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评价《初级保健护士在 COVID-19 期间经历的问题的简要应对取向量表》和应对方式的探索。

Evaluation of the Brief Coping Orientation to Problems Experienced scale and exploration of coping among primary health care nurses during COVID-19.

机构信息

School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.

Illawarra Health and Medical Institute, Wollongong, NSW, Australia.

出版信息

J Nurs Manag. 2022 Oct;30(7):2597-2608. doi: 10.1111/jonm.13816. Epub 2022 Oct 17.

Abstract

AIM

This study aimed to explore primary health care nurses' coping strategies and evaluate the psychometric properties of the Brief Coping Orientation to Problems Experienced (COPE) scale.

BACKGROUND

Primary health care nurses are experiencing significant COVID-19-related psychological impacts. Beyond understanding the impacts, there is a need to explore coping strategies.

METHODS

This online cross-sectional survey was completed by 359 Australian primary health care nurses between October and December 2020.

RESULTS

Factor analysis revealed seven factors (support, disengagement and venting, humour, positive reframing, acceptance, substance use and spiritual/religious beliefs) (Cronbach's alpha > .69). There was an association between age, years of nursing and years of primary health care nursing and the factors of 'support', 'disengagement and venting' and 'positive reframing'. Years of experience were also associated with the factor 'humour'. Urban respondents had higher scores for the 'support' factor.

CONCLUSIONS

The Brief COPE scale is a valid and reliable tool for assessing primary health care nurses' coping. As demographic characteristics impact the coping strategies that nurses use, supports need to be tailored to optimize their impact.

IMPLICATIONS FOR NURSING MANAGEMENT

Nurse managers need to consider the workforce demographics when designing and implementing support strategies. The Brief COPE can identify current coping strategies and inform interventions to build coping capacity.

摘要

目的

本研究旨在探讨初级保健护士的应对策略,并评估经验性问题应对简短量表(Brief Coping Orientation to Problems Experienced,COPE)的心理计量学特性。

背景

初级保健护士正在经历与 COVID-19 相关的重大心理影响。除了了解这些影响外,还需要探索应对策略。

方法

本在线横断面调查于 2020 年 10 月至 12 月期间由 359 名澳大利亚初级保健护士完成。

结果

因子分析揭示了七个因素(支持、脱离和发泄、幽默、积极重新构建、接受、物质使用和精神/宗教信仰)(Cronbach's alpha>0.69)。年龄、护理年限和初级保健护理年限与“支持”、“脱离和发泄”和“积极重新构建”这三个因素之间存在关联。经验年限也与“幽默”这一因素相关。城市受访者在“支持”因素上的得分更高。

结论

经验性问题应对简短量表是评估初级保健护士应对策略的有效和可靠工具。由于人口统计学特征会影响护士使用的应对策略,因此需要根据这些特征来调整支持策略,以优化其效果。

启示

护理管理:护士管理人员在设计和实施支持策略时需要考虑劳动力的人口统计学特征。Brief COPE 可以识别当前的应对策略,并为建立应对能力提供干预措施的信息。

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