Department of Family and Community Medicine, Northeast Ohio University, Rootstown, OH, USA.
Teach Learn Med. 2012;24(4):309-14. doi: 10.1080/10401334.2012.715255.
Standardized patients (SPs) portray emotionally intense roles that can have unintended deleterious effects including burnout.
This study explored SP characteristics that could serve as protective factors against these adverse effects. The literature suggests that positive reappraisal and mindfulness are protective factors, with positive reappraisal mediating the relationship between mindfulness and burnout.
Seventy-six SPs completed an instrument measuring burnout, positive reappraisal, and mindfulness. Multiple regression was performed to test the hypothesized mediator model.
The results revealed that mindfulness and positive reappraisal explained a meaningful portion of SP burnout variance (R (2) = .31 p < .01). Germane to the mediator model, all correlations were significant: mindfulness and positive reappraisal (a) r = .668; positive reappraisal and burnout (b) r = -.527; and mindfulness and burnout (c) r = -.496, p < 01. When positive reappraisal and mindfulness were included in the model, the previously significant relationship c was no longer statistically significant. The combination of these three relationships supports a mediator model.
Education to enhance mindfulness and positive reappraisal offers a way to offset the adverse effects of portraying intense emotional patient experiences.
标准化病人（SP）扮演情感强烈的角色，这可能会产生意想不到的负面影响，包括倦怠。
本研究探讨了可以作为保护因素来预防这些不良影响的 SP 特征。文献表明，积极的重新评估和正念是保护因素，积极的重新评估中介了正念和倦怠之间的关系。
76 名 SP 完成了一份测量倦怠、积极的重新评估和正念的工具。进行了多元回归分析以检验假设的中介模型。
结果表明，正念和积极的重新评估解释了 SP 倦怠方差的有意义部分（R² =.31，p <.01）。与中介模型相关的是，所有的相关性都是显著的：正念和积极的重新评估（a）r =.668；积极的重新评估和倦怠（b）r = -.527；以及正念和倦怠（c）r = -.496，p < 01。当将积极的重新评估和正念纳入模型时，先前显著的关系 c 不再具有统计学意义。这三个关系的结合支持了一个中介模型。
通过教育来增强正念和积极的重新评估，为抵消扮演强烈情感患者体验的负面影响提供了一种方法。
