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澳大利亚精神科护士的工作场所适应力与情绪劳动:全国性调查的结果。

Workplace resilience and emotional labour of Australian mental health nurses: Results of a national survey.

机构信息

School of Nursing, Midwifery& Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.

Sydney Local Health District Mental Health Service, Camperdown, NSW, Australia.

出版信息

Int J Ment Health Nurs. 2020 Feb;29(1):35-46. doi: 10.1111/inm.12598. Epub 2019 May 3.

DOI:10.1111/inm.12598
PMID:31050127
Abstract

Emotional labour is a form of adversity faced by mental health nurses in the context of their workplace interactions. Frequent exposure to emotional adversity can negatively impact mental health nurses' biopsychosocial well-being, workplace relationships, and performance. Workplace resilience is a dynamic interactive process within and between the person and their environment that promotes positive adaptation to adverse events and restores well-being. Workplace resilience could be a protective process that helps mental health nurses positively adapt to workplace emotional adversity. This study aimed to investigate Australian mental health nurses' workplace resilience and emotional labour and explore the relationship between them. A national cross-sectional online survey comprising the Resilience at Work and Emotional Labour scales was completed by registered nurses (n = 482) working in a mental health role or setting across Australia. There was a strong negative relationship between resilience and the emotional labour strategy of surface acting. A positive association between resilience, frequency of emotional labour, and clinical supervision was also found. These findings point to a potential link between mental health nurses' skills of cognitive reframing, and emotional and behavioural regulation needed to effectively manage their emotions and remain therapeutic in interpersonal interactions. Clinical supervision may be a key strategy in supporting mental health nurses' resilience. Further investigation of workplace individuals' internal and external resources, and organizational resources, supports, and strategies that can promote and strengthen mental health nurses' well-being is needed.

摘要

情绪劳动是心理健康护士在工作场所互动中面临的一种逆境形式。频繁接触情绪逆境会对心理健康护士的身心健康、工作场所关系和绩效产生负面影响。工作场所韧性是一个人与环境内部和之间的动态交互过程,促进对逆境事件的积极适应并恢复幸福感。工作场所韧性可能是一种保护过程,可以帮助心理健康护士积极适应工作场所的情绪逆境。本研究旨在调查澳大利亚心理健康护士的工作场所韧性和情绪劳动,并探讨两者之间的关系。一项全国性的横断面在线调查,包括工作场所韧性和情绪劳动量表,由在澳大利亚各地从事心理健康角色或环境的注册护士(n=482)完成。韧性与表面行为的情绪劳动策略之间存在强烈的负相关关系。韧性与情绪劳动频率和临床监督之间也存在正相关关系。这些发现表明,心理健康护士在认知重构、情绪和行为调节方面的技能可能与有效管理情绪和在人际互动中保持治疗性之间存在潜在联系。临床监督可能是支持心理健康护士韧性的关键策略。需要进一步研究工作场所个人的内部和外部资源,以及可以促进和增强心理健康护士幸福感的组织资源、支持和策略。

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