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创伤后成长与儿科护士职业耗竭:二次创伤的中介作用及工作意义的调节作用

Posttraumatic growth and burnout in pediatric nurses: The mediating role of secondary traumatization and the moderating role of meaning in work.

机构信息

School of Social Work, Ariel University, Ariel, Israel.

Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.

出版信息

Stress Health. 2021 Aug;37(3):442-453. doi: 10.1002/smi.3007. Epub 2020 Nov 20.

DOI:10.1002/smi.3007
PMID:33184960
Abstract

The current study focused on pediatric nurses. It explored the direct link between posttraumatic growth as a coping resource and burnout and the indirect link between posttraumatic growth and burnout via secondary traumatic stress (mediating effect). Moreover, meaning in work was examined as a moderator variable in relation to the direct link and the indirect link. One hundred and thirty-eight nurses working at a pediatric medical center filled out self-report questionnaires regarding personal and professional data, burnout, posttraumatic growth, secondary traumatic stress, and meaning in work. Posttraumatic growth was found to be a coping resource that linked to pediatric nurses' burnout directly and indirectly. Directly, there was an inverse correlation between the two; indirectly, posttraumatic growth linked negatively to secondary traumatic stress, and secondary traumatic stress linked positively to burnout. Moreover, meaning in work played a dual moderating role. First, it moderated the relationship between posttraumatic growth and secondary traumatization. Second, it moderated the direct relationship between posttraumatic growth and burnout, namely, the negative link between posttraumatic growth and burnout became stronger as meaning in work increased. As such, we recommend enhancing personal and professional posttraumatic growth, as well as designing interventions that promote meaningful work among pediatric nurses.

摘要

本研究聚焦于儿科护士。它探讨了创伤后成长作为应对资源与倦怠之间的直接联系,以及创伤后成长通过二次创伤压力(中介效应)与倦怠之间的间接联系。此外,工作意义被视为与直接联系和间接联系相关的调节变量。在一家儿科医疗中心工作的 138 名护士填写了关于个人和专业数据、倦怠、创伤后成长、二次创伤压力和工作意义的自我报告问卷。研究发现,创伤后成长是儿科护士倦怠的应对资源,直接和间接地与倦怠相关联。直接方面,两者呈负相关;间接方面,创伤后成长与二次创伤压力呈负相关,而二次创伤压力与倦怠呈正相关。此外,工作意义起着双重调节作用。首先,它调节了创伤后成长和二次创伤之间的关系。其次,它调节了创伤后成长与倦怠之间的直接关系,即创伤后成长与倦怠之间的负相关随着工作意义的增加而增强。因此,我们建议增强个人和专业的创伤后成长,并设计促进儿科护士有意义工作的干预措施。

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