助产士和护士助理的自我同情与职业生活质量：一项横断面研究。
Self-compassion and professional quality of life among midwives and nurse assistants: A cross-sectional study.
作者信息
Ängeby Karin, Rubertsson Christine, Hildingsson Ingegerd, Edqvist Malin
机构信息
Women's Department and Centre for Clinical Research Education, County Council of Varmland, Karlstad, Sweden.
Department of Health Sciences, School of Education, Health and Social Sciences, Dalarna University, Falun, Sweden.
出版信息
Eur J Midwifery. 2022 Jul 29;6:47. doi: 10.18332/ejm/149520. eCollection 2022.
INTRODUCTION
Self-compassion and satisfaction derived from helping others is part of healthcare providers' professional quality of life. The aim of this study was to explore and psychometrically test two instruments measuring self-compassion and professional quality of life among midwives and nurse assistants.
METHODS
This was a cross-sectional study with midwives and nurse assistants working with intrapartum care at five different labor wards in Sweden. The Self-Compassion Scale (SCS) and the modified Professional Quality of Life Measurement (ProQOL) were validated and correlation analyses were calculated between the different subscales. Descriptive statistics, t-test, were calculated to analyze associations between the subscales of the SCS, the ProQOL and the background variables.
RESULTS
Midwives were more self-critical than nurse assistants, and the midwives who were negative towards the new clinical practice scored higher for compassion fatigue. The principal component analysis showed a two-factor solution for both the SCS and the modified ProQOL. The two SCS subscales were named 'self-criticism' (α=0.85) and 'self-kindness' (α=0.87). The two ProQOL subscales were named 'compassion satisfaction' (α=0.83) and 'compassion fatigue' (α=0.78). A negative correlation was found between self-kindness and compassion fatigue subscales, between compassion satisfaction and compassion fatigue, and between self-kindness and self-criticism.
CONCLUSIONS
The SCS and modified ProQOL are considered as valid questionnaires for use in a Swedish maternity setting and a correlation between the scales was found. Midwives are more self-critical than nurse assistants. Understanding and identifying compassion fatigue among midwives is important to managers responsible for quality improvement and practice changes.
引言
自我同情以及从帮助他人中获得的满足感是医疗保健提供者职业生活质量的一部分。本研究的目的是探索并对两种测量助产士和护士助理自我同情及职业生活质量的工具进行心理测量学测试。
方法
这是一项横断面研究，研究对象为瑞典五个不同分娩病房从事产时护理工作的助产士和护士助理。对自我同情量表（SCS）和改良的职业生活质量量表（ProQOL）进行了验证，并计算了不同子量表之间的相关性分析。计算描述性统计量、t检验，以分析SCS、ProQOL子量表与背景变量之间的关联。
结果
助产士比护士助理更具自我批评性，对新临床实践持负面态度的助产士在同情疲劳方面得分更高。主成分分析显示SCS和改良后的ProQOL均为双因素解决方案。SCS的两个子量表分别命名为“自我批评”（α=0.85）和“自我友善”（α=0.87）。ProQOL的两个子量表分别命名为“同情满足感”（α=0.83）和“同情疲劳”（α=0.78）。在自我友善与同情疲劳子量表之间、同情满足感与同情疲劳之间以及自我友善与自我批评之间发现了负相关。
结论
SCS和改良后的ProQOL被认为是适用于瑞典产科环境的有效问卷，且发现了各量表之间的相关性。助产士比护士助理更具自我批评性。对于负责质量改进和实践变革的管理人员来说，理解并识别助产士中的同情疲劳很重要。
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