为智障人士提供服务的工作人员的职业倦怠和继发性创伤压力：童年不良经历、复原力和创伤知情组织氛围的作用。
Burnout and secondary traumatic stress in staff working with people with intellectual disabilities: The role of adverse childhood experiences, resilience and trauma-informed organisational climate.
作者信息
Mercer Louise, Cookson Alex, Müller-Myhsok Bertram, van Vuuren Julie
机构信息
Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Learning Disability Community Team, Merseycare NHS Trust, Liverpool, UK.
出版信息
J Appl Res Intellect Disabil. 2023 Nov;36(6):1297-1307. doi: 10.1111/jar.13148. Epub 2023 Aug 2.
BACKGROUND
There has been extensive research into adverse childhood experiences (ACEs), however, less consideration has been given to the prevalence and impact of ACEs for staff working with people with intellectual disabilities.
METHOD
Participants were staff employed by agencies that care for people with intellectual disabilities. An online survey collected demographic information and measures of ACEs, resilience, trauma-informed organisational climate, burnout and secondary traumatic stress. Correlation, regression, mediation and moderation analyses were used.
RESULTS
81.7% of 109 participants had experienced at least one ACE. Burnout, secondary traumatic stress and resilience were greater in the present study than in comparable samples. Trauma-informed organisational climate significantly predicted burnout and secondary traumatic stress. Resilience significantly predicted burnout.
CONCLUSIONS
Staff working with people with intellectual disabilities are likely to have experienced ACEs. Working in a trauma-informed organisational climate and resilience may be effective avenues for reducing burnout and secondary traumatic stress.
背景
针对儿童期不良经历（ACEs）已有广泛研究，然而，对于从事智障人士工作的员工而言，ACEs的患病率及影响却较少受到关注。
方法
参与者为受雇于照顾智障人士机构的员工。通过在线调查收集人口统计学信息以及ACEs、心理韧性、创伤知情组织氛围、职业倦怠和继发性创伤压力的测量数据。采用了相关性分析、回归分析、中介分析和调节分析。
结果
109名参与者中，81.7%至少经历过一次ACEs。在本研究中，职业倦怠、继发性创伤压力和心理韧性比可比样本中的情况更为严重。创伤知情组织氛围显著预测了职业倦怠和继发性创伤压力。心理韧性显著预测了职业倦怠。
结论
从事智障人士工作的员工很可能经历过ACEs。在创伤知情的组织氛围中工作以及具备心理韧性可能是减少职业倦怠和继发性创伤压力的有效途径。
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