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与 SARS-COV-2 大流行期间医学放射和影像专业人员工作意愿相关的因素:一项横断面研究。

Factors associated with medical radiation and imaging professionals' willingness to work during the SARS-COV-2 pandemic: A cross-sectional study.

机构信息

IWK Health Centre, 5850/5980 University Avenue, Halifax, NS B3K6R8, Canada.

Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

J Med Imaging Radiat Sci. 2023 Jun;54(2S):S38-S50. doi: 10.1016/j.jmir.2023.01.005. Epub 2023 Jan 30.

Abstract

BACKGROUND

Resilient health systems effectively respond to health crises and coordinate post-event recovery. Central to a resilient system is the willingness of its workforce to work in high-risk scenarios. This study explored traits that may affect Medical Radiation and Imaging Professionals (MRIPs) willingness to work during a pandemic. Specifically, intrapersonal traits of compassion, empathy, and resilience were examined. Understanding such relationships can inform interventions that enhance individuals' willingness and health system resilience (HSR).

METHODS

In Fall 2020, a cross-sectional survey of Nova Scotian MRIPs was conducted. Witte's Extended Parallel Process Model, Professional Quality of Life, Intrapersonal Reactivity Index and Adult Resilience Measures-17 tools were used to assess willingness, compassion, empathy, and resilience. Statistical tests included chi-square, binomial, and multinomial logistic regression.

RESULTS

MRIPs were willing to report to work during the SARS-CoV-2 pandemic if required (92%); asked but not required (89%); or regardless of severity (94%). Individuals with very high levels of willingness reported lower personal distress (a facet of empathy) compared to those with high (p=.018) or moderate levels (p=.005). MRIPs with < 10 years experience were more likely to report high personal distress (p≤.37). Job role was associated with willingness (p<.001). There were no significant associations between level of willingness, and gender, age, experience, education, or the intrapersonal traits resilience and compassion.

CONCLUSION

Willingness was associated with job role and levels of personal distress. Personal distress was higher in participants with less years of practice. Interventions to reduce personal distress in early career MRIPs may enhance willingness to work during crises and thereby support HSR.

摘要

背景

有弹性的卫生系统能够有效地应对卫生危机并协调事件后的恢复工作。一个有弹性的系统的核心是其工作人员愿意在高风险情况下工作。本研究探讨了可能影响医学放射和影像专业人员(MRIP)在大流行期间工作意愿的特质。具体来说,研究了同情心、同理心和适应力等内在特质。了解这些关系可以为增强个人意愿和卫生系统弹性(HSR)的干预措施提供信息。

方法

2020 年秋季,对新斯科舍省的 MRIP 进行了横断面调查。使用 Witte 的扩展并行处理模型、专业生活质量、内在反应指数和成人适应力测量-17 工具来评估意愿、同情心、同理心和适应力。统计检验包括卡方检验、二项式和多项逻辑回归。

结果

如果需要,MRIP 愿意在 SARS-CoV-2 大流行期间报告工作(92%);被要求但无需报告(89%);或无论严重程度如何(94%)。报告非常高意愿水平的个体报告的个人困扰(同理心的一个方面)低于高(p=.018)或中度(p=.005)水平的个体。工作经验不足 10 年的 MRIP 更有可能报告个人困扰较高(p≤.37)。工作角色与意愿相关(p<.001)。意愿水平与性别、年龄、经验、教育或内在特质适应力和同情心之间没有显著关联。

结论

意愿与工作角色和个人困扰程度相关。有较少工作经验的参与者的个人困扰程度更高。减少早期职业 MRIP 个人困扰的干预措施可能会提高他们在危机期间工作的意愿,从而支持 HSR。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2359/9884626/3167eead6ee6/gr1_lrg.jpg

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