Coping Strategies Adopted by Construction Employees to Deal with the Causes and Effects of Occupational Psychological Disorders: A Study in Ghana

Coping strategies adopted to deal with psychological health issues could have influences on the general health, productivity and task performance of the employee. This study sought to investigate the coping strategies adopted by construction employees to deal with the causes and effects of occupational psychological disorders such as burnout and workaholism. To achieve this aim, the methods of focus group discussions were first employed. A total of 16 semi-structured focus group discussions were held in Ghana, with 90 construction employees. The focus group study revealed 25 coping strategies adopted as efforts to mitigate the causes and 22 coping strategies adopted as responses to moderate the effects of occupational psychological disorders. A quantitative study involving 150 construction professionals and 150 construction trade workers were also conducted in Ghana to investigate the coping strategies that were highly adopted by the two construction working groups. The findings from the study revealed that the construction professionals adopted delegating complicated tasks and seeking medical attention as the most common coping strategies to manage the causes and effects respectively. The construction trade workers were also revealed to adopt withdrawing from work duties or changing jobs and taking in more caffeinated drinks as the most common coping strategies to manage the causes and effects respectively. Exploratory factor analysis was employed, and the findings were put into the main constructs. The causes focused coping strategies were categorized under avoidance, alteration, adaptation, and acceptance. The effects focused coping strategies were also categorized under healthy and unhealthy coping strategies. This study recommends appropriate coping strategies and interventions in the construction industry such as education of construction personnel on the consequences of various coping strategies.

Construction and Validation of a Chinese Translation of the Coping Self-Efficacy Scale,Adolescent Edition

Background:Coping self-efficacy can help individuals mitigate the adverse emotional impacts of stress,anxiety,and other negative emotions,and it also influences individuals’academic performance,including school adjustment and academic burnout.It is an important factor affecting the mental health of adolescents.However,there is no measurement tool specifically designed for adolescent populations in China.Therefore,the purpose of this study is to assess the applicability of the Coping Self-Efficacy Scale(CSES)among Chinese adolescents.Methods:In September 2023,this study collected data through online questionnaires and ultimately conducted item analysis,exploratory factor analysis,confirmatory factor analysis(CFA),measurement invariance analysis,reliability analysis,and criterion-related validity analysis on a sample of 1157 adolescents.Results:The results of item analysis showed that the items of CSES were significantly different between the high and low groups.Further factor analysis results showed the existence of a factor solution that explained 59.09%of the total variation,with factor loadings ranging from 0.52–0.78.CFA supported the three-factor model of Chinese adolescent version of the CSES(CFI=0.923,TLI=0.914,IFI=0.923,RMSEA=0.068).Measurement invariance analysis indicates that the scale satisfies gender measurement invariance(ΔCFI=-0.002,-0.001>-0.01,ΔRMSEA=-0.001,0<0.02,ΔSRMR=0.005,0.007<0.01).The Chinese adolescent version of the CSES was positively correlated with the Social Support Appraisal Scale(SS-A)and the Life Orientation Test-Revised(LOT-R,r=0.670,0.673,both p<0.01),and negatively correlated with the Chinese Perceived Stress Scale(CPSS),the State-Trait Anxiety Inventory(STAI)and the Adolescent Student Burnout Inventory(ASBI,r=-0.694,-0.233,-0.680,both p<0.01).The Cronbach’sα,McDonald’sω,split-half reliability and test-retest reliability of the Chinese adolescent version of the CSES were 0.953,0.955,0.933 and 0.894,respectively.Conclusion:The results indicate that the three-factor model of the Chinese adolescent version of the CSES is acceptable and demonstrates high reliability and validity,establishing it as a precise tool for measuring and assessing coping self-efficacy among Chinese adolescents.

