Wang Hui, Hu Yinhuan, Li Jiayi, Liu Sha, Feng Xiandong
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
J Adv Nurs. 2025 Jul;81(7):3821-3833. doi: 10.1111/jan.16523. Epub 2024 Oct 7.
Although healthcare workers often experience significant mental health challenges, their willingness to seek professional psychological help remains relatively low. However, the factors associated with healthcare workers' psychological help-seeking remain unclear. This study aims to identify the determinants of professional psychological help-seeking intention among healthcare workers based on the theory of planned behaviour.
Cross-sectional study.
A questionnaire, incorporating demographic information and latent variable items, was developed and employed on 403 healthcare workers through online and offline surveys from December 2022 to January 2023 using convenience sampling. Structural equation modelling was applied to test the research hypotheses.
The model explained 46.9% of the variance in help-seeking intention. Subjective norm had the strongest total association with help-seeking intention. Attitude towards help-seeking behaviour, subjective norm and perceived behavioural control were directly positively related to help-seeking intention. Moreover, self-stigma, public stigma, perceived barriers and perceived risk were indirectly associated with help-seeking intention mediated by attitude towards the behaviour and perceived behavioural control. Of the four constructs, public stigma showed the most significant indirect relation to behavioural intention.
Healthcare workers' intention to seek psychological support is associated with multiple interacting factors, particularly subjective norm and public stigma. Targeted interventions addressing individual and systemic barriers are essential to create a supportive environment for healthcare workers to access mental health services.
This study identified key barriers and facilitators to healthcare workers seeking psychological support, which can assist authorities in enhancing mental health services and implementing tailored intervention strategies, thereby promoting help-seeking behaviour among healthcare workers. Moreover, our research reinforces the applicability of the theory of planned behaviour in explaining healthcare workers' intention to seek professional psychological support.
No patient or public contribution.
尽管医护人员经常面临重大的心理健康挑战，但其寻求专业心理帮助的意愿仍然相对较低。然而，与医护人员寻求心理帮助相关的因素仍不明确。本研究旨在基于计划行为理论确定医护人员寻求专业心理帮助意愿的决定因素。
横断面研究。
编制了一份包含人口统计学信息和潜在变量项目的问卷，并于2022年12月至2023年1月通过线上和线下调查，采用便利抽样法对403名医护人员进行了调查。应用结构方程模型来检验研究假设。
该模型解释了寻求帮助意愿中46.9%的方差变异。主观规范与寻求帮助意愿的总体关联最强。对寻求帮助行为的态度、主观规范和感知行为控制与寻求帮助意愿直接正相关。此外，自我污名、公众污名、感知障碍和感知风险通过对行为的态度和感知行为控制间接与寻求帮助意愿相关联。在这四个构念中，公众污名与行为意愿的间接关系最为显著。
医护人员寻求心理支持的意愿与多种相互作用的因素相关，尤其是主观规范和公众污名。针对个体和系统障碍的有针对性干预对于为医护人员提供一个支持性环境以获得心理健康服务至关重要。
本研究确定了医护人员寻求心理支持的关键障碍和促进因素，这有助于当局加强心理健康服务并实施量身定制的干预策略，从而促进医护人员的求助行为。此外，我们的研究强化了计划行为理论在解释医护人员寻求专业心理支持意愿方面的适用性。
无患者或公众参与。
