Work-family conflict and job burn-out among Chinese doctors:the mediating role of coping styles

Background Burn-out among doctors threatens their own health, and that of their patients. To identify risk factors of the doctor burn-out is vital to improving their health and increasing the quality of healthcare services. This study aims to explore the relationship between work-family confict （WFC） and burn-out among Chinese doctors and the mediating role of coping styles in this relationship.Methods A cross-sectional survey was conducted in China, with a questionnaire packet which consisted of the Chinese Maslach Burnout Inventory （CMBI）, WFC Scale and the Simplifed Coping Style Questionnaire （SCSQ）. A total of 2530 doctors participated in the survey. Correlation analysis was performed to explore the relationship between CMBI, WFC and SCSQ scores. A linear regression model was set to determine the mediating role of coping styles on the relationship between WFC and burn-out.Results Doctors who had higher scores on work interfering with family confict, reported more emotional exhaustion （r=0.514, P〈0.001） and had a sense of accomplishment （r= 0.149, P〈0.001）. Simultaneously, family interfering with work （FIW） was positively associated with all dimensions of burn-out （r=0.213, 0.504, 0.088, respectively, P〈0.001）. Coping styles had partial, complete and even mediating effects on the relationship between WFC and burn-out among Chinese doctors.Conclusions WFC was correlated with burn-out, and coping style was a mediator in this relationship among Chinese doctors. Coping style was a positive resource against burn-out.

Group Multi-Role Assignment With Conflicting Roles and Agents

Group role assignment(GRA)is originally a complex problem in role-based collaboration(RBC).The solution to GRA provides modelling techniques for more complex problems.GRA with constraints(GRA+)is categorized as a class of complex assignment problems.At present,there are few generally efficient solutions to this category of problems.Each special problem case requires a specific solution.Group multi-role assignment(GMRA)and GRA with conflicting agents on roles(GRACAR)are two problem cases in GRA+.The contributions of this paper include:1)The formalization of a new problem of GRA+,called group multi-role assignment with conflicting roles and agents(GMAC),which is an extension to the combination of GMRA and GRACAR;2)A practical solution based on an optimization platform;3)A sufficient condition,used in planning,for solving GMAC problems;and 4)A clear presentation of the benefits in avoiding conflicts when dealing with GMAC.The proposed methods are verified by experiments,simulations,proofs and analysis.

Theoretical Analysis and Practical Reflection on the Role Conflict of Double-Qualified Teachers in University-Affiliated Hospitals

Taking role conflict as the starting point,this article examines and reflects on the development of clinical teachers.In the process of the occurrence,development,and resolution of role conflicts among clinical teachers,there are many hidden issues related to the development of clinical teachers.The development of clinical teacher teaching and role conflict management contain similar educational philosophies and practical issues.This study draws on classic theories and research achievements in the development of university teachers and conducts theoretical analysis and practical reflection on the development of clinical teachers in medical colleges from the perspective of role conflict in social psychology.Policy recommendations are proposed,including strengthening the construction of teaching systems at the hospital organizational environment level,enhancing the role identity and teacher beliefs of clinical teachers,promoting their teaching development and academic learning,and ensuring their normal teaching investment;promoting leadership support at the level of interpersonal interaction and leveraging the role of colleague support in alleviating role conflicts;enhancing individual teacher beliefs,teacher role learning,and role skills.

Exploration of Teaching Development Strategies for Double-Qualified Teachers in University- Affiliated Hospitals Based on Role Conflict Theory

This study draws on the classic theories and research achievements of university teacher development,and from the perspective of role conflict in social psychology,proposes policy recommendations for the development of clinical teachers in medical colleges,including following different stages of teacher development and designing teaching development strategies at different levels;designing the content and form of teaching development activities to meet the temporal and spatial needs of clinical teachers;and building an academic community for clinical teachers to promote the creation of teaching development behaviors.

Women’s Social Roles and Peace Building in Al-Abassiya Locality:2012-2024

This research focused on the social roles of women in Al-Abassiya locality,South Kordofan State,examining the obstacles they face and the impact on their participation in peace building.Using qualitative methods,data were collected through various means,revealing that conflicts have significantly affected women’s lives,particularly in rural areas.Women play key roles in family,education,health services,and humanitarian aid,but their involvement in conflict resolution and peace building activities is limited.Obstacles include cognitive,economic,social,and institutional barriers.Recommendations include providing education and training programs,strengthening economic status,ensuring women’s representation in decision-making bodies,advocating for legal reforms promoting gender equality,improving access to information technologies,educating communities on women’s involvement in peace building,and providing support services for women affected by conflicts.

