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相同的工作,相同的工作条件?一项横断面研究,旨在考察流动和驻点青少年福利工作者工作状况的异同。

Same job, same working conditions? A cross-sectional study to examine the similarities and differences of the working situation in ambulatory and residential youth welfare workers.

作者信息

Kersten Maren, Vincent-Höper Sylvie, Wirth Tanja, Gregersen Sabine, Nienhaus Albert

机构信息

Institution for Statutory Accident Insurance and Prevention in the Healthcare and Welfare Services (BGW), Pappelallee 33/35/37, 22089, Hamburg, Germany.

Department of Work and Organizational Psychology, Medical School Hamburg, Hamburg, Germany.

出版信息

J Occup Med Toxicol. 2024 May 17;19(1):19. doi: 10.1186/s12995-024-00419-4.

DOI:10.1186/s12995-024-00419-4
PMID:38760845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11100187/
Abstract

BACKGROUND

Employees in social work exhibit high rates of sick leave due to mental health issues. Additionally, work-related demands in youth welfare have increased in recent years. Particularly in light of the escalating shortage of skilled professionals in this field, this trend becomes especially critical. The aim of this study is to systematically examine health-relevant working conditions, coping strategies, and health indicators in youth welfare. A special focus is placed on a differentiated analysis of job-related characteristics in the context of outpatient and residential youth welfare.

METHODS

Mean values, standard deviations and the reliability of scales are measured. In addition to descriptive statistics, t-tests for analyzing mean differences, as well as correlation analyses and odds ratios as measures of association, are computed.

RESULTS

A total of N = 1044 employees in youth welfare participated in the online survey. Among them, 671 individuals belonged to the field of residential youth welfare, and 373 to outpatient youth welfare. The results indicate that, in youth welfare in general, a variety of emotional, social, qualitative, and quantitative demands exhibit high levels. The comparison between outpatient and residential youth welfare reveals differences in half of the demands. The significant differences are observed for social demands and aggression from clients, which are statistically significant higher in the residential setting. Regarding resources, the most significant difference is observed for autonomy, which is higher in the outpatient setting. Overall, the association patterns reveals more similarities than differences between outpatient and residential settings. In both settings working conditions seem to have deteriorated during the pandemic.

CONCLUSIONS

In conclusion, the identified job-related characteristics in outpatient and residential youth welfare exhibit more similarities than differences. Nevertheless, the identified differences provide insights into the specific features of each work context, offering valuable starting points for targeted health promotion in practice.

TRIAL REGISTRATION

This trial is recorded at the Hamburg University Ethics Committee (AZ 2022_027).

摘要

背景

社会工作领域的员工因心理健康问题而休病假的比例很高。此外,近年来青少年福利领域与工作相关的需求有所增加。特别是鉴于该领域熟练专业人员短缺情况不断加剧,这一趋势变得尤为关键。本研究的目的是系统地考察青少年福利领域与健康相关的工作条件、应对策略和健康指标。特别关注在门诊和寄宿制青少年福利背景下对与工作相关特征的差异化分析。

方法

测量量表的均值、标准差和信度。除描述性统计外,还计算用于分析均值差异的t检验以及作为关联度量的相关分析和比值比。

结果

共有1044名青少年福利领域的员工参与了在线调查。其中,671人属于寄宿制青少年福利领域,373人属于门诊青少年福利领域。结果表明,总体而言,在青少年福利领域,各种情感、社会、质量和数量方面的需求都处于较高水平。门诊和寄宿制青少年福利之间的比较显示,在一半的需求方面存在差异。在社会需求和来自客户的攻击性方面观察到显著差异,在寄宿制环境中这些差异在统计学上显著更高。在资源方面,自主权方面的差异最为显著,门诊环境中的自主权更高。总体而言,关联模式显示门诊和寄宿制环境之间的相似之处多于差异。在这两种环境中,疫情期间工作条件似乎都有所恶化。

结论

总之,门诊和寄宿制青少年福利中确定的与工作相关的特征相似之处多于差异。然而,所确定的差异为每个工作环境的具体特征提供了见解,为实践中针对性的健康促进提供了有价值的起点。

试验注册

本试验已在汉堡大学伦理委员会备案(编号2022_027)。

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