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残疾人专业工作者的情绪耗竭、社会资本、工作负荷与决策自主权之间的关联。

Associations between emotional exhaustion, social capital, workload, and latitude in decision-making among professionals working with people with disabilities.

机构信息

Institute for Medical Sociology, Health Services Research and Rehabilitation Sciences (IMVR) of the Faculty of Human Sciences and the Faculty of Medicine of the University of Cologne, 50924 Cologne, Germany.

出版信息

Res Dev Disabil. 2010 Mar-Apr;31(2):470-9. doi: 10.1016/j.ridd.2009.10.021. Epub 2009 Dec 8.

DOI:10.1016/j.ridd.2009.10.021
PMID:20004075
Abstract

BACKGROUND

Many people working in human services in Western countries suffer from burnout, characterized by emotional exhaustion, depersonalization, and decreased personal performance. Prevention of emotional exhaustion (the first phase of burnout) constitutes a great challenge because emotional exhaustion may cause increasing turnover rates in staff and lead to a lesser quality of care. Prevention of emotional exhaustion requires knowledge of its predictors. The aim of this study was to investigate the associations between emotional exhaustion, social capital, workload, and latitude in decision-making among German professionals working in the care of persons with intellectual and physical disabilities.

MATERIALS AND METHODS

The study was based on a survey in a sheltered workshop and 5 homes for disabled persons with 175 professionals. Burnout was measured with the German version of the Maslach Burnout Inventory-General Survey (MBI-GS). A multivariate logistic regression analysis was computed.

RESULTS

Logistic regression identified the following three significant predictors of emotional exhaustion in the sample: workload (OR, 4.192; CI, 2.136-8.227), latitude in decision-making (OR, 0.306; CI, 0.115-0.811), and male gender (OR, 4.123; CI, 1.796-9.462). Nagelkerke's Pseudo-R(2) was 0.344.

CONCLUSIONS

The results of this study demonstrate that specific factors in work organization are associated with emotional exhaustion. Taking into account sociodemographic changes and the upcoming challenges for human services professionals, the results underline the importance of considering aspects of organization at the workplace to prevent burnout. Specific circumstances of male employees must be considered.

摘要

背景

许多在西方国家从事社会服务工作的人都患有倦怠症,其特征是情绪枯竭、人格解体和个人绩效下降。预防情绪枯竭(倦怠的第一阶段)构成了巨大的挑战,因为情绪枯竭可能会导致员工离职率上升,并导致护理质量下降。预防情绪枯竭需要了解其预测因素。本研究的目的是调查德国从事智障和身体残疾人士护理工作的专业人员的情绪枯竭、社会资本、工作量和决策自主权之间的关联。

材料和方法

该研究基于对庇护性车间和 5 家残疾人士之家的 175 名专业人员的调查。倦怠采用德国版 Maslach 倦怠量表-一般调查(MBI-GS)进行测量。进行了多变量逻辑回归分析。

结果

逻辑回归确定了样本中情绪枯竭的三个显著预测因素:工作量(OR,4.192;CI,2.136-8.227)、决策自主权(OR,0.306;CI,0.115-0.811)和男性性别(OR,4.123;CI,1.796-9.462)。Nagelkerke 的 Pseudo-R(2)为 0.344。

结论

本研究结果表明,工作组织中的特定因素与情绪枯竭有关。考虑到社会人口变化和即将到来的社会服务专业人员的挑战,结果强调了考虑工作场所组织方面以预防倦怠的重要性。必须考虑男性员工的具体情况。

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