Department of Psychology, Harvard University, USA; Division of Clinical Epidemiology, Faculty of Medicine, University of Geneva, Switzerland.
J Occup Health. 2014;56(6):430-43. doi: 10.1539/joh.14-0060-OA. Epub 2014 Sep 11.
Coping with difficult care-related situations is a common challenge for health-care professionals. How these professionals deal with the regrets they may experience following one of the many decisions and interventions they must make every day can have an impact on their own health and quality of life, and also on their patient care practices. To identify professionals most at need for extra support, development and validation of a tool measuring coping style are needed.
We performed a survey of physicians and nurses of a French-speaking University hospital; 469 health-care professionals responded to the survey, and 175 responded to the same survey one-month later. Regret was assessed with the regret coping scale developed for this study, self-report questions on the frequency of regretted situations and the intensity of regret. Construct validity was assessed using measures of health-care professionals' quality of life (including job and life satisfaction, and self-reported health) as well as sleep problems and depression.
Based on factor analysis and item response analysis, the initial 31-item scale was shortened to 15 items, which measured three types of strategies: problem-focused strategies (i.e., trying to find solutions, talking to colleagues) and two types of emotion-focused strategies, A (i.e., self-blame, rumination) and B (e.g., acceptance, emotional distance). All subscales showed high internal consistency (α >0.85). Overall, as expected, problem-focused and emotion-focused B strategies correlated with higher quality of life, fewer sleep problems and less depression, and emotion-focused A strategies showed the opposite pattern.
The regret coping scale (RCS-HCP) is a valid and reliable measure of coping abilities of hospital-based health-care professionals.
应对与医疗相关的困难情况是医疗保健专业人员面临的常见挑战。这些专业人员如何应对他们每天必须做出的众多决策和干预措施之一所带来的遗憾，这可能会对他们自己的健康和生活质量产生影响，也会对他们的患者护理实践产生影响。为了确定最需要额外支持的专业人员，需要开发和验证一种衡量应对方式的工具。
我们对一家法语大学附属医院的医生和护士进行了调查；469 名医护人员对调查做出了回应，其中 175 人在一个月后对同一调查做出了回应。遗憾是通过为这项研究开发的遗憾应对量表来评估的，还通过自我报告问题评估遗憾情况的频率和遗憾的强度。使用医疗保健专业人员的生活质量（包括工作满意度和生活满意度，以及自我报告的健康状况）以及睡眠问题和抑郁的衡量标准来评估结构有效性。
基于因素分析和项目反应分析，最初的 31 项量表缩短至 15 项，测量了三种策略：问题导向策略（即，尝试寻找解决方案，与同事交谈）和两种类型的情绪导向策略 A（即，自责，沉思）和 B（例如，接受，情感距离）。所有子量表的内部一致性都很高（α>0.85）。总体而言，正如预期的那样，问题导向和情绪导向 B 策略与更高的生活质量、更少的睡眠问题和更少的抑郁相关，而情绪导向 A 策略则呈现相反的模式。
遗憾应对量表（RCS-HCP）是一种有效且可靠的衡量医院为基础的医疗保健专业人员应对能力的工具。
