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兽医在 COVID-19 期间表现出韧性:面临的挑战和成功应对策略。

Veterinarians show resilience during COVID-19: challenges faced and successful coping strategies.

机构信息

1Virginia Department of Health, Richmond, VA.

2US Army Veterinary Corps, Ft. Belvoir, VA.

出版信息

J Am Vet Med Assoc. 2023 Mar 13;261(6):888-897. doi: 10.2460/javma.22.12.0584. Print 2023 Jun 1.

Abstract

OBJECTIVE

To identify challenges veterinarians faced during the COVID-19 pandemic, explore how they coped, identify coping strategies associated with greater resilience, and determine incentives and barriers to performing healthy coping behaviors.

SAMPLES

266 surveys completed by veterinarians in the Potomac region.

PROCEDURES

A cross-sectional survey was distributed electronically through veterinary medical boards and professional associations between June and September 2021.

RESULTS

Most survey responses came from veterinarians working in Maryland (128/266 [48%]) and Virginia (63/266 [24%]) who were predominantly white (186/266 [70%]), female (162/266 [61%]), and working in small-animal clinical practice (185/266 [70%]). The greatest workplace challenges experienced were increased workloads (195/266 [73%]) and reevaluating existing workflows (189/266 [71%]). Separation from loved ones (161/266 [61%]) was the greatest personal challenge. Of the veterinarians who completed the 10-point Connor-Davidson Resilience Scale (n = 219), which measures resilience on a scale from 0 (no resilience) to 40 (greatest resilience), the mean score was 29.6 (SD, 6.9), with a median of 30 (IQR = 10). Intrinsic factors most strongly associated with greater resilience were increasing age (P = .01) and later career stage (P = .002). Job satisfaction, autonomy, good work-life balance, and approach-focused coping strategies were positively associated with resilience. Overwhelmingly, the primary reported barrier to performing healthy coping behaviors was limited time to devote to self-care (177/266 [67%]).

CLINICAL RELEVANCE

A combination of individual approach-focused coping strategies and organizational interventions are crucial to support a resilient veterinary workforce.

摘要

目的

确定兽医在 COVID-19 大流行期间面临的挑战,探讨他们的应对方式,确定与更强适应力相关的应对策略,并确定实施健康应对行为的激励因素和障碍。

样本

266 份由波托马克地区兽医完成的调查。

程序

2021 年 6 月至 9 月,通过兽医医疗委员会和专业协会以电子方式分发横断面调查。

结果

大多数调查回复来自马里兰州(128/266 [48%])和弗吉尼亚州(63/266 [24%])的兽医,他们主要是白人(186/266 [70%]),女性(162/266 [61%]),从事小动物临床实践(185/266 [70%])。工作场所面临的最大挑战是工作量增加(195/266 [73%])和重新评估现有工作流程(189/266 [71%])。与亲人分离(161/266 [61%])是最大的个人挑战。在完成 10 分康纳-戴维森韧性量表(n = 219)的兽医中,该量表衡量的韧性范围从 0(无韧性)到 40(最大韧性),平均得分为 29.6(标准差,6.9),中位数为 30(IQR = 10)。与更高的韧性最密切相关的内在因素是年龄增长(P =.01)和职业后期(P =.002)。工作满意度、自主性、良好的工作-生活平衡和以问题为中心的应对策略与韧性呈正相关。压倒性的是,实施健康应对行为的主要报告障碍是用于自我保健的时间有限(177/266 [67%])。

临床相关性

个人以问题为中心的应对策略和组织干预的结合对于支持有韧性的兽医劳动力至关重要。

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