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重症监护医师的情绪智力、工作场所冲突和工作倦怠:埃及一项横断面研究设计的中介分析。

Emotional intelligence, workplace conflict and job burn-out among critical care physicians: a mediation analysis with a cross-sectional study design in Egypt.

机构信息

Department of Public Health and Community Medicine, Menoufia University Faculty of Medicine, Shebin El-Kom, Egypt

Department of Forensic Medicine and Clinical Toxicology, Tanta University Faculty of Medicine, Tanta city, Egypt.

出版信息

BMJ Open. 2023 Oct 28;13(10):e074645. doi: 10.1136/bmjopen-2023-074645.

Abstract

OBJECTIVES

This study aimed to examine the association between the effect of emotional intelligence on job burn-out and the mediating effect of workplace conflict management among critical care physicians.

DESIGN AND SETTING

A cross-sectional study design was deployed.

PARTICIPANTS

The studied sample comprised 144 critical care physicians working at two Egyptian tertiary care public hospitals.

MEASURES

The participants' responses to three questionnaires were studied, including the Maslach Burnout Inventory, the Emotional Intelligence Questionnaire and the Conflict Management Formative Questionnaire, in addition to assessing coenzyme Q10 (CoQ10) levels.

RESULTS

Among the anaesthesiologists and critical care specialists examined, burn-out was reported by 63.9% of them. The findings of this study indicated that emotional intelligence played a notable role in predicting job burn-out, with a negative impact. Further analysis revealed that workplace conflict management acted as a mediator between emotional intelligence and the three components of job burn-out. Additionally, age and years of experience were found to have a negative correlation with burn-out and a positive correlation with conflict management. Furthermore, CoQ10 levels showed a negative correlation with burn-out, while displaying positive correlations with emotional intelligence and conflict management.

CONCLUSION

Conflict management acted as a mediator in reducing burn-out by demonstrating a significant negative relationship between emotional intelligence and burn-out. Initial findings indicated that possessing good emotional intelligence and conflict management skills had a positive influence on the immune system, as evidenced by higher CoQ10 levels. However, burn-out had the opposite effect, depleting the body's CoQ10 stores and negatively impacting immune-protective mechanisms. Therefore, it is crucial to implement emotional management educational programmes and update educational policies and pedagogical practices to enhance the emotional capabilities of healthcare providers, especially in demanding fields like critical care, to effectively address conflicts.

摘要

目的

本研究旨在探讨情绪智力对重症监护医师职业倦怠的影响,并检验工作场所冲突管理在其中的中介作用。

设计与设置

采用横断面研究设计。

参与者

研究样本包括在埃及两家三级公立医院工作的 144 名重症监护医师。

测量方法

研究人员对参与者的三份问卷的回答进行了研究,包括 Maslach 倦怠量表、情绪智力问卷和冲突管理形成问卷,此外还评估了辅酶 Q10(CoQ10)水平。

结果

在所检查的麻醉师和重症监护专家中,有 63.9%的人报告存在倦怠。本研究结果表明,情绪智力对职业倦怠有显著的负向预测作用。进一步分析表明,工作场所冲突管理在情绪智力和职业倦怠的三个组成部分之间起中介作用。此外,年龄和工作年限与倦怠呈负相关,与冲突管理呈正相关。此外,CoQ10 水平与倦怠呈负相关,与情绪智力和冲突管理呈正相关。

结论

冲突管理通过表现出情绪智力与倦怠之间显著的负相关关系,起到了减轻倦怠的中介作用。初步研究结果表明,拥有良好的情绪智力和冲突管理技能对免疫系统有积极影响,表现为 CoQ10 水平较高。然而,倦怠则产生相反的效果,耗尽身体的 CoQ10 储备,并对免疫保护机制产生负面影响。因此,实施情绪管理教育计划以及更新教育政策和教学实践以提高医疗保健提供者的情绪能力,特别是在重症监护等高要求领域,对于有效处理冲突至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7a/10619067/5424cd512b5a/bmjopen-2023-074645f01.jpg

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