The Role of Clothing Patterns in the Costume of Doctors

The costume of doctors has said goodbye to the limitations of the historical times when it is simply regarded as working suit. Now, it has converted to a very significant part of a hospital＇ s image. In the minds of patients, the superficial image of doctors is the greatest focus of them, and the beautiful costume of doctors is a good embodiment to the inner beauty of doctors in work and can let them feel warm and comfortable, so it is of great significance for treating both body and mind of them. The decorative patterns on the costume of doctors are especially important, from which a clever, bright, and warm feeling can be generated from the bottom world of patients. Sequentially, the goal of reducing the tension of patients and accomplishing an excellent medical effect can be realized.

Reliability and validity of the Chinese version of the Work-FamilySchool Role Conflicts Scale among nurses

Objective:To translate and validate the Chinese version of the Work-Family-School Role Conflicts Scale(WFSRCs-S)among nurses with multiple roles.Methods:A sample of 233 registered nurses pursuing an advanced degree was recruited from 8 university hospitals in 5 cities in China from March to July 2016.The original scale of WFSRCs-S was translated into Chinese and revised to reflect cultural meaning,using standard translation methodology,and its reliability and validity were assessed.Results:The content validity index of the 12-item WFSRCs-S-Chinese was 0.83,and the item level of content validity index ranged from 0.79 to 1.00.The exploratory factor analysis yielded a three-factor solution(work-school-to-family role conflict,family-school-to-work role conflict,and work-family-toschool role conflict)and explained 71.9%of the total variance for WFSRCs-S-Chinese.The Cronbach's a coefficients for the total scale and the three sub-scales were 0.87,0.79,0.78,and 0.87.The confirmatory factor analysis revealed that the measurement model was satisfied,and the test-retest reliability of WFSRCs-S-Chinese was 0.85.The WFSRCs-S-Chinese score was positively associated with burnout(r=0.36,P<0.001)and negatively related to role-related social support(r=—0.18,P=0.046),thereby establishing concurrent validity.Conclusion:The reliability and construct validity of the WFSRCs-S-Chinese suggest that this scale could be useful to assess inter-role conflicts among nurses with multiple roles in China.

A Pragmatic Study on Non-aggressive Doctor-patient Conflict Talk-From the Ecolinguistic Perspective

Doctor-patient relationship is a very important relationship between doctor and patient and patient’s family member.In interpersonal communication,non-aggressive discourse often leads to conflicting response.It is the most common doctor–patient relationship between doctor and patient.There are limited studies on non-aggressive conflicting response.Language used is the most important basis in conflicting response to non-aggressive discourse.Language and culture are broad and diverse.Different speech methods and language content lead to different response.Based on this,this paper explains response to non-aggressive conflict talk between doctor and patient in the perspective of ecolinguistics,to provide reference.

多团队成员身份对个体创新绩效的双刃剑效应研究

根据角色理论与个人-工作匹配框架,并基于知识密集型企业员工有效样本多时点问卷数据的实证分析,探究个体多团队成员身份通过角色整合和工作繁荣(积极路径)以及角色冲突和工作疏离(消极路径)对个体创新绩效的整合影响,同时,考察认知灵活性在其间的边界条件作用。研究结果表明:个体多团队成员身份既通过角色整合与工作繁荣对个体创新绩效有显著正向间接作用,又通过角色冲突与工作疏离对个体创新绩效有显著负向间接作用;对于高认知灵活性的员工而言,多团队成员身份通过角色整合和工作繁荣对个体创新绩效的积极影响更强;对于低认知灵活性的员工而言,多团队成员身份通过角色冲突和工作疏离对个体创新绩效的消极影响更强。

冲突背景下国际政经关系多元数据联合分析

[研究目的]探究冲突背景下不同类型的第三方国同冲突方国的政经关系态势,识别行为异常国家,为国家外交政策制定提供情报支持。[研究方法]引入介入行为细分第三方国同冲突方国的政治关系类型,基于角色理论、冲突介入理论构建第三方国政经关系分析理论框架,基于多元数据对政经关系标注量化,采用单因素方差模型计算第三方国政经行为的相关性,基于指数平滑预测以及箱线图检测经济行为异常的国家。[研究结论]以“俄乌冲突”实证结果来看,第三方国同冲突方俄罗斯的政经关系呈现显著正相关,但亦有部分国家同俄罗斯政冷经热,印度、英国等国家经济行为表现相对异常。本研究探究冲突背景下第三方国同冲突方国的政经相关关系,能够为国际关系量化研究提供新的研究路径。

