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医生的自我关怀与职业成就感的关系,以及个人韧性和工作-家庭干扰的中介作用:一项横断面研究。

The relationship between physicians' self-kindness and professional fulfillment and the mediating role of personal resilience and work-home interference: A cross-sectional study.

机构信息

Department of Medical Psychology, Professional Performance & Compassionate Care Research Group, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.

Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

出版信息

PLoS One. 2023 Apr 24;18(4):e0284507. doi: 10.1371/journal.pone.0284507. eCollection 2023.

Abstract

BACKGROUND

Professional fulfillment is crucial for physicians' well-being and optimal patient care. Highly demanding work environments, perfectionism and self-critical attitudes jeopardize physicians' professional fulfillment.

OBJECTIVE

To explore to what extent a kinder attitude towards the self, i.e. self-kindness, was associated with physicians' professional fulfillment and whether this relationship was mediated by personal resilience and work-home interference.

METHODS

In 2020, cardiologists (n = 374) in the Netherlands participated in a web-based survey. Self-kindness was measured by the self-kindness subscale of the Self-Compassion Scale, personal resilience by the Brief Resilience Scale, work-home interference by the negative Work-Home Interference subscale of the Survey Work-Home Interaction-Nijmegen, and professional fulfillment by the corresponding subscale of the Professional Fulfillment Index. Using Hayes' SPSS macro PROCESS v3.5, the authors tested the parallel mediation model.

RESULTS

Self-kindness was not directly associated with professional fulfillment (direct effect = .042, p = .36, 95% CI: -0.048, 0.132). Self-kindness was indirectly related to professional fulfillment through individual resilience (indirect effect = .049, 95% CI: .020, 0.086) and work-home interference (indirect effect = .057, 95% CI: .023, 096).

CONCLUSIONS

This study suggests that improving physicians' self-kindness may enhance professional fulfillment through personal resilience and work-home interference. Our findings may stimulate and remind physicians to be kind towards themselves as it may benefit them and their patients.

摘要

背景

专业满足感对医生的幸福感和为患者提供最佳护理至关重要。高要求的工作环境、完美主义和自我批评态度会危及医生的专业满足感。

目的

探讨自我友善(即自我关怀)在多大程度上与医生的专业满足感相关,以及这种关系是否通过个人韧性和工作-家庭干扰来介导。

方法

2020 年,荷兰的心脏病专家(n=374)参与了一项基于网络的调查。自我关怀通过自我关怀量表的自我关怀子量表进行测量,个人韧性通过简要韧性量表进行测量,工作-家庭干扰通过奈梅亨工作-家庭交互调查的负面工作-家庭干扰子量表进行测量,专业满足感通过专业满足感指数的相应子量表进行测量。作者使用 Hayes 的 SPSS 宏 PROCESS v3.5 测试了平行中介模型。

结果

自我关怀与专业满足感之间没有直接关联(直接效应=0.042,p=0.36,95%置信区间:-0.048,0.132)。自我关怀通过个体韧性(间接效应=0.049,95%置信区间:0.020,0.086)和工作-家庭干扰(间接效应=0.057,95%置信区间:0.023,0.096)与专业满足感间接相关。

结论

本研究表明,提高医生的自我关怀感可能通过个体韧性和工作-家庭干扰来增强专业满足感。我们的研究结果可能会激发并提醒医生要善待自己,因为这可能会使他们自己和他们的患者受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb27/10124859/13f0f1058b82/pone.0284507.g001.jpg

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