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瑞士医疗专业人员的非正式护理、工作-隐私冲突与职业倦怠——一项横断面研究

Informal caregiving, work-privacy conflict and burnout among health professionals in Switzerland - a cross-sectional study.

作者信息

Häusler Nadine, Bopp Matthias, Hämmig Oliver

机构信息

Epidemiology, Biostatistics and Prevention Institute, University of Zürich, Switzerland.

出版信息

Swiss Med Wkly. 2017 Nov 13;147:w14552. doi: 10.4414/smw.2017.14552. eCollection 2017.

Abstract

INTRODUCTION

Health professionals were found to have an elevated burnout risk compared to the general population. Some studies also reported more emotional exhaustion - a component of burnout - for health professionals with informal caregiving responsibilities for children (double-duty child caregivers) or adults (double-duty adult caregivers) or a combination of both (triple-duty caregivers) compared to health professionals without informal caregiving roles (formal caregivers). However, the potential mediating effect of the work-privacy conflict in this relationship as well as differences between occupational groups have not yet been studied in healthcare settings.

AIM

To assess the impact of informal caregiving on burnout risk among health professionals and whether this relationship is mediated by work-privacy conflict or differs between occupational groups.

METHODS

Data were collected through an employee survey in six hospitals from German-speaking Switzerland in 2015/2016. Mediation analyses were performed using linear mixed models with fixed effects for caregiving situation and work-privacy conflict as well as random effects for hospitals.

RESULTS

Triple-duty caregivers were found to have a significantly higher burnout risk compared to formal caregivers only. Work-privacy conflict did not mediate this relationship, except among the "other health professionals" group.

CONCLUSION

Additional and large-scale studies focusing on the combination of formal and informal caregiving roles are needed to better understand its effect on burnout among healthcare professionals and to evaluate the role of work-privacy conflict.

摘要

引言

与普通人群相比,健康专业人员被发现有更高的职业倦怠风险。一些研究还报告称,与没有非正式照料职责的健康专业人员(正式照料者)相比,承担儿童非正式照料职责(双重职责儿童照料者)、成人非正式照料职责(双重职责成人照料者)或两者兼而有之(三重职责照料者)的健康专业人员情感耗竭程度更高——情感耗竭是职业倦怠的一个组成部分。然而,工作-隐私冲突在这种关系中的潜在中介作用以及不同职业群体之间的差异在医疗环境中尚未得到研究。

目的

评估非正式照料对健康专业人员职业倦怠风险的影响,以及这种关系是否由工作-隐私冲突介导或在不同职业群体之间存在差异。

方法

2015/2016年通过对瑞士德语区六家医院的员工进行调查收集数据。使用线性混合模型进行中介分析,其中照料情况和工作-隐私冲突为固定效应,医院为随机效应。

结果

发现三重职责照料者与仅为正式照料者相比,职业倦怠风险显著更高。工作-隐私冲突并未介导这种关系,但在“其他健康专业人员”群体中除外。

结论

需要开展更多大规模研究,关注正式和非正式照料角色的结合,以更好地理解其对医疗保健专业人员职业倦怠的影响,并评估工作-隐私冲突的作用。

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