Abstract:Objective To investigate the status quo of decision-making fatigue and occupational well-being of nurses in cardiovascular medicine, and to explore the relationship between them, so as to provide a theoretical basis for promoting nurses’ occupational well-being. Methods From October to November 2021, a convenience sampling method was used to investigate 704 cardiovascular nurses in Jiangsu Province by means of an online questionnaire. The survey tools included general information questionnaire, decision fatigue scale, and medical staff occupational well-being scale. Results A total of 655 valid questionnaires were recovered, with an effective recovery rate of 93.04%. Compared with different age, professional title, job position, monthly income, and participate in the night shift nurses had different decision-making fatigue degrees, and the differences were statistically significant (P < 0.05). Compared with the difference of occupational well-being of nurses with jobs position, monthly income and participated in the night shift, and the differences were statistically significant (P < 0.05). The total score of decision fatigue scale was negatively correlated with the total score of occupational well-being (r < 0, P < 0.01). The total score of the decision fatigue scale was negatively correlated with the scores of physical and mental health, value/ability manifestation, social support, economic income, and work environment in the occupational happiness scale (r < 0, P < 0.01). Conclusion The higher the decision-making fatigue of nurses, the lower the level of occupational well-being. Managers should pay close attention to the degree of decision-making fatigue of nurses, and reduce the decision-making fatigue of nurses with scientific and effective methods to improve their occupational well-being.
谢文静 孙国珍▲ 高敏 温高芹. 心血管内科护士决策疲劳与职业幸福感现状及其相关性分析[J]. 中国医药导报, 2022, 19(26): 43-46.
XIE Wenjing SUN Guozhen▲ GAO Min WEN Gaoqin. Status quo and correlation analysis of decision-making fatigue and occupational well-being among nurses in cardiovascular medicine. 中国医药导报, 2022, 19(26): 43-46.
[1] Pignatiello GA,Martin RJ,Hickman RL. Decision fatigue:A conceptual analysis [J]. J Health Psychol,2018,25(4):401-416.
[2] Allan JL,Johnston DW,Powell DJH,et al. Clinical decisions and time since rest break:An analysis of decision fatigue in nurses [J]. Health Psychol,2019,38(4):318-324.
[3] Persson E,Barrafrem K,Meunier A,et al. The effect of decision fatigue on surgeons’ clinical decision making [J]. Health Econ,2019,28(10):1194-1203.
[4] Rao S,Nyquist AC. The Power of the Nudge to Decrease Decision Fatigue and Increase Influenza Vaccination Rates [J]. JAMA Netw Open,2018,1(5):e181754.
[5] 朱懿珍,张玉霞,王雪皎,等.医护人员决策疲劳的研究进展[J].护理学杂志,2021,26(1):101-104.
[6] Hickman RL,Pignatiello GA,Tahir S. Evaluation of the Decisional Fatigue Scale Among Surrogate Decision Makers of the Critically Ill [J]. West J Nurs Res,2017,40(2):191-208.
[7] 潘国翠,李梅.决策疲劳量表的汉化及其应用于ICU患者家属的信度效度评价[J].护理学报,2020,27(12):38-41.
[8] 胡冬梅,马月丹,那丽,等.医务工作者职业幸福感量表编制及信度和效度分析[J].中国医院统计,2011,18(2):127-129.
[9] 杨艳丽,许小霞,周云霞,等.手术室护士工作疲劳现状与家庭功能的相关性分析[J].预防医学论坛,2021,27(11):812-816.
[10] 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,2000,21(1):71-72.
[11] 唐淑美,陈晓静,宋立业,等.临床护士护理伦理决策能力与情绪控制水平的相关性分析[J].中华现代护理杂志,2018,24(29):3518-3522.
[12] 范玉滢,李艳,孙璐.临床健康护士中医体质,年龄与心理压力的相关性[J].护理研究,2019,33(22):3969-3970.
[13] 金晓燕.护士健康促进生活方式与职业幸福感的现状分析与相关性研究[D].南昌:南昌大学,2016.
[14] 赵利华,韩玉萍,王佳,等.职业幸福感在护士疲劳与组织承诺间的中介效应[J].护理管理杂志,2020,20(11):761-767.
[15] 方慧,张慧敏,施雁.社区护士情绪管理与职业幸福感的相关性分析[J].中华现代护理杂志,2019(22):2811-2815.
[16] 方朕,杨晓华.医务工作者职业幸福感与工作绩效、医患关系的相关性[J].中国健康心理学杂志,2018,26(4):591-594.
[17] 费霞,王盼盼,生姣姣.青岛市临床护士健康生活方式与职业幸福感的关系[J].工业卫生与职业病,2019,45(2):107-109,113.
[18] 周志庆,王营营,陶秀彬,等.护士职业幸福感,心理资本对工作投入的影响分析[J].齐齐哈尔医学院学报,2020(5):652-656.
[19] 陈英,冯越菲,黄晔艳.上海市第十人民医院护士职业幸福感现状及影响因素分析[J].职业与健康,2020,36(18):2516-2524.
[20] 李贝贝.三级综合医院ICU护士情绪管理与职业幸福感的调查[J].全科护理,2021,19(31):4433-4436.
[21] 甘艳琴,王月琴,王娟,等.三级甲等医院妇产科护士职业疲劳、职业幸福感与应对方式现状及其影响因素[J].职业与健康,2022,38(1):4.
[22] 甘艳琴,王月琴,王娟,等.江西省3所三级甲等医院妇产科护士职业疲劳、职业幸福感与应对方式现状及其影响因素分析[J].职业与健康,2022,38(1):51-54.
[23] 钱文静,章雅青.手术室护士职业疲劳的研究进展[J].职业与健康,2021,2021,37(22):3159-3168.
[24] Welkerhood K. Does workplace stress lead to accident or error?:Many nurses feel the pressure [J]. Am J Nurs,2006,106(9):104.
[25] Xianyu Y,Lambert VA. Investigation of the relationships among workplace stressors,ways of coping,and the mental health of Chinese head nurses [J]. Nurs Health Sci,2006,8(3):147-155.