Mitchell Lauren M, Anand Aditya, Muke Shital, Hollon Steven D, Joshi Udita, Khan Azaz, Haney Juliana Restivo, Shrivastava Ritu, Singh Abhishek, Singla Daisy R, Teja G Sai, Tugnawat Deepak, Bhan Anant, Patel Vikram, Naslund John A
University of Chicago Division of the Biological Sciences, Section of General Internal Medicine, University of Chicago, Chicago, IL, USA.
Sangath, Bhopal, Madhya Pradesh, India.
BMJ Public Health. 2024 Jul;2(2). doi: 10.1136/bmjph-2024-001257. Epub 2024 Nov 23.
Burnout, low motivation, and poor job satisfaction among community health workers (CHWs) have negative impacts on health workers and on patients. This study aimed to characterize levels of burnout, motivation, and job satisfaction in CHWs in Madhya Pradesh, India and to determine the relation between these levels and participant characteristics. This study can inform efforts to promote wellbeing and address stress in this population.
In this cross-sectional study, we recruited participants via simple random sampling without replacement. We administered two validated questionnaires, the Copenhagen Burnout Inventory and a Motivation and Job Satisfaction Assessment, to CHWs who had enrolled in a training program to deliver a brief psychological intervention for depression. We calculated mean scores for each questionnaire item, examined the reliability of the measures, and analyzed associations between participant demographic characteristics and questionnaire scores.
339 CHWs completed the questionnaires. The personal burnout domain had the highest mean burnout score (41.08, 95% CI 39.52-42.64, scale 0-100) and 33% of participants reported moderate or greater levels of personal burnout. Items that reflected physical exhaustion had the highest item-test correlations. The organization commitment domain had the highest mean motivation score (mean 3.34, 95% CI 3.28 - 3.40, scale 1-4). Items describing pride in CHWs' work had the highest item-test correlations. Several pairwise comparisons showed that higher education levels were associated with higher motivation levels (degree or higher vs. 8 standard [p=0.0044] and 10 standard [p=0.048], and 12 standard vs. 8 standard [p= 0.012]). Cronbach's alpha was 0.82 for the burnout questionnaire and 0.86 for the motivation and job satisfaction questionnaire.
CHWs report experiencing burnout and feeling physically tired and worn out. A sense of pride in their work appears to contribute to motivation. These findings can inform efforts to address burnout and implement effective task-sharing programs in low-resource settings.
社区卫生工作者（CHW）的职业倦怠、低动力和低工作满意度对卫生工作者和患者都有负面影响。本研究旨在描述印度中央邦社区卫生工作者的职业倦怠、动力和工作满意度水平，并确定这些水平与参与者特征之间的关系。本研究可为促进该人群的幸福感和应对压力的努力提供参考。
在这项横断面研究中，我们通过无放回简单随机抽样招募参与者。我们向参加了抑郁症简短心理干预培训项目的社区卫生工作者发放了两份经过验证的问卷，即哥本哈根职业倦怠量表和动力与工作满意度评估问卷。我们计算了每个问卷项目的平均得分，检验了测量的可靠性，并分析了参与者人口统计学特征与问卷得分之间的关联。
339名社区卫生工作者完成了问卷。个人职业倦怠领域的平均职业倦怠得分最高（41.08，95%置信区间39.52 - 42.64，量表0 - 100），33%的参与者报告有中度或更高水平的个人职业倦怠。反映身体疲惫的项目具有最高的项目 - 测试相关性。组织承诺领域的平均动力得分最高（平均3.34，95%置信区间3.28 - 3.40，量表1 - 4）。描述社区卫生工作者对工作感到自豪的项目具有最高的项目 - 测试相关性。几项两两比较表明，较高的教育水平与较高的动力水平相关（学位或更高学历与8年制[p = 0.0044]和10年制[p = 0.048]，以及12年制与8年制[p = 0.012]）。职业倦怠问卷的Cronbach's α为0.82，动力与工作满意度问卷的Cronbach's α为0.86。
社区卫生工作者报告经历了职业倦怠，感觉身体疲惫不堪。对工作的自豪感似乎有助于提升动力。这些发现可为在资源匮乏地区解决职业倦怠和实施有效的任务分担计划提供参考。
