Post-traumatic growth, moral sensitivity and service behaviour among healthcare workers in the post-pandemic era of COVID-19 in mainland China: a cross-sectional study

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Publicado en:BMJ Open vol. 14, no. 11 (2024), p. e086264
Autor principal: Wei, Liwen
Otros Autores: Li, Dianjiang, Hu, Longjun, Wang, Kuanlei, Wang, Qin, Zhao, Haijing, Wang, Miaomiao, Chai, Xuejiao, Wei, Haibin, Yu, Fenglan, Qian, Mingping, Liu, Xuechun, Hou, Lengchen, Fan, Hong, Xiaoxu, Zhi, Zhang, Youran
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LEADER 00000nab a2200000uu 4500
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022 |a 2044-6055 
024 7 |a 10.1136/bmjopen-2024-086264  |2 doi 
035 |a 3150324981 
045 2 |b d20240101  |b d20241231 
084 |a 269834  |2 nlm 
100 1 |a Wei, Liwen  |u Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China; Department of Health Education, Nanjing Municipal Center for Disease Control and Prevention, Nanjing, Jiangsu, China 
245 1 |a Post-traumatic growth, moral sensitivity and service behaviour among healthcare workers in the post-pandemic era of COVID-19 in mainland China: a cross-sectional study 
260 |b BMJ Publishing Group LTD  |c 2024 
513 |a Journal Article 
520 3 |a ObjectivesTo investigate how post-traumatic growth (PTG) and moral sensitivity influence service behaviour among healthcare workers (HCWs) in mainland China post-COVID-19, with a focus on the mediating role of moral sensitivity.DesignCross- sectional survey design.SettingThis study was conducted in 27 provinces across mainland China, from 16 March to 2 April 2023.Participants1,193 HCWs, including 378 physicians and 815 nurses, were selected using convenience and snowball sampling methods.MethodsThe survey included the Post-traumatic Growth Inventory-Chinese version (PTGI-C), the Moral Sensitivity Questionnaire-Revised Chinese Version (MSQ-R-CV) and a service behaviour scale. Structural equation modelling was employed to analyse the data, focusing on the associations between PTG, moral sensitivity, and service behaviours.ResultsThe study found significant associations between PTG and moral sensitivity (r=0.49, p<0.01), with both factors positively influencing HCWs’ service behaviours. Specifically, PTG had a direct effect on service behaviours (β=0.172, p<0.01) and an indirect effect through moral sensitivity (β=0.333, p<0.01), with moral sensitivity mediating 65.8% of PTG’s impact on service behaviours. The model explained 56.0% of the variance in service behaviours, indicating a substantial influence of these psychological factors on professional conduct.ConclusionsThe findings highlight the significant role of PTG and moral sensitivity in shaping the service behaviours of HCWs in the aftermath of the COVID-19 pandemic. The study suggests that enhancing PTG and moral sensitivity through targeted interventions could improve HCWs’ service delivery and resilience, emphasising the importance of incorporating psychological and ethical training into healthcare practices to prepare for future public health crises. 
651 4 |a China 
653 |a Behavior 
653 |a Stress 
653 |a Hypotheses 
653 |a Health care 
653 |a Post-traumatic growth 
653 |a Nursing care 
653 |a Pandemics 
653 |a Medical personnel 
653 |a Questionnaires 
653 |a Design 
653 |a Mental health 
653 |a Ethics 
653 |a Global health 
653 |a Influence 
653 |a Nurses 
653 |a Cognition & reasoning 
653 |a Patient satisfaction 
653 |a Physicians 
653 |a COVID-19 
653 |a Cross-sectional studies 
653 |a Resilience (Psychology) 
700 1 |a Li, Dianjiang  |u Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China; Anhui Medical University, Hefei, Anhui, China 
700 1 |a Hu, Longjun  |u Tongji University Tenth People's Hospital, Shanghai, Shanghai, China 
700 1 |a Wang, Kuanlei  |u The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, China 
700 1 |a Wang, Qin  |u Department of pharmacy, Guli Community Health Service Center, Nanjing, Jiangsu, China 
700 1 |a Zhao, Haijing  |u Hubei General Hospital, Wuhan, Hubei, China 
700 1 |a Wang, Miaomiao  |u Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, China 
700 1 |a Chai, Xuejiao  |u Medical Education Department, Shijiazhuang Second Hospital, Shijiazhuang, Hebei, China 
700 1 |a Wei, Haibin  |u GuangXi University of Chinese Medicine, Nanning, Guangxi, China 
700 1 |a Yu, Fenglan  |u Department of disease control, Dantu Health Commission, Zhenjiang, Jiangsu, China 
700 1 |a Qian, Mingping  |u Tongji University Tenth People's Hospital, Shanghai, Shanghai, China 
700 1 |a Liu, Xuechun  |u Dajijia Hospital, Yantai, Shandong, China 
700 1 |a Hou, Lengchen  |u Shanghai Hospital Development Center, Shanghai, Shanghai, China 
700 1 |a Fan, Hong  |u Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China 
700 1 |a Xiaoxu, Zhi  |u Jiangsu Cancer Hospital, Nanjing, Jiangsu, China 
700 1 |a Zhang, Youran  |u Anhui Medical University, Hefei, Anhui, China 
773 0 |t BMJ Open  |g vol. 14, no. 11 (2024), p. e086264 
786 0 |d ProQuest  |t Consumer Health Database 
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