Analysis of occupational identity among family doctor teams and its influencing factors in Chengdu / 环境与职业医学

Background The contracted family doctor services are the embodiment of the implementation of the new medical reform policy, and the transformation of the grass-roots health service mode. Studies have proved that the occupational stress in medical staff was at a high level. The enhancement of professional identity will contribute to strengthen team building，alleviate job burnout, and reduce turnover intention of family doctors. Objective To investigate the current situation of occupational identity among family doctor teams in Chengdu, to examine potential influencing factors of occupational identity, and to provide a reference for promoting career development and team building of family doctor teams. Methods Multi-stage random cluster sampling was adopted to enroll study participants form 46 primary healthcare centers where family doctor contract services were implemented among 23 districts and counties in Chengdu between March 4 and 26, 2021. A total of 2 681 family doctors participated in this survey. A self-reported survey was conducted to collect participants' demographic and occupational data. The Effort-Reward Imbalance (ERI）questionnaire was implemented to assess occupational stress. The Professional Identity Scale was used to appraise occupational identity. Results A total of 2 327 valid questionnaires were collected, with a valid recovery rate of 86.80%, involving 1 715 females (73.7%) and 612 males (26.3%), with dominant age groups of 26−35 years (43.3%) and 36−45 years (30.4%), a high proportion of being married (82.8%), having college (36.0%) and undergraduate (47.3%) education, a high proportion of primary titles (66.0%) and informal work contract (66.1%). About 88.7% of family doctor team workers reported occupational stress. The average score of occupational identity was (3.68±0.62) points. There were significant differences in occupational identity scores among different professional title, work contract, working years in medical institutions, income, and effort/reward ratio (EER) groups (P < 0.05). ERR was negatively correlated with occupational identity (rs=−0.495, P<0.05）. The multiple regression model showed that occupational identity score in the non-staffed participants was lower than the score in the staffed ones (OR=0.429, 95%CI: 0.299−0.825). The occupational identity score in the participants having associate senior title or above was higher than in without professional title (OR=1.424, 95%CI: 1.194−2.328). The longer the working years, the higher the occupational identity score among the participants. The score of the more than 20 working years group was 1.820 times that of the less than 5 working years group (95%CI: 1.342−2.543). The higher the income, the higher the occupational identity score. The score of the 9001−12000 yuan per month group was 1.977 times that of the 1000−3000 yuan per month group (95%CI: 0.811−9.696) , and the score of the more than 12000 yuan per month group was 2.283 times that of the 1000−3000 yuan per month group (95%CI: 1.199−10.267）. Conclusion The family doctor team workers generally report occupational stress, and their occupational identity is at a medium level in Chengdu. Relevant managers should implement intervention measures against the main influencing factors to reduce their work tension and improve their occupational identity.

A social cognitive perspective on occupational identity development in college students

Occupational identity is a central concept of career development, by providing a sense of direction and meaning across career development. This study aimed to examine how this concept can be associated with career processes through model formed by a set of socio-cognitive factors. The participants were 358 college students at a Brazilian university who completed measures of occupational identity, environmental supports and barriers, self-efficacy, goal progress, and academic satisfaction. Analysis indicates that the occupational identity status was partially well predicted by the combination of self-efficacy to cope with barriers, supports, academic satisfaction, and goal progress. These results highlight that students with a positive sense of competencies to deal with barriers and adequate levels of academic satisfaction would easily establish an occupational identity. (AU)

The status of compassion fatigue and its influencing factors among nurses in psychiatric hospitals / 中华护理杂志

Objective To investigate the status quo and influencing factors of compassion fatigue among nurses in psychiatric hospitals. Methods The self-designed demographic questionnaire,compassion fatigue scale,occupation-al identity assessment scale and social support rating scale were employed to investigate 480 nurses in five psychi-atric hospitals from two provinces. Results The scores for each dimension in compassion fatigue scale were as fol-lows:compassion satisfaction(32.26±5.34),occupational burnout(27.67±4.34),and secondary traumatic stress(23.72± 4.41).Age,position,individual monthly income,health status,job satisfaction and occupational identity had significant influence on compassion satisfaction(F=19.351,P<0.001). Individual monthly income,health status,job satisfaction and occupational identity had significant influence on occupation burnout (F=35.705,P<0.001). Individual monthly income, personality and social support had significant influence on secondary traumatic stress(F=17.203,P<0.001). Conclusion Nurses in psychiatric hospitals had severe compassion fatigue and this status was influenced by multiple reasons. Nursing managers should pay great attention to nurses with low monthly income,poor health,low job satisfaction, weak social support and low occupational identity,and take effective measures to decrease compassion fatigue of nurses.

