心理资本对老年护理机构护士和个人护理助理身体暴力与心理健康问题关系的缓冲作用。

IF 1.7 3区 医学 Q3 HEALTH POLICY & SERVICES Health Care Management Review Pub Date : 2023-01-01 DOI:10.1097/HMR.0000000000000348
Patricia Pariona-Cabrera, Hannah Meacham, Tse Leng Tham, Jillian Cavanagh, Beni Halvorsen, Peter Holland, Timothy Bartram
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引用次数: 1

摘要

目的:运用工作需求-资源理论,探讨心理资本在老年护理护士和个人护理助理的身体暴力与心理健康问题关系中的作用。方法:数据收集自位于澳大利亚维多利亚州的澳大利亚护理助产联合会的254名护士和PCAs。本研究采用定量方法,并通过回归分析对假设进行检验。研究发现:研究结果表明,经历身体暴力会增加压力、抑郁和焦虑水平。这反过来又增加了护士和执业医师的离职意向。然而,增加心理资本可以帮助护士和私人护理师处理身体暴力。研究启示:该研究承认,身体暴力是护士离职的一个因素。重要的发现是,心理资本在改善身体暴力对个人幸福感和离开意愿的负面影响方面发挥了保护作用。然而,我们注意到,这是一项横断面研究,需要进行更多的纵向研究。实践启示:对于管理者来说,创建一个培养希望、自我效能和弹性的支持性组织,从而增加心理资本,具有明确的启示。领导力发展项目可以为护士寻求支持和建立韧性建立一个支持性的基础。工作建设应侧重于保护护士免受风险,利用可管理的工作量来限制压力、抑郁和焦虑。原创性:我们的研究扩展了对在苛刻的环境中保留这些熟练和重要的卫生保健工作者的研究,这在很大程度上是文献中缺失的。具体而言,身体暴力通常被认为是护理工作的一部分,但这一部门对其对心理健康、福祉和离职意愿的影响以及加强身体暴力对护士的负面影响的具体措施的有效性的探索不足。
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The buffering effects of psychological capital on the relationship between physical violence and mental health issues of nurses and personal care assistants working in aged care facilities.

Purpose: The purpose of this study was to examine the effects of psychological capital on the relationship between physical violence and mental health issues of nurses and personal care assistants (PCAs) working in aged care using the job demands-resources theory.

Methodology: Data were collected from 254 nurses and PCAs of the Australian Nursing Midwifery Federation located in Victoria, Australia. The study takes a quantitative approach and tests the hypotheses through regression analyses.

Findings: The results indicate that experiencing physical violence increases levels of stress, depression, and anxiety. This, in turn, increases nurses' and PCAs' intention to leave. However, increased psychological capital can assist nurses and PCAs in dealing with physical violence.

Research implications: The study acknowledges that physical violence is a factor in nurses' intention to leave. The significant finding is that psychological capital plays a protective role in ameliorating the negative impact of physical violence on individual well-being and intentions to leave. We note, however, that this is a cross-section study, and more longitudinal research needs to be undertaken.

Practical implications: There are clear implications for managers to create a supportive organization that cultivates hope, self-efficacy, and resilience, thereby increasing psychological capital. Leadership development programs could build a supportive foundation for nurses to seek support and build resilience. Job construction should be focused on protecting nurses from risk by utilizing manageable workloads to limit stress, depression, and anxiety.

Originality: Our study extends research on retention of these skilled and important health care workers in a demanding environment that has largely been absent from the literature. Specifically, physical violence is often considered part of nursing work, but its impact on mental health, well-being, and intention to leave are underexplored in this sector, as well as the effectiveness of specific measures that bolster the negative impact of physical violence on nurses.

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来源期刊
Health Care Management Review
Health Care Management Review HEALTH POLICY & SERVICES-
CiteScore
4.70
自引率
8.00%
发文量
48
期刊介绍: Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
期刊最新文献
Unraveling the chains: Exploring the impact of ownership on administrator turnover in nursing homes. Improving joy at work and reducing burnout in health care workers in Victoria, Australia using the Institute for Healthcare Improvement joy in work framework: A mixed-methods study. What makes proactive behaviors at work effective? Perspectives of health care executives. Guest editorial: Leading with soft skills. Health information technology to advance care in accountable care organizations: Implications for Medicare patients.
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