Meyer 《International Journal of Nursing Sciences》 CSCD 2022年第1期36-48,I0002,共14页
Objectives To develop a more specific understanding of psychological mechanisms in the development of burnout in long-term care as a basis for potential new intervention strategies aiming at improving nurses’mental h... Objectives To develop a more specific understanding of psychological mechanisms in the development of burnout in long-term care as a basis for potential new intervention strategies aiming at improving nurses’mental health.Methods Two qualitative studies with thematic analysis were conducted.In Study 1,we conducted eight group interviews with 110 nurses from May–July 2019 in the context of workshops at eight nursing homes in Germany.In Study 2,we supplemented these with semi-structured interviews with 14 executives at German nursing homes in December 2019.Results The thematic analysis in Study 1 identified three main themes:causes of challenges,employees’opportunities for change,and organisational opportunities for change.Thematic analysis in Study 2 identified three main themes:job motives,reasons for filling in for others,and employee self-care.Further,our results show that the need to stand in for colleagues,in particular,is one of the greatest challenges for geriatric caregivers.In dealing with these challenges we found that self-endangering behaviour—a diminished ability to say no when asked to fill in or to do work overtime—was an important antecedent of nurses’burnout.Further,high levels of altruistic motivation and identification with the team or organisation were associated with self-endangering behaviour in the presence of adverse working conditions.Low levels of self-worth are a further risk factor for self-endangering.Conclusions Our findings are at odds with some core tenets of classic models of job demands and burnout that construe motivation and identification as resources.Our results show the need of a holistic intervention program in nursing including individual coaching,team-based interventions and organisational development processes.Employees themselves should be sensitized to this issue and supported in the long term,and politicians should create structures that do not encourage this behaviour any further. 展开更多
关键词 ALTRUISM CAREGIVERS Health personnel Mental health Nursing homes Professional burnout Social identification WORKLOAD
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运用心理契约理论改善职业倦怠感对病案管理质量的影响 被引量:2
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作者 谭美玲 吴卫红 曹梅馨 《中国病案》 2014年第2期4-5,共2页
目的探讨心理契约理论对病案管理质量的影响。方法分析某医院临床医护人员在实施心理契约管理前后一年职业倦怠感及病案质量数据变化。结果在实施心理契约管理后,职业倦怠感方面,情绪衰竭人数较前有明显下降。成就感低落和情绪衰竭两维... 目的探讨心理契约理论对病案管理质量的影响。方法分析某医院临床医护人员在实施心理契约管理前后一年职业倦怠感及病案质量数据变化。结果在实施心理契约管理后,职业倦怠感方面,情绪衰竭人数较前有明显下降。成就感低落和情绪衰竭两维度,较前均明显减轻。病案三天回收率较前提高17个百分点。病案质量也有所好转,病案甲级率方面,较前提高了5个百分点,返修率下降了13个百分点(P<0.001)。结论医院管理者宜对医护人员进行全程动态心理契约管理,减轻职业倦怠感,以提升病案三天回收率和甲级率,降低返修率,从而提高病案管理质量。 展开更多
关键词 心理契约 医护倦怠 病案质量
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