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工作场所支持因素对英国医疗保健专业人员心理健康和职业倦怠的影响:来自CoPE-HCP队列研究的见解。

The impact of workplace support components on the mental health and burnout of UK-based healthcare professionals: Insights from the CoPE-HCP cohort study.

作者信息

Collett George, Emad Alaa, Gupta Ajay K

机构信息

Clinical Pharmacology and Precision Medicine, William Harvey Research Institute, Queen Mary University of London, London, UK.

Bristol Medical School, University of Bristol, Bristol, UK.

出版信息

Clin Med (Lond). 2025 May 5;25(4):100324. doi: 10.1016/j.clinme.2025.100324.

Abstract

STUDY OBJECTIVE

To evaluate the influence of the perceived level of workplace support and its individual components in improving mental health and reducing burnout among healthcare professionals (HCPs).

DESIGN

In a cohort of 400 HCPs followed up since July 2020, a follow-up survey was done online (August 2023) containing detailed questionnaires regarding workplace support and mental health.

PARTICIPANTS

400 UK-based HCPs.

MAIN OUTCOME MEASURE(S): The level of individual workplace support components (perceived manager's concern for staff welfare, transparent communication, adequate staffing/safety, visible and approachable leadership, and collegial/peer support) were assessed using self-rating scales. Depression (PHQ-9), anxiety (GAD-7), insomnia (ISI), mental wellbeing (SWEMWBS) and burnout (emotional exhaustion, aMBI-EE; and depersonalisation, aMBI-DP) were assessed using validated tools.

RESULTS

Compared with feeling unsupported, feeling supported was associated with a reduced risk of probable depression, insomnia, low wellbeing and burnout, and was associated with an increased perceived level of all individual support components. An increase in the perceived level of collegial/peer support was associated with reduced depression, anxiety, insomnia and burnout, and increased wellbeing scores (all p-values <0.01). An increase in the perceived level of managerial understanding of staff welfare was associated with reduced burnout (emotional exhaustion) among HCPs (p<0.05). There was also evidence that varying levels of visible and approachable leadership may impact on depression, anxiety and insomnia (p<0.05).

CONCLUSIONS

Adverse mental health and burnout among HCPs may be mitigated by good quality workplace support, specifically by fostering collegial/peer support among staff and ensuring that managers show genuine understanding for staff welfare and are visible and approachable in their leadership. These findings may guide the allocation of workplace support resources for HCPs.

摘要

研究目的

评估工作场所支持的感知水平及其各个组成部分对改善医护人员心理健康和减少职业倦怠的影响。

设计

在自2020年7月起随访的400名医护人员队列中,于2023年8月进行了一项在线随访调查,其中包含有关工作场所支持和心理健康的详细问卷。

参与者

400名英国医护人员。

主要观察指标

使用自评量表评估工作场所支持各个组成部分的水平(感知到的管理者对员工福利的关注、透明沟通、充足的人员配备/安全、可见且平易近人的领导以及同事/同伴支持)。使用经过验证的工具评估抑郁(PHQ-9)、焦虑(GAD-7)、失眠(ISI)、心理健康(SWEMWBS)和职业倦怠(情绪耗竭,aMBI-EE;以及去个性化,aMBI-DP)。

结果

与感觉缺乏支持相比,感觉得到支持与可能患抑郁症、失眠、低幸福感和职业倦怠的风险降低相关,并且与所有个人支持组成部分的感知水平提高相关。同事/同伴支持感知水平的提高与抑郁、焦虑、失眠和职业倦怠的减少以及幸福感得分的提高相关(所有p值<0.01)。管理者对员工福利的理解感知水平的提高与医护人员职业倦怠(情绪耗竭)的减少相关(p<0.05)。也有证据表明,不同水平的可见且平易近人的领导可能会影响抑郁、焦虑和失眠(p<0.05)。

结论

优质的工作场所支持,特别是通过促进员工之间的同事/同伴支持,并确保管理者对员工福利表现出真正的理解,且在领导方面可见且平易近人,可能会减轻医护人员的不良心理健康和职业倦怠。这些发现可能会指导为医护人员分配工作场所支持资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5619/12153366/2715bae28241/ga1.jpg

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