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在新冠时代缓冲 burnout 对医疗专业人员健康的影响——工作中共情关系的中介作用

Buffering the Effects of Burnout on Healthcare Professionals' Health-The Mediating Role of Compassionate Relationships at Work in the COVID Era.

机构信息

Department of Human Sciences, LUMSA University, 00193 Rome, Italy.

Department of Life Sciences and Public Health, Catholic University of the Sacred Heart, 00168 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2022 Jul 23;19(15):8966. doi: 10.3390/ijerph19158966.

Abstract

Managing the COVID-19 pandemic posed several challenges for healthcare professionals, which likely heightened their risk of burnout (Amanullah and Ramesh Shankar, 2020) and, consequently, their general physical and mental health. Although it may not be possible to address and eliminate the causes of burnout, current research informs healthcare organizations about protective strategies to reduce its detrimental consequences. The promotion of compassionate interactions among healthcare professionals may play such a role. Compassion within healthcare organizations positively affects individual performance and well-being. Building on these considerations and within the framework of the Conservation of Resources theory, this study explores the relationships among burnout dimensions, received compassion at work, and general health in 711 Italian healthcare professionals (68.5% female), aged between 21 and 73 years (Mage = 36.4, SD = 11.2). Analyses were conducted to investigate the association between burnout and general well-being (H1) and between burnout symptoms and perceived compassion at work (H2); and the mediational role of compassion in the relationship between burnout symptoms and general well-being. H1 and H2 were confirmed (r < 0.01 for both), and a SEM model showed the mediating role of compassion at work in the association between burnout symptoms and general well-being (RMSEA < 0.08, SRMR < 0.08, CFI and TLI > 0.90). Theoretical and practical implications of the findings are discussed in the paper.

摘要

管理 COVID-19 大流行给医疗保健专业人员带来了若干挑战,这可能增加了他们 burnout(倦怠)的风险(Amanullah 和 Ramesh Shankar,2020),并因此影响了他们的整体身心健康。虽然不可能解决和消除 burnout 的原因,但目前的研究为医疗机构提供了有关保护策略的信息,以减轻其不利后果。促进医疗保健专业人员之间的同情互动可能会起到这样的作用。医疗机构中的同情心会对个人绩效和幸福感产生积极影响。基于这些考虑因素,并在资源保护理论的框架内,本研究探讨了 711 名意大利医疗保健专业人员(68.5%为女性)的 burnout 维度、工作中收到的同情关怀以及一般健康之间的关系,这些专业人员年龄在 21 至 73 岁之间(Mage = 36.4,SD = 11.2)。进行了分析以调查 burnout 与一般幸福感之间的关系(H1)以及 burnout 症状与工作中感知到的同情关怀之间的关系(H2);以及同情关怀在 burnout 症状与一般幸福感之间的关系中的中介作用。H1 和 H2 得到了证实(r < 0.01),并且结构方程模型显示了工作中同情关怀在 burnout 症状与一般幸福感之间的关联中的中介作用(RMSEA < 0.08,SRMR < 0.08,CFI 和 TLI > 0.90)。本文讨论了研究结果的理论和实践意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f6/9332033/171458f47e5f/ijerph-19-08966-g001.jpg

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