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遗传咨询中监督角色与同情疲劳和职业倦怠之间的关系

The Relationship between the Supervision Role and Compassion Fatigue and Burnout in Genetic Counseling.

作者信息

Allsbrook Katlin, Atzinger Carrie, He Hua, Engelhard Chalee, Yager Geoffrey, Wusik Katie

机构信息

College of Medicine, Genetic Counseling Program, University of Cincinnati, 3333 Burnet Ave. ML 4006, Cincinnati, OH, 45229, USA.

Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

出版信息

J Genet Couns. 2016 Dec;25(6):1286-1297. doi: 10.1007/s10897-016-9970-9. Epub 2016 May 19.

Abstract

Many genetic counselors provide supervision to students during their career. Previous studies have shown genetic counselors, in general, are at increased risk for developing compassion fatigue. The purpose of this study was to determine if there was a difference in compassion fatigue and burnout levels in genetic counselors who currently supervise compared to genetic counselors who do not. Genetic counselors who currently practice in a clinical setting (N = 391) completed an online survey containing demographic questions, the Professional Quality of Life Scale, the State-Trait Anxiety Inventory, and questions specific to the genetic counselor's experiences with supervision. Overall, when controlling for trait-anxiety, the supervision role by itself was not independently associated with the risk for compassion fatigue and burnout among genetic counselors. Within supervisors, however, there were several factors which were associated with this risk. Those with less supervision experience reported more secondary traumatic stress. Those supervisors reporting less confidence had decreased compassion satisfaction. Those with less experience or less confidence in their supervision role were most likely to be at increased risk for developing compassion fatigue. Training in supervision and support for dealing with compassion fatigue and burnout may be beneficial to supervisors with less experience.

摘要

许多遗传咨询师在其职业生涯中会指导学生。先前的研究表明,总体而言,遗传咨询师出现同情疲劳的风险更高。本研究的目的是确定当前担任指导工作的遗传咨询师与不担任指导工作的遗传咨询师在同情疲劳和职业倦怠水平上是否存在差异。目前在临床环境中执业的遗传咨询师(N = 391)完成了一项在线调查,其中包括人口统计学问题、职业生活质量量表、状态-特质焦虑量表,以及与遗传咨询师指导经历相关的特定问题。总体而言,在控制特质焦虑的情况下,指导角色本身与遗传咨询师出现同情疲劳和职业倦怠的风险并无独立关联。然而,在担任指导工作的人员中,有几个因素与这种风险相关。指导经验较少的人报告的继发性创伤压力更大。那些自信心较低的指导人员的同情满意度较低。那些在指导角色方面经验较少或自信心较低的人最有可能出现同情疲劳的风险增加。针对指导工作的培训以及应对同情疲劳和职业倦怠的支持可能对经验较少的指导人员有益。

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