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What are the factors affecting resilience in health professionals? A synthesis of systematic reviews

机译:影响卫生专业人士恢复力的因素是什么? 系统评价的合成

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Introduction: Health professionals often have cumbersome responsibilities, performing their roles in complex environments under stressful circumstances. Resilience has been recognized as an enabler of thriving in such adversity and remains vague in the health profession literature. Aims: This paper aims to provide a synthesis of existing literature reviews of the evidence for resilience in health professionals, thematically integrating factors affecting resilience in health professionals. Methods: Electronic databases were searched systematically using inclusion and exclusion criteria to include literature reviews that explored resilience in health care professionals using purposive sampling of primary research studies. Results: Nine studies were identified. The definition of resilience varied across the studies. Four main themes of factors affecting resilience were found: (1) the influence of individual factors (e.g. individual traits, having a higher purpose, being self-determined), (2) environmental and organizational factors (e.g. workplace culture), (3) approaches that an individual takes when interacting with her/his professional circumstances (e.g. professional shielding and self-reflection), and (4) effective educational interventions (e.g. resilience workshops). Conclusions: Resilience is multidimensional and can be affected by multiple factors. Interventions to improve resilience should consider context and focus on improvement of adaptive abilities of health professionals in adversity. A more uniformed definition and measurement of resilience can further research in this field.
机译:简介:卫生专业人员经常有繁琐的职责,在压力情况下在复杂环境中表现出色。弹性被认为是在这种逆境中蓬勃发展的推动者,并且在卫生专业文献中仍然含糊不清。目的:本文旨在为卫生专业人员的恢复力的证据提供现有的文献综合,主题整合影响卫生专业人士的恢复力的因素。方法:系统地使用包含和排除标准系统地搜索电子数据库,包括使用主要研究研究的有目的采样探讨了医疗保健专业人员的复原力的文献综述。结果:确定了九项研究。恢复力的定义在于这些研究。发现了影响弹性力度的四个主要主题:(1)个人因素的影响(例如单个特征,具有更高的目的,自我确定),(2)环境和组织因素(例如工作场所文化),(3)个人在与她/他/他的专业环境(例如专业屏蔽和自我反思)互动时需要的方法,(4)有效的教育干预(例如恢复力讲习班)。结论:复原力是多维的,可能受到多种因素的影响。改善恢复力的干预措施应考虑上下文,重点关注改善卫生专业人员在逆境中的适应能力。更均匀的定义和恢复力的测量可以进一步研究该领域。

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