Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1404
1
1
gregorian
2025
4
1
31
1
online
1
fulltext
fa
بررسی ارتباط بین صلاحیت بالینی و خستگی از شفقت در پرستاران بخش اورژانس بیمارستانهای آموزشی درمانی شهر ارومیه در سال 1403
The relationship between clinical competence and compassion fatigue among emergency department nurses in Urmia hospitals in 2024
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">یکی از عواملی که به نظر می­رسد بر خستگی از شفقت در پرستاران نقش داشته و موجب تعدیل آن شود، صلاحیت بالینی است. لذا این مطالعه با هدف تعیین ارتباط بین صلاحیت بالینی و خستگی ناشی از شفقت در پرستاران بخش اورژانس انجام گرفته است</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">این پژوهش یک مطالعه توصیفی- تحلیلی است. جامعه این پژوهش تمامی پرستاران بخشهای اورژانس بیمارستانهای آموزشی درمانی شهر ارومیه در سال 1403 بودند. تعداد 120 پرستار به عنوان نمونه به روش تصادفی انتخاب شدند. در این پژوهش از سه پرسشنامه مشخصات جمعیت</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">شناختی و حرفهای، پرسشنامه صلاحیت بالینی </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Leo</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> و پرسشنامه کیفیت کاری </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Figley</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> برای جمعآوری دادهها استفاده شد. </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">دادهها با استفاده از آزمون مجذوری کای و همبستگی </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Pearson</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> در نرمافزار</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> SPSS </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نسخه 23 مورد تجزیه و تحلیل قرار گرفت</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتایج نشان داد بین صلاحیت بالینی و خستگی از شفقت ارتباط معکوس و معنادار وجود دارد (45/0-=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">r</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">، 457/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">p</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">). میانگین و انحراف معیار نمره صلاحیت بالینی در پرستاران بخشهای اورژانس، 54/0</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">13/201 بود. همچنین، میانگین و انحراف معیار نمره خستگی شفقت 54/8</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">73/27، رضایت شفقت 81/1</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">73/38 و استرس ترومای ثانویه 82/4</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">45/28 بود</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">با توجه به نتایج مطالعه حاضر و تأثیر صلاحیت بالینی در کاهش خستگی از شفقت در پرستاران، مدیران و سیاستگذاران پرستاری، توصیه می</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">شود با انجام اقداماتی مانند آموزش اصولی پرستاران، برگزاری دورههای ضمن خدمت و بهکارگیری پرستاران خبره و با تجربه در بخش اورژانس، زمینه جهت تعدیل خستگی از شفقت در پرستاران فراهم شود</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">.</span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span dir="LTR" style="font-size:10.0pt"></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Clinical competence may influence the level of compassion fatigue experienced by nursing staff. This study aimed to determine the relationship between clinical competence and compassion fatigue among emergency department nurses</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">This descriptive-analytical study was conducted among nurses working in the emergency departments of teaching hospitals in Urmia in 2024. A total of 120 nurses were randomly selected for participation. Data collection was performed using three questionnaires: a socio-demographic characteristics questionnaire, Leo’s Clinical Competence Questionnaire, and Figley's Professional Quality of Life Scale. Data analysis was performed using the Chi-square test and Pearson correlation coefficient with SPSS version 23</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">The results showed a significant inverse relationship between clinical competence and compassion fatigue (r=-0.45; <i>P</i><0.05). The mean score of clinical competence among participants was 201.13±0.54. The average scores for compassion fatigue, compassion satisfaction, and secondary traumatic stress were 27.73±8.54, 38.73±1.81, and 28.45±4.82, respectively</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="color:black">The results suggest that higher levels of clinical competence are associated with lower levels of compassion fatigue among emergency nurses. To mitigate compassion fatigue, nursing administrators and policymakers should consider implementing targeted strategies, such as comprehensive training, ongoing in-service education, and staffing with experienced and specialized nurses, thereby fostering a supportive work environment that reduces compassion fatigue</span></span><span style="font-size:10.0pt">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
صلاحیت بالینی, خستگی از شفقت, پرستار
clinical competence, compassion fatigue, nurse
89
99
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4952-4&slc_lang=fa&sid=1
Reza
Abdollahi
رضا
عبدالهی
mohammadpour.yousef@gmail.com