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督导支持对社区精神卫生服务提供者离职意愿和实际离职的中介作用路径。

Mediational paths from supervisor support to turnover intention and actual turnover among community mental health providers.

机构信息

Indiana University School of Social Work.

Department of Psychology.

出版信息

Psychiatr Rehabil J. 2019 Dec;42(4):350-357. doi: 10.1037/prj0000362. Epub 2019 Apr 4.

Abstract

OBJECTIVE

Turnover is a critical problem for community mental health providers, and supervisors may play an important role in mitigating turnover. The current study examined the potential impact of supervisory support on turnover intention and actual turnover among community mental health providers.

METHOD

We conducted path analyses with data collected longitudinally from 186 direct clinical care providers at two community mental health centers.

RESULTS

Increased supervisory support was associated with lower turnover intention 6 months later, as well as reduced actual turnover 12 months later. Type of supervisory support mattered: supervisors' emotional support was most strongly associated with reduced turnover intention and turnover. However, client goal alignment support (supporting providers to help consumers achieve their goals) was directly associated with increased turnover.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

The current study suggests an important role for direct supervisors to attend to care providers' emotional support needs, which may reduce turnover intention and actual turnover. Differential supervisory support functions might impact turnover in unique ways; thus, examining more detailed change mechanisms would facilitate our understanding of factors that may prevent future turnover. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

目的

人员流动对于社区心理健康服务提供者来说是一个关键问题,而主管可能在缓解人员流动方面发挥重要作用。本研究考察了监督支持对社区心理健康服务提供者离职意愿和实际离职的潜在影响。

方法

我们对来自两个社区心理健康中心的 186 名直接临床护理人员进行了纵向数据的路径分析。

结果

监督支持的增加与 6 个月后的离职意愿降低以及 12 个月后的实际离职减少有关。监督支持的类型很重要:主管的情感支持与降低离职意愿和离职率的关系最强。然而,客户目标一致支持(支持提供者帮助消费者实现目标)与离职呈正相关。

结论和对实践的意义

本研究表明,主管在关注护理人员的情感支持需求方面发挥着重要作用,这可能会降低离职意愿和实际离职率。不同的监督支持功能可能会以独特的方式影响离职率;因此,更详细地研究变化机制将有助于我们理解可能预防未来离职的因素。

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