McKenzie Glenise L, Teri Linda, Salazar Mary K, Farran Carol J, Beck Cornelia, Paun Olimpia
School of Nursing, Oregon Health and Science University, Ashland, OR, USA.
AAOHN J. 2011 Apr;59(4):173-80. doi: 10.3928/08910162-20110328-01.
This study examined system-level characteristics of assisted living facilities and the association between these characteristics and the health and safety outcomes of unlicensed staff. Forty-two unlicensed direct care workers completed a survey related to system-level stressors and the individual stress responses of staff. Measurement tools included the Work Stressor Inventory (WSI), General Health Questionnaire (GHQ-12), and Maslach Burnout Inventory (MBI). High levels of emotional exhaustion, psychiatric distress, and work-related injuries were reported by unlicensed staff. Providing care to residents with dementia-related behaviors and supporting families were the most frequently reported work stressors. System-level factors were significantly associated with staff role competence, job commitment, and emotional exhaustion. These results support the need for continued exploration, development, and evaluation of strategies to reduce occupational stressors at multiple levels in assisted living facilities.
本研究考察了辅助生活设施的系统层面特征，以及这些特征与无执照工作人员的健康和安全结果之间的关联。42名无执照直接护理人员完成了一项与系统层面压力源及工作人员个体压力反应相关的调查。测量工具包括工作压力源量表（WSI）、一般健康问卷（GHQ - 12）和马氏倦怠量表（MBI）。无执照工作人员报告了高水平的情感耗竭、精神困扰和与工作相关的伤害。照顾有痴呆相关行为的居民和支持家庭是最常报告的工作压力源。系统层面的因素与工作人员的角色能力、工作投入和情感耗竭显著相关。这些结果支持了在辅助生活设施中持续探索、制定和评估多层次减少职业压力源策略的必要性。
