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| The mediating effect of job burnout on palliative nursing cognition level and nursing attitude of oncology nurses |
| AN Fangfang1 JING Zhaoxia2 CHAO Xu3 LI Yuanyuan3 |
1.School of Nursing, Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712000, China;
2.the Union Office of the Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712000, China;
3.the Scientific Bureau of the Second Affiliated Hospital of Shaanxi University of Chinese Medicine 712000, China |
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Abstract Objective To explore the mediating effect of job burnout on palliative nursing cognition level and nursing attitude of oncology nurses. Methods From March to October 2019, a total of 380 registered nurses from the department of oncology in 3 specialized hospitals and 6 general hospitals in Shaanxi Province were investigated by means of general information questionnaire, palliative care knowledge questionnaire, Maslach burnout questionnaire and Bradley nursing attitude questionnaire. Results A total of 380 questionnaires were actually issued and 365 valid questionnaires were collected, with an effective recovery rate of 96.1%. Palliative care knowledge score of oncology nurses was (11.04±2.16) points; the score of burnout was (72.62±4.16) points. Nursing attitude score was (31.91±5.86) points. There was a negative correlation between job burnout and cognitive level of palliative care (r = -0.601, P ＜ 0.01). There was also a negative correlation with nursing attitude (r = -0.626, P ＜ 0.01). The mediating effect of job burnout between the cognitive level of palliative care and nursing attitude was 0.138, accounting for 17.3% of the total effect, and the mediating effect was significant (Z = 5.625＞1.96). Conclusion Oncology nurses are at a high level of job burnout, and their job burnout plays a part of the mediating effect between the cognitive level of palliative care and nursing attitude. Hospitals can improve nurses′ palliative care attitude towards patients by improving their cognitive level and reducing their sense of job burnout.
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[1] Patel A，Asch S，Antonio AL，et al. Measuring the Quality of Palliative Care for Patients with End-Stage Liver Disease [J]. Dig Dis Sci，2020，5（5）：86-91.
[2] 侯振华，刘彦慧，张春梅，等.姑息护理概念分析[J].护理研究，2019，33（15）：2582-2585.
[3] Vuong C，Kittelson S，Mccullough L，et al. Implementing primary palliative care best practices in critical care with the Care and Communication Bundle [J]. Rmd Open，2019，8（3）：86-92.
[4] 刘德兰，闫荣，曲华燕，等.肿瘤护理人员对姑息护理相关知识需求的调查分析[J].护理学杂志，2018，33（24）：11-14.
[5] 宋宇娟，武丽桂，袁玲，等.南京地区护士对姑息护理认知及其态度调查研究[J].护理研究，2018，32（13）：2103-2106.
[6] 牛振军，周红.我国姑息护理研究现状[J].护理研究，2018，32（4）：526-528.
[7] 李三梅，雷敏，陈娜芬，等.肿瘤科护士姑息护理职业倦怠及影响因素调查分析[J].护理学杂志，2018，33（9）：82-84.
[8] Tamás Irinyi，Kinga Lampek，Anikó Németh，et al. Discriminating low，medium and high burnout nurses： Role of organizational and patient-related factors [J]. J Nurs Manag，2019，18（8）：356-371.
[9] 张晶.护士工作压力的个案社会工作研究[D].西安：西北大学，2019.
[10] Ross M，Mcdonald B，Mcguinness J. The palliative care quiz for nursing（PCQN）：the development of an instrument to measure nurses′ knowledge of palliative care [J]. J Adv Nur，1996，23（1）：126-137.
[11] 邹敏.上海市护士姑息护理知识和态度的现状调查与分析[D].上海：第二军医大学，2007.
[12] Maslach C，Jackson SE，Lerter MP. Maslach Burnout Inventory-Human Services Survey（MBI-HSS）[M]. Palo Alto，CA：Consulting Psycologists Press，1996：1-55.
[13] 李小妹，刘彦君.护士工作压力源及工作疲溃感的调查研究[J].中华护理杂志，2000，35（11）：645-649.
[14] 包桉冰.我国公立医院护士职业倦怠、组织支持感与离职倾向的关系研究[D].南京：南京中医药大学，2018.
[15] Listed N. Good care of the dying patient. Council on Scientific Affairs，American Medical Association [J]. JAMA， 1996，275（6）：474-478.
[16] 沈益琴，俞海燕，石莉丽，等.传染病医院护理人员姑息护理态度调查及其影响因素分析[J].中国护理管理，2014， 14（9）：931-935.
[17] 杨青建.长春市三甲医院护士姑息护理知信行的现状调查及相关因素分析[D].吉林：吉林大学，2013.
[18] 张玉玺，吴金凤，范云霞，等.老年科护士姑息护理知识调查分析[J].护理学杂志，2013，28（7）：44-46.
[19] 戴敏智，夏丽敏，左志贵，等.基于知信行理论模式的姑息护理关怀管理对晚期结直肠癌化疗患者的影响[J].中国医药导报，2020，17（1）：179-182.
[20] 刘瑾，朱娓，张翠萍.肿瘤医院护士姑息护理知识现状调查及影响因素分析[J].中国医药导报，2018，15（20）：129-132.
[21] 郑连花，刘国莲，虎玉霞，等.医护人员对姑息关怀知识及态度的调查研究[J].基层医学论坛，2020，24（3）：318-320.
[22] Sillero A，Zabalegui A. Organizational Factors and Burnout of Perioperative Nurses [J]. Clin Pract Epidemiol Ment Health，2018，14（1）：132-142.
[23] Guo YF，Luo YH，Lam L，et al. Burnout and its association with resilience in nurses： A cross-sectional study [J]. 2018，27（1-2）：441-449. |
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