{"title":"[2019冠状病毒病大流行背景下匈牙利急性精神病专业人员工作能力越界的经验教训]。","authors":"László Molnár, Bernadett Svraka, Ágnes Zana","doi":"10.1556/650.2025.33236","DOIUrl":null,"url":null,"abstract":"<p><p>Introduction: In psychiatric care, competence is the basis of patient safety. Consequently, competence transgression can have serious legal and ethical consequences. Objective: Our aim in this study was to investigate the relationship between competence transgression and role clarity, role conflict, stress, and burnout and determine whether each professional group (i.e., residents, nurses, psychiatrists, and psychologists) showed a correlation with these factors. Method: An online cross-sectional survey was conducted among acute psychiatric professionals (n = 105) in Hungary between November 2021 and April 2022. The main data collection instrument was the Copenhagen Psychosocial Questionnaire II. Our questionnaire was complemented by a question on competence transgression. Results: Competence transgression was moderately correlated with role clarity (r = –0.387, p<0.01), role conflict (r = 0.430, p<0.01), stress (r = 0.308, p<0.01), and burnout (r = 0.336, p<0.01). There was a negative significant correlation of medium strength between residents and role clarity (r = –0.258, p<0.01). Conclusion: Competence transgression should be considered when reorganising psychiatric care after a pandemic. Residents working in acute psychiatric care do not perceive their job role as being clear. The recommendations of professional organisations should therefore be emphasized in professional education and among policy makers. Orv Hetil. 2025; 166(12): 469–477.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 12","pages":"469-477"},"PeriodicalIF":0.8000,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Lessons regarding work-related competence transgression among acute psychiatric professionals in Hungary in the context of the COVID-19 pandemic].\",\"authors\":\"László Molnár, Bernadett Svraka, Ágnes Zana\",\"doi\":\"10.1556/650.2025.33236\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Introduction: In psychiatric care, competence is the basis of patient safety. Consequently, competence transgression can have serious legal and ethical consequences. Objective: Our aim in this study was to investigate the relationship between competence transgression and role clarity, role conflict, stress, and burnout and determine whether each professional group (i.e., residents, nurses, psychiatrists, and psychologists) showed a correlation with these factors. Method: An online cross-sectional survey was conducted among acute psychiatric professionals (n = 105) in Hungary between November 2021 and April 2022. The main data collection instrument was the Copenhagen Psychosocial Questionnaire II. Our questionnaire was complemented by a question on competence transgression. Results: Competence transgression was moderately correlated with role clarity (r = –0.387, p<0.01), role conflict (r = 0.430, p<0.01), stress (r = 0.308, p<0.01), and burnout (r = 0.336, p<0.01). There was a negative significant correlation of medium strength between residents and role clarity (r = –0.258, p<0.01). Conclusion: Competence transgression should be considered when reorganising psychiatric care after a pandemic. Residents working in acute psychiatric care do not perceive their job role as being clear. The recommendations of professional organisations should therefore be emphasized in professional education and among policy makers. Orv Hetil. 2025; 166(12): 469–477.</p>\",\"PeriodicalId\":19911,\"journal\":{\"name\":\"Orvosi hetilap\",\"volume\":\"166 12\",\"pages\":\"469-477\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-03-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orvosi hetilap\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1556/650.2025.33236\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orvosi hetilap","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1556/650.2025.33236","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
在精神科护理中,能力是病人安全的基础。因此,能力越界会产生严重的法律和道德后果。目的:本研究旨在探讨能力越界与角色明晰、角色冲突、压力和职业倦怠之间的关系,并确定各专业群体(即住院医师、护士、精神科医生和心理学家)是否与这些因素相关。方法:在2021年11月至2022年4月期间,对匈牙利的急性精神病专业人员(n = 105)进行了在线横断面调查。主要的数据收集工具是哥本哈根社会心理问卷II。我们的问卷附有一个关于能力越界的问题。结果:能力越轨与角色清晰度有中度相关(r = -0.387, p
[Lessons regarding work-related competence transgression among acute psychiatric professionals in Hungary in the context of the COVID-19 pandemic].
Introduction: In psychiatric care, competence is the basis of patient safety. Consequently, competence transgression can have serious legal and ethical consequences. Objective: Our aim in this study was to investigate the relationship between competence transgression and role clarity, role conflict, stress, and burnout and determine whether each professional group (i.e., residents, nurses, psychiatrists, and psychologists) showed a correlation with these factors. Method: An online cross-sectional survey was conducted among acute psychiatric professionals (n = 105) in Hungary between November 2021 and April 2022. The main data collection instrument was the Copenhagen Psychosocial Questionnaire II. Our questionnaire was complemented by a question on competence transgression. Results: Competence transgression was moderately correlated with role clarity (r = –0.387, p<0.01), role conflict (r = 0.430, p<0.01), stress (r = 0.308, p<0.01), and burnout (r = 0.336, p<0.01). There was a negative significant correlation of medium strength between residents and role clarity (r = –0.258, p<0.01). Conclusion: Competence transgression should be considered when reorganising psychiatric care after a pandemic. Residents working in acute psychiatric care do not perceive their job role as being clear. The recommendations of professional organisations should therefore be emphasized in professional education and among policy makers. Orv Hetil. 2025; 166(12): 469–477.
期刊介绍:
The journal publishes original and review papers in the fields of experimental and clinical medicine. It covers epidemiology, diagnostics, therapy and the prevention of human diseases as well as papers of medical history.
Orvosi Hetilap is the oldest, still in-print, Hungarian publication and also the one-and-only weekly published scientific journal in Hungary.
The strategy of the journal is based on the Curatorium of the Lajos Markusovszky Foundation and on the National and International Editorial Board. The 150 year-old journal is part of the Hungarian Cultural Heritage.