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工作相关倦怠在大学医院工作人员中的表现:使用潜在类别分析识别定量和定性差异。

Work-related burnout among personnel at a university hospital: identifying quantitative and qualitative differences using latent class analysis.

机构信息

Department of Psychiatry, Medical Directorate, Lausanne University Hospital, Prilly, Switzerland.

Department of Psychiatry, Community Psychiatry Service, Lausanne University Hospital, Lausanne, Switzerland.

出版信息

J Ment Health. 2021 Jun;30(3):388-399. doi: 10.1080/09638237.2021.1922635. Epub 2021 May 8.

DOI:10.1080/09638237.2021.1922635
PMID:33966544
Abstract

BACKGROUND

Burnout among hospital personnel is frequent and has impacts on the quality of care. Monitoring is important, but there is a lack of specificity for individual patterns of burnout syndromes.

AIMS

This study aimed to identify specific burnout profiles in a hospital setting.

METHOD

Using job satisfaction data from a survey of 4793 hospital personnel, we performed a latent class analysis on the work-related items of the Copenhagen Burnout Inventory (CBI). Total burnout score, job satisfaction and work-related variables were compared across classes.

RESULTS

Five latent work-related burnout profiles were revealed, including a (9.5% of participants) and two classes with similar total CBI scores: a (6%), including young administrative personnel who reported less pleasure at work but a better work-life balance, and an (13.1%), including older healthcare personnel who were more satisfied at work and could use their skills appropriately. Finally, personnel in the were younger healthcare professionals, reporting lower job satisfaction, poorer working conditions and less respect from their direct hierarchy.

CONCLUSIONS

The risk and type of burnout depended on personnel's characteristics and their social and work environments. Tailored interventions should be used to address these different profiles.

摘要

背景

医院人员的倦怠现象很常见,会对护理质量产生影响。监测很重要,但对于倦怠综合征的个体模式缺乏特异性。

目的

本研究旨在确定医院环境中的特定倦怠模式。

方法

我们使用了来自 4793 名医院人员调查的工作满意度数据,对哥本哈根倦怠量表(CBI)的与工作相关的项目进行潜在类别分析。我们比较了不同类别之间的总倦怠得分、工作满意度和与工作相关的变量。

结果

揭示了五个潜在的与工作相关的倦怠模式,包括一个“高风险、低疲惫”(9.5%的参与者)和两个总 CBI 得分相似的类别:一个“高疲惫、低投入”(6%),包括年轻的行政人员,他们报告工作中的乐趣较少,但工作与生活的平衡较好,以及一个“高投入、低疲惫”(13.1%),包括年龄较大的医护人员,他们对工作更满意,能够适当地运用自己的技能。最后,处于“低风险、高疲惫”类别的人员是年轻的医护人员,他们报告工作满意度较低、工作条件较差且直接上级的尊重度较低。

结论

倦怠的风险和类型取决于人员的特征及其社会和工作环境。应采用针对性的干预措施来解决这些不同的模式。

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