急诊科护士工作场所暴力与心理韧性对职业倦怠的影响

摘要/Abstract

摘要： 目的了解上海市急诊科护士工作场所暴力与心理韧性对职业倦怠的影响。方法 2023年11—12月期间,采取随意抽样法抽取上海市6家三级综合性医院急诊科176名护士作为调查对象,采用工作场所暴力量表、心理韧性量表和职业倦怠量表进行调查并分析。结果急诊科护士工作场所暴力、心理韧性、职业倦怠得分分别为（6.12±1.28）、（84.28±14.37）和（61.55±12.43）分;不同性别、年龄、工作年限、专业技术资格、婚姻状况及月收入急诊科护士工作场所暴力得分比较,差异均有统计学意义（均P<0.05）;不同年龄、工作年限、专业技术资格、月收入急诊科护士的心理韧性、职业倦怠得分比较,差异均有统计学意义（均P<0.05）;急诊科护士工作场所暴力得分与职业倦怠得分呈正相关（r=0.662,P<0.01）,心理韧性得分与职业倦怠得分呈负相关（r=-0.586,P<0.01）,工作场所暴力得分与心理韧性得分呈负相关（r=-0.528,P<0.01）。分层回归分析发现工作场所暴力和心理韧性可以联合解释职业倦怠总变异的35.80%。结论上海市急诊科护士工作场所暴力和心理韧性与职业倦怠密切相关,应采取针对性措施降低工作场所暴力事件发生率,并提高心理韧性水平来降低其职业倦怠水平。

关键词: 急诊科护士, 工作场所暴力, 心理韧性, 职业倦怠, 影响因素

Abstract: Objective To explore the impact of workplace violence and psychological resilience on occupational burnout among emergency department nurses in Shanghai. Methods From November to December 2023,a random sampling method was used to select 176 nurses from the emergency departments of six tertiary hospitals in Shanghai as survey subjects,and they were investigated and analyzed by the workplace violence scale,mental toughness scale and occupational burnout scale. Results The scores of workplace violence,psychological resilienceand occupationalburnout of emergency department nurses were （6.12±1.28）,（84.28±14.37） and（61.55±12.43）points,respectively. There were statistically significant differences in scores of workplace violence among emergency department nurses with different gender,age,working years,professional and technical qualifications,marital status and monthly income（all P<0.05）. There were statistically significant differences in scores of psychological resilience and occupational burnout among emergency department nurses with different age,working years,professional and technical qualifications,and monthly income（all P<0.05）.The workplace violence score of emergency department nurses was positively correlated with the occupational burnout score（r=0.662,P<0.01）,the psychological resilience score was negatively correlated with the occupational burnout score（r=-0.586,P<0.01）,and the workplace violence score was negatively correlated with the psychological resilience score（r=-0.528,P<0.01）. The hierarchical regression analysis found that workplace violence and psychological resilience jointly explained 35.80% of the total variation in occupational burnout. Conclusion The workplace violence and psychological resilience of emergency department nurses in Shanghai are closely related to occupational burnout,and it is necessary to take targeted measures to reduce the incidence of workplace violence and improve psychological resilience to reduce their level of occupational burnout.

Key words: Emergency department nurse, Workplace violence, Psychological resilience, Occupational burnout, Influencing factor

中图分类号:

R181.3⁺1

张静, 陆爱红, 黄雪红, 肖小兰, 李国娟, 杨旋. 急诊科护士工作场所暴力与心理韧性对职业倦怠的影响. [J]职业与健康, 2025, 41(10): 1335-1339.

ZHANG Jing, LU Aihong, HUANG Xuehong, XIAO Xiaolan, LI Guojuan, YANG Xuan. Impact of workplace violence and psychological resilience on occupational burnout among emergency department nurses. [J]OCCUPATION AND HEALTH, 2025, 41(10): 1335-1339.

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