Pangallo Antonio, Zibarras Lara, Patterson Fiona
Department of Psychology, City University London, London, UK.
Department of Psychology, University of Cambridge, Cambridge, UK.
Med Educ. 2016 Nov;50(11):1131-1142. doi: 10.1111/medu.13072.
Relatively little research has been directed toward the assessment of resilience in the health care context. Given the stressors associated with the provision of health care, the present study describes the development and evaluation of a situational judgement test (SJT) designed to assess resilience in palliative care health care workers.
An SJT was developed to measure behaviours associated with resilience in a palliative care context. Next, SJT reliability and validity analyses were assessed in a sample of acute ward, hospice and community palliative care workers (n = 284).
Findings showed the SJT to have a negative association with self-reported sickness absence and a positive association with well-being and employee attitudes (in terms of turnover intention, organisational commitment and job satisfaction). A series of two-wave longitudinal (hierarchical) regressions showed the SJT was predictive of well-being and employee attitudes at two time-points (4 weeks apart) over and above self-report measures of resilience, education and experience, and the Big Five personality dimensions of Emotional Stability and Openness. Reliability analyses showed the SJT to have acceptable test-retest scores (ρ = 0.71) and high internal consistency (α = 0.91).
The study findings suggest that the SJT is a valid assessment of resilience in at-risk workers and can be used in either summative or formative assessment under the right set of conditions. More research is needed to test the hypothesis that the SJT might be used as a formative tool to develop workplace resilience.
相对而言，针对医疗保健环境中复原力评估的研究较少。鉴于提供医疗保健相关的压力源，本研究描述了一种情景判断测试（SJT）的开发与评估，该测试旨在评估姑息治疗医护人员的复原力。
开发了一种SJT，用于测量与姑息治疗环境中复原力相关的行为。接下来，在急性病房、临终关怀机构和社区姑息治疗工作人员样本（n = 284）中评估SJT的信度和效度。
研究结果表明，SJT与自我报告的病假呈负相关，与幸福感和员工态度（就离职意向、组织承诺和工作满意度而言）呈正相关。一系列两波纵向（分层）回归显示，在相隔4周的两个时间点上，SJT在预测幸福感和员工态度方面，优于复原力、教育程度和经验的自我报告测量，以及情绪稳定性和开放性这两个人格大五维度。信度分析表明，SJT具有可接受的重测分数（ρ = 0.71）和高内部一致性（α = 0.91）。
研究结果表明，SJT是对高危工作人员复原力的有效评估，在合适的条件下可用于总结性或形成性评估。需要更多研究来检验SJT可作为发展工作场所复原力的形成性工具这一假设。
