Current Status and Influencing Factors of the Quality of Work Life of Nurses in Intensive Care Unit

Objective: To investigate the current status and influencing factors of the quality of work life of nurses in Intensive Care Unit (ICU). Methods: A total of 243 ICU nurses from 6 general hospitals in Jingzhou were selected by convenient sampling method. Questionnaires were conducted with the general information questionnaire, Connor-Davidson Resilience Scale (CD-RISC) and Work-Related Quality of Life Scale-2 (WRQoL-2). Results: The total average score of the quality of work life of ICU nurses was (3.35 ± 0.44), which was at a medium level. Department, professional title, frequency of night shift, experience of workplace violence and psychological resilience were the influencing factors of the quality of work life of nurses in ICU, accounting for 39.4% of the variance. Conclusion: The quality of work life of ICU nurses needs to be improved. Nursing managers should pay attention to the work environment of ICU nurses, rationally allocate manpower, and improve the status of psychological resilience of nurses, so as to improve their quality of work life.

Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia

Objectives:This study aimed to develop an empowerment model for burnout syndrome and quality of nursing work life(QNWL).Methods:This study adopted a mixed-method cross-sectional approach.The variables included structural empowerment,psychological empowerment,burnout syndrome and QNWL.The population consisted of nurses who have civil servant status in one of the regional hospitals in Indonesia.The participants were recruited using multi-stage sampling measures with 134 respondents.Data were collected using questionnaires,which were then analysed using partial least squares.A focus group discussion was conducted with nurses,chief nurses and the hospital management to identify strategic issues and compile recommendations.Results:Structural empowerment influenced psychological empowerment(path coefficient=0.440;t=6.222)and QNWL(path coefficient=0.345;t=4.789).Psychological empowerment influenced burnout syndrome(path coefficient=-0.371;t=4.303),and burnout syndrome influenced QNWL(path coefficient=-0.320;t=5.102).Structural empowerment increased QNWL by 39.7%.Conclusion:The development of a structural empowerment model by using the indicators of resources,support and information directly influenced the psychological empowerment of the sample of nurses.As an indicator of meaning,psychological empowerment decreased burnout syndrome.In turn,burnout syndrome,as the indicator of personal achievement,could affect the QNWL.Structural empowerment directly influenced the QNWL,particularly within the workplace context.Further studies must be conducted to analyse the effects of empowerment,leadership styles and customer satisfaction.

An Exploratory Factor Analysis of Quality of Work Life of Pilots

This study aims to explore dimensions of quality of work life (QWL) of pilots by using an exploratory factor analysis (EFA). The sample was 400 pilots who are currently working for an airline based in Thailand. The items using in this study were generated using input from three sources. First, using input from commercial pilots who had a minimum of total 5,000 flying hour and currently working for either premium or low cost airlines in Thailand. Second, translated quality of work life items from a published research on Quality of Work Life of Personnel at Dhurakij Pundit University by Chatthai (2016). After the content analysis, the left items for the EFA analysis were 30 items. The Kaiser-Meyer-Olkin (KMO) demonstrated at 0.93. The exploratory factor analysis was to examine the loading patterns of QWL items. A principal component and orthogonal rotation (Verimax method) were chosen. It showed there were five structural factor patterns. The five factors were labored as “Human Resource Management”;“Social Relation”;“Safe Working Environment”;“Work-Life Balance”;and “Fairness and Respect”. Discussion and future research are also discussed.

Influencing Factors and Improvement Strategy to the Quality of Nursing Work Life: A Review

This review introduces the definition, influencing factors and improvement strategy to the quality of nursing work life, which can provide references for nursing managers to understand the factors affecting the quality of nursing work life and choose effective measures to improve the quality of nursing work life.

