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遗传咨询师的正念与同理心增强、工作投入增加以及职业倦怠和同情疲劳减少相关。

Mindfulness Among Genetic Counselors Is Associated with Increased Empathy and Work Engagement and Decreased Burnout and Compassion Fatigue.

作者信息

Silver Julia, Caleshu Colleen, Casson-Parkin Sylvie, Ormond Kelly

机构信息

Department of Genetics, Stanford University School of Medicine, Stanford, CA, USA.

Stanford Center for Inherited Cardiovascular Disease, Falk CVRC, 300 Pasteur Drive, Stanford, CA, USA.

出版信息

J Genet Couns. 2018 Sep;27(5):1175-1186. doi: 10.1007/s10897-018-0236-6. Epub 2018 Mar 4.

Abstract

Genetic counselors experience high rates of compassion fatigue and an elevated risk for burnout, both of which can negatively impact patient care and retention in the profession. In other healthcare professions, mindfulness training has been successfully used to address similar negative psychological sequelae and to bolster empathy, which is the foundation of our counseling work. We aimed to assess associations between mindfulness and key professional variables, including burnout, compassion fatigue, work engagement, and empathy. Data were collected via an anonymous, online survey that included validated measures of mindfulness and these key professional variables. The survey was completed by 441 genetic counselors involved in direct patient care. Half of the respondents (50.1%) reported engaging in yoga, meditation, and/or breathing exercises. Mindfulness was positively correlated with work engagement (r = 0.24, p < 0.001) and empathy (as measured through four subscales: perspective taking (r = 0.15, p = 0.002), empathic concern (r = 0.11, p = 0.03), fantasy (r = - 0.11, p = 0.03) and personal distress (r = - 0.15, p = 0.001)). Mindfulness was negatively correlated with compassion fatigue (r = - 0.48, p < 0.001) and burnout (r = - 0.50, p < 0.001). Given these findings, mindfulness training may be a valuable addition to graduate and continuing education for genetic counselors. The integration of mindfulness into the genetic counseling field will likely improve professional morale and well-being, while promoting workforce retention and bolstering the relational and counseling aspects of our clinical work.

摘要

遗传咨询师经历着高比例的同情疲劳和更高的职业倦怠风险,这两者都会对患者护理以及该职业的留存率产生负面影响。在其他医疗行业,正念训练已成功用于应对类似的负面心理后遗症并增强同理心,而同理心是我们咨询工作的基础。我们旨在评估正念与关键职业变量之间的关联,包括职业倦怠、同情疲劳、工作投入和同理心。数据通过一项匿名在线调查收集,该调查包括对正念和这些关键职业变量的有效测量。参与直接患者护理的441名遗传咨询师完成了该调查。一半的受访者(50.1%)报告参与了瑜伽、冥想和/或呼吸练习。正念与工作投入呈正相关(r = 0.24,p < 0.001)以及同理心(通过四个子量表测量:观点采择(r = 0.15,p = 0.002)、共情关怀(r = 0.11,p = 0.03)、幻想(r = -0.11,p = 0.03)和个人困扰(r = -0.15,p = 0.001))。正念与同情疲劳呈负相关(r = -0.48,p < 0.001)和职业倦怠(r = -0.50,p < 0.001)。鉴于这些发现,正念训练可能是遗传咨询师研究生教育和继续教育的一项有价值的补充。将正念融入遗传咨询领域可能会提高职业士气和幸福感,同时促进劳动力留存并加强我们临床工作中的关系和咨询方面。

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