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中国广西艾滋病医护人员工作压力源及其影响:一项定性研究

Sources and Impact of Work-Related Stress Among HIV/AIDS Health Care Providers in Guangxi, China: A Qualitative Research.

作者信息

Tong Huiru, Li Xiaoming, Qiao Shan, Zhou Yuejiao, Shen Zhiyong, Yang Xueying, Zhang Quan, Zeng Chengbo

机构信息

Guangxi University of Chinese Medicine.

University of South Carolina.

出版信息

Workplace Health Saf. 2020 Feb;68(2):81-91. doi: 10.1177/2165079919857447. Epub 2019 Aug 2.

Abstract

Work-related stress can negatively impact health care providers' (HCPs) ability to provide care. We examined the sources of work-related stress experienced by HCPs who provided medical care for people living with HIV/AIDS and the impact of the stress on HCPs' well-being and work performance. We conducted in-depth interviews with 46 HIV/AIDS HCPs in Guangxi, China. The interviews were audio-recorded, transcribed, and imported into NVivo V.11 for data management and data analysis using a thematic approach. We found that the key sources of stress at work included general work-related sources and HIV/AIDS-related sources. All stress was seen to have a substantial impact on the HCPs' individual well-being, family and social life, and quality of care they provided. We recommended that government and health care facilities should take measures to improve institutional culture and professional development for HIV/AIDS HCPs. More professional training schemes should be provided to strengthen HCPs' competence, improve universal protection from occupational exposure, and reduce the stigma toward HIV/AIDS patients and their care providers.

摘要

工作压力会对医疗保健提供者(HCPs)提供护理的能力产生负面影响。我们研究了为艾滋病毒/艾滋病患者提供医疗护理的HCPs所经历的工作压力来源,以及这种压力对HCPs幸福感和工作表现的影响。我们对中国广西的46名艾滋病毒/艾滋病HCPs进行了深入访谈。访谈进行了录音、转录,并导入NVivo V.11进行数据管理和采用主题分析法进行数据分析。我们发现,工作中的关键压力来源包括一般工作相关来源和艾滋病毒/艾滋病相关来源。所有压力都被认为对HCPs的个人幸福感、家庭和社会生活以及他们提供的护理质量产生了重大影响。我们建议政府和医疗保健机构应采取措施改善艾滋病毒/艾滋病HCPs的机构文化和职业发展。应提供更多专业培训计划,以增强HCPs的能力,改善职业暴露的普遍防护,并减少对艾滋病毒/艾滋病患者及其护理提供者的污名化。

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