发展型资助模式下高职贫困生的心理精准扶贫工作研究——以江西机电职业技术学院为例

【目的】由于生活及经济负担,高职贫困生容易产生自卑、焦虑甚至抑郁等心理问题,因此解决高职贫困生的心理健康问题是高职院校的重要工作内容。【方法】课题组基于发展型资助的背景,结合高职贫困生的职业生涯规划及角色冲突分析,对高职贫困生进行角色拆分并分析其角色冲突,以心理精准扶贫为目标理念,系统性探讨了对高职贫困生心理精准扶贫的思路。【结果】“受助—自助—助人”的发展型资助路径可以助力高职贫困生逐步成为潜心学习、注重实践、思维创新、专业过硬的高素质人才,实现青春理想与人生价值。【结论】精准扶贫视角下,要想全面、彻底实现高校家庭经济困难学生心理扶贫工作,需要整合家庭、学校、社会等多方面资源,合力构建起家庭、社会、学校一体化资助网络,从而实现高职贫困生的发展型资助,并帮助高职贫困生群体成为关心父母的好子女、爱学习的好学生、爱生活的休闲者以及爱社会的好公民。

基于患者公共关系管理的医患矛盾解决方法初探

医患矛盾的影响因素是复杂、深远的,双方之间的矛盾亟须得到有效解决。文章基于患者公共关系管理有关理论方法,分析日益凸显的医患矛盾现状及其成因,并应用患者公共关系管理手段,不断加强医院患者公共关系管理。通过持续完善、改进患者公共关系管理标准作业,设立专业化管理部门,提升危机意识,拓展宣传服务与教育外延等一系列富有较强操作性的管理行动,能够有效地为医院日常运营创造以患者为代表的良好的外部公共关系环境,对缓和当下不断激化的医患矛盾起到了积极影响;同时也对探索建立与完善医患矛盾应对相关机制具有一定的参考意义。

学术型企业家社会资本惯性、角色冲突感知对创业绩效的影响研究

学术创业跨越了学术与产业两种不同的环境,因此学术型企业家往往肩负着学者与企业家两种角色,他们的社会资本、角色冲突感知都会对该创业进程产生一定影响。本文基于资源保存理论、扩张-加强假说和资源基础理论,构建了学术型企业家角色冲突感知、社会资本惯性对创业资源获取与创业绩效的整合作用模型,并深入探索企业参与程度在这一过程中的调节作用。对394位学术型企业家展开问卷调研,并运用多元回归分析等方法进行实证检验。结果表明,角色冲突感知对资源获取与创业绩效都具有显著正向影响,而社会资本惯性对资源获取有显著负向影响。同时,资源获取对创业绩效具有显著正向影响,学者的企业参与程度正向调节了角色冲突感知与创业绩效的关系。以上研究结果从主观感知的角度丰富了学术型企业家双重角色的相关研究,也为有创业想法或者已在创业过程中的学者提供一定的实践指导。

多层次信任、角色冲突与C2C微商买方购买决策:“差序格局”视角的研究

鉴于C2C微商购物的本土背景和社交网络特点,从差序格局的角度探讨在买卖双方不同类型的初始社交关系中,不同层次的信任对买方购买意愿的影响,以及买方感知的角色冲突对其购买意愿与购买行为关系的调节作用。研究发现,买卖双方初始关系为拟家人时,人际信任对买方购买意愿具有显著促进作用,而圈子信任与制度信任的影响作用不显著;熟人类别时,3个层次的信任无显著差异,均可显著促进购买意愿;生人类别时,只有制度信任显著促进购买意愿,而人际信任与圈子信任的作用不显著。买卖双方关系发展路径是“先商后友”和“先友后商”情境下,买方感知角色冲突对购买意愿和购买行为的关系分别具有负向与正向的调节作用。研究发现丰富和拓展了网络营销理论与信任理论研究文献,推进了营销学研究的本土化,并为C2C微商卖方提升绩效提供了管理建议。

跨文化医患冲突的矛盾溯源与化解策略——基于《要命还是要灵魂》的案例分析

《要命还是要灵魂》中美国苗族女孩黎亚的就医案例是其求医的美国加利福尼亚州默塞德慈善医疗中心发生的有史以来最严重的医患冲突,是全球化背景下跨文化医疗矛盾的缩影。如何化解跨文化医疗中的医患冲突,促进全球范围内的公共卫生合作,是构建人类卫生健康共同体的重要议题。归本溯源,这场冲突包含了科学与人文、东方与西方、医生与患者的多元矛盾主体。从案例中的三对矛盾出发,解决跨文化的医患冲突,要从医生、社会、医院层面形成合力。医生要提升文化敏感性,培养跨文化能力,学会识别与尊重患者文化;在全社会范围内营造文化平等环境,促进跨文化医疗合作;医院需要健全体制,完善配套,不断创新与优化服务模式。

