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希望对临床医生行为的缓冲作用:儿科初级保健中的一项测试

The Buffering Effect of Hope on Clinicians' Behavior: A Test in Pediatric Primary Care.

作者信息

Tennen Howard, Cloutier Michelle M, Wakefield Dorothy B, Hall Charles B, Brazil Kevin

机构信息

University of Connecticut Health Center.

出版信息

J Soc Clin Psychol. 2009 May 1;28(5):554-576. doi: 10.1521/jscp.2009.28.5.554.

DOI:10.1521/jscp.2009.28.5.554
PMID:20161067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2748329/
Abstract

Although trait hope is thought to motivate goal directed actions in the face of impediments, few studies have examined directly hope's role in overcoming obstacles, and none have done so while accounting for related goal constructs. We describe a study of 127 pediatric primary care providers who over the course of a year were asked to identify new cases of asthma and confirm previously diagnosed active disease by completing for each of their patients a brief survey validated for this purpose. These clinicians also completed measures of hope, self-efficacy, conscientiousness, and perceived obstacles to implementing a pediatric asthma management program. As predicted by hope theory, the agency component of hope buffered clinicians from perceived obstacles by facilitating the identification of asthma cases among high hope clinicians in the face of obstacles. This buffering effect remained after controlling for self-efficacy and conscientiousness. We discuss the study findings in terms of current theories of goal directed behavior and implications for delivering hope-related interventions, and we offer a testable hypothesis regarding when agency and pathways thinking facilitate goal-related behavior.

摘要

尽管特质希望被认为能在面对阻碍时激发指向目标的行动,但很少有研究直接考察希望在克服障碍中的作用,而且没有一项研究在考虑相关目标结构的情况下这样做。我们描述了一项针对127名儿科初级保健提供者的研究,在一年的时间里,要求他们通过为每位患者完成一份为此目的而验证的简短调查问卷,来识别哮喘新病例并确认先前诊断的活动性疾病。这些临床医生还完成了希望、自我效能感、尽责性以及实施儿科哮喘管理项目的感知障碍的测量。正如希望理论所预测的,希望的动因成分通过帮助高希望的临床医生在面对障碍时识别哮喘病例,缓冲了临床医生所感知到的障碍。在控制了自我效能感和尽责性之后,这种缓冲效应仍然存在。我们根据当前指向目标行为的理论来讨论研究结果以及与提供与希望相关干预措施的意义,并且我们提出了一个关于动因和路径思维何时促进与目标相关行为的可检验假设。

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