Compassion Satisfaction, Compassion Fatigue, and Burnout in Spain and Brazil: ProQOL Validation and Cross-cultural Diagnosis
Compassion Satisfaction, Compassion Fatigue, and Burnout in Spain and Brazil: ProQOL Validation and Cross-cultural Diagnosis
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DOI：
10.1016/j.jpainsymman.2016.09.014
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发表时间：
2017-03-01
影响因子：
4.7
通讯作者：
Benito, Enric
中科院分区：
文献类型：
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作者：
Galiana, Laura;Arena, Fernanda;Benito, Enric
上下文。姑息治疗专业人员的生活质量已成为卫生保健文献中日益关注的问题，主要关注专业人员在以痛苦和死亡为特征的工作背景下的同情心。本研究的目的有三个方面：1)通过验证性因素分析，研究西班牙语和葡萄牙语版本ProQOL量表的心理测量特性；2)对西班牙和巴西姑息治疗专业人员的同情满意度和同情疲劳水平进行诊断；3)比较各国ProQOL水平。采用横断面设计进行了两次调查；161名巴西姑息治疗专业人员和385名西班牙人参与了这项研究。对西班牙语和葡萄牙语版本的验证性因素分析显示了足够的契合度。可靠性估计也足够，但存在倦怠维度的问题。西班牙和巴西的姑息治疗专业人员表现出高水平的同情满意度（特别是巴西样本），中等水平的继发性创伤压力和低水平的倦怠。最后，西班牙和巴西的同情心满意度和继发性创伤压力水平在统计学上有显著差异，但在职业倦怠方面没有显著差异。ProQOL在西班牙语和葡萄牙语版本中表现出良好的心理测量，尽管有些项目需要修改。ProQOL对诊断也很有用，而且足够敏感，可以区分巴西和西班牙专业人士之间的细微差别。(C) 2016年美国临终关怀与姑息医学学会。Elsevier Inc.出版。版权所有。
Context. Palliative care professionals' quality of life has emerged as a growing issue of interest in health care literature, centered on concerns about professionals' compassion within a context of work characterized by pain and death.Objectives. The aim of this study was threefold: 1) to study the psychometric properties of both the Spanish and the Portuguese versions of the ProQOL scale, by means of confirmatory factor analyses; 2) to offer a diagnosis of compassion satisfaction and compassion fatigue levels of Spanish and Brazilian palliative care professionals; and 3) to compare levels in ProQOL between countries.Methods. Two surveys with a cross-sectional design were carried out; 161 Brazilian palliative care professionals and 385 Spanish participated in this study.Results. Confirmatory factor analysis for both the Spanish and the Portuguese versions showed an adequate fit. Reliability estimates were also adequate, with problems with the burnout dimension. Spanish and Brazilian palliative care professionals showed high levels of compassion satisfaction ( specially, for the Brazilian samples), medium levels of secondary traumatic stress, and low levels of burnout. Finally, statistically significant differences in Spanish and Brazilian levels of compassion satisfaction and secondary traumatic stress were found, but not in burnout.Conclusion. The ProQOL shows psychometric goodness in its Spanish and Portuguese versions, although some items should be revised. The ProQOL is also useful for diagnosis and is sensitive enough to distinguish nuances as that found between Brazilian and Spanish professionals. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.