Moderators of occupational pressure in female health professionals—Individual differences and coping skills

Individual differences and coping skills have influential impacts on stress process by influencing the eventual outcomes of the stressors, contributing to either wellbeing, or illness and negative experiences. The aim of this paper is to explore the individual differences and coping strategies of a cohort of women with health professionals’ occupational pressure. This is a cross-sectional survey, informed by the transactional model of stress and coping framework, and carried out on women health professionals (n = 203) from the Kuala Lumpur Hospital. Multiple regressions were conducted to examine the potential moderators of stress. Women Health Professionals reported stress with six out of eight organizational sources of pressure, with relationship being a key stressor. Their individual differences (mean + SD) were characterised by low drive (7.6 + 1.9-8.2 + 2.0), low personal influence (10.8 + 2.0 to 11.7 + 2.3), moderate control (13.4 + 3.4 to 16.3 + 2.4), and high impatience behaviour (19.1 + 3.8 to 20.4 + 3.3). With Coping strategy, the Life-work-balance coping is a significant positive predictor for five out of the nine outcomes of occupational pressure [state of mind (p ress management guideline to ameliorate stress amongst those vulnerable workers. Future studies to examine individual differences of these female-dominated professions across health setting are needed to better inform the pressure-at-work issues for the increasing Asian women health professionals.

Occupational Stress, Coping Strategies, and Quality of Life among Nurses in General and Psychiatric Setting in Jeddah City—KSA

Purpose: This study is aimed at comparing the level of occupational stress, ways of coping and the quality of life among nurses. Methods: Descriptive explanatory design was used with 278 nurses working in King Abdul Aziz Hospital in Jeddah, Mental Health Hospital in Jeddah, and Dr. Suleiman Fakeeh Hospital in Jeddah. Findings: Psychiatric nurses experience greater occupational stress than general nurses (p = 0.001). There was no statistically significant difference between the psychiatric and general nurses in relation to coping strategies (p = 0.38). Conclusion: Healthcare institutions should adapt stress evaluation and coping models specific to their unit. Practical Implication: Implementation of programs in each healthcare unit to educate nurses how to deal with work stressors and their negative effects.

Occupational Performance of Women with Chronic Pelvic Pain and the Potential of Coping as an Unassisted Intervention

Objective: To assess the satisfaction and occupational performance of women with chronic pelvic pain and to discuss unassisted intervention strategies by the occupational therapist for the care of these patients. Methods: A case-control study was conducted on 75 women with chronic pelvic pain and 75 apparently healthy women. The study was approved by the Research Ethics Committee of the institution and all subjects gave written informed consent to participate. Pain intensity was determined using a visual analogue scale and each patient was submitted to psycho-metric assessment using the Patient Health Questionnaire, the Self-Reporting Questionnaire of Psychiatric Screening and the Tampa Scale of Kinesiophofobia in their Brazilian version. The main outcomes regarding occupational performance and satisfaction were evaluated using the Canadian Measure of Occupational Performance. Results: The performance and satisfaction scores of women with chronic pelvic pain were significantly lower than those of healthy women. The presence of pain and kinesophobia was directly and independently correlated with low performance and satisfaction scores regardless of ethnicity, marital status, schooling, or psychometric scores. Conclusion: women with chronic pelvic pain present significant impairment of satisfaction and occupational performance. Coping is a potential unassisted intervention strategy to be applied to this population by occupational therapists.

Developing a Valid and Reliable Coping Self-Efficacy Scale (CSES) among Patients with Type 2 Diabetes: Iranian Version

