首页|绵阳市4所三级甲等医院急诊科护士知觉压力、工作场所心理暴力与工作疏离感的相关分析

绵阳市4所三级甲等医院急诊科护士知觉压力、工作场所心理暴力与工作疏离感的相关分析

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目的 了解绵阳市三级甲等医院急诊科护士知觉压力、工作场所心理暴力与工作疏离感现状,并分析工作疏离感的影响因素.方法 采用便利抽样法,于2022年6-7月选取绵阳市4所三级甲等医院226名急诊科护士为调查对象.采用一般资料调查表、知觉压力量表、工作场所心理暴力量表和工作疏离感量表进行相关资料收集.并对数据进行分析.结果 绵阳市三级甲等医院急诊科护士知觉压力得分为(34.51±9.09)分,工作场所心理暴力得分为(23.79±10.51)分,工作疏离感得分为(29.56±11.10)分.不同婚姻状况、合同类别、职称、急诊科工作年限、睡眠质量、健康状况的急诊科护士知觉压力得分比较,差异均有统计学意义(均P<0.05);不同合同类别、职称、睡眠质量、健康状况的急诊科护士工作场所心理暴力得分比较,差异均有统计学意义(均P<0.05);不同性别、婚姻状况、合同类别、职称、月均收入、是否轮值夜班、睡眠质量、健康状况的急诊科护士工作疏离感得分比较,差异均有统计学意义(均P<0.05).知觉压力和工作场所心理暴力得分与工作疏离感得分均呈正相关(P<0.05).职称、月均收入、睡眠质量、健康状况、知觉压力、工作场所心理暴力是急诊科护士工作疏离感的主要影响因素,可解释工作疏离感得分总变异的60.4%.结论 绵阳市4所三级甲等医院急诊科护士工作疏离感水平较高,且受多种因素影响,其中知觉压力和工作场所心理暴力是其重要影响因素.护理管理者应关注护士身心健康,采取多形式、针对性干预措施降低护士工作相关压力及工作场所心理暴力,从而降低工作疏离感,提高护士工作投入.
Correlation analysis of perceived stress,psychological violence in the workplace and job alienation among nurses in emergency departments of four tertiary grade A hospitals in Mianyang City
Objective To understand the current situation of nurses'perceived stress,psychological violence in the workplace and job alienation in the emergency department of Mianyang tertiary first-class hospital,and to analyze the influencing factors of job alienation.Methods A total of 226 emergency department nurses from 4 tertiary grade A hospitals in Mianyang City were selected as the survey objects by convenience sampling methods from June to July 2022.General information questionnaire,perceived stress scale,workplace psychological violence scale and work alienation scale were used to collect relevant data.And the data were analyzed.Results The scores of perceived stress,psychological violence in the workplace and work alienation of nurses in the emergency department of Mianyang tertiary grade A hospital were(34.51±9.09),(23.79±10.51)and(2956±1 l.10)points,respectively.There were statistically significant differences in perceived stress scores among emergency department nurses with different marital status,contract type,professional title,working years in the emergency department,sleep quality,and health status(all P<0.05).The scores of psychological violence in the workplace of emergency department nurses with different contract types,professional titles,sleep quality and health status were compared,and the differences were statistically significant(all P<0.05).There were statistically significant differences in the scores of job alienation among emergency department nurses with different gender,marital status,contract category,professional title,average monthly income,whether to work night shift,sleep quality,and health status(all P<0.05).The scores of perceived stress and workplace psychological violence were positively correlated with the scores of job alienation(P<0.05).Professional title,average monthly income,sleep quality,health status,perceived pressure,and psychological violence in the workplace were the main influencing factors of job alienation among nurses in emergency department,which could explain 60.4%of the total variation of job alienation score.Conclusions The level of job alienation of nurses in emergency departments of four tertiary grade A hospitals in Mianyang is high,and it is affected by many factors,among which perceived pressure and psychological violence in the workplace are important influencing factors.Nursing managers should pay attention to the physical and mental health of nurses,and take various forms of targeted intervention measures to reduce nurses'work-related pressure and psychological violence in the workplace,so as to reduce the sense of work alienation and improve nurses'work engagement.

Emergency departmentNursesWork alienationPerceived stressPsychological violence in the workplacelnfluence factor

张玲玲

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电子科技大学医学院附属绵阳医院,绵阳市中心医院急诊科,四川绵阳 621000

急诊科 护士 工作疏离感 知觉压力 工作场所心理暴力 影响因素

四川省卫健委普及项目

2021HR31

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(2)
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