CAJ | 학술논문

目的：了解护士的心理授权现状和工作倦怠情况，分析两者间的相关性，探索预防和降低护士工作倦怠的新对策。方法整群抽取广州5家三甲医院的临床护士203人，采用心理授权量表及工作倦怠量表进行调查。结果护士的心理授权感知得分（4．75±0．67）分，为中等水平；其中自我效能得分最高为（5．34±0．73）分，工作影响得分最低为（3．64±0．11）分；护士有较严重的工作倦怠，其中个人成就感丧失维度（3．83±0．62）分，情绪枯竭维度（2．96±0．81）分，去人格化倾向维度（1．89±0．84）分；护士心理授权感知与工作倦怠关系密切，与情绪枯竭、去人格化倾向、个人成就感各维度呈负相关（r值分别为－0．436，－0．366，0．514；P＜0．01）。结论临床护士的心理授权处于中等水平，临床护理管理者应加强护士对心理授权的感知，以降低工作倦怠感的产生。
목적：료해호사적심리수권현상화공작권태정황，분석량자간적상관성，탐색예방화강저호사공작권태적신대책。방법정군추취엄주5가삼갑의원적림상호사203인，채용심리수권량표급공작권태량표진행조사。결과호사적심리수권감지득분（4．75±0．67）분，위중등수평；기중자아효능득분최고위（5．34±0．73）분，공작영향득분최저위（3．64±0．11）분；호사유교엄중적공작권태，기중개인성취감상실유도（3．83±0．62）분，정서고갈유도（2．96±0．81）분，거인격화경향유도（1．89±0．84）분；호사심리수권감지여공작권태관계밀절，여정서고갈、거인격화경향、개인성취감각유도정부상관（r치분별위－0．436，－0．366，0．514；P＜0．01）。결론림상호사적심리수권처우중등수평，림상호리관리자응가강호사대심리수권적감지，이강저공작권태감적산생。
Objective To understand the mental authorization status and job burnout for domestic nursesandanalyze the correlation between them, and to explore new strategies to prevent and reduce nurse job burnout.Methods There were 203 clinical nursesinvolved, who were chosen from 5 first-class leveltop first class hospitals in Guangzhou, using mental authorized scale and job burnout scale questionnaires made by ourselves to investigate the basic information, psychological empowerment and job burnout.Results Perception of nurses’ mental authorizationachieved (4.75 ±0.67) (the medium level), while self-efficacy acquired the highest score (5.34 ±0.73) compared work effectiongained the lowest one (3.64 ±0.11).The nurses had suffered severe burnout, which performed asloss of personal accomplishment dimension (3.83 ±0.62), emotional exhaustion dimension (2.96 ±0.81) and depersonalization tendency dimensions (1.89 ±0.84);nurses perceived psychological empowerment and job burnout had negative correlation with emotional exhaustion, depersonalization tendencies, personal accomplishment dimension ( r = -0.436, -0.366, 0.514, respectively;P<0.01).Working influence had less correlation with job burnout dimensions, especially with the dimension of depersonalization work and job burnout dimensions affect the correlation was not obvious, especially with the tendency to personify no correlation dimension (r=-0.094,P>0.05).Conclusions The mental authorizationof clinical nurses just acquires middle level;hence, clinical nursing managers should enhance nurse's mental authorizationto release job burnout.