弹性,创伤后成长和心理健康的辅助医学临床医生:综合评价

Q2 Health Professions Australasian Journal of Paramedicine Pub Date : 2023-10-17 DOI:10.1177/27536386231206501
Benjamin Coyte, Vasiliki Betihavas, Scott Devenish, Kim Foster
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引用次数: 0

摘要

护理医学的临床医生在工作中暴露于有可能导致负面心理结果的压力事件。然而,创伤后成长(PTG)、恢复力和心理健康是一种适应性心理状态,也可能发生在创伤和逆境之后。对这些积极结果的综合知识可以为支持辅助医学临床医生所需的资源提供见解。检查和综合什么是已知的PTG,恢复力和辅助医学临床医生的心理健康,包括这些现象的经验和它们之间的关系。按照Whittemore和Knafl的方法,对2013年至2022年发表的同行评议的英语实证文献进行了综合审查。检索CINAHL Complete、MEDLINE Complete、PsycINFO、Scopus和Embase数据库。对纳入的文章进行质量评价,并采用恒量比较法对数据进行分析。纳入了13篇文章,结果综合为四类。据报道,平均PTG得分中等,恢复力从平均到高于平均。具体应对策略包括功能失调应对、积极应对、计划、情绪宣泄、社会和情感支持以及心理和行为脱离,PTG和弹性与这些策略有正相关和负相关。与紧急医疗技术人员相比,轮班时间较长的临床医生和护理人员的PTG评分明显较低。兼职临床医生的恢复力得分更高。据报道,幸福感是中等的,与管理者建立的社会心理氛围有关。定性研究结果表明,职场文化被认为是坚忍和男性化的,这削弱了员工的弹性和表露情绪的意愿。为了支持PTG和弹性,组织应该努力减少工作场所文化中的压力源,包括管理和临床监督风格,并提供就业灵活性。组织可以通过专业发展目标确定的应对策略来提高临床医生积极适应逆境的能力。未来的研究可以检验临床医生对PTG、恢复力和幸福感的体验,以及它们之间的关系。
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Resilience, posttraumatic growth and psychological wellbeing of paramedicine clinicians: An integrative review
Clinicians in paramedicine are exposed to stressful events at work that have potential to cause negative psychological outcomes. Posttraumatic growth (PTG), resilience and psychological wellbeing, however, are adaptive psychological states that can also occur following trauma and adversity. Synthesis of knowledge on these positive outcomes can provide insight into resources needed to support paramedicine clinicians. To examine and synthesise what is known of PTG, resilience and psychological wellbeing of paramedicine clinicians, including the experience of these phenomena and relationship between them. An integrative review of peer-reviewed empirical literature published in English from 2013 to 2022 was conducted, following Whittemore and Knafl’s method. CINAHL Complete, MEDLINE Complete, PsycINFO, Scopus and Embase databases were searched. Included articles were quality appraised, with data analysed using the constant comparison method. Thirteen articles were included, with results synthesised into four categories. Mean PTG scores were reportedly moderate, and resilience ranged from average to above average. PTG and resilience had positive and negative relationships with specific coping strategies including dysfunctional coping, active coping, planning, venting emotions, social and emotional support and mental and behavioural disengagement. PTG scores were significantly lower for clinicians with longer shift duration and paramedics compared to emergency medical technicians. Resilience scores were higher for clinicians working part-time. Wellbeing was reportedly moderate and associated with the psychosocial climate established by managers. Qualitative findings indicated that workplace culture was perceived as stoic and masculine, which served to undermine staff resilience and willingness to disclose emotions. To support PTG and resilience, organisations should work to reduce stressors in workplace culture, including management and clinical supervision style, and offer employment flexibility. Organisations can upskill clinicians’ capacity for positive adaptation to adversity with professional development targeting identified coping strategies. Future research could examine clinicians’ experiences of PTG, resilience and wellbeing, and the relationship between them.
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来源期刊
Australasian Journal of Paramedicine
Australasian Journal of Paramedicine Health Professions-Emergency Medical Services
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发文量
17
期刊最新文献
Resilience, posttraumatic growth and psychological wellbeing of paramedicine clinicians: An integrative review Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – a systematic review Corrigendum to “Barriers and enablers to paramedicine research in Australasia – A cross-sectional survey.” Corrigendum to “Rates of general practitioner attendance following paramedic-to-general practitioner referral in Victoria, Australia.” Paramedicine: An evolving identity
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