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
Objectives To 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.Design Cross- sectional survey design.Setting This study was conducted...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e086264.full |
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| author | Miaomiao Wang Qin Wang Hong Fan Zhi Xiaoxu Youran Zhang Liwen Wei Dianjiang Li Longjun Hu Kuanlei Wang Haijing Zhao Xuejiao Chai Haibin Wei Fenglan Yu Mingping Qian Xuechun Liu Lengchen Hou |
| author_facet | Miaomiao Wang Qin Wang Hong Fan Zhi Xiaoxu Youran Zhang Liwen Wei Dianjiang Li Longjun Hu Kuanlei Wang Haijing Zhao Xuejiao Chai Haibin Wei Fenglan Yu Mingping Qian Xuechun Liu Lengchen Hou |
| author_sort | Miaomiao Wang |
| collection | DOAJ |
| description | Objectives To 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.Design Cross- sectional survey design.Setting This study was conducted in 27 provinces across mainland China, from 16 March to 2 April 2023.Participants 1,193 HCWs, including 378 physicians and 815 nurses, were selected using convenience and snowball sampling methods.Methods The 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.Results The 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.Conclusions The 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. |
| format | Article |
| id | doaj-art-64c0251415834c81adb91802c13a770c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-64c0251415834c81adb91802c13a770c2024-11-20T21:50:07ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2024-086264Post-traumatic growth, moral sensitivity and service behaviour among healthcare workers in the post-pandemic era of COVID-19 in mainland China: a cross-sectional studyMiaomiao Wang0Qin Wang1Hong Fan2Zhi Xiaoxu3Youran Zhang4Liwen Wei5Dianjiang Li6Longjun Hu7Kuanlei Wang8Haijing Zhao9Xuejiao Chai10Haibin Wei11Fenglan Yu12Mingping Qian13Xuechun Liu14Lengchen Hou158 Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, China6 Department of pharmacy, Guli Community Health Service Center, Nanjing, Jiangsu, China1 Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China14 Jiangsu Cancer Hospital, Nanjing, Jiangsu, China3 Anhui Medical University, Hefei, Anhui, China1 Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China3 Anhui Medical University, Hefei, Anhui, China4 Tongji University Tenth People`s Hospital, Shanghai, Shanghai, China5 The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, China7 Hubei General Hospital, Wuhan, Hubei, China9 Medical Education Department, Shijiazhuang Second Hospital, Shijiazhuang, Hebei, China10 GuangXi University of Chinese Medicine, Nanning, Guangxi, China11 Department of disease control, Dantu Health Commission, Zhenjiang, Jiangsu, China4 Tongji University Tenth People`s Hospital, Shanghai, Shanghai, China12 Dajijia Hospital, Yantai, Shandong, China13 Shanghai Hospital Development Center, Shanghai, Shanghai, ChinaObjectives To 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.Design Cross- sectional survey design.Setting This study was conducted in 27 provinces across mainland China, from 16 March to 2 April 2023.Participants 1,193 HCWs, including 378 physicians and 815 nurses, were selected using convenience and snowball sampling methods.Methods The 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.Results The 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.Conclusions The 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.https://bmjopen.bmj.com/content/14/11/e086264.full |
| spellingShingle | Miaomiao Wang Qin Wang Hong Fan Zhi Xiaoxu Youran Zhang Liwen Wei Dianjiang Li Longjun Hu Kuanlei Wang Haijing Zhao Xuejiao Chai Haibin Wei Fenglan Yu Mingping Qian Xuechun Liu Lengchen Hou 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/14/11/e086264.full |
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