What Determines Healthcare Workers to Seek Professional Psychological Support? A Cross‐Sectional Study,Journal of Advanced Nursing

AimAlthough healthcare workers often experience significant mental health challenges, their willingness to seek professional psychological help remains relatively low. However, the factors associated with healthcare workers' psychological help‐seeking remain unclear. This study aims to identify the determinants of professional psychological help‐seeking intention among healthcare workers based on the theory of planned behaviour.DesignCross‐sectional study.MethodsA questionnaire, incorporating demographic information and latent variable items, was developed and employed on 403 healthcare workers through online and offline surveys from December 2022 to January 2023 using convenience sampling. Structural equation modelling was applied to test the research hypotheses.ResultsThe model explained 46.9% of the variance in help‐seeking intention. Subjective norm had the strongest total association with help‐seeking intention. Attitude towards help‐seeking behaviour, subjective norm and perceived behavioural control were directly positively related to help‐seeking intention. Moreover, self‐stigma, public stigma, perceived barriers and perceived risk were indirectly associated with help‐seeking intention mediated by attitude towards the behaviour and perceived behavioural control. Of the four constructs, public stigma showed the most significant indirect relation to behavioural intention.ConclusionHealthcare workers' intention to seek psychological support is associated with multiple interacting factors, particularly subjective norm and public stigma. Targeted interventions addressing individual and systemic barriers are essential to create a supportive environment for healthcare workers to access mental health services.ImpactThis study identified key barriers and facilitators to healthcare workers seeking psychological support, which can assist authorities in enhancing mental health services and implementing tailored intervention strategies, thereby promoting help‐seeking behaviour among healthcare workers. Moreover, our research reinforces the applicability of the theory of planned behaviour in explaining healthcare workers' intention to seek professional psychological support.Patient or Public ContributionNo patient or public contribution.

中文翻译：

是什么促使医护人员寻求专业的心理支持？横断面研究

目的尽管医护人员经常经历重大的心理健康挑战，但他们寻求专业心理帮助的意愿仍然相对较低。然而，与医护人员寻求心理帮助相关的因素仍不清楚。本研究旨在根据计划行为理论确定医护人员专业心理求助意图的决定因素。设计横断面研究。方法在 2022 年 12 月至 2023 年 1 月期间，通过线上和线下调查，使用便利抽样，制作了一份包含人口统计信息和潜在变量项目的问卷，并对 403 名医护人员进行了调查。应用结构方程模型来检验研究假设。结果该模型解释了 46.9% 的寻求帮助意图的方差。主观常态与寻求帮助的意图具有最强的总关联。对寻求帮助行为的态度、主观规范和感知行为控制与寻求帮助意图直接呈正相关。此外，自我耻辱、公共耻辱、感知障碍和感知风险与对行为的态度和感知行为控制的求助意图间接相关。在这四种结构中，公共污名与行为意向的间接关系最显著。结论医护人员寻求心理支持的意愿与多种相互作用因素相关，尤其是主观规范和公共耻辱感。解决个人和系统性障碍的针对性干预措施对于为医护人员获得心理健康服务创造支持性环境至关重要。影响本研究确定了医护人员寻求心理支持的主要障碍和促进因素，这可以帮助当局加强心理健康服务和实施量身定制的干预策略，从而促进医护人员的求助行为。此外，我们的研究加强了计划行为理论在解释医护人员寻求专业心理支持的意图方面的适用性。患者或公众捐款没有患者或公众捐款。

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