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医院环境中与医护人员-牧师互动相关的因素:一项横断面调查研究。

Factors associated with health personnel-chaplain interactions in the hospital setting: a cross-sectional survey study.

作者信息

Rangel Teresa, Weisbrich Gary, Sumner Sarah, Gaines Adam, Leavitt Robert

机构信息

Clinical Excellence, Research, and Practice, Providence Central Division, Spokane, WA, USA.

Spiritual Care, Providence St. Patrick Hospital, Missoula, MT, USA.

出版信息

J Health Care Chaplain. 2025 Jan-Mar;31(1):61-75. doi: 10.1080/08854726.2024.2393551. Epub 2024 Sep 3.

Abstract

Health personnel may seek chaplain support to discuss stressors related to complex patient cases, difficult team dynamics, and personal issues. In this survey study of 1376 healthcare interprofessional clinicians, participants reported interacting with chaplains most frequently over patient-related stressors in the prior 12 months. Factors associated with chaplain interactions to discuss all three stressors included: reporting chaplains provide spiritual support to health personnel, more years of service, seeking professional help to deal with stressors, and higher levels of secondary traumatic stress. Being a registered nurse (RN) and working in a critical care specialty were associated with increased odds of interactions with a chaplain to discuss patient-related stressors while identifying as Catholic or Protestant was associated with chaplain interactions to discuss team-related and personal stressors. Chaplains should tailor interventions to promote health personnel's spiritual well-being based on patient-related, team-related, and personal stressors. Healthcare institutions which do not employ chaplains should advocate for this resource. Leaders in healthcare settings with chaplains should promote increased staff awareness that chaplains are available to support wellbeing by discussing patient, team, or personal stressors.

摘要

卫生保健人员可能会寻求牧师的支持,以讨论与复杂病例、团队关系紧张及个人问题相关的压力源。在这项针对1376名跨专业医护人员的调查研究中,参与者报告称,在过去12个月里,他们与牧师就与患者相关的压力源进行互动最为频繁。与牧师就所有这三种压力源进行互动的相关因素包括:报告称牧师为卫生保健人员提供精神支持、工作年限更长、寻求专业帮助来应对压力源以及更高水平的继发性创伤压力。作为注册护士(RN)且从事重症护理专业,与就患者相关压力源与牧师互动的几率增加有关,而认同天主教或新教则与就团队相关和个人压力源与牧师互动有关。牧师应根据与患者相关、团队相关和个人压力源,调整干预措施,以促进卫生保健人员的精神健康。未聘请牧师的医疗机构应倡导提供这一资源。设有牧师的医疗机构的领导应提高员工的意识,让他们知道牧师可通过讨论患者、团队或个人压力源来支持员工的健康。

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