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物理治疗师同理心的定量测量及其与实践环境和工作投入度关系的探索。

A Quantitative Measurement of Physical Therapists' Empathy and Exploration of the Relationship With Practice Setting and Work Engagement.

作者信息

Starr Julie Ann, Holmes Mary Beth, Riley Erin, McDonnell Brian, Driscoll Laura, Camarinos James, Grabowska Weronika, Harbaugh Allen G

机构信息

College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, USA.

Beth Israel Deaconess Medical Center, Boston, MA, USA.

出版信息

Eval Health Prof. 2020 Dec;43(4):255-263. doi: 10.1177/0163278719864687. Epub 2019 Jul 22.

Abstract

Clinical empathy has been studied in a number of health-care disciplines suggesting that higher practitioner empathy leads to improved patient health and wellness and improved patient outcomes. While some aspects of the physical therapist-patient relationship have been described, evidence of quantitative assessment of clinical empathy in physical therapists is scarce. To investigate the level of self-reported clinical empathy in physical therapists and its relationship to practice environment and workplace engagement, the Jefferson Scale of Empathy-Health Provider version (JSE-HP) and the Oldenburg Burnout Inventory (OLBI) were used. Study participants were 123 physical therapists working full time at either an acute care setting, a rehabilitation hospital, or an outpatient clinic. These physical therapists demonstrated a mean JSE-HP score of 118.5 (9.1) and a mean OLBI score of 15.63 (3.5). This mean empathy score was found to be higher than reported empathy level of some health disciplines such as nursing and pharmacy yet lower than others such as mental health workers, psychiatrists, and pediatricians. Practice setting was not found to be a significant factor regarding empathy levels in physical therapists. As reported in previous studies, there was a positive correlation between being female and having higher empathy levels. A positive correlation was found between age and work disengagement. Finally, our hypothesis regarding a negative correlation between empathy and work disengagement was confirmed, suggesting that workplace disengagement may diminish a physical therapist's empathy, which may then negatively affect patient clinical outcomes.

摘要

临床同理心已在多个医疗保健学科中得到研究,这表明从业者更高的同理心会带来患者健康状况的改善以及更好的患者治疗效果。虽然已经描述了物理治疗师与患者关系的一些方面,但物理治疗师临床同理心的定量评估证据却很少。为了调查物理治疗师自我报告的临床同理心水平及其与实践环境和工作场所参与度的关系,使用了杰斐逊同理心量表-医疗保健提供者版(JSE-HP)和奥尔登堡倦怠量表(OLBI)。研究参与者是123名在急症护理机构、康复医院或门诊诊所全职工作的物理治疗师。这些物理治疗师的JSE-HP平均得分为118.5(9.1),OLBI平均得分为15.63(3.5)。发现这个平均同理心得分高于一些医疗学科(如护理和药学)报告的同理心水平,但低于其他学科(如心理健康工作者、精神科医生和儿科医生)。未发现实践环境是影响物理治疗师同理心水平的重要因素。如先前研究报道,女性与更高的同理心水平之间存在正相关。年龄与工作倦怠之间存在正相关。最后,我们关于同理心与工作倦怠之间负相关的假设得到了证实,这表明工作场所倦怠可能会降低物理治疗师的同理心,进而可能对患者的临床治疗效果产生负面影响。

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