Work-related quality of life and performance appraisal among nurses at a tertiary hospital in Philippines

Objective:The objective of the study is to describe the work-related quality of life(WRQOL)among nurses and explore its association with performance evaluation ratings.Methods:A cross-sectional design was utilized measuring the WRQOL scale and the previous performance appraisal rating.Multistage sampling approach was utilized with nurses stratified based on their position and then systematically random sampled based on their unit assignment.Results:One hundred and eighty-two nurses were included.About half reported a high quality of work life(101;55.5%).Low scores were noted on the subscale working conditions(100;54.9%),low to average responses for home-work interface(109;59.9%),control at work(100;54.9%),and stress at work(90;49.5%).A higher proportion of nurses reported positive responses toward the areas of general well-being(113;62.1%)and job-career satisfaction(112;61.5%),than in the other subscales.There were notable differences between WRQOL ratings:(1)Head nurses had the highest perceived quality of work life,followed by nurse supervisors and charge nurses(F=6.1,P<0.01)and(2)Nurses in the pay-patient services reported lower quality of working life,while those in office and outpatient services had more positive scores(F=4.6,P<0.01).Conclusion:Only more than half of the nurses reported a high quality of work life,some of its dimensions,particularly job and career satisfaction and working conditions,appeared to vary in the perceived degree across years in service,work hours,and position.The assessment of the quality of work life may serve as an important tool to address staff burnout,absenteeism and other issues that affect job performance among health-care professionals.

The Effect of Emotional Intelligence Training on the Quality of Working life in Nurses

Emotional intelligence is a social skill and an important component of communication. It can be expressed as the ability to correctly identify emotions, to make proper decisions and to solve problems. Based on the conducted researchs, emotional intelligence is an important factor in achieving success in life including occupation and education. This study was designed and implemented to determine the effects of emotional intelligence on the quality of nurses＇ working life. This quasi-experimental study was conducted in 2015 on 70 of hospital nurses. Samples were randomly collected and divided into 2 groups （35 nurses in each group） and training sessions of emotional intelligence were conducted. Before the first session and after session 12, the quality of working life was measured by Walton＇s standard questionnaire of working life in both groups. The average age of the control and the experimental group was 30.83 ± 3.785 and 29.54 ± 3.407 respectively. Quality of working life in the experimental group had significant positive changes in comparison with the control group （P 〈 0.001） after the completion of training sessions. Based on the results, nurses＇ quality of working life improved after training. It seems that it is possible to improve university students and nurses＂ quality of working life by holding special workshops of emotional intelligence in training centers.

Measuring quality of life at work for healthcare and social services workers:A systematic review of available instruments

Quality of life at work is an important and widely discussed concept in the literature.Several instruments can be used to measure it,but with regard to healthcare and social services,the existing instruments are not well known.A review of available instruments intending to capture the quality of life of healthcare and social services workers(QoLHSSW)is necessary to better assess their working conditions and promote programs/guidelines to improve these conditions.The aim of this study was to identify the existing instruments used in measuring QoLHSSW and explore their characteristics.Particular attention was given to instruments adapted to the province of Quebec,Canada,which enabled the determination of which instruments are adapted for the measurement of QoLHSSW in Quebec and possibly elsewhere.A systematic review of the literature was conducted according to the JBI methodological guide.The articles'selection procedure was performed according to the PRISMA flowchart.The search was conducted up to October 28,2021,and then updated on January 25,2023,in four databases:PsycINFO,Medline,Embase,and CINAHL.The selection and extraction were performed independently by two researchers.The analysis of the quality of the studies was performed with the COnsensus‐based Standards for the selection of health Measurement Instruments.From a total of 8178 entries,13 articles corresponding to 13 instruments were selected.Among these instruments,the common aspects that were considered were work conditions,job satisfaction,stress at work,relationship/balance,and career development.Most instruments used a 5‐point Likert scale.Various validation methods were used,including reporting Cronbach's alpha for overall scale reliability;factor analysis to test construct validity;different model fit indices to test model superiority;different language comparisons to test cross‐cultural validity;and qualitative expert reviews to assess content validity.

