Ambiguity and uncertainty tolerance, need for cognition, and their association with stress. A study among Italian practicing physicians.
Ambiguity and uncertainty tolerance, need for cognition, and their association with stress. A study among Italian practicing physicians.
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DOI：
10.1080/10872981.2016.1270009
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发表时间：
2017
影响因子：
4.6
通讯作者：
Antonietti A
中科院分区：
文献类型：
--
作者：
Iannello P;Mottini A;Tirelli S;Riva S;Antonietti A
医疗实践本质上是模糊和不确定的。医生对模糊性和不确定性的容忍能力已经被证明对临床实践有很大的影响。本研究的主要目的是检验医生的模糊性和不确定性耐受程度越高，认知闭合的需要越高，则工作压力越大的假设。212名医生（平均年龄= 42.94岁; SD = 10.72），来自不同的医学专业，具有不同的专业知识水平进行了一组问卷调查，测量感知水平的工作相关的压力，个人能力，容忍模棱两可，压力来自不确定性，和个人需要认知关闭。进行线性回归分析，以检查哪些变量预测感知的压力水平。回归模型具有统计学显著性[R2 = 0.32; F（10，206）= 8.78，p ≤ 0.001]，因此表明，在控制性别和医学专业后，模糊性和不确定性容忍度，果断性（需要关闭的维度）和实践年数是感知工作相关压力的重要预测因素。本研究的发现对医学教育有一定的启示。考虑到个体容忍模糊性和不确定性的能力对医生感知的工作相关压力水平的巨大影响，值得在医学教育环境中特别关注这种技能。引入或授权教育工具和策略，可以提高医学生容忍模糊性和不确定性的能力，这将是至关重要的。 缩略语：JSQ：工作压力问卷; NFCS：认知闭合需要量表; PRU：医生对不确定性的反应; TFA：对模糊性的容忍度
Medical practice is inherently ambiguous and uncertain. The physicians’ ability to tolerate ambiguity and uncertainty has been proved to have a great impact on clinical practice. The primary aim of the present study was to test the hypothesis that higher degree of physicians’ ambiguity and uncertainty intolerance and higher need for cognitive closure will predict higher work stress. Two hundred and twelve physicians (mean age = 42.94 years; SD = 10.72) from different medical specialties with different levels of expertise were administered a set of questionnaires measuring perceived levels of work-related stress, individual ability to tolerate ambiguity, stress deriving from uncertainty, and personal need for cognitive closure. A linear regression analysis was performed to examine which variables predict the perceived level of stress. The regression model was statistically significant [R2 = .32; F(10,206) = 8.78, p ≤ .001], thus showing that, after controlling for gender and medical specialty, ambiguity and uncertainty tolerance, decisiveness (a dimension included in need for closure), and the years of practice were significant predictors of perceived work-related stress. Findings from the present study have some implications for medical education. Given the great impact that the individual ability to tolerate ambiguity and uncertainty has on the physicians’ level of perceived work-related stress, it would be worth paying particular attention to such a skill in medical education settings. It would be crucial to introduce or to empower educational tools and strategies that could increase medical students’ ability to tolerate ambiguity and uncertainty. Abbreviations: JSQ: Job stress questionnaire; NFCS: Need for cognitive closure scale; PRU: Physicians’ reactions to uncertainty; TFA: Tolerance for ambiguity