农村卫生环境中的规范观念与医疗服务提供者的求助行为。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2023-10-11 DOI:10.1007/s10880-023-09980-2
Danielle L Terry, Gabrielle P Safian
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引用次数: 0

摘要

与普通人群相比,医疗保健提供者的工作压力和心理健康问题更大。本研究旨在更好地了解促进农村医疗服务提供者参与求助行为的因素。从社会规范的角度来看,本研究考察了:(a)医疗服务提供者对与其自己的医疗、心理和社会保健寻求休假相关的禁令性(即批准)规范的感知的准确性,以及(c)研究自我评价、SOD和自我照顾行为之间的关联。通过电子邮件向805名农村医疗服务提供者发送了电子调查(17.8%的回复率)。研究结果表明,提供者认为,他们的同事出于心理社会或心理健康原因对求助行为的认可程度低于实际情况。此外,禁令规范的自我-他人差异(SOD)预测了求助行为,因此那些SOD较大的人报告的求助行为较少。尽管这项研究为规范认知在自我照顾行为中的作用提供了一些基本证据,但更大的系统性和组织性问题仍在推动这些斗争,并导致倦怠。未来的研究可能会考察规范干预和组织变革的相互作用,以增强医疗提供者的求助行为。
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Normative Perceptions and Medical Providers' Help-Seeking Behavior in a Rural Health Setting.

Healthcare providers experience greater work stress and mental health concerns compared to the general population. This study aimed to better understand factors that promote engagement in help-seeking behaviors among rural medical providers. Considering a social norms perspective, this study examined: (a) the accuracy of medical providers' perceptions of injunctive (i.e., approval of) norms related to seeking time off for their own medical, mental, and social health care (b) determine whether greater self-other differences (SODs) predict a greater likelihood of help-seeking behavior, and (c) examine associations between self-valuation, SODs, and self-care behaviors. Electronic surveys were emailed to 805 rural medical providers (17.8% response rate). Findings suggested that providers believed that their coworkers were less approving of help-seeking behavior for a psychosocial or mental health reason than they actually were. Furthermore, self-other differences (SODs) of injunctive norms predicted help-seeking behavior, such that those with greater SODs reported less help-seeking behavior. Although this research provides some foundational evidence for the role of normative perceptions in self-care behaviors, larger systemic and organizational problems continue to drive these struggles and contribute to burnout. Future research might examine the interplay of normative interventions and organizational changes to enhance help-seeking behaviors among medical providers.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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