McCormick Wesley H, Carroll Timothy D, Slagel Brett A, Drescher Kent D, Nieuwsma Jason A, Currier Joseph M
a Psychology Department , University of South Alabama , Mobile , Alabama , USA.
b National Center for PTSD, Palo Alto VA Healthcare System, Dissemination and Training Division , Menlo Park , California , USA.
J Health Care Chaplain. 2017 Jul-Sep;23(3):113-129. doi: 10.1080/08854726.2017.1295675. Epub 2017 Mar 30.
A mixed method design was implemented to examine the spirituality and emotional well-being of Veterans Health Administration (VHA) chaplains and how potential changes in spirituality and emotional well-being may affect their professional quality of life. Four distinct categories of changes emerged from the narrative statements of a nationally representative sample of 267 VHA chaplains: (1) positive changes (e.g., increased empathy), (2) negative changes (e.g., dysthymic mood, questioning religious beliefs), (3) combination of positive and negative changes, and (4) no change (e.g., sustenance through spirituality or self-care). Most chaplains reported positive (37%) or no change (30%) in their spirituality and/or emotional well-being. However, quantitative analyses revealed that chaplains who reported negative changes endorsed greater burnout and secondary traumatic stress. Overall, these findings suggest VHA chaplains are predominantly spiritually resilient, but negative changes in the spiritual domain can occur, potentially increasing the risk of adverse changes in professional quality of life.
采用混合方法设计来研究退伍军人健康管理局（VHA）牧师的精神性和情绪幸福感，以及精神性和情绪幸福感的潜在变化如何可能影响他们的职业生活质量。从267名VHA牧师的全国代表性样本的叙述性陈述中出现了四类不同的变化：（1）积极变化（例如，同理心增强），（2）消极变化（例如，心境恶劣、质疑宗教信仰），（3）积极和消极变化的组合，以及（4）无变化（例如，通过精神性或自我护理维持）。大多数牧师报告其精神性和/或情绪幸福感有积极变化（37%）或无变化（30%）。然而，定量分析显示，报告有消极变化的牧师倦怠和继发性创伤压力更大。总体而言，这些发现表明VHA牧师在精神上大多具有复原力，但精神领域可能会出现消极变化，这可能会增加职业生活质量出现不利变化的风险。
