Barbour R S
Public Health Research Unit, Glasgow, UK.
AIDS Care. 1995;7(4):521-35. doi: 10.1080/09540129550126461.
Although there have been a great many surveys of staff members' attitudes to HIV/AIDS, there has been relatively little research which has focused on their actual responses to and experiences of AIDS-related work (Barbour, 1994a). In addition, much of the published work on AIDS workers assumes that the demands of this work are self-evident, contingent upon client contact, and unique to this area of work. The research findings presented here suggest that these assumptions may be unfounded and certainly do not provide a complete picture of what AIDS work involves for staff members. Although some of the stressors reported by workers related to concerns explored in existing literature they did not always experience these anticipated demands as being especially problematic. Workers also reported experiencing problems in responding to demands from more unexpected quarters, such as organizational aspects of the work, rather than those stemming from the nature of contact with clients. Moreover, many of the demands were not unique to HIV/AIDS, but are features of other types of work. In devising training programmes for AIDS workers educators need to be alert to the often overlooked potential of pre-existing training programmes in operation in other specialties. Many of the demands cited by workers as problematic related to the newness of such demands in the light of their own employment histories rather than to HIV/AIDS work itself, suggesting that individualized training packages might be more appropriate. In relation to the retention of staff, it is crucial that the many rewards which pertain to this area of work are acknowledged and capitalized upon.
尽管已经有大量关于工作人员对艾滋病毒/艾滋病态度的调查,但相对而言,很少有研究关注他们对艾滋病相关工作的实际应对情况和经历(巴伯,1994a)。此外,许多已发表的关于艾滋病工作者的研究都假定这项工作的要求是不言而喻的,取决于与客户的接触,并且是该工作领域所特有的。这里呈现的研究结果表明,这些假设可能毫无根据,当然也不能全面反映艾滋病工作对工作人员意味着什么。尽管工作人员报告的一些压力源与现有文献中探讨的问题相关,但他们并不总是觉得这些预期的要求特别棘手。工作人员还报告说,在应对来自更意想不到的方面的要求时遇到了问题,比如工作的组织方面,而不是源于与客户接触性质的那些要求。此外,许多要求并非艾滋病毒/艾滋病工作所特有,而是其他类型工作的特征。在为艾滋病工作者设计培训项目时,教育工作者需要警惕其他专业中正在实施的现有培训项目常常被忽视的潜力。工作人员认为有问题的许多要求,与其说是与艾滋病毒/艾滋病工作本身有关,不如说是鉴于他们自己的工作经历,这些要求是新出现的,这表明个性化培训套餐可能更合适。关于留住工作人员,至关重要的是要认识到并利用与这一工作领域相关的诸多回报。