Identificación delictual juvenil: una propuesta de intervención ocupacional / Identificacion offender teenagers: a proposed occupational intervention

La presente revisión bibliográfica tiene por objetivo entrelazar prácticas de intervención desarrolladas a partir de la puesta en marcha de la Ley de Responsabilidad Penal Adolescente, con los modelos disciplinares de Terapia Ocupacional con el fin de otorgar abordaje integral en este contexto. Al indagar en las historias de vida de los jóvenes privados de libertad nos encontramos con trayectorias de vulneración de derechos impactadas por la segregación social, económica, cultural y ocupacional. Lo anterior genera identidades ocupacionales marcadas por experiencias con connotaciones negativas por lo que quienes trabajan en el abordaje de estos sujetos deben comprender dichos procesos socioculturales para entregar las herramientas necesarias que contribuyan a la autonomía y al desarrollo de conductas prosociales. Como estrategia desde Terapia ocupacional se visualiza la identificación del joven con una ocupación significativa no asociada a la actividad delictual que favorezca la autonomía, sentido de pertenencia y empoderamiento de los sujetos para su inclusión social.

The objective of this bibliographic revision is to bring together intervention practices developed out of the enactment of the AdolescentPrison Responsibility Law with disciplinary models of occupational therapy in order to execute an integrated approach in this context/ area. Upon studying/investigating the life histories of encarcerated youth, we discovered trajectories of infringement of rights - affected by social, economic, cultural, and occupational segregation.The former generates occupational identities characterized by experiences with negative connotations. Thus, people working to approach these subjects should understand these sociocutural processes to give them the tools necessary to contribute to autonomy and the development of positive social conduct. One occupational therapy strategy is to have the young person visualize his/her identification with a meaningful occupation not associated with criminal activity - one that favors autonomy, a sense of belonging, and empowerment for his/her social inclusion.

Mulheres guerreiras: identidade feminina e profissional entre vendedoras ambulantes da cidade de São Paulo / Female warriors: feminine identity and occupational identity among street vendors in the city of São Paulo

Este artigo se originou de uma pesquisa qualitativa realizada por meio de entrevistas semi-abertas com 20 mulheres vendedoras ambulantes da cidade de São Paulo. A pesquisa buscou investigar como se articulam as questões de trabalho e de gênero entre estas mulheres, a partir do referencial da identidade na Psicologia Social. Os resultados mostraram que o comércio ambulante aparece para elas como alternativa ao desemprego. Como em outras atividades do setor autônomo da economia, há entre elas constante sub-remuneração, implícita na elevada carga horária e no emprego de familiares no preparo das mercadorias a serem vendidas: geralmente comida em suas diversas formas. A produção de comida mostrou uma relação de continuidade com as representações de feminilidade mais comuns em nossa sociedade. Sua comercialização nas ruas, porém, implica em um rompimento com as prescrições de gênero na cultura brasileira, que associam a rua a um lugar masculino. As consequências da opressão de classe e de gênero em relação a estas mulheres mostraram a necessidade de incentivo ao cooperativismo entre elas, possibilitando um enfrentamento desta opressão.

This paper is the result of a qualitative survey conducted among twenty female street vendors in the city of São Paulo. The survey sought to investigate how issues of work and gender are articulated among these women, on the basis of perspectives of identity in Social Psychology. The results showed that street commerce appears to them as an alternative to unemployment. As with others who are self-employed, these women are subject to constant underpayment, which is implicit in the long hours worked and the engagement of relatives in preparing items for sale - usually food in various forms. Food preparation exhibits continuity with the most common representations of femininity in Brazilian society. But selling food in the street entails a break from gender roles in Brazilian culture, which looks upon the street as a place for men. The consequences of class and gender oppression for these women demonstrate the need to provide incentives for them to set up cooperatives among themselves, to allow them to confront such oppression.

Relationship Between the Process of Deciding on a Course at a Medical University and Occupational Identity / 医学教育

Medical university students were divided into 5 types according to the process they used to decide on a course when entering a university, and the relationship between the decision-making process and occupational identity after entering the university was examined. The largest number of students, approximately 50%, were of the “meeting” type, followed in descending order by the “early decision” type, the “changing during 4 years” type, the “deciding at the last moment” type, and the “avoidance” type. There were differences in the frequency of decision-making types among departments, including the nursing department, which showed a large number of students of the “early decision” type. We examined the relationship between the decision-making process and occupational identity after entering the university and found that students of the “early decision” type were stable after entering the university, whereas students of the “avoidance” type had the lowest scores on all 4 subscales of occupational identity. This tendency was seen during the 4 years of university, and the importance of deciding on a course when entering the university was indicated.