Introduction: This study aimed to develop valid and reliable scale with the intention of measure Coping Self-efficacy (CSES) of Iranian type 2 diabetic patients. Patients and Methods: Validity and reliability of Iranian version of Coping Self-efficacy Scale (CSES) were measured by a cross-sectional study. Content validity, reliability and cultural equivalency were appraised through qualitative and quantitative study on 260 participants who have type 2 diabetes. Results: Reliability and validity of the scale and its four subscales, such as “stop unpleasant emotions and thoughts” (a = 0.92) “used problem-focused coping” (a = 0.71), Self-efficacy on diabetes problem solving (a = 0.74) and “get support from friends and family” (a = 0.67) were approved explicitly by a psychometric analysis;these show that the scale was slightly valid and reliable on the study setting. An intraclass correlation coefficient was satisfactory (p < 0.001). Criterion validity between total scale and metabolic control Index (HbA1c) of type 2 diabetic patients was significant (p < 0.001) and showed indirect correlation with the domains of the scale. Conclusion: Study findings supported the reliability and validity of the Iranian version of new Coping Self-efficacy-24 for measuring Coping Selfefficacy among Iranian type 2 diabetic patients. Based on our finding, we would like to recommend appropriate interventions in the future.

The Effect of Cancer Diagnosis Disclosure on Patient’s Coping Self-Efficacy at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Background: Cancer diagnosis disclosure is still a challenge for patients and health care providers in Saudi Arabia which may affect the patient’s ability to cope with a cancer diagnosis and it is subsequent treatments. Aim: This study is aimed to assess the effect of cancer diagnosis disclosure on patient’s coping self-efficacy at King Abdul-Aziz University Hospital, KSA-Jeddah. Methods: The data collected through a structured interview guided by coping Self-efficacy Scale (CSE) to measure the patients’ ability to perceive and cope effectively with their new diagnosis and the subsequent events related to it. It consists of 26 items subdivided into three factors. Distributed to adult patients above 18 years old who is newly diagnosed with cancer and willing to participate. Results: Among 102 participants enrolled in this study the relationship between age, marital status, educational level, income, and CSE showed no significant relationship, where p-value was higher than 0.05. Also, the relationship between diagnosis time and CSE show no significant relationship, where p-value was higher than 0.05, as no differences in CSE among patients who were diagnosed with cancer within two weeks, one month, one year ago, two years ago of interviewing them. The overall mean for their coping self-efficacy was moderate coping self-efficacy (3.86 ± 0.552). Conclusion: This study showed that the majority of cancer patients in this study had moderate coping self-efficacy and this could be explained by the strong faith, ideal living environment which involves family support, groups’ participation, reinforcement and daily activities which helped them to control their emotions and their abilities for coping with their experience of cancer diagnosis disclosure.

Emotional Costs and Self-efficacy as Predictors of Coping Among the Reemployed and Professional Interns

The main goal of the study was to investigate the emotional costs experienced by the organizational newcomers during the first period of reemployment and its relation to general self-efficacy CGSE} and coping. The study was conducted among 123 previous unemployed, involving 88 reemployed and 35 interns. Questionnaires battery was administered in two waves {T1 and T2~ in the first month of reemployment and after three months. In this article, the data from T2 were analyzed, which allows observing the final results and interactions between research variables. The results showed emotional costs and GSE as significant predictors of coping in the work re-entry phase. Additionally, emotional costs partially mediate the effect of GSE on coping. The differences between both groups, the reemployed and interns were also analyzed.

Impact of Risk Perception about COVID-19 on the Coping Behavior of the Elderly:Mediating Role of Self-Efficacy

Objective:This study aimed to explore the mediating role of self-efficacy on the relationship between risk perception and the coping behavior of the elderly during the coronavirus disease 2019(COVID-19)pandemic.Methods:The study employed the convenience sampling method to select a total of 550 elderly from Chongqing,Chengdu and Luohe in China.A questionnaire composed of the perception scale,self-efficacy scale,and coping behavior scale was used to collect data.Results:Risk perception exerted a significantly direct effect on positive coping behavior and avoidant coping behavior.Moreover,it positively predicted the components of self-efficacy.In turn,self-efficacy positively predicted the components of positive coping behavior,which confirm that it plays a partial mediating role in the relationship between risk perception and positive coping behavior.Moreover,self-efficacy negatively predicted the components of avoidant coping behavior,which confirms that it also plays a partial mediating role in the relationship between risk perception and avoidant coping behavior.Conclusion:A simple mediation model revealed that self-efficacy partially mediated the direct and indirect effects of risk perception on coping behavior.Based on the results,the study recommended several countermeasures and suggestions for enhancing the positive coping behavior of the elderly during the COVID-19 pandemic.

