School of Psychology, The University of Birmingham, Edgbaston, Birmingham, UK.
Clin Psychol Psychother. 2010 Nov-Dec;17(6):455-62. doi: 10.1002/cpp.688.
Understanding the perceptions of direct care staff of their reciprocal relationships at work and levels of burnout may help us improve not only their psychological health but also the service they provide. A cross-sectional survey was undertaken with direct care staff who worked with children, older people and people with intellectual disabilities in residential settings. Staffs were asked to report their levels of burnout and perceived reciprocity in the relationship they had with service users, other staff and the organisation they worked for. Significant relationships were found between some burnout and reciprocity measures. 'Under benefit' in relationships with service users, colleagues and the organization was related to emotional exhaustion. 'Under benefit' in organizational and staff relationships was related to increased depersonalization. Reciprocity is a potentially useful concept for understanding differences in relationships across a broad range of staff and use of the reciprocity questionnaire in this study allows for comparison between diverse groups. The importance of relationships with the employing organization is highlighted in this sample and suggests that burnout is not solely linked with lack of reciprocity in the caregiving relationship per se.
了解直接护理人员对其工作中相互关系的看法和倦怠程度，可能有助于我们不仅改善他们的心理健康，还能提高他们所提供的服务。本研究采用横断面调查，对象为在居住环境中照顾儿童、老年人和智障人士的直接护理人员。要求护理人员报告他们的倦怠程度以及与服务使用者、其他护理人员和他们工作的组织之间关系的互惠程度。在一些倦怠和互惠措施之间发现了显著的关系。与服务使用者、同事和组织的“受益不足”与情绪疲惫有关。与组织和员工关系的“受益不足”与去人性化的增加有关。互惠是理解广泛的员工关系差异的一个有用的概念，本研究中互惠问卷的使用允许不同群体之间进行比较。在这个样本中，与用人单位的关系的重要性被强调，这表明倦怠不仅仅与护理关系本身缺乏互惠有关。
