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中国疾控中心工作人员疲劳与职业认同感影响因素的研究:一项在线横断面研究。

Research on the influencing factors of fatigue and professional identity among CDC workers in China: an online cross-sectional study.

机构信息

Social Medicine, School of Health Management, China Medical University, Shenyang, China.

Liaoning Occupational disease prevention and treatment center, Provincial Center for Disease Control and Prevention, Shenyang, China.

出版信息

BMJ Open. 2022 Apr 8;12(4):e058762. doi: 10.1136/bmjopen-2021-058762.

Abstract

OBJECTIVE

This study aimed to investigate the status quo and the influencing factors of fatigue and professional identity among the Centers for Disease Control and Prevention (CDC) workers in China during the pandemic.

DESIGN

A cross-sectional design.

SETTING

CDC workers employed by the Liaoning CDC system were enrolled (administrative staffs were excluded).

PARTICIPANTS

1020 CDC workers.

PRIMARY OUTCOME MEASURES

Fatigue scores and professional identity scores.

SECONDARY OUTCOME MEASURES

Postcompetency scores, respect scores, occupational stress scores, resilience scores and self-efficacy scores.

RESULTS

The average scores of fatigue and professional identity were 8.23, 38.88, respectively. Factors including perceived public respect (=-0.129, p<0.01), resilience (=-0.104, p<0.05) and self-efficacy (=-0.22, p<0.01) were negatively associated with fatigue. Educational background (bachelor vs junior college or below) (=0.105, p<0.01), (master or above vs junior college or below) (=0.092, p<0.05), workplace (county vs district) (=0.067, p<0.05), (city vs district) (=0.085, p<0.05), fighting the COVID-19 on the front line (=0.059, p<0.05) and occupational stress (=0.166, p<0.01) were positively correlated with fatigue. Educational background (bachelor vs junior college or below) (=-0.097, p<0.01), (master or above vs junior college or below) (=-0.114, p<0.01), workplace (city vs district) (=-0.114, p<0.01), fighting the COVID-19 on the front line (=-0.047, p<0.05) and occupational stress (=-0.105, p<0.01) were negatively associated with professional identity. Factors including postcompetency (=0.362, p<0.01), perceived public respect (general vs low) (=0.219, p<0.01), (high vs low) (=0.288, p<0.01), resilience (=0.097, p<0.05) and self-efficacy (=0.113, p<0.01) were positively connected with professional identity.

CONCLUSION

The fatigue among the CDC workers was at a higher level. The level of professional identity was high, and administrators should take measures to alleviate fatigue and maintain professional identity. In addition, methods aiming to attenuate occupational stress, and improve resilience and self-efficacy should be immediately put into action.

摘要

目的

本研究旨在调查中国疾病预防控制中心(CDC)工作人员在疫情期间的疲劳和职业认同现状及其影响因素。

设计

横断面设计。

地点

纳入辽宁省疾病预防控制中心系统内的 CDC 工作人员(不包括行政人员)。

参与者

1020 名 CDC 工作人员。

主要结局指标

疲劳评分和职业认同评分。

次要结局指标

岗位胜任力评分、公众尊重评分、职业压力评分、韧性评分和自我效能评分。

结果

疲劳和职业认同的平均得分为 8.23 和 38.88。感知公众尊重(=-0.129,p<0.01)、韧性(=-0.104,p<0.05)和自我效能(=-0.22,p<0.01)与疲劳呈负相关。教育背景(本科与大专以下)(=0.105,p<0.01)、(硕士及以上与大专以下)(=0.092,p<0.05)、工作场所(县与区)(=0.067,p<0.05)、(市与区)(=0.085,p<0.05)、抗击新冠肺炎疫情一线(=0.059,p<0.05)和职业压力(=0.166,p<0.01)与疲劳呈正相关。教育背景(本科与大专以下)(=-0.097,p<0.01)、(硕士及以上与大专以下)(=-0.114,p<0.01)、工作场所(市与区)(=-0.114,p<0.01)、抗击新冠肺炎疫情一线(=-0.047,p<0.05)和职业压力(=-0.105,p<0.01)与职业认同呈负相关。岗位胜任力(=0.362,p<0.01)、感知公众尊重(一般与低)(=0.219,p<0.01)、(高与低)(=0.288,p<0.01)、韧性(=0.097,p<0.05)和自我效能(=0.113,p<0.01)与职业认同呈正相关。

结论

CDC 工作人员的疲劳程度较高,职业认同感较高,管理人员应采取措施缓解疲劳,保持职业认同感。此外,应立即采取措施减轻职业压力,提高韧性和自我效能。

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