Bowden M J, Mukherjee S, Williams L K, DeGraves S, Jackson M, McCarthy M C
Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
Social Policy Research Unit, University of York, York, North Yorkshire, UK.
Psychooncology. 2015 Nov;24(11):1432-8. doi: 10.1002/pon.3810. Epub 2015 Mar 24.
Managing staff stress and preventing long-term burnout in oncology staff are highly important for both staff and patient well-being. Research addressing work-related stress in adult oncology is well documented; however, less is known about this topic in the pediatric context. This study examined sources of work-related stress and reward specific to multidisciplinary staff working in pediatric oncology in Australia.
Participants were 107 pediatric oncology clinicians, including medical, nursing, and allied health staff from two Australian pediatric oncology centers. Participants completed an online survey using two newly developed measures: the work stressors scale-pediatric oncology and the work rewards scale-pediatric oncology.
The most commonly reported sources of both stress and reward are related to patient care and interactions with children. Results indicated that levels of work-related stress and reward were similar between the professional disciplines and between the two hospitals. Regression analyses revealed no demographic or organizational factors that were associated with either stress or reward.
Work-related stress and reward are not mutually exclusive; particular situations and events can be simultaneously stressful and rewarding for healthcare providers. Although patient care and interactions with children was found to be the most stressful aspect of working in this speciality, it was also the greatest source of reward. Results are discussed in relation to workplace approaches to staff well-being and stress reduction.
管理肿瘤科工作人员的压力并防止其长期职业倦怠,这对工作人员和患者的福祉都极为重要。关于成人肿瘤科工作相关压力的研究已有充分记录;然而,在儿科领域,对这一主题的了解较少。本研究调查了澳大利亚儿科肿瘤科多学科工作人员工作相关压力和回报的来源。
参与者为107名儿科肿瘤临床医生,包括来自澳大利亚两个儿科肿瘤中心的医疗、护理和专职医疗人员。参与者使用两项新开发的量表完成了一项在线调查:儿科肿瘤工作压力源量表和儿科肿瘤工作回报量表。
最常报告的压力和回报来源都与患者护理以及与儿童的互动有关。结果表明,各专业学科之间以及两家医院之间的工作相关压力和回报水平相似。回归分析显示,没有人口统计学或组织因素与压力或回报相关。
工作相关压力和回报并非相互排斥;特定的情况和事件对医疗服务提供者来说可能同时具有压力和回报。尽管患者护理以及与儿童的互动被认为是从事该专业工作最具压力的方面,但它也是最大的回报来源。本文结合促进工作人员福祉和减轻压力的工作场所方法对研究结果进行了讨论。