| Abstract | Cilj istraživanja. Ispitati stres i prisutnost sindroma sagorijevanja u sestrinstvu Županijske bolnice Čakovec. Dodatno, utvrditi stresore koji najznačajnije koreliraju sa doživljajem stresa i izgaranjem. Nacrt studije. Presječna studija. Ispitanici i metode. 174 ispitanika (140 Ž, 34 M). Za potrebu istraživanja su korišteni standardizirani i javno dostupni referirani upitnici Expanded Nursing Stress Scale (ENSS) i Oldenburg Burnout Inventory (OLBI). Za potrebe istraživanja dobivena je dozvola lokalnog etičkog povjerenstva kao i svakog ispitanika. Svi su rezultati obrađeni SPSS programom. Rađeni su nezavisni t-test, ANOVA analize skupina, post-hoc testiranja Dunnetovim i Tukeyevim testovima. Opsežna Pearsonova korelacija koeficijenata je rađena za prikaz odnosa svih parametara i prediktora, dok je multipla linearna regresijska analiza faktora stresa, izgaranja, iscrpljenosti rađena za ispitivanje ovisnosti među ispitivanim varijablama. Statistički značajni rezultati su prikazani kao vrijednost značajnosti na razini p<0,05. Rezultati. Ukupni doživljaj stresa kod medicinskih sestara i tehničara u OB Čakovec i doživljaj izgaranja koreliraju sa supskalama stresa (smrt i patnja, radno opterećenje i suočavanje s pacijentom i obitelji). Doživljaj stresa mjeren ENSS upitnikom je 1,08, dok je prosječna ocjena komponenti izgaranja: iscrpljenost 2,24 i odvajanje pod posla 2,45. Žene su statistički značajnije iscrpljene od muškaraca, a diplomirane medicinske sestre su najmanjeg doživljaja stresa. Prvostupnici su značajnije višeg doživljaja stresa prema drugim ispitanicima s obzirom na obrazovanje. Pokazana je visoka međusobna korelacija stresora, a smrt i patnja je pojedinačno najsnažniji stresor. Spol je statistički dokazano snažan prediktor stresa dok su spol i srednje godine staža statistički značajni i snažni prediktori sindroma izgaranja. Zaključak. U Županijskoj bolnici Čakovec postoji minimalan stres i umjeren sindrom izgaranja. Radom se pokazalo da je spol značajan prediktor ukupnog doživljaja stresa, a duljina staža sindroma izgaranja. Radno opterećenje je visoko povezano sa suočavanjem s pacijentom i obitelji i nesigurnosti kod tretmana. Ograničenje studije je relativno mali uzorak od 174 ispitanika pa su potrebna daljnja istraživanja, kako bi se pouzdanije donijelo preporuke za upravljanje sestrinskim kadrom i zajednički rezultat smanjenja stresa i izgaranja u zdravstvu. Ključne riječi. Stres, Sindrom izgaranja, ENSS, Oldenburg Burnout Inventory, prediktori stresa 8. Summary Study goal. To examine stress and burnout in nursing at Čakovec General Hospital (Županijska bolnica Čakovec). Additionally, to determine the most relevant stressors that correlate with stress and burnout. Study design. Cross-sectional study. Methods and participants. 174 respondents have participated in standardized and publicly available referent surveys, Expanded Nursing Stress Scale (ENSS) and Oldenburg Burnout Inventory (OLBI). The study was examined and approved by the hospital Ethics Committee as well as by all survey participants. All results were processed using SPSS software. Independent t-test, ANOVA, Dunnett and Tukey post-hoc analyses were used in the analysis of normally distributed variables. To correlate the variables, Pearson’s linear correlation coefficient was used. To estimate the variables related to professional stress and burnout, multiple linear regression models were developed. Independent variables were gender, working experience and professional educational level. Significance level was p<0,05. Results. The observed work-related stress and the level of burnout correlated. Relevant predictors were: death and suffering, workload, and confrontation with patients and their families. Average ENSS mean stressor was 1,08 (SE=0,80), while exhaustion and disengagement was 2,24 (SE=0,02) and 2,45 (SE=0,02) respectively. Women (18,2 SD 0,16, p=0,037) are more exhausted than men (17,37 SD 0,41). Nurses with master’s degree are least under stress (53,4), whereas nurses with bachelor’s degree are most under stress (63,7; Dunnett’s post-hoc test: master’s degree: bachelor’s degree p=0,047). Pearson’s correlation coefficient and multiple linear regression analysis revealed stress, suffering and workload as strongly correlated stressors. They also revealed gender as relevant and potent stress predictor, as well as middle years of service as burnout syndrome predictor. Conclusion. At Čakovec General Hospital nurses reported mild stress and moderate burnout syndrome, especially among mid-experienced female nurses with bachelor’s degree. Gender was proved as statistically potent stress predictor as well as exhaustion and disengagement. More experienced nurses are under greater risk of experiencing a burnout. The study’s limitations were relatively small number of participants (N=174), therefore further research should be encouraged in order to adequately consult hospital management. |
| Abstract (english) | Study goal. To examine stress and burnout in nursing at Čakovec General Hospital (Županijska bolnica Čakovec). Additionally, to determine the most relevant stressors that correlate with stress and burnout. Study design. Cross-sectional study. Methods and participants. 174 respondents have participated in standardized and publicly available referent surveys, Expanded Nursing Stress Scale (ENSS) and Oldenburg Burnout Inventory (OLBI). The study was examined and approved by the hospital Ethics Committee as well as by all survey participants. All results were processed using SPSS software. Independent t-test, ANOVA, Dunnett and Tukey post-hoc analyses were used in the analysis of normally distributed variables. To correlate the variables, Pearson’s linear correlation coefficient was used. To estimate the variables related to professional stress and burnout, multiple linear regression models were developed. Independent variables were gender, working experience and professional educational level. Significance level was p<0,05. Results. The observed work-related stress and the level of burnout correlated. Relevant predictors were: death and suffering, workload, and confrontation with patients and their families. Average ENSS mean stressor was 1,08 (SE=0,80), while exhaustion and disengagement was 2,24 (SE=0,02) and 2,45 (SE=0,02) respectively. Women (18,2 SD 0,16, p=0,037) are more exhausted than men (17,37 SD 0,41). Nurses with master’s degree are least under stress (53,4), whereas nurses with bachelor’s degree are most under stress (63,7; Dunnett’s post-hoc test: master’s degree: bachelor’s degree p=0,047). Pearson’s correlation coefficient and multiple linear regression analysis revealed stress, suffering and workload as strongly correlated stressors. They also revealed gender as relevant and potent stress predictor, as well as middle years of service as burnout syndrome predictor. Conclusion. At Čakovec General Hospital nurses reported mild stress and moderate burnout syndrome, especially among mid-experienced female nurses with bachelor’s degree. Gender was proved as statistically potent stress predictor as well as exhaustion and disengagement. More experienced nurses are under greater risk of experiencing a burnout. The study’s limitations were relatively small number of participants (N=174), therefore further research should be encouraged in order to adequately consult hospital management. |
