Boitet Laurence M, Meese Katherine A, Colón-López Alejandra, Schwiebert Lisa M, Rogers David A
Department of Health Services Administration and University of Alabama at Birmingham (UAB) Medicine Office of Wellness, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Health Services Administration and Director of Wellness Research, UAB Medicine Office of Wellness, University of Alabama at Birmingham, Birmingham, AL, USA.
J Multidiscip Healthc. 2023 Feb 5;16:333-343. doi: 10.2147/JMDH.S399517. eCollection 2023.
Challenges ushered by the COVID-19 pandemic led to an increased focus on the mental well-being of the healthcare workforce. Despite the important contribution non-clinician biomedical researchers make to the mission of academic medical centers, the well-being of this unique population remains understudied in the United States. The purpose of this study was to examine the individual and organizational correlates of distress among non-clinician biomedical researchers.
A survey was delivered to employees of a large academic medical center in the southeastern United States, including non-clinician biomedical researchers. Participants were asked to assess their own well-being using the validated Well-Being Index (WBI) tool, resilience, work and nonwork-related stressors and demographic descriptors. Descriptive statistics and bivariate analyses were conducted, and binary logistic regression was used to examine predictors of increased odds of overall distress.
Nearly 44% of surveyed non-clinician biomedical researchers met the threshold for high distress which indicates an increased risk of suicidal ideation, turnover intention, and burnout. The major correlates of distress were at the organizational level, including perceived organizational support (OR 0.79, 95% CI 0.70-0.90), heavy workload and long hours (OR 3.25, 95% CI 1.53-6.88), inability or lack of support to take time off (OR 2.80, 95% CI 1.03-7.66) and conflict with supervisor (OR 5.03, 95% CI 1.13-22.1). While lower individual resilience (OR 0.69, 95% CI 0.54-0.88) was statistically significantly associated with greater distress, it accounted for less than 10% of the overall variance when controlling for other work-related factors.
These findings suggest that developing organizational interventions that address institutional support for non-clinician biomedical researchers within academic medical centers represents an important opportunity to reduce distress within this population. While emphasizing individual resiliency as an important in the pursuit of well-being, it is also the responsibility of the organization to create and foster an environment in which employees can access their own resilience.
新冠疫情带来的挑战使人们更加关注医护人员的心理健康。尽管非临床生物医学研究人员对学术医疗中心的使命做出了重要贡献,但在美国,这一独特群体的心理健康状况仍未得到充分研究。本研究的目的是探讨非临床生物医学研究人员困扰的个体和组织相关因素。
对美国东南部一家大型学术医疗中心的员工进行了一项调查,其中包括非临床生物医学研究人员。参与者被要求使用经过验证的幸福感指数(WBI)工具、复原力、工作和非工作相关压力源以及人口统计学描述来评估自己的幸福感。进行了描述性统计和双变量分析,并使用二元逻辑回归来检验总体困扰几率增加的预测因素。
近44%的受访非临床生物医学研究人员达到了高度困扰的阈值,这表明自杀意念、离职意向和职业倦怠的风险增加。困扰的主要相关因素在组织层面,包括感知到的组织支持(比值比[OR]0.79,95%置信区间[CI]0.70 - 0.90)、工作量大且工作时间长(OR 3.25,95% CI 1.53 - 6.88)、无法休假或缺乏休假支持(OR 2.80,95% CI 1.03 - 7.66)以及与上级发生冲突(OR 5.03,95% CI 1.13 - 22.1)。虽然较低的个人复原力(OR 0.69,95% CI 0.54 - 0.88)与更大的困扰在统计学上显著相关,但在控制其他工作相关因素时,它在总体方差中所占比例不到10%。
这些发现表明,制定组织干预措施以解决学术医疗中心对非临床生物医学研究人员的机构支持问题,是减少该群体困扰的一个重要机会。虽然强调个人复原力对追求幸福感很重要,但组织也有责任创造和培育一个员工能够发挥自身复原力的环境。