现实与信念:一项关于医院医生性格优势与幸福感的混合方法研究。

Reality Meets Belief: A Mixed Methods Study on Character Strengths and Well-Being of Hospital Physicians.

作者信息

Kachel Timo, Huber Alexandra, Strecker Cornelia, Höge Thomas, Höfer Stefan

机构信息

Institute of Psychology, University of Innsbruck, Innsbruck, Austria.

Department of Medical Psychology, Medical University Innsbruck, Innsbruck, Austria.

出版信息

Front Psychol. 2021 Jun 10;12:547773. doi: 10.3389/fpsyg.2021.547773. eCollection 2021.

Abstract

Positive psychology deals with factors that make life most worth living and focuses on enhancing individual potentials. Particularly, character strengths can positively contribute to well-being and work-related health, bearing a promising potential for professions, such as physicians, who are at risk for burnout or mental illnesses. This study aims to identify beneficial character strengths by examining the quantitative and qualitative data. In a cross-sectional multi-method study, 218 hospital physicians completed an online survey assessing their character strengths and their general and work-related well-being, comprising thriving, work engagement, and burnout dimensions (outcome variables). Quantitative data were analyzed for the total sample and by tertiary split. Additionally, interview-gathered opinions of four resident physicians and four medical specialist educators were collected to expand the perspective on which character strengths might be beneficial for the well-being of the resident physicians. The highest significant correlations between character strengths and outcome variables were found for and thriving ( = 0.67), , and work engagement ( = 0.67) as well as emotional exhaustion ( = -0.47), and depersonalization ( = -0.27), , and reduced personal accomplishment ( = -0.39). Tertiary splits revealed that some correlations were not consistent across the entire scale continuum, for example, was only significantly correlated with comparatively high levels of thriving ( = 0.28) or with comparatively high levels of depersonalization ( = -0.34). , s, and showed predominantly low correlations with all outcome variables ( = -0.17 - 0.34), although was stated by all interviewed medical specialist educators to be the most relevant for the well-being at work, and the latter two by three resident physicians, respectively. Different perspectives resulting from quantitative and qualitative data in terms of beneficial character strengths for work-related well-being may be driven by different work experiences, professional understandings, generational beliefs, or social expectations. Some significant correlations between character strengths and well-being outcomes varied depending on low, medium, or high outcomes. This raises questions about suitable work-related well-being interventions, as simple single intervention approaches (one intervention fits all) may not work for the respective outcome levels. These new findings warrant further research on how to foster the well-being of resident physicians at work.

摘要

积极心理学研究那些使生活最有价值的因素,并专注于挖掘个人潜力。具体而言,性格优势能够对幸福感和与工作相关的健康产生积极影响,对于有职业倦怠或精神疾病风险的职业,如医生,具有很大的潜在价值。本研究旨在通过分析定量和定性数据来确定有益的性格优势。在一项横断面多方法研究中,218名医院医生完成了一项在线调查,评估他们的性格优势以及他们的总体幸福感和与工作相关的幸福感,包括蓬勃发展、工作投入和职业倦怠维度(结果变量)。对总样本和按三分法进行的分组进行了定量数据分析。此外,收集了4名住院医师和4名医学专家教育工作者通过访谈得出的意见,以拓宽对哪些性格优势可能有利于住院医师幸福感的认识。在性格优势与结果变量之间发现的最高显著相关性为与蓬勃发展(=0.67)、与工作投入(=0.67)以及与情感耗竭(=-0.47)、与去个性化(=-0.27)、与个人成就感降低(=-0.39)。三分法显示,某些相关性在整个量表连续体中并不一致,例如,仅与相对较高水平的蓬勃发展显著相关(=0.28),或者与相对较高水平的去个性化显著相关(=-0.34)。、和与所有结果变量的相关性大多较低(=-0.17 - 0.34),尽管所有接受访谈的医学专家教育工作者都表示对工作幸福感最为重要,而后两者分别被三名住院医师提及。定量和定性数据在与工作相关的幸福感有益性格优势方面产生的不同观点,可能是由不同的工作经历、专业理解、代际信念或社会期望驱动的。性格优势与幸福感结果之间的一些显著相关性因结果水平低、中或高而有所不同。这引发了关于合适的与工作相关的幸福感干预措施的问题,因为简单的单一干预方法(一种干预适用于所有人)可能对各自的结果水平无效。这些新发现值得进一步研究如何在工作中促进住院医师的幸福感。

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