Development of an adolescent coping model in seasonal flood-prone areas:a qualitative feasibility study

Objective:The aim is to develop and verify the feasibility of an adolescent coping model in seasonal flood-prone areas.This coping model supports mental health nurses'practical application to adolescents in flood-prone areas.Methods:We developed the adolescent coping model based on the processes established in three integrated theories:self-care management for vulnerable populations,coping approaches,and coping with disaster.We conducted semi-structured interviews with 15 participants to explore their perspectives and experiences with flood disasters.We used purposeful sampling for maximum diversity.Data were collected through face-to-face,in-depth interviews.Data were transcribed verbatim,followed by qualitative content analysis.The coping model of adolescents in flood-prone areas was analyzed qualitatively and inductively from the viewpoint of acceptability.Results:The following five categories were identified:(1)coping process post-disaster;(2)coping approach;(3)community power;(4)vulnerability;and(5)self-potential.These domains formed a model for coping model adolescents in seasonal flood-prone areas.Accordingly,our findings showed that the model could be practical for mental health community nursing.Conclusions:Mental health nurses can use the coping model for disaster mental health nursing in adolescents in flood-prone areas.The application of this model will help adolescents increase self-efficacy.

精神科护士职业倦怠与道德困境、工作投入及应对方式的相关性

目的探讨精神科护士职业倦怠、道德困境、工作投入、应对方式现状及职业倦怠与道德困境、工作投入、应对方式的相关性。方法选择2020年1月至2022年12月在驻马店市第二人民医院精神科从事护理工作的280名临床护士为研究对象。收集受试者的一般人口学资料,采用Maslach职业倦怠量表-服务行业版(MBI-HSS)、中文版护士道德困境量表(MDS-R)、Utrecht工作投入量表(UWES)、简易应对方式量表(SCSQ)分别评估精神科护士的职业倦怠、道德困境、工作投入、应对方式水平,并分析职业倦怠与道德困境、工作投入、应对方式的相关性。结果280名护士的MBI-HSS得分为(66.94±13.67)分,MDS-R得分为(93.14±26.74)分,UWES得分为(57.51±12.09)分,积极应对得分为(1.69±0.52)分,消极应对得分为(1.53±0.50)分。女性护士的MBI-HSS、UWES得分显著低于男性护士,积极应对得分显著高于男性护士(P<0.05);不同性别护士的MDS-R、消极应对得分比较差异无统计学意义(P>0.05)。26~39岁、≥40岁护士的MBI-HSS得分显著高于≤25岁护士,积极应对得分显著低于≤25岁护士(P<0.05);≥40岁护士消极应对得分显著高于≤25岁护士(P<0.05),26~39岁与≤25岁护士消极应对得分比较差异无统计学意义(P>0.05);不同年龄护士的MDS-R、UWES得分比较差异无统计学意义(P>0.05)。受教育程度为本科护士的MBI-HSS得分显著高于专科护士,积极应对、消极应对得分显著低于专科护士(P<0.05);不同受教育程度护士的MDS-R、UWES得分比较差异无统计学意义(P>0.05)。护师、主管护师及以上职称人员的MBI-HSS得分显著高于护士职称、UWES得分显著低于护士职称人员(P<0.05);主管护师及以上职称人员的消极应对得分显著高于护士职称人员,积极应对得分显著低于护士职称人员(P<0.05);护师与护士职称人员的消极应对得分和积极应对得分比较差异无统计学意义(P>0.05);不同职称护士的MDS-R得分比较差异均无统计学意义(P>0.05)。工作年限≥10 a护士的MBI-HSS得分、消极应对得分显著高于≤5 a护士,UWES得分、积极应对得分显著低于≤5 a护士(P<0.05);工作年限6~9 a护士的UWES得分显著低于≤5 a护士(P<0.05),工作年限6~9 a与≤5 a护士的MBI-HSS得分、MDS-R得分、消极应对得分、积极应对得分比较差异无统计学意义(P>0.05);不同工作年限护士的MDS-R得分比较差异均无统计学意义(P>0.05)。Pearson相关性分析结果显示,MDS-R、消极应对得分与MBI-HSS得分呈正相关(r=0.327、0.318,P<0.05),UMES、积极应对得分与MBI-HSS得分呈负相关(r=-0.461、-0.284,P<0.05)。多元线性回归分析结果显示,工作投入、积极应对、消极应对是精神科护士职业倦怠的影响因素(P<0.05)。结论精神科护士具有中度的职业倦怠以及工作投入水平,道德困境处于中低水平,更倾向于积极应对。工作投入、积极应对、消极应对是精神科护士职业倦怠的影响因素。

