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Do positive relations with patients play a protective role for healthcare employees? Effects of patients gratitude and support on nurses burnout

机译：与患者的积极关系是否对医护人员起到保护作用？患者的感谢和支持对护士倦怠的影响

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>Background: A growing number of studies reveal that there are significant associations between a patient's perception of quality of care and a health professional's perceived quality of work life. Previous studies focused on the patients or on the workers. Alternatively, they center the discussion on either the negative or the positive effects, both on patients and care workers. This research work focuses on the positive relationship with patients—a possible resource for care workers.>Method: Study 1: A CFA was conducted to test the factorial structure and the tenure of the Italian version for patients of the Customer-initiated Support scale. Study 2: Using a multi-group path analysis, the effects of work characteristics and of the relationship with patients on burnout were tested in two different contexts: emergency and oncology ward.>Results: Study 1: The one-factor instrument shows good reliability, convergent, and divergent validity. Study 2: for oncology nurses cognitive demands, job autonomy, and support from patients have direct effects on emotional exhaustion and job autonomy; interactions between cognitive demands and patients' support have an effect on depersonalization. For emergency nurses cognitive demands and interactions between job autonomy and support from patients have effects on emotional exhaustion; job autonomy, patients support and gratitude have direct effects on personal accomplishment.>Conclusions: Results confirm expectations about the role of patients' support and gratitude in reducing nurses' burnout, with differences in the two contexts: emergency nurses show higher burnout and lower perception of positive relationship with patients, but present more intense protective effects of the interaction between job autonomy and support/gratitude. Suggestions can be offered to managers in developing interventions to promote “healthy organization” culture that consider jointly employees and patients' needs.
机译：>背景：越来越多的研究表明，患者对护理质量的感知与卫生专业人员对工作生活的感知之间存在显着关联。先前的研究集中于患者或工人。或者，他们将讨论的重点放在对患者和护理人员的消极或积极影响上。这项研究工作着眼于与患者的积极关系，这是护理人员的一种可能资源。客户发起的支持规模。研究2：使用多组路径分析，在急诊室和肿瘤病房两个不同的环境中测试了工作特征和与患者的关系对倦怠的影响。>结果：研究1：一个因子仪器显示出良好的可靠性，收敛性和发散性有效性。研究2：对于肿瘤科护士而言，其认知需求，工作自主性和患者的支持对情绪疲惫和工作自主性有直接影响；认知需求和患者支持之间的相互作用会影响人格解体。对于急诊护士，认知需求以及工作自主权和患者支持之间的相互作用会影响情绪衰竭；工作自主权，患者的支持和感谢会直接影响个人成就。表现出更高的职业倦怠和与患者的积极关系的感知，但是对工作自主性与支持/感谢之间的互动表现出更强烈的保护作用。在制定干预措施以促进“健康组织”文化时，可以向管理人员提供建议，这些文化应同时考虑员工和患者的需求。

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