Epidemiology of electrical burns and its impact on quality of life-the developing world scenario

BACKGROUND Electrical burns are devastating injuries and can cause deep burns with significant morbidity and delayed sequelae.Epidemiological data regarding the etiology,socioeconomic differences and geographic variation are necessary to assess the disease burden and plan an effective preventive strategy.These severe injuries often lead to amputations and thus hamper quality of life in the long term AIM To identify the population at maximum risk of sustaining electrical burns.We also studied the impact of electrical burns on these patients in terms of quality of life as well as return to work.METHODS The study was conducted at a tertiary referral teaching hospital over a period of eighteen months.All patients with a history of sustaining electrical burns and satisfying the inclusion criteria were included in the study.All relevant epidemiological parameters and treatment details were recorded.The patients were subsequently followed up at 3 mo,6 mo and 9 mo.The standardized Brief Version of the Burn Speci
c Health Scale(BSHS-B)was adopted to assess quality of life.Statistical analysis was conducted using IBM SPSS statistics(version 22.0).A P value of<0.05 was considered statistically significant.RESULTS A total of 103 patients were included in the study.The mean age of the patients was 31.83 years(range 18-75 years).A significant majority(91.3%)of patients were male.The mean total body surface area(TBSA)in these patients was 21.1%.In most of the patients(67%),the injury was occupation-related.High voltage injuries were implicated in 72.8%of patients.Among the 75 high voltage burn patients,31(41%)required amputation.The mean number of surgeries the patients underwent in hospital was 2.03(range 1 to 4).The quality of life parameters amongst the patients sustaining high voltage electrical burns were poorer when compared to low voltage injuries at all follow-up intervals across nine domains.In eight of these domains,the difference was statistically significant.Similarly,the scores among the amputees were poorer when compared to non-amputees.The difference was statistically significant in six domains.CONCLUSION Electrical burns remain a problem in the developing world.Most injuries are occupation-related.The quality of life in patients with high voltage burns and amputees remains poor.Work resumption was almost impossible for amputees.These patients could not regain pre-injury status.Steps should be taken to create awareness and to implement an effective preventive strategy to safeguard against electrical injuries.

Shift Work: Impact on Nurses’ Health and Quality Life in Pointe-Noire (Congo)

Introduction: The consequences of shift work on health, psychological balance and socio-family life are multiple and universally known. Objective: The aim of this survey was to describe the impact of shift work on nurses’ health and quality life. Methodology: This was a cross-sectional descriptive study of the exposed and non-exposed type from May 2013 to July 2013, i.e. for a period of 3 months. We had included and divided into two groups the nurses working in the various departments of the Loandjili General Hospital (LGH). A questionnaire derived from the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale had been used to collect the data. Results: Of the 91 nurses considered, including 59 in shift work (group I) and 32 in daytime work (group II), significant associations were found between shift work on the one hand and sleep problems on the other hand in all these aspects, stress and appetite disturbances. However, no significant association was found between shift work on the one hand and the use of sleeping pills on the other hand. Fatigue, mood disorders and the notion of free time (at home and for leisure), although the frequencies are relatively high in the group of nurses on shift work. Conclusion: Our results show that nurses’ health, social and family life at Loandjili General Hospital are negatively impacted by shift work. There is a need to put in place means of prevention.

From prolonging life to prolonging working life: Tackling unemployment among liver-transplant recipients

Return to active and productive life is a key goal of modern liver transplantation(LT). Despite marked improvements in quality of life and functional status, a substantial proportion of LT recipients are unable to resume gainful employment. Unemployment forms a threat to physical and psychosocial health, and impairs LT cost-utility through lost productivity. In studies published after year 2000, the average postLT employment rate is 37%, ranging from 22% to 55% by study. Significant heterogeneity exists among studies. Nonetheless, these employment rates are lower than in the general population and kidneytransplant population. Most consistent employment predictors include pre-LT employment status, male gender, functional/health status, and subjective work ability. Work ability is impaired by physical fatigue and depression, but affected also by working conditions and society. Promotion of post-LT employment is hampered by a lack of interventional studies. Prevention of pre-LT disability by effective treatment of(minimal) hepatic encephalopathy, maintaining mobility, and planning work adjustments early in the course of chronic liver disease, as well as timely post-LT physical rehabilitation, continuous encouragement, self-efficacy improvements, and depression management are key elements of successful employment-promoting strategies. Prolonging LT recipients' working life would further strengthen the success of transplantation, and this is likely best achieved through multidisciplinary efforts ideally starting even before LT candidacy.

