医療従事者の基本的心理的欲求と仕事の意味との間の媒介者としての患者の自律性の支援
Eldad Grinberg1, Reut Nachoum2, Yaniv Kanat-Maymon3
1Department of Health Policy and Management, Ben-Gurion University, Israel.
The British journal of occupational therapy
|December 30, 2025
まとめ
作業療法士と理学療法士は、患者の自律性を支援することで仕事の意味を高める。しかし、この自律性の支援は、専門職の仕事の満足度を向上させたり、共感疲労を防いだりするものではない。
科学分野:
- リハビリテーション科学
- 医療専門職のウェルビーイング
- 心理学
背景:
- 作業療法士と理学療法士は、日常業務において多くの困難に直面している。
- これらの困難は、クライアント中心のアプローチを維持する能力に影響を与える可能性がある。
- 効果的な医療提供のためには、療法士の幸福に影響を与える要因を理解することが不可欠である。
研究 の 目的:
- 医療従事者の基本的心理的欲求の充足と、患者の自律性支援との関係を調査すること。
- 欲求の充足と、仕事の意味、仕事の満足度、共感疲労との間の自律性支援の媒介的役割を検討すること。
主な方法:
- 152人の公衆衛生作業療法士および理学療法士を対象とした横断的調査を実施した。
- データはQualtricsを使用して収集され、構造方程式モデリングで分析された。
- 仮説の関係をテストするために媒介モデルが採用された。
主要な成果:
- 認識された患者の自律性の支援は、基本的欲求の充足と仕事の意味との間の関連を大きく媒介した。
- 自律性の支援は、欲求の充足と仕事の満足度との間の関連を媒介しなかった。
- 自律性の支援は、欲求の充足と共感疲労との間の関連を媒介しなかった。
結論:
- 患者の自律性を支援することは、医療従事者の仕事の意味の感覚に寄与する。
- 患者の自律性を支援しているという認識は、仕事の満足度に影響を与えないようである。
- 患者の自律性を支援することは、療法士を共感疲労から保護しない。
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