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护理人员暴露于挑战性行为和倦怠症状之中:心理资源的作用。

Exposure to challenging behaviours and burnout symptoms among care staff: the role of psychological resources.

机构信息

Centre for Intellectual Disability and Mental Health, GGZ Drenthe, Assen, The Netherlands.

Department of Child and Adolescent Psychiatry, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.

出版信息

J Intellect Disabil Res. 2021 Feb;65(2):173-185. doi: 10.1111/jir.12800. Epub 2020 Dec 16.

Abstract

BACKGROUND

Staff supporting individuals with intellectual disabilities are at risk of burnout symptoms. Evidence suggests an association between exposure to challenging behaviours of individuals with intellectual disabilities and burnout symptoms of staff, but the protective role of staff psychological resources in this relation has been understudied.

METHOD

We investigated the association between exposure to challenging behaviours and burnout symptoms of staff and the direct and moderating effects of several psychological resources. Staff (N = 1271) completed an online survey concerning burnout symptoms (subscale Emotional Exhaustion of the Maslach Burnout Inventory), exposure to challenging behaviours and a range of potential psychological resources. We examined main and moderating effects with multilevel analyses. In order to control for the multiple comparisons, P values corrected for false discovery rate (P ) were reported.

RESULTS

We found a direct relation between exposure to challenging behaviours and increased levels of burnout symptoms in staff (b = .15, t(670) = 4.466, P  < .0001). Perceived supervisor social support (b = -.97, t(627) = -7.562, P  < .0001), staff self-efficacy (b = -.23, t(673) = -3.583, P  < .0001), resilience (b = -.19, t(668) = -2.086, P  < .05) and extraversion (b = -.20, t(674) = -3.514, P  < .05) were associated with reduced burnout symptoms. None of the proposed psychological resources moderated the association between exposure to challenging behaviours and burnout symptoms of staff.

CONCLUSIONS

Of the psychological resources found to be associated with reduced risk of burnout symptoms, staff self-efficacy and access of staff to supervisor social support seem to be the factors that can be influenced best. These factors thus may be of importance in reducing the risk of developing burnout symptoms and improving staff well-being, even though the current study was not designed to demonstrate causal relations between psychological resources and burnout symptoms.

摘要

背景

为智障人士提供支持的工作人员面临 burnout 症状的风险。有证据表明,智障人士的挑战性行为暴露与工作人员的 burnout 症状之间存在关联,但工作人员心理资源在这种关系中的保护作用研究较少。

方法

我们调查了工作人员接触挑战性行为与 burnout 症状之间的关联,以及几种心理资源的直接和调节作用。工作人员(N=1271)完成了一项关于 burnout 症状(Maslach 倦怠量表的情绪衰竭分量表)、接触挑战性行为和一系列潜在心理资源的在线调查。我们使用多层分析检验了主要和调节效应。为了控制多重比较,报告了经过虚假发现率(P )校正的 P 值。

结果

我们发现,工作人员接触挑战性行为与 burnout 症状水平升高之间存在直接关系(b=.15,t(670)=4.466,P<.0001)。感知到的主管社会支持(b=-.97,t(627)=-7.562,P<.0001)、员工自我效能感(b=-.23,t(673)=-3.583,P<.0001)、适应力(b=-.19,t(668)=-2.086,P<.05)和外向性(b=-.20,t(674)=-3.514,P<.05)与 burnout 症状减少相关。提出的心理资源中没有一个调节了工作人员接触挑战性行为与 burnout 症状之间的关联。

结论

在所发现的与降低 burnout 症状风险相关的心理资源中,员工自我效能感和员工获得主管社会支持的机会似乎是最能受到影响的因素。因此,这些因素可能对降低发展 burnout 症状和提高员工福祉的风险很重要,尽管本研究的设计并非旨在证明心理资源与 burnout 症状之间存在因果关系。

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