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A Comparison of Stress Factors in Home and Inpatient Hospice Nurses

机译:家庭和住院临终关怀护士压力因素的比较

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摘要

Generally considered a philosophy of care rather than a place, hospice is a unique blend of services that addresses the needs of dying persons and those close to them. Frontline workers are critical to the success of hospice, so it follows that the level of stress and general well-being felt by these workers is centrally important. An overly stressed, demoralized, or alienated direct service staff is unlikely to personify hospice caring or deliver high-quality, compassionate care for the terminally ill and their families, which epitomizes the hospice caliber philosophy of care. The purpose of this study was to determine the perceived stress factors of inpatient and home hospice nurses and their correlation to perceived self-efficacy. The top stressors perceived by participating hospice nurses were "making a mistake when treating a patient," "insufficient personnel to handle workload," "fellow workers not doing their job," "inadequate support from supervisor/ manager," "disagreement with a medical professional concerning treatment of patient," and "personal insult from patients or families." Statistically significant relationships exist between some of the stressors surveyed in different areas and the stressors' total and general perceived self-efficacy score. In the statistically significant relationships with perceived self-efficacy, the direction is negative, indicating a high ranking of the stressor or the total correlates to a lower score on perceived self-efficacy. so
机译:临终关怀通常被认为是一种护理哲学,而不是一个场所,它是一种独特的服务组合,可以满足临终者及其亲人的需求。一线员工对临终关怀的成功至关重要,因此,这些员工感受到的压力和总体幸福感至关重要。压力过大,士气低落或与世隔绝的直接服务人员不太可能将临终关怀的人格化或为身患绝症的患者及其家人提供高质量的富有同情心的护理,这代表了临终关怀的护理哲学。这项研究的目的是确定住院和临终关怀护士的感知压力因素及其与感知自我效能的相关性。与会的临终关怀护士认为,最主要的压力是“在治疗患者时犯了一个错误”,“人员不足以处理工作量”,“同工们没有完成工作”,“主管/经理的支持不足”,“对医疗的异议”。有关患者治疗的专业人员”和“来自患者或家属的个人侮辱”。在不同地区进行调查的某些压力源与压力源的总体和总体自我效能得分之间存在统计上的显着关系。在与感知到的自我效能感具有统计学意义的关系中,方向为负,表明压力源的高排名或总体与感知到的自我效能感得分较低相关。所以

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