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在新冠疫情前线支持牧师:一项基于混合方法实践的试点干预研究。

Supporting chaplains on the frontlines of the COVID-19 pandemic: A mixed-method practice-based pilot intervention study.

作者信息

Captari Laura E, Hydinger Kristen R, Sandage Steven J, Choe Elise J, Bronstein Miriam, Stavros George, Shim Priscilla, Kintanar Arnold Rex, Cadge Wendy, Rambo Shelly

机构信息

Albert and Jessie Danielsen Institute, Boston University.

Department of Sociology, Brandeis University.

出版信息

Psychol Serv. 2023 Feb;20(1):6-18. doi: 10.1037/ser0000692. Epub 2022 Jul 14.

DOI:10.1037/ser0000692
PMID:35834211
Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, chaplains have played a pivotal role in patient, family member, and staff care. However, little empirical attention has been given to (a) the potential toll of frontline spiritual care on chaplains' mental health and occupational functioning as well as (b) the development of interventions that can help ameliorate these risks and promote resilience. Using a mixed-method practice-based design, we conducted a pilot study ( = 77) to evaluate a novel spiritually integrated support group intervention for chaplains across multiple industries, which consisted of five Zoom-based sessions cofacilitated by psychotherapists. Participants completed pre- and postintervention measures of traumatic stress, burnout, spiritual/moral struggles, flourishing, resilience, and overall experience in the group. Qualitative findings elucidated the salience of peer support, therapeutic group processes, and key intervention components that warrant further study. Quantitative results indicated significant (a) decreases in burnout and spiritual/moral struggles from pre- to postintervention as well as (b) increases in sense of resilience and flourishing. Findings of this pilot study offer preliminary evidence for the use of a spiritually integrated group model to decrease isolation, address moral and spiritual distress, and promote resilience among chaplains. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

在2019年冠状病毒病(COVID-19)大流行期间,牧师在患者、家属和工作人员关怀方面发挥了关键作用。然而,(a)一线精神关怀对牧师心理健康和职业功能的潜在影响,以及(b)有助于减轻这些风险并促进恢复力的干预措施的开发,却很少得到实证关注。我们采用基于实践的混合方法设计,开展了一项试点研究(n = 77),以评估一种针对多个行业牧师的新型精神整合支持小组干预措施,该干预措施包括由心理治疗师共同主持的五次基于Zoom的会议。参与者在干预前后完成了关于创伤应激、倦怠、精神/道德挣扎、蓬勃发展、恢复力以及小组总体体验的测量。定性研究结果阐明了同伴支持、治疗性小组过程以及值得进一步研究的关键干预组成部分的重要性。定量结果表明,(a)从干预前到干预后,倦怠和精神/道德挣扎显著减少,以及(b)恢复力和蓬勃发展感显著增加。这项试点研究的结果为使用精神整合小组模式来减少孤立感、解决道德和精神困扰以及促进牧师的恢复力提供了初步证据。(PsycInfo数据库记录(c)2023美国心理学会,保留所有权利)

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