Richards David A, Bee Penny, Barkham Michael, Gilbody Simon M, Cahill Jane, Glanville Julie
Dept. of Health Sciences, University of York, Seebohm Rowntree Building, University Road, Heslington, York, YO10 5DD, UK.
Soc Psychiatry Psychiatr Epidemiol. 2006 Jan;41(1):34-43. doi: 10.1007/s00127-005-0998-7. Epub 2006 Jan 1.
Concerns about recent changes in acute in-patient mental health care environments have led to fears about staff stress and poor morale in acute in-patient mental health care staff.
To review the prevalence of low staff morale, stress, burnout, job satisfaction and psychological well-being amongst staff working in in-patient psychiatric wards.
Systematic review.
Of 34 mental health studies identified, 13 were specific to acute in-patient settings, and 21 were specific to other non-specified ward-based samples. Most studies did not find very high levels of staff burnout and poor morale but were mostly small, of poor quality and provided incomplete or non-standardised prevalence data.
The prevalence of indicators of low morale on acute in-patient mental health wards has been poorly researched and remains unclear. Multi-site, prospective epidemiological studies using validated measures of stress together with personal and organizational variables influencing staff stress in acute in-patient wards are required.
对近期急性住院精神卫生保健环境变化的担忧引发了对急性住院精神卫生保健工作人员压力和士气低落的担忧。
回顾住院精神科病房工作人员中士气低落、压力、倦怠、工作满意度和心理健康状况的患病率。
系统评价。
在34项精神卫生研究中，13项专门针对急性住院环境，21项专门针对其他未明确的病房样本。大多数研究没有发现工作人员倦怠和士气低落的程度非常高，但大多规模较小、质量较差，提供的患病率数据不完整或未标准化。
对急性住院精神卫生病房士气低落指标的患病率研究不足，仍不清楚。需要开展多地点、前瞻性流行病学研究，使用经过验证的压力测量方法以及影响急性住院病房工作人员压力的个人和组织变量。
