江苏省高年资护士共情疲劳的潜在类别分析
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女,硕士,副主任护师,护士长

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南京市卫生科技发展专项资金项目(GAX23298)


Analysis of potential categories of compassion fatigue among senior nurses in Jiangsu province
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    摘要:

    目的 了解江苏省高年资护士共情疲劳的现状及潜在类别,分析其影响因素,为高年资护士的人本化管理提供参考。方法 采用便利抽样法,选取江苏省苏中、苏南、苏北地区护理工作年限≥10年的高年资护士3 509人作为研究对象,采用一般资料调查表、中文版共情疲劳量表及中文版护士工作环境感知量表进行调查。结果 高年资护士职业倦怠得分为(24.58±6.50)分,继发性创伤应激得分为(26.80±6.07)分,同情满足得分为(36.57±7.38)分。中度及以上共情疲劳者为2 386人(68.0%)。潜在剖面分析显示,共情疲劳分为共情疲劳优势组(32.00%)、中度共情疲劳组(63.12%)和共情疲劳应激组(4.87%)3个潜在类别。logistic回归分析显示,职务、月收入、班次、对工作环境感知是共情疲劳不同潜在类别的影响因素(均P<0.05)。结论 高年资护士共情疲劳存在3个潜在类别,呈现群体异质性。护理管理者需采用多元化、人本化管理策略,激发高年资护士工作热情,降低共情疲劳水平。

    Abstract:

    Objective To understand the current status and potential categories of compassion fatigue among senior nurses in Jiangsu province, and to analyze its influencing factors, so as to provide a reference for the human-centric management of senior nurses. Methods Using convenience sampling, 3 509 senior nurses in central, southern and northern Jiangsu with a working tenure of ≥10 years were selected, then they were investigated by utilizing a general information questionnaire, Professional Quality of Life Scale version 5 (ProQOL-5), and the Chinese Version of Perceived Nursing Work Environment (C-PNWE). Results The burnout score of senior nurses was (24.58±6.50), secondary traumatic stress score was (26.80±6.07), and compassion satisfaction score was (36.57±7.38). Among them, 2 386 (68.0%) experienced moderate or higher level of compassion fatigue. Latent profile analysis revealed three potential categories of compassion fatigue: compassion fatigue dominant group (32.00%), moderate level of compassion fatigue group (63.12%), and compassion fatigue stress group (4.87%). Logistic regression analysis showed that, job position, monthly income, shift schedule, and perception of the work environment were influencing factors for different potential categories of compassion fatigue (all P<0.05). Conclusion Compassion fatigue among senior nurses has three potential categories, which indicates group heterogeneity. Nursing managers should adopt diversified and human-centric management strategies, so as to boost senior nurses′ enthusiasm for work and reduce their compassion fatigue.

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曾丽华,陈娴,朱珠,孙翠华,吴金凤,乔成平.江苏省高年资护士共情疲劳的潜在类别分析[J].护理学杂志,2024,39(2):64-68

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  • 收稿日期:2023-08-09
  • 最后修改日期:2023-10-16
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  • 在线发布日期: 2024-06-15