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Investigation on the Work Pressure and Related Factors of Care Managers

Author: LiaoLi
Tutor: LiYaJie
School: Southern Medical University,
Course: Nursing
Keywords: Nurse managers Working pressure Coping styles Self-rated health APN scheduling Level Management
CLC: R47
Type: Master's thesis
Year: 2010
Downloads: 540
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Abstract

Background and purpose: work pressure go hand in hand to influence people's behavior and health care workers, occupational stress both in the workplace affecting job performance, job satisfaction variables. Care managers are a special group of the care team, charged with the important task of leadership and supervision, and plays a very important role in the dynamic of the entire nursing work run. However, in previous studies, the choice of the working pressure response indicators are rarely concerned about the care managers, how to reduce the pressure of care managers work and it is blank. Therefore, the research groups working pressure situation, coping style, health status and related factors is necessary. To this end, the study nurse managers working pressure situation is selected as research indicators, following the ideas of the \Designed to investigate the status of the Guangdong region hospital care managers working pressure, coping style and health standards, research APN scheduling and hierarchical management system of care managers working pressure, coping style, self-rated health, and to analyze the reasons. And explore the work of pressure to deal with the impact on the health status of nurse managers. Provide a scientific basis to control the pressure of the nurse managers at an optimum level to maintain their physical and mental health, improving care management and reference. Methods: from May to September 2009 to take a stratified sampling method, care workers conducted a questionnaire survey of eight hospitals in Guangdong Province. Contact investigators, nursing departments down to get the consent of questionnaires. The questionnaire consisted of four parts: (1) The researcher's general information questionnaire used to investigate the care worker's gender, age, work experience, job title, position, department, hospital level. ② the Li Xiaomei developed the care Stressor Scale used to investigate the source of stress and work pressure level of care workers. Simplified Coping Style ③ XIE Yaning developed coping styles scale surveys taken care workers. The rating scale developed self-rated health (4) Xu Jun investigate the level of health care workers. A total of 480 questionnaires were sent packets. 437 valid questionnaires, the recovery rate of 91.04%. 216 nurse managers and 221 nurses. SPSS 13.0 software for statistical processing and analysis. Using descriptive statistical analysis, two independent samples t-test, one-sample t test, analysis of variance, Spearman correlation analysis and statistical analysis methods of care managers working pressure, coping style, and self-rated health status, APN scheduling and hierarchical management of care managers working pressure, coping style, self-rated health, the correlation between job stress, coping style, and self-rated health. Results: 216 care managers average age (34.00 ± 4.93) years old. The average working life of (14.21 ± 5.06) years. 221 average age of nurses (27.43 ± 3.72) years old. The average working life of (6.72 ± 3.99) years. Age, education, departments, hospitals and the level of the care managers working pressure, coping style, self-rated health impact. Nurse managers working pressure conditions in dimension 5 working pressure \The largest entry of the care managers feel the work pressure is \0.77). The differences between care managers and nurses work pressure dimension to the \0.01). Nurse managers and ordinary nurses working pressure to score more differences entry 9. In addition to fewer opportunities for promotion \work pressure score higher. Nurse managers should the way care managers coping styles mainly \Comparison with ordinary nurses, 2 groups actively respond to negative coping score was no significant difference. Self-rated health care managers rated health care managers and ordinary nurses self-rated health of each dimension of comparison, nurse managers Score subscale of physical health and mental health sub-scale, social health subscale score with ordinary nurse no difference between the score. Comparison with the norm of self-rated health dimension score four scores were higher than the norm. APN scheduling and hierarchical management affect the purposes of APN scheduling and hierarchical management care managers feel pressure in the work environment and resources, management and interpersonal less than the traditional model of care managers, nurse managers is feel pressure in other areas with the traditional model of care managers no difference. APN scheduling and hierarchical management model of care managers actively respond to score higher than the traditional model of care managers, whether the new scheduling model of negative coping no effect. The four self-rated health score had no effect on whether the APN scheduling and hierarchical management model of care managers. The different APN scheduling and hierarchical management implementation time does not affect the care managers index score. The score of the three dimensions of the care managers working pressure, coping style, self-rated health care managers working pressure and self-rated health and self-rated health score negatively related. Positive coping and self-rated health dimension score was positively correlated with negative coping and self-rated health scores were negatively correlated. Conclusion: GENERAL INFORMATION nurse managers is the impact of age is one of the main factors that affect the care managers work pressure. The study found that, compared with other age care managers feel pressure, age (31-35 years), nurse managers felt the maximum working pressure. Age (31-35 years), nurse managers \Compare the various indicators of the various departments of nursing administrators, pediatric self-test social health score lowest. Tertiary hospital care managers working pressure, high self-rated health scores, compared to two and under hospital care managers work stress, low self-rated health score. College educated nurse managers feel greater pressure than college bachelor's degree nursing managers. The survey also found that the master degrees or above care managers work pressure is also higher. Care managers working pressure characteristics of the survey results show that nurse managers working pressure source from the pressure of the workload and time allocation. The most prominent source of stress for the \Pressure was significantly higher than ordinary nurse care managers feel in these aspects. In the nursing profession and work, care managers feel pressure entries that the social status of the nursing work too low \\And \Coping Styles of nurse managers cope with the pressure and health intermediaries mechanism plays an important role in the physical and mental health. Nurse managers in a positive way to deal with the difficulties encountered, and the \This may be due as nurse managers, have a better ability to self-regulation. Negative coping score higher than the norm, which may be associated with a high degree of work pressure. Characteristics of nurse managers self-rated health survey found that self-rated health care workers does not affect whether the care managers. Although care managers working pressure of the workload and time allocation significantly higher than ordinary nurse, but because of its rich experience and actively cope with the pressure of work. And fewer opportunities for promotion; often shift \Compared with the norm, nurse managers have a better health status. APN scheduling and hierarchical management of care managers working pressure, coping style, and self-rated health impacts purposes of APN scheduling and hierarchical management care managers felt in the work environment and the resources, management and interpersonal The working pressure is less than the traditional model of care managers, work pressure felt in other areas there was no difference. Doctors were more satisfied with care management mode. \Problems in the nursing profession and work \Workload pressure on primary care managers working pressure. APN scheduling and hierarchical management to increase the opportunities for care managers on duty the night shift and holidays. Therefore, the new model does not reduce the pressure of the workload of nursing administrators. APN scheduling and hierarchical management of the care managers prefer a positive way to deal with the problems encountered. This may be because the new scheduling system reduces pressure on some aspects of the work of the nurse managers. Care managers work stress, coping style, self-rated health-related research and analysis work the greater the pressure, the worse self-rated health. Coping styles also have a great impact on self-rated health. In a positive way to deal with pressure from all aspects of the work, and the corresponding higher self-rated health score lower when the negative response to pressure of work, self-rated health score. Deal with the different ways will directly affect the results of the development of things, thereby affecting the person's self-rated health.

Investigation on the Work Pressure and Related Factors of Care Managers

Abstract

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