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社区成人心理健康服务中的员工压力和倦怠。

Staff stress and burnout in a community adult mental health service.

机构信息

Cluain Mhuire Community Services, Newtownpark Avenue, Blackrock, Ireland.

Lucena Clinic, Rathgar, Dublin 6, Ireland.

出版信息

Ir J Psychol Med. 2023 Sep;40(3):387-395. doi: 10.1017/ipm.2021.36. Epub 2021 May 26.

DOI:10.1017/ipm.2021.36
PMID:34034853
Abstract

OBJECTIVES

Burnout has been associated with medical errors and low levels should be considered an indicator of service quality. This study examined the level of personal, work and client-related burnout in medical, other clinical and non-clinical staff in an adult community mental health service.

METHODS

An anonymous study-specific questionnaire was designed and circulated to all staff with an explanatory document. The Copenhagen Burnout Inventory was used as a validated measure of burnout, with high levels reflecting high rates of stress and burnout. Further questions were added from Maslach Burnout Inventory and effort-reward imbalance index. Information on demographics, job satisfaction, turnover intention, feeling valued and effort/reward balance was gathered and analysed.

RESULTS

The overall response rate was 47.4% (63/133), of whom 43 were clinical staff. Overall levels of burnout were low and similar across staff type, with only 30.1% showing moderate levels of burnout, and none in the 'high-burnout' category. All staff displayed positive disposition towards patients, with lower client burnout, as compared to personal and work-related burnout. All medical staff felt valued in their work, with lower rates in the other groups (48.7% of non-medical clinicians and 58.3% of non-clinical staff).

CONCLUSIONS

Relatively low levels of overall burnout were reported among clinical and non-clinical staff working in our adult mental health service. These rates are similar to the levels identified in a national study of burnout in Irish hospital doctors but lower than the levels found among consultants in Irish child and adolescent mental health services.

摘要

目的

burnout 与医疗失误有关,较低的 burnout 水平应被视为服务质量的指标。本研究调查了成人社区心理健康服务中医疗、其他临床和非临床人员的个人、工作和与客户相关的 burnout 水平。

方法

设计了一份匿名的特定于研究的问卷,并分发给所有员工,并附有一份解释性文件。哥本哈根 burnout 量表被用作 burnout 的有效衡量标准,高水平反映了高压力和 burnout 率。还从 Maslach burnout 量表和努力-回报失衡指数中添加了其他问题。收集并分析了人口统计学、工作满意度、离职意向、被重视感和努力-回报平衡的信息。

结果

总体回复率为 47.4%(63/133),其中 43 人为临床工作人员。总体 burnout 水平较低,且在不同类型的员工中相似,仅有 30.1%的员工表现出中度 burnout,没有员工属于“高 burnout”类别。所有员工对患者的态度都很积极,与个人和工作相关的 burnout 相比,客户的 burnout 水平较低。所有医务人员都觉得自己的工作有价值,而非医务人员的临床医生和非临床人员的这一比例分别为 48.7%和 58.3%。

结论

在我们的成人心理健康服务中工作的临床和非临床人员报告了相对较低的整体 burnout 水平。这些比率与爱尔兰医院医生 burnout 全国性研究中确定的比率相似,但低于爱尔兰儿童和青少年心理健康服务中顾问的水平。

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