Analysis of the Influence of the Self-efficacy of College Students on Their Response Behaviors Toward COVID-19

Objective:This study aims to investigate the self-efficacy of college students during the Coronavirus disease 2019(COVID-19)pandemic and to conduct an empirical analysis on its influence mechanism on decision-making and coping skills to provide reference for decision support to improve the coping behavior of college students during public health emergencies.Methods:The study recruited a total of 1,346 college students in Shaanxi.Data were collected via a questionnaire and analyzed using SPSS 22.0 and AMOS 22.0.Result:The self-efficacy of the college students exerted a significantly positive impact on their coping decisions(β=0.754)and coping skills(β=0.822)during the COVID-19 pandemic.Both passed the significance test at a 99.9%confidence interval(99%CI).Conclusion:During the COVID-19 pandemic,improving the self-efficacy of college students can significantly positively influence their coping behaviors.Therefore,providing effective interventions that target the self-efficacy of college students and encouraging them to adopt positive coping behaviors is necessary.

临床护士关怀行为与职业应对自我效能感的相关性

目的:了解临床护士关怀行为与职业应对自我效能感现状,并分析两者相关性,为提高临床护士关怀行为提供参考。方法:2023年3月—4月将河南省各市按东部、中部、西部分层,分别抽取2所二级及以上综合医院共260名临床护士进行调查。采用一般资料调查表、职业应对自我效能感量表和护士关怀行为量表进行调查。结果:260名临床护士关怀行为得分为(121.84±19.69)分,职业应对自我效能感得分为(35.00±6.76)分,护士职业应对自我效能感与关怀行为呈正相关(P<0.01)。多重线性回归分析结果显示,工作年限、月收入、人文专项培训次数和职业应对自我效能感是护士关怀行为的影响因素(P<0.05)。结论:临床护士关怀行为水平较高,提高临床护士职业应对自我效能感有助于提高护士的关怀行为。提示管理者应进一步加强组织支持,营造和谐工作氛围以提高护士职业应对自我效能感,从而促进护士关怀水平,提升护理质量。

主动抑或回避?多重支持资源对非体面工作感知与矛盾职业认同的影响机制研究

基于压力转换理论,文章考察多重支持资源(组织支持、老乡支持、家庭支持)对非体面工作感知与矛盾职业认同的调节机制,以及污名应对策略对调节机制的中介作用。通过对530份医院护工问卷分析发现,多重支持资源对非体面工作感知与矛盾职业认同的关系都具有调节作用,即当护工组织支持、老乡支持、家庭支持较高时,非体面工作感知与矛盾职业认同的正向关系更弱。污名应对策略中介了组织支持对非体面工作感知与矛盾职业认同关系的调节作用。研究发现在理论上深化对非体面工作从业者矛盾职业认同干预策略的认识,实践上也能为管理者完善底层工作群体管理提供启发。

