在一项对英国医生进行的纵向研究中,压力和倦怠之间的因果关系
I C McManus1, B C Winder, D Gordon
1Department of Psychology, University College London, Gower Street, London WC1E 6BT, UK. i.mcmanus@ucl.ac.uk
Lancet (London, England)
|June 28, 2002
概括
医疗保健工作者经历了倦怠和压力. 这项研究发现,情绪疲和压力有相互关系,这意味着每一个都可能导致另一个. 高度的个人成就也增加了压力.
科学领域:
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
- 医学劳动力研究 医学劳动力研究
背景情况:
- 倦怠和压力是医疗保健专业人员中普遍存在的问题.
- 了解压力和倦怠组件之间的因果关系对于有针对性的干预至关重要.
研究的目的:
- 阐明压力和燃烧的三个核心组成部分之间的因果关系:情绪疲劳,非个人化和低个人成就.
- 调查英国医生代表样本中的纵向关系.
主要方法:
- 对331名英国医生进行了为期3年的纵向研究.
- 用结构方程建模来分析数据.
- 评估的关键变量包括压力,情绪疲,非个人化和个人成就.
主要成果:
- 在情绪疲劳和压力之间观察到相互的因果关系.
- 高情绪疲导致压力增加 (β=0.189),高压力导致情绪疲增加 (β=0.175).
- 高个人的成就与增加的压力有关 (β=0.080),而非个性化与减少的压力有关 (β=-0.105).
结论:
- 这些发现突出了医生中压力和情绪疲劳之间的复杂,双向关系.
- 解决情绪疲的干预措施可能会减轻压力,反之亦然.
- 个人成就和非个性化对压力的影响需要在管理医疗保健工作者福祉方面进一步考虑.
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