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高压力医疗环境下肿瘤护理人员工作压力及应对方式的结构:一项交互作用分析

The structure of work-related stress and coping among oncology nurses in high-stress medical settings: a transactional analysis.

作者信息

Florio G A, Donnelly J P, Zevon M A

机构信息

Department of Psychology, Roswell Park Cancer Institute, Buffalo, New York 14263, USA.

出版信息

J Occup Health Psychol. 1998 Jul;3(3):227-42.

PMID:9684214
Abstract

A transactional approach was used to examine stress and coping among 59 oncology nurses. Nine work stress clusters were identified: Physician-Related Stress, Organizational Factors, Observing Suffering, Ethical Concerns, Death and Dying, Carryover Stress, Negative Self-Thoughts, Inadequate Resources, and Coworker Stress, with the first 3 rated as most frequent and most intense. Ten coping clusters were also identified: Coworker Support, Positive Reappraisal, Developing a Growth Perspective, Positive Involvement in Treatment, Affective Regulation, Balancing Work Stress, Negative Coping, Apathy, Withdrawal, and Catharsis, with the first 3 rated as most frequently used and most effective. The relationships among the clusters, as well as the theoretical and clinical implications of these results, were discussed.

摘要

采用一种交易型方法来研究59名肿瘤护士的压力与应对情况。确定了九个工作压力集群:与医生相关的压力、组织因素、目睹痛苦、伦理问题、死亡与临终、残留压力、消极的自我想法、资源不足以及同事压力,其中前三个被评为最频繁和最强烈的。还确定了十个应对集群:同事支持、积极重新评价、培养成长视角、积极参与治疗、情感调节、平衡工作压力、消极应对、冷漠、退缩和宣泄,其中前三个被评为最常用和最有效的。讨论了这些集群之间的关系以及这些结果的理论和临床意义。

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