The Role of Work in Breast Cancer Patients

Background: Since the survival rates of cancer have increased considerably, the long-term side effects of cancer and cancer-related treatments may impact survivors’ capability to regain normal lives. The aim of this study was to evaluate the effects of the breast cancer on the job satisfaction and the quality of life. Methods: We enrolled 130 women divided into four groups: 1) 40 breast cancer survivors (aged 39 - 50);2) 44 women diagnosed with breast cancer (aged 35 - 49);3) 46 women in good health status (aged 37 - 48). Job satisfaction was measured with the Warr-Cook-Wall (WCW) Job satisfaction scale that measures overall job satisfaction and satisfaction with nine aspects of work. Results: Compared to healthy subjects, breast cancer survivors reported a poorer number of hours of work (p < 0.05) and a significant amount of variety in job (p < 0.01), opportunity to use abilities (p < 0.001), income (p < 0.01). Compared to patients with breast cancer at diagnosis, breast cancer survivors reported a significant amount of variety in job (p < 0.05), opportunity to use abilities (p < 0.05), amount of responsibility (p < 0.05), income (p < 0.05). In our study, the comparison between breast cancer survivors, breast cancer at diagnosis, and healthy subjects does not differ significantly in overall job satisfaction. Conclusions: Understanding the job problems associated with cancer can provide relevant information regarding potential treatment and psychological support in breast cancer survivors.

Predictors of functional independence, quality of life, and return to work in patients with burn injuries in China's Mainland

Background:Burn injury may be associated with long-term rehabilitation and disability,while research studies on the functional performance after injuries,quality of life(QOL),and abilities to return to work of burn patients are limited.These outcomes are related not just to the degree and nature of injuries,but also to the socio-economical background of the society.This study aimed to identify the factors which might affect burn patients’abilities to reintegrate back to the society based on a sample in China's Mainland.Methods:A retrospective study was conducted to collect data of demographic characteristics,medical data about burn injuries,physical and psychological status,and self-perceived QOL at the initial phase and upon discharge from a rehabilitation hospital,timing of rehabilitation,and duration of rehabilitation intervention.Four hundred fifteen patients with burn injuries were recruited in the study.Multiple linear regression and logistic regression were used to obtain a model to predict the functional abilities and the perceived QOL at discharge and their changes during rehabilitation,as well as the post-injury work status within 6 months after discharge.Results:The functional performance at discharge and its change were significantly predicted by the functional abilities and QOL at the admission,duration of treatment,timing of rehabilitation,payer source,and total body surface area burned.The perceived QOL at discharge and its change were significantly predicted by the baseline QOL at admission and duration of treatment.The significant predictors of work status within 6 months post-discharge included age,education,payer source,total body surface area burned,perceived QOL,and bodily pain at admission.Conclusions:The present study identified a number of factors affecting the rehabilitation outcomes of people with burn injuries.Identification of these predictors may help clinicians assess the rehabilitation potential of burn survivors and assist in resource allocation.Policy makers should ensure that resources are adequate to improve the outcomes based on these factors.

Effects of exercise in renal transplant recipients

Even after a successful renal transplantation, the renal transplant recipients(RTRs) keeps on suffering the consequences of the uremic sickness. Cardiovascular risk, work capacity, and quality of life do not improve according to expectations since biological and psychological problems are not completely solved by pharmacological treatment. Furthermore, post-transplant treatment, per se, induces additional problems(i.e., side effects of drugs). It becomes, indeed, very important to insert "non-pharmacological" therapies able to reverse this trend. Exercise may represent an important contribution in the solution of this problem. In fact, many studies have demonstrated, in the last two decades, that physical training is able both, to improve graft function, work capacity and quality of life, and to reduce cardiovascular risk. In conclusion, if the analysis of the available data suggests that an appropriate dose of physical training represent a useful, safe and non-pharmacologic contribution to RTR treatment, it becomes a kidney transplantologist responsibility to introduce exercise in the current therapy of RTRs.

