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预防职业倦怠:工作场所支持能否保护从事公共卫生公平工作的母婴健康专业人员?

Preventing Job Burnout: Could Workplace Support Protect Maternal and Child Health Professionals Who Are Doing Public Health Equity Work?

机构信息

Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha, NE, 68198-4365, USA.

Division of Nursing, Midwifery and Social work, School of Health Sciences, University of Manchester, Manchester, UK.

出版信息

Matern Child Health J. 2024 Jan;28(1):24-30. doi: 10.1007/s10995-023-03846-7. Epub 2023 Nov 25.

Abstract

PURPOSE

To assess the potential of workplace support to protect public health equity workers against job burnout and to identify key workplace support components.

DESCRIPTION

This mixed-methods, explanatory sequential study analyzed survey and interview data collected between August 2020 and June 2021. Participants included governmental and non-governmental public health employees whose programs largely focus on Maternal and Child Health populations and who reported that their jobs involved working to reduce health inequities ("equity work"). Regression analysis tested the effect of emotional labor on job burnout, and whether workplace support modified that effect. Qualitative analysis of interview transcripts explored possible components of needed workplace support.

ASSESSMENT

Emotional labor was positively associated with job burnout (p < .001), and there was a significant negative interaction between emotional labor and workplace support, meaning workplace support appeared to reduce the effect of emotional labor on burnout (p = .036). Qualitative analysis identified four support components: peer-to-peer mentoring connections, workplace accommodations, engaged and empathetic supervision, and mental health resources.

CONCLUSION

Workplace support is associated with reduced job burnout for public health equity workers, especially those whose jobs involve high levels of emotional labor. Few public health employers are providing needed emotional supports for their equity workers, but certain supports appear to be helpful in reducing job burnout.

摘要

目的

评估工作场所支持对保护公共卫生公平工作者免受职业倦怠的影响,并确定关键的工作场所支持要素。

描述

本混合方法、解释性序贯研究分析了 2020 年 8 月至 2021 年 6 月期间收集的调查和访谈数据。参与者包括政府和非政府公共卫生工作者,他们的项目主要关注母婴健康人群,并且报告说他们的工作涉及减少健康不公平(“公平工作”)。回归分析检验了情绪劳动对职业倦怠的影响,以及工作场所支持是否改变了这种影响。对访谈记录的定性分析探讨了工作场所支持所需的可能要素。

评估

情绪劳动与职业倦怠呈正相关(p<0.001),情绪劳动和工作场所支持之间存在显著的负交互作用,这意味着工作场所支持似乎降低了情绪劳动对倦怠的影响(p=0.036)。定性分析确定了四个支持要素:同行导师关系、工作场所适应、参与和有同理心的监督以及心理健康资源。

结论

工作场所支持与公共卫生公平工作者的职业倦怠减少有关,特别是那些工作中涉及高水平情绪劳动的工作者。很少有公共卫生雇主为其公平工作者提供所需的情感支持,但某些支持似乎有助于减少职业倦怠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/351e/10876745/21c8bc380115/10995_2023_3846_Fig1_HTML.jpg

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