Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Policlinico G.B. Rossi, 37134-Verona, Italy.
Br J Psychiatry. 2009 Dec;195(6):537-44. doi: 10.1192/bjp.bp.108.060871.
Staff burnout is a critical issue for mental healthcare delivery, as it can lead to decreased work performance and, ultimately, to poorer treatment outcomes.
To explore the relative weight of job-related characteristics and perceived organisational factors in predicting burnout in staff working in community-based psychiatric services.
A representative sample of 2000 mental health staff working in the Veneto region, Italy, participated. Burnout and perceived organisational factors were assessed by using the Organizational Checkup Survey.
Overall, high levels of job distress affected nearly two-thirds of the psychiatric staff and one in five staff members suffered from burnout. Psychiatrists and social workers reported the highest levels of burnout, and support workers and psychologists, the lowest. Burnout was mostly predicted by a higher frequency of face-to-face interaction with users, longer tenure in mental healthcare, weak work group cohesion and perceived unfairness.
Improving the workplace atmosphere within psychiatric services should be one of the most important targets in staff burnout prevention strategies. The potential benefits of such programmes may, in turn, have a favourable impact on patient outcomes.
员工倦怠是精神卫生服务的一个关键问题,因为它会导致工作表现下降,最终导致治疗效果变差。
探讨工作相关特征和感知组织因素在预测社区精神卫生服务工作人员倦怠中的相对重要性。
意大利威尼托地区的 2000 名精神卫生工作者参加了这项具有代表性的研究。使用组织健康检查调查评估倦怠和感知组织因素。
总体而言,近三分之二的精神卫生工作人员工作压力较大,五分之一的工作人员倦怠。精神科医生和社会工作者报告的倦怠程度最高,支持工作人员和心理学家则最低。与用户的面对面互动频率更高、在精神卫生保健领域工作时间更长、工作小组凝聚力弱和感知不公平都会导致倦怠。
改善精神卫生服务机构的工作氛围应该是员工倦怠预防策略的最重要目标之一。此类计划的潜在好处反过来又可能对患者的结果产生有利影响。