Haemodialysis work environment contributors to job satisfaction and stress: a sequential mixed methods study

BMC Nursing

Clint Douglas¹  Ann Bonner²  Bronwyn Hayes³ 

[1] School of Nursing, Queensland University of Technology, Brisbane, Australia;Kidney Health Service, Metro North Hospital and Health Service, Brisbane, Australia;Haemodialysis Unit, Cairns Hospital, c/o Renal Unit, Cairns, QLD, Australia

关键词: Haemodialysis;    Renal;    Mixed-methods;    Work environment;    Burnout;    Job stress;    Job satisfaction;   

Others  :  1231837
DOI  :  10.1186/s12912-015-0110-x

 received in 2015-05-19, accepted in 2015-11-05,  发布年份 2015

【 摘 要 】

Background

Haemodialysis nurses form long term relationships with patients in a technologically complex work environment. Previous studies have highlighted that haemodialysis nurses face stressors related to the nature of their work and also their work environments leading to reported high levels of burnout. Using Kanters (1997) Structural Empowerment Theory as a guiding framework, the aim of this study was to explore the factors contributing to satisfaction with the work environment, job satisfaction, job stress and burnout in haemodialysis nurses.

Methods

Using a sequential mixed-methods design, the first phase involved an on-line survey comprising demographic and work characteristics, Brisbane Practice Environment Measure (B-PEM), Index of Work Satisfaction (IWS), Nursing Stress Scale (NSS) and the Maslach Burnout Inventory (MBI). The second phase involved conducting eight semi-structured interviews with data thematically analyzed.

Results

From the 417 nurses surveyed the majority were female (90.9 %), aged over 41 years of age (74.3 %), and 47.4 % had worked in haemodialysis for more than 10 years. Overall the work environment was perceived positively and there was a moderate level of job satisfaction. However levels of stress and emotional exhaustion (burnout) were high. Two themes, ability to care and feeling successful as a nurse, provided clarity to the level of job satisfaction found in phase 1. While two further themes, patients as quasi-family and intense working teams, explained why working as a haemodialysis nurse was both satisfying and stressful.

Conclusions

Nurse managers can use these results to identify issues being experienced by haemodialysis nurses working in the unit they are supervising.

【 授权许可】

   
2015 Hayes et al.

【 图 表 】

Fig. 1.

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