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Nurses' and Midwives' Stress of Conscience and Its Correlation With Selected Sociodemographic and Work‐Related Variables
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-09-05 , DOI: 10.1111/jan.16436
Magdalena Dziurka 1 , Anna Jedynak 2 , Krzysztof Jurek 3 , Beata Dobrowolska 1
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AimTo assess the level of stress of conscience experienced by Polish nurses and midwives and its determinants.DesignDescriptive cross‐sectional study.MethodsThe study was conducted from March 2019 to December 2020 and included convenience sampling of nurses and midwives working in hospitals in south‐eastern Poland. An adapted version of the stress of the conscience questionnaire was used.ResultsA total of 476 nurses and midwives completed the survey. The stress of conscience mean value was 67.57. There were no differences in stress of conscience between nurses and midwives. There were five predictors of stress of conscience for nurses: additional job, place of residence, care for patients over 65 years of age, satisfaction with one's salary and having specialised courses, for midwives: social status, work mode and postgraduate studies.ConclusionWith the knowledge of predictors of stress of conscience, educational institutions, policymakers and hospital managers should focus their interventions on the factors that lead to a higher level of stress of conscience. It is essential to provide psychological support, building positive relationships between colleagues and focusing on organisational conditions.ImplictFurther research in this area is therefore encouraged, along with pre‐ and postgraduate training in coping with challenging situations such as the death of a patient and caring for elderly patients with dementia or multiple diseases. The study identifies predictors of stress of conscience and problems that can influence their appearance. Factors that increase the stress of conscience, such as organisational conditions and caring after patients are over age 65, should receive special attention in clinical education and result in the provision of an increased level of support from supervisors. Policymakers should also direct their future actions towards the ageing population, staff shortages, the resignation from the profession by improving working conditions and reducing the stress of conscience.Reporting MethodSTROBE guidelines.Patient or Public ContributionNo patient or public contribution.

中文翻译:


护士和助产士的良心压力及其与选定的社会人口学和工作相关变量的相关性



目的评估波兰护士和助产士所经历的良心压力水平及其决定因素。设计描述性横断面研究。方法该研究于2019年3月至2020年12月进行,包括对波兰东南部医院工作的护士和助产士进行方便抽样。使用良心压力问卷的改编版本。结果共有 476 名护士和助产士完成了调查。良心压力平均值为67.57。护士和助产士的良心压力没有差异。护士良心压力的预测因子有5个:额外工作、居住地、照顾65岁以上患者、对工资的满意度和有专业课程;助产士的良心压力有5个预测因子:社会地位、工作模式和研究生学历。了解良心压力的预测因素后,教育机构、政策制定者和医院管理人员应将干预措施的重点放在导致良心压力较高的因素上。提供心理支持、在同事之间建立积极的关系并关注组织状况至关重要。因此,鼓励在这一领域进行进一步的研究,以及应对挑战性情况(例如患者死亡和护理)的预科和研究生培训。患有痴呆症或多种疾病的老年患者。该研究确定了良心压力和可能影响其外表的问题的预测因素。 增加良心压力的因素,例如组织条件和 65 岁以上患者的护理,应在临床教育中受到特别关注,并导致主管人员提供更高水平的支持。政策制定者还应通过改善工作条件和减少良心压力,将未来的行动指向人口老龄化、人员短缺、职业辞职等问题。报告方法STROBE指南。患者或公众贡献没有患者或公众贡献。
更新日期:2024-09-05
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