新入职护士自我职业生涯管理现状及影响因素分析

目的:调查新入职护士自我职业生涯管理现状,并分析其影响因素。方法:采用方便抽样法抽取212名新入职护士作为研究对象,应用一般资料调查表、自我职业生涯管理量表、情绪智力量表、护士职业应对自我效能量表对其进行调查。结果:新入职护士自我职业生涯管理总分为(50.00±7.80)分。单因素分析显示,不同学历、对护理专业喜爱程度的新入职护士自我职业生涯管理得分差异有统计学意义(P<0.01)。Pearson相关分析结果显示,新入职护士自我职业生涯管理与情绪智力、职业应对自我效能均呈明显正相关关系(r=0.458、0.579,P<0.01)。多元线性回归分析显示,学历、情绪智力、职业应对自我效能是新入职护士自我职业生涯管理的主要影响因素(P<0.05~P<0.01),解释总变异的39.4%。结论:新入职护士自我职业生涯管理得分处于中等偏上水平,主要受到学历、情绪智力、职业应对自我效能的影响。护理管理者应帮助新入职护士适应组织,辅导职业生涯规划,开设情绪智力培训课程,营造良好的组织氛围,鼓励护士积极参与决策,从而提高新入职护士自我职业生涯管理水平。

职业应对自我效能和领悟社会支持在新护士转型冲击与工作繁荣间的中介作用

[目的]探讨新护士职业应对自我效能及领悟社会支持在转型冲击与工作繁荣间的作用机制,为新护士工作繁荣干预提供参考。[方法]2023年1-3月,便利抽样法选取泸州市3所三级甲等综合性医院的378名新入职护士作为研究对象,采用一般资料调查表、转型冲击量表、职业应对自我效能量表、领悟社会支持量表以及工作繁荣量表对其进行调查。[结果]新护士转型冲击、职业应对自我效能、领悟社会支持、工作繁荣得分分别为(90.61±14.70)分、(65.69±7.81)分、(30.80±5.09)分、(52.60±4.80)分;转型冲击与职业应对自我效能感、领悟社会支持、工作繁荣呈负相关(P值均小于0.01)。职业应对自我效能感与领悟社会支持、工作繁荣呈正相关(P值均小于0.01)。职业应对自我效能和领悟社会支持在转型冲击与工作繁荣间起链式中介作用,中介效应为-0.122,占总效应的64.66%。[结论]转型冲击、职业应对自我效能以及领悟社会支持均是新护士工作繁荣水平的重要影响因素,职业应对自我效能和领悟社会支持还在新护士转型冲击和工作繁荣间发挥链式中介作用。

医学应对方式在职业性尘肺病患者领悟社会支持与心理韧性间中介作用

目的探讨职业性尘肺病(以下简称“尘肺病”)患者医学应对方式在领悟社会支持与心理韧性间的中介作用。方法采用便利抽样法,选择240名尘肺病患者为研究对象,采用《领悟社会支持量表》《心理韧性简表》《医学应对方式问卷》对其领悟社会支持、心理韧性和医学应对方式进行调查,采用AMOS 26.0软件构建结构方程模型。结果研究对象领悟社会支持、心理韧性平均得分分别为(56.6±0.9)和(20.9±7.5)分;医学应对方式的面对、回避、屈服维度得分分别为(20.2±3.6)、(11.2±3.1)和(18.1±2.9)分。心理韧性得分与领悟社会支持、医学应对方式的回避、面对维度得分均呈正相关(相关系数分别为0.260、0.176、0.174,P值均<0.01),与屈服维度得分呈负相关(相关系数=-0.292,P<0.01)。中介效应检验结果显示,领悟社会支持对心理韧性的总效应为0.252[95%置信区间(CI)为0.056~0.448],其主要通过屈服应对影响尘肺病患者的心理韧性,间接效应值为0.120(95%CI:-0.458~-0.104),占总效应的47.6%。结论尘肺病患者心理韧性处于中等偏低水平;医学应对方式中的屈服应对在尘肺病患者领悟社会支持与心理韧性间起中介作用。

