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循证实践作为解决大学咨询中心临床医生倦怠的一种潜在方法。

Evidence-based practice as a potential solution to burnout in university counseling center clinicians.

机构信息

Stress and Anxiety Services of New Jersey.

Counseling, Alcohol and Other Drug Assistance Program & Psychiatric Services (CAPS), Rutgers University.

出版信息

Psychol Serv. 2017 Nov;14(4):543-548. doi: 10.1037/ser0000156.

Abstract

The purpose of this study was to evaluate the impact of changes in perceptions about patient volume and severity of clinical presentations in university counseling centers (UCCS) on burnout. It was hypothesized that perceptions of increased workload and severity of conditions treated would be positively correlated with burnout. It was also hypothesized that self-reported use of evidence-based practice (EBP) would be negatively correlated with burnout. Counseling center clinicians (n = 80) completed the Copenhagen Burnout Inventory (CBI), the Evidence-Based Practice Attitudes Scale (EPBAS), and reported on factors that have been shown to impact burnout. In this sample, the following percent of respondents were at or above a level indicating potential burnout on each scale: Personal 19%, Work 15.2%, and Client 2.5%. Years of work was correlated with Client Burnout (r = .25, p < .05). Perceived increases in severity were correlated with each CBI Scale: Personal (r = .33, p < .001), Work (r = .32, p < .001), and (Client r = .33, p < .001). Self-reported use of evidence-based practice was negatively correlated with Client burnout (r = -.30, p < .001). The EBPAS Divergence Scale, which measures perception that one's usual practice is different than research based practices, was also correlated with burnout (r = .27, p < .05) and Divergence was negatively correlated with self-reported use of EBP (r = -.25, p < .05). Respondents were also asked if they treat PTSD and obsessive-compulsive disorder and which therapies they use for these diagnoses. Findings suggest that dissemination and implementation of EBPS may be beneficial for UCCS. (PsycINFO Database Record

摘要

本研究旨在评估大学咨询中心(UCCS)中患者数量和临床症状严重程度认知变化对倦怠的影响。研究假设,工作量增加和治疗疾病严重程度的认知与倦怠呈正相关。研究还假设,自我报告的循证实践(EBP)的使用与倦怠呈负相关。咨询中心临床医生(n = 80)完成了哥本哈根倦怠量表(CBI)、循证实践态度量表(EPBAS),并报告了已知会影响倦怠的因素。在该样本中,以下百分比的受访者在每个量表上的得分达到或高于表明潜在倦怠的水平:个人 19%、工作 15.2%和客户 2.5%。工作年限与客户倦怠呈正相关(r =.25,p <.05)。感知到的严重程度增加与每个 CBI 量表相关:个人(r =.33,p <.001)、工作(r =.32,p <.001)和客户(r =.33,p <.001)。自我报告的 EBP 使用与客户倦怠呈负相关(r = -.30,p <.001)。衡量实践与基于研究的实践不同的感知差异的 EBPAS 发散量表也与倦怠相关(r =.27,p <.05),发散与自我报告的 EBP 使用呈负相关(r = -.25,p <.05)。受访者还被问及他们是否治疗创伤后应激障碍和强迫症以及他们对这些诊断使用的疗法。研究结果表明,EBP 的传播和实施可能对 UCCS 有益。

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