通过沟通挑战老年护理污名:对关于老年护理工作的污名化话语的辩论性反应以及对工人的心理健康的影响
Asmita V Manchha1,2,3,4, Ken Tann5, Kïrsten A Way6
1Queensland Aphasia Research Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Herston, QLD, 4029, Australia. a.manchha@uq.edu.au.
European journal of ageing
|April 3, 2025
概括
挑战关于老年护理工作的负面言论可能会保护老年护理工作者 (ACWs) 的心理健康. 反对耻辱言论的ACW报告说,他们的痛苦和内化耻辱较少,这表明沟通可以缓冲负面影响.
科学领域:
- 职业健康心理学 职业健康心理学
- 健康和疾病的社会学
背景情况:
- 职业污名负面影响老年护理工作者 (ACWs) 的心理健康.
- 了解防范耻辱的保护因素对于ACW的福祉至关重要.
研究的目的:
- 调查挑战污名化话语的ACW是否经历了心理成本的降低.
- 检查 ACW 中话语挑战和心理健康结果之间的关系.
主要方法:
- 混合方法研究涉及184个ACW.
- 对话性反应的选,以识别具有耻辱感的挑战性沟通.
- 心理健康指标的比较,在那些挑战耻辱和那些不挑战的ACW之间.
- 话语分析以识别挑战性反应中的语言模式.
主要成果:
- 与那些没有 (n=89) 相比,在言论上挑战耻辱的ACW (n=95) 报告了较低的内化耻辱和心理痛苦.
- 具有挑战性的ACW给老年护理工作的负面评价注入了积极的价值.
- 有证据表明,自发的辩论挑战可能会主动地保护ACW的心理健康.
结论:
- 具有话语挑战性的职业污名化可以作为老年护理工作者心理健康的保护机制.
- 制定指导方针,培训和基于语言的干预措施可以支持ACW挑战耻辱.
- 积极的沟通策略可以减轻与老年护理耻辱相关的心理成本.
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