精神卫生防治工作人员职业压力、应对方式与职业延迟满足的相关性分析

目的:分析精神卫生防治工作人员职业压力、应对方式与职业延迟满足的相关性。方法:选取2023年7—12月湛江市298名精神卫生防治工作人员作为研究对象,评估并比较职业压力源量表、应对方式问卷(SCSQ)、职业延迟满足量表(ODGS)评分的相关性。结果:298名精神卫生防治工作人员职业压力评分中,要求与能力评分为(32.84±7.18)分、付出与回报评分为(27.81±5.46)分、组织氛围评分为(22.97±4.05)分,总分为(83.62±11.74)分;SCSQ评分中,积极应对评分为(20.70±4.58)分、消极应对评分为(8.43±2.01)分;ODGS评分中,职业延迟满足过程评分为(9.36±1.78)分、延迟满足特质评分为(7.86±1.45)分、总分为(17.22±3.56)分。精神卫生防治工作人员要求与能力、付出与回报、组织氛围评分与积极应对评分、职业延迟满足过程、延迟满足特质评分呈正相关,与消极应对评分呈负相关(P<0.001)。结论:精神卫生防治工作人员职业压力、应对方式与职业延迟满足存在密切相关性,需制定有效的预防措施减轻其职业压力,以积极方式应对压力,提高职业延迟满足感。

柔性管理在缓解骨科护士职业压力中的作用研究

目的探讨对骨科护士医院给予柔性管理后获得的职业压力缓解效果。方法选取2021年3月—2023年5月山东颐养健康集团莱芜中心医院20名骨科护士进行护理管理研究;其中2021年3月—2022年3月采用常规方式进行管理,设为参照组;2022年4月—2023年5月在参照组基础上,采用柔性管理方式进行管理,设为研究组。对比两组骨科护士管理结果。结果研究组骨科护士职业怠慢评分以及情绪衰竭评分较参照组低,成就感低落评分较参照组高,差异有统计学意义(P均<0.05);研究组骨科护士工作压力源评分较参照组评分低,差异有统计学意义(P均<0.05);研究组骨科护士工作积极性评分较参照组高,差异有统计学意义(P均<0.05);研究组骨科护士积极应对评分较参照组高,消极应对评分较参照组低,差异有统计学意义(P均<0.05);研究组骨科护士管理总满意度100.00%(20/20)较参照组75.00%(15/20)高,差异有统计学意义(χ^(2)=4.902,P<0.05)。结论医院对骨科护士在给予管理期间,合理选择柔性管理方式展开,可明显提升护理人员的工作积极性,有效改善其职业倦怠感、工作压力,提升管理满意度。

ICU护士团队心理安全气氛现状及其影响因素分析

目的探讨ICU护士团队心理安全气氛影响因素,为后续干预提供借鉴。方法选择2023年6月—2024年1月安徽、江苏、浙江等城市210名ICU工作的护士作为研究对象进行问卷调查,包括社会一般资料、团队心理安全气氛量表、护士职业应对自我效能量表、信任领导调查表。结果210例ICU护士团队心理安全气氛总分为(55.51±8.20)分,得分率为69.40%;ICU护士团队心理安全气氛在平均月收入、婚姻状况、学历、职称、工作年限、是否有编制方面比较,差异有统计学意义(P<0.05);回归分析显示,对领导的信任状况、护士职业应对自我效能、职称、工作年限是ICU护士团队心理安全气氛的影响因素(调整后R^(2)=0.440,F=42.092,P<0.01),共计解释总变异的44%。结论医院管理者应重视ICU护士的团队心理安全气氛水平,尤其应注重低职称、工作年限短的护士;领导者应不断提高自身素质、护士应提高自我职业应对自我效能,从而提高ICU护士团队心理安全气氛。