Risk Perceptions of Health Care Workers and Occupational Health Experts on Psychological Distress: A Qualitative Mental Model Study.

Lima M Emal, Sietske J Tamminga, Annechien Beumer, Sanja Kezic, Danielle R Timmermans, Frederieke G Schaafsma, Henk F van der Molen
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Abstract

Background: The objectives of this study are to explore healthcare workers' (HCWs') mental models regarding psychological distress and to compare these with that of experts.

Methods: Semistructured interviews were conducted (n = 28 HCWs, n = 13 experts). The topic list encompassed risk perception, early stress symptoms, causes, consequences, and preventive measures of psychological distress. Interviews were transcribed verbatim and thematically analyzed using MAXQDA (VERBI Software, Berlin).

Results: Similarities were found in risk perception, symptoms, causes, and consequences. Differences arose in HCWs' reliance on personal experiences and values versus experts' scientific perspective. Preventive measures also showed discrepancies. Variation within HCWs was found on all aspects of their mental model.

Conclusion: For effective preventive interventions regarding psychological distress, experts should consider HCWs' personal values and experiences, acknowledging the variation in their mental models. This approach may enhance HCWs' engagement in preventive behaviors.

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医护人员与职业健康专家对心理困扰风险认知的质性心理模型研究
背景:本研究的目的是探讨卫生保健工作者(HCWs)关于心理困扰的心理模型,并将其与专家的心理模型进行比较。方法:采用半结构化访谈法(n = 28名医护人员,n = 13名专家)。主题清单包括风险感知、早期压力症状、原因、后果和心理困扰的预防措施。使用MAXQDA (VERBI软件,柏林)逐字记录访谈内容并进行主题分析。结果:在风险感知、症状、原因和后果方面发现了相似之处。卫生保健工作者对个人经验和价值观的依赖与专家的科学观点存在差异。预防措施也显示出差异。在卫生保健工作者的心理模型的各个方面都发现了差异。结论:对于心理困扰的有效预防干预,专家应考虑医护人员的个人价值观和经历,承认其心理模式的差异。这种方法可以加强卫生保健工作者对预防行为的参与。
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