探索燃烧,同情疲劳和应对的感知:一个实施科学方法来应对应激反应
Sara A Choate1, Brian P Schaefer1, Alyssa Kearney1
1Department of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville.
替代反应模型 (ARM) 将危机反应转移到行为健康 (BH) 专业人员. 虽然旨在减少警察参与和制度化,但应急人员经历了严重的倦怠和同情疲劳,影响了护理质量.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
- 实施科学 实施科学
背景情况:
- 替代反应模型 (ARM) 在美国越来越多地用于行为健康 (BH) 危机.
- 路易斯维尔地铁的ARM危机呼叫转移计划旨在转移警方的呼叫并减少制度化.
研究的目的:
- 探索路易斯维尔的ARM计划中第一和替代反应者的经验.
- 识别挑战,包括同情疲劳和倦怠,以及应对者之间的应对机制.
主要方法:
- 半结构面试与47名ARM响应者 (35名第一响应者,12名替代响应者) 进行.
- 利用实施研究的综合框架进行分析.
主要成果:
- 受访者报告了计划推出后的负面经历,同情疲劳和倦怠.
- 缺乏足够的社会支持系统是两种受访者类型的共同压力因素.
- 替代反应者对倦怠症状的意识更强,并使用了更多的应对策略.
结论:
- 响应者燃烧和同情疲劳是ARM规划,实施和扩张的关键因素.
- 解决受访者福祉问题对于成功实施,减少营业额和提供高质量的BH护理至关重要.
- 忽视这些问题构成了有效应对危机的障碍.
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