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替代性创伤与新冠疫情:组织的作用。

Vicarious trauma and the COVID-19 pandemic: The role of organisations.

机构信息

Institute for Health Equity and Social Justice Research, Northeastern University, Boston, Massachusetts, USA.

出版信息

Stress Health. 2024 Oct;40(5):e3458. doi: 10.1002/smi.3458. Epub 2024 Aug 19.

Abstract

Vicarious trauma (VT) is an occupational challenge incurred through hearing about traumatic experiences of others such as child maltreatment, mass casualties, and others while serving in helping professions. Without sufficient resources and support, long-term exposure can lead to symptoms such as intrusion, avoidance, arousal, emotional numbing, anxiety, and decline in one's ability to work. Organisations can mitigate VT's impact by addressing the needs of staff through 5 evidence-informed areas of occupational health. This project explored the impact of VT-informed practices on organisational responses to the COVID-19 pandemic. We compared responses from 50 organisations on strengths and weaknesses in core areas of being VT-informed to how those organisations responded to the COVID-19 pandemic. Subscales of the VT Organizational Readiness Guide (VT-ORG) were utilized as the exposure variables and 4 new COVID-19 questions served as the outcome. We ran a series of multilevel linear regression models with clustering controlled for at the organisational level. Staff ratings on 4 of the 5 pillars of the VT-ORG were positively associated with the organisation's responsiveness to the pandemic. Various demographic factors of the employees were negatively associated with organisations' responsiveness to the pandemic. While this study contributes to the growing research on VT, it also provides justification for helping organisations to become VT-informed; it provides evidence that being prepared for VT can also be useful to support workers and their communities during emergencies such as the COVID-19 pandemic.

摘要

替代性创伤(VT)是一种职业挑战,是在从事助人职业时听到他人的创伤经历,如儿童虐待、大规模伤亡等而产生的。如果没有足够的资源和支持,长期接触可能会导致侵入、回避、觉醒、情感麻木、焦虑和工作能力下降等症状。组织可以通过以下 5 个循证职业健康领域来满足员工的需求,从而减轻 VT 的影响。本项目探讨了 VT 知情实践对组织应对 COVID-19 大流行的影响。我们比较了 50 个组织在 VT 知情的核心领域的优势和劣势,以及这些组织对 COVID-19 大流行的反应。VT 组织准备指南(VT-ORG)的子量表被用作暴露变量,4 个新的 COVID-19 问题作为结果。我们对组织层面进行了聚类控制的一系列多水平线性回归模型。VT-ORG 的 5 个支柱中的 4 个支柱上的员工评分与组织对大流行的反应呈正相关。员工的各种人口统计学因素与组织对大流行的反应呈负相关。虽然这项研究对 VT 的不断发展的研究做出了贡献,但它也为帮助组织变得 VT 知情提供了理由;它提供了证据表明,为 VT 做好准备也可以在 COVID-19 等紧急情况下为工人及其社区提供支持。

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