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工作满意度和认知创伤处理在为创伤受害者提供医疗服务的医护人员继发性创伤应激症状发生中的作用。

The Role of Satisfaction With Job and Cognitive Trauma Processing in the Occurrence of Secondary Traumatic Stress Symptoms in Medical Providers Working With Trauma Victims.

作者信息

Gurowiec Piotr Jerzy, Ogińska-Bulik Nina, Michalska Paulina, Kȩdra Edyta, Skarbalienė Aelita

机构信息

Institute of Health Sciences, University of Opole, Opole, Poland.

Department of Health Psychology, Institute of Psychology, University of Lodz, Łódź, Poland.

出版信息

Front Psychol. 2022 Jan 6;12:753173. doi: 10.3389/fpsyg.2021.753173. eCollection 2021.

Abstract

As an occupational group, medical providers working with victims of trauma are prone to negative consequences of their work, particularly secondary traumatic stress (STS) symptoms. Various factors affect susceptibility to STS, including work-related and organizational determinants, as well as individual differences. The aim of the study was to establish the mediating role of cognitive trauma processing in the relationship between job satisfaction and STS symptoms among medical providers. Results were obtained from 419 healthcare providers working with victims of trauma (218 nurses and 201 paramedics). Three questionnaires, namely the Secondary Traumatic Stress Inventory, Work Satisfaction Scale, and Cognitive Trauma Processing Scale, were used in the study, as well as a survey developed for this research. Correlational and mediation analyses were applied to assess relations between variables. The results showed significant links between STS symptoms and both job satisfaction and cognitive processing of trauma. Three cognitive coping strategies play the intermediary role in the relationship between job satisfaction and symptoms of secondary traumatic stress. However, this role varies depending on preferred strategies. Nurses and paramedics are significantly exposed to the occurrence of STS. Thus, it is important to engage health care providers in activities aimed at preventing and reducing symptoms of STS.

摘要

作为一个职业群体,为创伤受害者提供医疗服务的人员容易受到工作带来的负面后果影响,尤其是继发性创伤应激(STS)症状。各种因素会影响对STS的易感性,包括与工作相关的因素和组织决定因素,以及个体差异。本研究的目的是确定认知创伤处理在医疗服务人员工作满意度与STS症状之间关系中的中介作用。研究结果来自419名与创伤受害者打交道的医疗服务人员(218名护士和201名护理人员)。研究使用了三份问卷,即继发性创伤应激量表、工作满意度量表和认知创伤处理量表,以及为本研究编制的一份调查问卷。采用相关分析和中介分析来评估变量之间的关系。结果表明,STS症状与工作满意度和创伤的认知处理之间存在显著联系。三种认知应对策略在工作满意度与继发性创伤应激症状之间的关系中起中介作用。然而,这一作用因偏好策略的不同而有所差异。护士和护理人员明显容易出现STS。因此,让医疗服务人员参与旨在预防和减轻STS症状的活动非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1671/8770279/3b417c24c2dd/fpsyg-12-753173-g001.jpg

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