Westwood Sophie, Morison Linda, Allt Jackie, Holmes Nan
a School of Psychology, University of Surrey , Guildford , UK and.
b Time to Talk, Sussex Community NHS Trust , Horsham , UK.
J Ment Health. 2017 Apr;26(2):172-179. doi: 10.1080/09638237.2016.1276540. Epub 2017 Jan 13.
Among mental health staff, burnout has been associated with undesirable outcomes, such as physical and mental ill-health, high levels of staff turnover and poorer patient care.
To estimate the prevalence and predictors of burnout amongst Improving Access to Psychological Therapist (IAPT) practitioners.
IAPT practitioners (N = 201) completed an on-line survey measuring time spent per week on different types of work related activity. These were investigated as predictors of burnout (measured using the Oldenburg Burnout Inventory).
The prevalence of burnout was 68.6% (95% confidence interval (CI) 58.8-77.3%) among psychological wellbeing practitioners (PWP) and 50.0% (95% CI 39.6-60.4%) among high intensity (HI) therapists. Among PWPs hours of overtime-predicted higher odds of burnout and hours of clinical supervision predicted lower odds of burnout. The odds of burnout increased with telephone hours of patient contact among PWPs who had worked in the service for two or more years. None of the job characteristics significantly predicted burnout among HI therapists.
Our results suggest a high prevalence of burnout among IAPT practitioners. Strategies to reduce burnout among PWPs involving reductions in workload, particularly telephone contact and increases in clinical supervision need to be evaluated.
在心理健康工作人员中，职业倦怠与不良后果相关，如身心健康问题、高员工流动率和较差的患者护理。
估计改善心理治疗师服务可及性（IAPT）从业者职业倦怠的患病率及预测因素。
IAPT从业者（N = 201）完成一项在线调查，测量每周花在不同类型工作相关活动上的时间。这些被作为职业倦怠的预测因素进行调查（使用奥尔登堡倦怠量表测量）。
心理健康从业者（PWP）中职业倦怠的患病率为68.6%（95%置信区间（CI）58.8 - 77.3%），高强度（HI）治疗师中为50.0%（95%CI 39.6 - 60.4%）。在PWP中，加班时间预测职业倦怠的几率更高，临床督导时间预测职业倦怠的几率更低。在该服务机构工作两年或更长时间的PWP中，职业倦怠几率随与患者电话联系时间增加而上升。HI治疗师中，没有任何工作特征能显著预测职业倦怠。
我们的结果表明IAPT从业者中职业倦怠患病率很高。需要评估减少PWP职业倦怠的策略，包括减少工作量，特别是电话联系，并增加临床督导。