肿瘤科护士工作生活质量与死亡应对能力的相关性研究

目的:调查肿瘤科护士工作生活质量及死亡应对能力现状,探讨肿瘤科护士工作生活质量与死亡应对能力的相关性。方法:采用便利抽样法,于2020年7月—8月选取广州市某2家三级甲等肿瘤专科医院193名护士为研究对象,使用一般资料调查表、工作生活质量量表(第2版)、死亡应对能力量表进行现场调查。结果:工作生活质量总分为(106.89±16.46)分,处于中等水平。死亡应对能力总分为(128.29±27.83)分。工作生活质量总分与死亡应对能力总分呈正相关(r=0.161,P<0.05)。结论:肿瘤科护士工作生活质量及死亡应对能力处于中等水平;死亡应对能力是工作生活质量的重要影响因素。管理者可通过加强临终护理培训、心理辅导等措施提高护士死亡应对能力,以改善护士工作生活质量,稳定护理队伍。

临床护士工作生活质量现状及潜在剖面分析

目的 了解临床护士工作生活质量现状,并对其影响因素进行潜在剖面分析。方法 对便利抽样法抽取的1 438名临床护士采用一般资料调查表、护士工作相关生活质量量表(WRQoL)、临床护士额外任务负荷问卷(ETLS)及心理授权量表(PES)进行调查分析。对护士工作生活质量进行潜在剖面分析,并通过单因素与多因素分析对护士工作生活质量进行差异性检验。结果研究共回收有效问卷1 227份。临床护士工作生活质量可分为3个潜在类别:工作生活低质量组(58.19%)、工作生活中等质量组(25.35%)、工作生活高质量组(16.46%)。单因素分析显示,3组护士在文化程度、职务、是否承担教育护士岗位职责、每月夜班频次、参与心理减压培训情况、ETLS评分及PES评分方面比较,差异均有统计学意义(P<0.05或0.01)。多因素分析显示,职务、承担教育护士岗位职责、参与心理减压培训情况、心理授权、额外任务负荷是护士工作生活质量分类的影响因素。结论 临床护士工作生活质量分类特征明显,医院管理者可以根据影响因素对不同类别特征的临床护士进行有针对性的心理干预,以提高护士的工作生活质量水平。

财政拨款项目仪器设备购置生命周期协同管理模式探讨

如何充分利用财政拨款项目资金,合理配置诊疗、科研等专业设备,在保障项目进度的同时,做好仪器设备选型、论证等调研分析工作,规范采购流程,提高财政拨款项目仪器设备购置工作质效,一直是困扰业界的主要问题。通过广泛调研发现财政拨款项目仪器设备购置工作中存在的具体问题包括采购制度不完善、采购流程不规范、可行性论证不充分、需求调研不充分、采购执行进度控制困难、安装就位验收困难。借鉴生命周期理论和协同管理理论,总结某口腔专科医院在国家财政专项仪器设备购置经验,构建生命周期分段式横纵向协同管理模式,解决配置不合理、采购不规范、项目进度慢的问题;探讨进一步提高国家财政拨款项目仪器设备购置工作质效,加强医院诊疗科研能力,全面提升医院高质量发展效能的科学方法。