数字转型背景下员工角色冲突对创新绩效的影响机制

聚焦于数字化转型情境之下,基于资源保存理论和工作要求-资源模型探析员工数字转型角色冲突影响员工创新绩效的作用机制,重点考察现场非正式学习在二者之间发挥的中介作用,以及数字技术可供性的调节作用。通过对237份问卷进行数据分析,结果表明,员工数字转型角色冲突负向影响员工创新绩效,现场非正式学习在二者间起到部分中介作用;随着数字技术可供性的提高,员工数字转型角色冲突对现场非正式学习的负向影响减弱,现场非正式学习在员工数字转型角色冲突和员工创新绩效间的中介作用同样减弱。因此,企业在推进数字化转型的同时,应关注员工角色状态,提升员工的数字技术可供性感知,从而降低员工因数字转型角色冲突对创新产生的不利影响。

幼儿园转制背景下教师角色冲突与理性化调控——基于生命哲学的视角

人的生命同时带有自然、社会及精神三重属性。随着幼儿园转制,教师的三维生命状态均发生改变。在动荡与适应、理想与现实难以耦合的处境中,教师面临着生存性、发展性以及内心的失衡性等角色冲突。化解教师的角色冲突,可以从加强政府干预、完善幼儿园教师管理、增强教师自身职业信念等方面采取措施,基于生命哲学,改变教师的主体生存压抑、驱动教师生命的绵延进化、引导教师在理性应对幼儿园变革的过程中增强自身的生命认同感,以实现其专业化理想和生命的超越。

山东省乡村医生信任患者现状及其影响因素研究

目的:了解山东省乡村医生信任患者现状以及影响因素,为提升医生信任患者提供依据,进而缓解紧张的医患关系。方法:选择山东省1077名乡村医生作为调查对象,分别采用人口学资料调查问卷,工作相关内容调查问卷,医师信任患者量表等内容对医生信任患者及其两个维度的现状以及影响因素进行调查,并采用线性回归分析医生信任患者及其两个维度的影响因素。结果:1077名乡村医生信任患者平均得分为(40.89±10.62)分。侮辱/暴力、近期离职意向、吸烟以及其他支持均与医生信任患者相关。侮辱/暴力、近期离职意向、吸烟、家庭支持以及其他支持均与患者角色维度相关。侮辱/暴力、朋友支持以及其他支持与尊重人际关系维度相关。结论:受过侮辱/暴力、有离职意向以及吸烟的乡村医生,他们对患者的信任水平较低。通过构建良好的医患关系,关注村医的离职意向,强化法律政策的保护,加强社会支持网络,改善和提高乡村医生对患者的信任度。

系统性红斑狼疮女性角色压力量表的编制及信效度检验

目的编制系统性红斑狼疮女性角色压力量表,并进行信效度检验,为此类患者角色压力测评提供测量工具。方法在角色压力理论指导下,通过文献分析、质性访谈和专家函询形成量表初稿。于2023年1-3月选取镇江市2所三级医院的210例系统性红斑狼疮女性患者进行问卷调查,评价量表的信度及结构效度;2023年4-6月选取苏州市2所三级医院的238例系统性红斑狼疮女性患者进行调查,用于验证性因子分析。结果系统性红斑狼疮女性角色压力量表包含角色冲突、角色愧疚、角色超载、角色模糊4个维度共16个条目,4个维度累计方差贡献率为72.901%;验证性因子分析结果显示模型拟合良好(χ^(2)/df=2.332,RMSEA=0.075,CFI=0.933,GFI=0.892,TLI=0.918);量表总的Cronbach′sα系数为0.898,分半信度为0.792,重测信度为0.886。结论系统性红斑狼疮女性角色压力量表具有良好的信效度,可以作为系统性红斑狼疮女性角色压力的测评工具。

利益相关者视角下开业护士在糖尿病管理中角色期望的质性研究

目的探讨利益相关者对开业护士糖尿病管理角色的期望。方法采取目的抽样法选取34名在不同省市工作的卫生行政管理者、内分泌科医生和护士,以及12例糖尿病患者及11名家庭成员作为研究对象进行半结构化访谈,采用内容分析法分析资料、提炼主题。结果共提炼出职业多元化角色(高级临床护理实践者,教育与咨询者,协调者,领导者),糖尿病管理职责(糖尿病评估与诊断,药物与非药物处方权限,长期管理与随访),开业护士的培训(教育模式探索,理论与实践相结合),角色推动因素与困难(推动因素,面临多种困难)4个主题及11个亚主题。结论开业护士参与糖尿病管理具有角色多元、责职具体,有待培训和面临较多困难等情况。