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农村两县地区心理健康服务的同行提供者及其他提供者的职业倦怠与离职意愿

Burnout and Turnover Intention Among Peer Providers and Other Providers of Mental Health Services in a Rural Two-County Area.

作者信息

Weikel Kim, Fisher Thomas

机构信息

Psychology Department, Shippensburg University of Pennsylvania, Shippensburg, PA USA.

出版信息

J Psychosoc Rehabil Ment Health. 2022;9(1):33-43. doi: 10.1007/s40737-021-00232-w. Epub 2021 Aug 24.

Abstract

Peer providers in the mental health field, having their own lived experience with mental illness, use their personal experience to assist the consumers of their services. Given high burnout rates in the mental health field, there have been two prior investigations of burnout among peer providers. The present study extends those prior investigations to a sample of peer providers working in community mental health programs in a rural area of the United States. Consistent with the prior studies, there were no differences in burnout between peer providers and other providers employed by those programs, with particularly strong support for the null hypothesis regarding the emotional exhaustion component of burnout. There were also no differences in strength of turnover intentions. However, among the non-consumer providers emotional exhaustion was correlated with both types of turnover intention assessed in this study (intent to change job setting within the mental health field and intent to leave the mental health workforce), whereas among the peer providers emotional exhaustion was correlated only with intent to leave the mental health field. Workload dissatisfaction was the workplace variable most strongly associated with emotional exhaustion among both types of providers. Other moderately strong inverse predictors of emotional exhaustion among peer providers were workplace community and workplace control, and the correlation between emotional exhaustion and workplace control was significantly stronger among the peer providers than among the other providers.

摘要

心理健康领域的同伴提供者自身有过精神疾病经历,他们利用个人经验来帮助其服务对象。鉴于心理健康领域的职业倦怠率很高,之前已有两项关于同伴提供者职业倦怠的调查。本研究将之前的调查扩展到美国农村地区社区心理健康项目中的同伴提供者样本。与之前的研究一致,同伴提供者与这些项目雇佣的其他提供者在职业倦怠方面没有差异,对于职业倦怠的情感耗竭部分的零假设尤其得到有力支持。离职意图的强度也没有差异。然而,在非服务对象提供者中,情感耗竭与本研究评估的两种离职意图(在心理健康领域内更换工作环境的意图和离开心理健康工作队伍的意图)都相关,而在同伴提供者中,情感耗竭仅与离开心理健康领域的意图相关。工作负荷不满是两类提供者中与情感耗竭最密切相关的工作场所变量。同伴提供者中情感耗竭的其他中等强度反向预测因素是工作场所社区和工作场所控制,并且同伴提供者中情感耗竭与工作场所控制之间的相关性明显强于其他提供者。

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