|
|
|
| Emotional labor of standardized training of resident doctors and its influence on patient-physician relationship in 3-A-grade hospitals in Wuhan |
| XU Weiming1,2 LIANG Yun3 GUO Haiyan2 |
1.Institute of Basic Theory of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China;
2.Graduate School, China Academy of Chinese Medical Sciences, Beijing 100700, China;
3.College for Criminal Law Science, Beijing Normal University, Beijing 100875, China |
|
|
|
|
Abstract Objective To investigate the emotional labor of standardization training of resident doctors and its influence on the patient-physician relationship in 3-A-grade hospitals in Wuhan. Methods Standardization training of resident doctors in three 3-A-grade hospitals in Wuhan who were willing to participate were investigated by Diefendorff (2005) emotional labor strategy scale and DDPRQ-10 scale by use of self-administered questionnaire survey platform from January to February in 2017. Results A total of 82 doctors participated in the survey. Compared with neutral attitude, natural acting and deep acting of these doctors were more high (P < 0.05). And emotional labor scores were not significantly differences among different sex, age and hospitals (P ＞ 0.05), except surface acting score was significant difference between different sex(P < 0.05). Patient-physician relationship of these doctors was more fragile compared with neutral attitude (P < 0.05). There was a significantly negative but weak correlation among deep acting of emotional labor with the subjective and objective view of patient-physician relationship and the total score of patient-physician relationship (P < 0.05, r < 0.5). Conclusion The most frequently adopted strategy by doctors in 3-A-grade hospital in Wuhan is deep acting and natural acting. Emotional labor may indirectly influence patient-physician relationship through other factors.
|
|
|
|
|
|
[1] 郑肯，勉闻光.中国医患关系的人类学解读[J].医学与哲学，2016，37（15）：60-62.
[2] 梁韵，姜锴明，屈万勇，等.我国近五年暴力伤医事件之原因及对策研究综述[J].医学与法学，2016，8（2）：76-80.
[3] 陈艳霞，房向东，秦晓华，等.临床专业学位研究生教育与住院医师规范化培训并轨的实践研究[J].医学与哲学，2016，37（3）：62-64.
[4] Qiao Z，Lu C，Chen M，et al. Prevalence and factors associated with occupational burnout among HIV/AIDS healthcare workers in China：a cross-sectional study [J]. BMC Public Health，2016，16（1）：335.DOI：10.1186/s12889-016-2890-7.
[5] 常凤坤，王会娟.医患关系与精神科医护人员心理健康及职业倦怠的相关性研究[J].齐齐哈尔医学院学报，2016， 37（14）：1879-1880.
[6] 田国强.职业倦怠对医患关系的影响[J].医学与社会，2009，22（6）：57-58.
[7] 刘长梅，王云岭.由“梁静事件”引发的对当前医患关系的反思——兼论医务人员的职业倦怠[J].中国医学伦理学，2008，21（6）：72-73.
[8] Wu H，Liu L，Wang Y，et al. Factors associated with burnout among Chinese hospital doctors： a cross-sectional study [J]. BMC Public Health，2013，13（1）：786.
[9] Wang F，Song Z，Zhang W，et al. Medical humanities play an important role in improving the doctor-patient relationship [J]. Bioscience Trends，2017，11（2）：134-137.
[10] Hu WG，Song YJ，Zhong X，et al. Improving doctor-patient communication： content validity examination of a novel urinary system-simulating physical model [J]. Patient Preference Adherence，2016，10：2519-2529.
[11] 谭海涛，贾秋红，李强辉，等.医护人员情绪劳动和职业倦怠对医患关系的影响及对策[J].中国医院，2016，20（4）：55-57.
[12] 熊丹.医护人员情绪劳动与职业倦怠对医患关系的影响[D].曲阜：曲阜师范大学，2014.
[13] 裴雯雯.医护人员情绪智力、情绪劳动对医患关系的影响[D].曲阜：曲阜师范大学，2013.
[14] Hochschild AR. The managed heart：Commercialization of human feeling [M]. Berkeley：University of California Press，1983：7.
[15] Diefendorff JM，Croyle MH，Gosserand RH. The dimensionality and antecedents of emotional labor strategies [J]. J Vocat Behav，2005，66（2）：339-357.
[16] 柏乔阳.情绪型劳动的影响因素及其与员工心理健康的关系[D].杭州：浙江大学，2006.
[17] Hahn SR，Kroenke K，Spitzer RL，et al. The difficult patient： prevalence，psychopathology，and functional impairment [J]. J General Int Med，1996，11（1）：1-8.
[18] 刘卫云，刘彩双，赵立波，等.医疗体制改革背景下基层医务人员情绪劳动的现状调查[J].中国医学伦理学，2015， 28（6）：905-908.
[19] 吴俊端，聂光辉，翁焰，等.南宁市医生职业情绪劳动表现策略调查及相关因素分析[J].中国医院管理，2011， 31（2）：57-59.
[20] 苑雯雯，王广新.医务人员心理资本、医患关系和情绪劳动关系研究[J].中国医院，2017，21（5）：31-33.
[21] Larson EB，Yao X. Clinical empathy as emotional labor in the patient-physician relationship [J]. JAMA，2005，293（9）：1100-1106.doi：10.1001/jama.293.9.1100
[22] 陈芸.职业承诺对情绪劳动与工作倦怠的调节作用[D].武汉：华中师范大学，2008.
[23] 杨林锋.情绪劳动、人格与工作满意、工作倦怠关系研究[D].苏州：苏州大学，2008.
[24] 熊梦辉，徐婉洋，王磊.医患双方视角下医患关系的影响因素研究[J].当代医学，2017，23（12）：49-51.
[25] 彭迎春.乡村两级医德关系及道德环境的比较分析[J].中华全科医学，2017，15（6）：1006-1009. |
|
|
|
