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日常幸福实践对急诊和专科医院中个体兽医专业人员职业生活质量自我评估分数的积极影响。

The positive impact of daily well-being practices on individual veterinary professionals' professional quality of life self-assessment scores within an emergency and specialty hospital.

作者信息

Alwood Ames J, Ferrentino DIana A, Olson Sonja A, Rodriguez Veronyca I

机构信息

Authentic DVM, Longmeadow, MA, United States.

Health & Well-being Team, BluePearl Specialty + Emergency Pet Hospital, Tampa, FL, United States.

出版信息

Front Vet Sci. 2024 Oct 8;11:1381090. doi: 10.3389/fvets.2024.1381090. eCollection 2024.

Abstract

INTRODUCTION

Our study set out to identify the benefits for veterinary workers of structured daily well-being practices on compassion satisfaction, burnout, and secondary traumatic stress. Suggested origins of high rates of psychological stress and burnout are significant occupational concerns for veterinary workers. Many professional helpers experience an extreme state of tension and preoccupation from exposure to the suffering of those being helped. Veterinary workers are further impacted by negative associations and moral distress experienced due to limitations in the provision of quality medical care for veterinary patients. These negative experiences exist despite veterinary professionals' work being worthwhile and highly valued.

METHODS

A randomized controlled study was performed over 6 months. Volunteer participants were members of a team of veterinary workers at a 24-h emergency and specialty hospital. Study participants were asked to incorporate daily well-being practice(s) into existing routines whereas control participants were not. Measures of well-being and the negative impacts of serving as veterinary helpers were assessed by having participants complete the Professional Quality of Life (ProQOL) self-assessment at baseline and at 1, 3 and 6 months. Composite scores for compassion satisfaction, burnout and secondary traumatic stress were calculated.

RESULTS

Baseline ProQOL scores were similar between study participants and controls. Baseline compassion satisfaction (CS), burnout scores (BS), and secondary traumatic stress (STS) scores for those instituting well-being practices were 37.6 (+/- 3.6), 26 (+/- 5.3), and 26.6 (+/- 5.2). Study participants had higher compassion satisfaction scores at 6 months with mean CS scores ( = 15) of 40.1 (+/- 6.8) and adjusted scores that were on average 3.0 (95% CI 0-6.1) higher than the control group ( = 0.048). Significant differences in BS or STS scores were not seen.

DISCUSSION

Improvements were seen in CS but not BO/STS for those caregivers who implemented well-being practices into their daily routines. Factors that likely contributed to successful implementation of well-being practices include educational resources, supportive leadership, accessibility, and consistent acknowledgement and positive rewards. Proposed supportive elements and resources for maintenance of well-being practices within a team of veterinary workers include provision of a psychologically safe community and team support (including formal or informal "buddy systems").

摘要

引言

我们的研究旨在确定日常结构化的幸福实践对兽医工作者的同情满足感、职业倦怠和继发性创伤应激的益处。心理压力和职业倦怠高发生率的潜在根源是兽医工作者的重大职业关切。许多专业救助者因接触被救助者的痛苦而经历极度紧张和全神贯注的状态。由于在为兽医患者提供高质量医疗护理方面存在限制,兽医工作者还会受到负面联想和道德困扰的进一步影响。尽管兽医专业人员的工作很有价值且备受重视,但这些负面经历依然存在。

方法

进行了一项为期6个月的随机对照研究。志愿者参与者是一家24小时急诊和专科医院的兽医工作团队成员。研究参与者被要求将日常幸福实践纳入现有日常工作中,而对照组参与者则不这样做。通过让参与者在基线以及第1、3和6个月完成《职业生活质量》(ProQOL)自我评估,来评估幸福程度以及作为兽医救助者的负面影响。计算同情满足感、职业倦怠和继发性创伤应激的综合得分。

结果

研究参与者和对照组的基线ProQOL得分相似。实施幸福实践者的基线同情满足感(CS)得分、职业倦怠得分(BS)和继发性创伤应激(STS)得分分别为37.6(±3.6)、26(±5.3)和26.6(±5.2)。研究参与者在6个月时的同情满足感得分更高,平均CS得分为40.1(±6.8),调整后的得分比对照组平均高3.0(95%可信区间0 - 6.1)(P = 0.048)。在BS或STS得分上未观察到显著差异。

讨论

对于那些将幸福实践纳入日常工作的护理人员,CS有所改善,但BO/STS没有。可能有助于成功实施幸福实践的因素包括教育资源、支持性领导、可及性以及持续的认可和积极奖励。在兽医工作者团队中维持幸福实践的提议支持要素和资源包括提供一个心理安全的社区和团队支持(包括正式或非正式的“伙伴系统”)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba26/11496890/58adc54512f5/fvets-11-1381090-g001.jpg

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