School of Medicine and Medical Science, University College Dublin, Dublin, Ireland.
Lucena Clinic, Child and Adolescent Mental Health Service, St John of God, Dublin, Ireland.
Ir J Psychol Med. 2024 Mar;41(1):54-60. doi: 10.1017/ipm.2022.12. Epub 2022 Apr 11.
Previous literature has highlighted high rates of burnout among doctors and nurses in healthcare settings. Non-clinical and support staff such as administrative, housekeeping and managerial staff are also exposed to the stressors of a health care setting, but fewer studies report on their experiences. Therefore, the aim of this research is to examine occupational stress in all staff working in Child and Adolescent Mental Health Services (CAMHS) in Ireland and identify risk and protective factors.
Fifty-nine clinical and non-clinical staff (44% response rate) were surveyed. Participants completed the Copenhagen Burnout Inventory (CBI) and the Effort Reward Imbalance scale, as well as survey-specific questions.
Both clinical and non-clinical staff were found to experience moderate or high rates of work-related, personal and patient-related burnout (57.6%, 52.2% and 50.8%, respectively). Univariate general linear modelling showed an association between total CBI scores and effort reward index ( = 64 306, = 3.430, = 0.001); overcommitment ( = 1.963, = 3.061, = 0.003); and an unwillingness to work in CAMHS ( = 28.429, = 3.247, = 0.002).
Pre-pandemic levels of stress were high among clinical and non-clinical staff surveyed. Given the anticipated increased demand on CAMHS post COVID-19, urgent action is needed to protect all staff from intolerable levels of occupational stress and burnout.
先前的文献强调了医疗保健环境中医生和护士的高 burnout 率。非临床和支持人员（如行政、家政和管理人员）也面临着医疗保健环境的压力源，但较少的研究报告他们的经历。因此，本研究的目的是检查在爱尔兰儿童和青少年心理健康服务（CAMHS）工作的所有员工的职业压力，并确定风险和保护因素。
对 59 名临床和非临床工作人员（44%的响应率）进行了调查。参与者完成了哥本哈根倦怠量表（CBI）和努力-回报失衡量表，以及特定于调查的问题。
临床和非临床工作人员都被发现经历了与工作相关、个人和患者相关的倦怠的中度或高度发生率（分别为 57.6%、52.2%和 50.8%）。单变量一般线性模型显示，CBI 总分与努力-回报指数之间存在关联（ = 64306， = 3.430， = 0.001）；过度投入（ = 1.963， = 3.061， = 0.003）；以及不愿意在 CAMHS 工作（ = 28.429， = 3.247， = 0.002）。
在接受调查的临床和非临床工作人员中，疫情前的压力水平很高。鉴于 COVID-19 后对 CAMHS 的需求预计会增加，需要采取紧急行动，保护所有工作人员免受无法承受的职业压力和倦怠的影响。
