国际护理科学（英文）2022，Vol.9Issue(1)：36-48,后插2,14.
自我损耗:长期照护机构中护士职业倦怠的心理机制研究
Self-endangering:A qualitative study on psychological mechanisms underlying nurses' burnout in long-term care
摘要
Abstract
Objectives:To develop a more specific understanding of psychological mechanisms in the development of burnout in long-term care as a basis for potential new intervention strategies aiming at improving nurses' mental health.Methods:Two qualitative studies with thematic analysis were conducted.In Study 1,we conducted eight group interviews with 110 nurses from May-July 2019 in the context of workshops at eight nursing homes in Germany.In Study 2,we supplemented these with semi-structured interviews with 14 exec-utives at German nursing homes in December 2019.Results:The thematic analysis in Study 1 identified three main themes:causes of challenges,employees' opportunities for change,and organisational opportunities for change.Thematic analysis in Study 2 identified three main themes:job motives,reasons for filling in for others,and employee self-care.Further,our results show that the need to stand in for colleagues,in particular.is one of the greatest challenges for geriatric caregivers.In dealing with these challenges we found that self-endangering behaviour—a diminished ability to say no when asked to fill in or to do work overtime—was an important antecedent of nurses' burnout.Further,high levels of altruistic motivation and identification with the team or organisation were associated with self-endangering behaviour in the presence of adverse working conditions.Low levels of self-worth are a further risk factor for self-endangering.Conclusions:Our findings are at odds with some core tenets of classic models of job demands and burnout that construe motivation and identification as resources.Our results show the need of a holistic intervention program in nursing including individual coaching,team-based interventions and organ-isational development processes.Employees themselves should be sensitized to this issue and supported in the long term,and politicians should create structures that do not encourage this behaviour any further.关键词
利他主义/医疗护理提供者/卫生人员/精神卫生/医护疗养所/职业倦怠/社会认同/工作负荷量Key words
Altruism/Caregivers/Health personnel/Mental health/Nursing homes/Professional burnout/Social identification/Workload引用本文复制引用
Lara Luisa Eder,Bertolt Meye..自我损耗:长期照护机构中护士职业倦怠的心理机制研究[J].国际护理科学（英文）,2022,9(1):36-48,后插2,14.基金项目
The publication of this article was funded by Chemnitz Univer-sity of Technology.This research was partially supported by funds from an association of several German public long term-care or-ganisations under the joint project Healthy Ageing in Long-Term Geriatric Care (gesaPflege). （gesaPflege）