低年资护士工作沉浸体验现状及其影响因素

目的:调查低年资护士工作沉浸体验现状及影响因素,为护理管理提供决策依据。方法:2022年9月-10月选取淄博市某三级甲等医院214名低年资护士为研究对象,采用一般资料调查表、护士工作沉浸体验量表、职业生命质量量表及离职倾向量表进行调查,并进行Pearson相关分析及多重线性回归分析。结果:低年资护士工作沉浸体验得分为(4.76±0.88)分,职业生命质量得分为(3.34±0.58)分,离职倾向得分为(1.26±0.29)分;Pearson相关分析结果显示,低年资护士工作沉浸体验与职业生命质量呈正相关(r=0.642,P<0.01),与离职倾向呈负相关(r=-0.779,P<0.01);多重线型回归分析结果显示,性别、学历、对护理专业的喜爱程度、离职倾向总分、职业生命质量总分是低年资护士工作沉浸体验的影响因素(P<0.05)。结论:低年资护士工作沉浸水平较高,护理管理人员要充分认识低年资护士工作沉浸体验研究的重要性,采取积极的应对措施,提高护理质量,保障护士身心健康,促进其职业生涯长远发展。

乳腺癌术后患者重返工作后工作生活质量及相关因素

目的:探讨乳腺癌术后患者重返工作后工作生活质量及相关因素。方法:选取316例已重返工作的乳腺癌术后患者,采用一般资料调查表、癌症患者工作生活质量量表(QWLQ-CS)、乳腺癌患者心理弹性量表(BCRS)、癌症自我管理效能感量表(SUPPH)对其进行调查,采用多重线性回归分析其工作生活质量相关因素。结果:多重线性回归分析显示,QWLQ-CS得分与受教育程度、家庭人均月收入、工作模式、重返工作时间,及BCRS的个人保护、社会保护,SUPPH的正性态度维度得分正向关联(β=1.05、1.23、2.26、0.69、0.95、1.00、0.13),与合并并发症负向关联(β=-3.83)。结论:乳腺癌术后患者重返工作后工作生活质量有待提高,心理弹性和自我效能与工作生活质量存在正向关联。

目标管理配合优化新绩效管理应用于耳鼻咽喉科的效果

目的分析目标管理配合优化新绩效管理用于耳鼻咽喉科的效果。方法选取2021年1月—2022年12月莆田九十五医院耳鼻咽喉科的18名护理人员为研究对象。将2021年1—12月实施常规管理措施作为实施前,2022年1—12月实施目标管理配合优化新绩效管理作为实施后。比较实施前后耳鼻咽喉科的护理工作质量、职业生命质量、护理差错发生率、护理人员满意度。结果(1)实施后护理工作质量各评分高于实施前(P<0.05)。(2)实施后护士职业生命质量(quality of nurses work life scale,QNWL)各评分高于实施前(P<0.05)。(3)实施后护理文书书写错误/遗漏、消毒隔离不彻底、未及时处理突发事件、给药不及时等护理差错总发生率低于实施前(P<0.05)。(4)实施后总满意度为94.44%,高于实施前的66.67%(P<0.05)。结论目标管理配合优化新绩效管理可提升耳鼻咽喉科护理人员的工作质量与职业生命质量,提高管理水平。

临床护士的专业生活品质现状及其影响因素

目的 调查临床护士的专业生活品质现状并分析影响因素,为保障护士身心健康提供建议。方法选取2022年7—8月吉林省延吉市2所三级甲等综合性医院符合纳入条件的424名临床护士进行问卷调查。调查工具有一般资料调查表、专业生活品质量表、中文版知觉压力量表及护理工作环境量表。结果 临床护士专业生活品质,慈心满意处于中低水平者348名(82.07%),工作倦怠与二次创伤处于中高水平者分别占341名(80.42%)、331名(78.07%)。慈心满意的影响因素包括文化水平、平均月收入、知觉压力、护理工作环境,共解释总变异的57.1%;工作倦怠的影响因素为护龄、月夜班次数、职称、知觉压力、护理工作环境,共解释总变异的30.1%;二次创伤的影响因素为职称、知觉压力、护理工作环境,共解释总变异的28.9%。结论 多数护士的慈心满意程度处于中低水平,工作倦怠及二次创伤水平处于中高水平而亟待改善。建议护理管理者采取人性化管理,改善工作环境,降低工作压力,提高低文化水平、低职称、低收入、高月夜班次数护士的专业生活品质,保障其身心健康和护理服务质量。