Predictors of dropout and burnout in AIDS volunteers: a longitudinal study

Predictors of dropout and burnout in AIDS volunteers: a longitudinal study
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DOI:
10.1080/09540129947631
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发表时间:
1999-12-01
影响因子:
1.7
通讯作者:
Bennett, L
Bennett, L
中科院分区:
医学4区
文献类型:
--
作者:
Ross, MW;Greenfield, SA;Bennett, L

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艾滋病毒/艾滋病志愿人员的疲惫不堪导致专门人员的流失,从而给艾滋病毒/艾滋病护理系统造成压力。过去的研究表明,有显着的压力和倦怠与艾滋病的传播。我们调查了艾滋病志愿者随着时间的推移而辍学的预测因素,特别是,作为志愿者的压力和奖励(在基线收集)的变量预测谁会在两年后放弃我们。这些志愿者是Nesperson等人(1996)的研究对象,他们只是德克萨斯州休斯顿一个宗教间组织的成员。两年后,通过邮件再次联系了这些受试者,174名受访者中的76人完成了一份简短的问卷,其中包括当前志愿活动的脱轨情况,辍学原因(如果他们已经辍学),并完成了德克萨斯州修订的悲伤清单(TRIG)。40人退出志愿服务,36人继续参加。数据显示,总的压力源得分,Maslach倦怠量表得分的人格解体的强度和三个分量表得分涉及压力:客户端的问题和角色模糊,情绪过载和组织因素的自变量是显着的预测辍学在艾滋病毒/艾滋病志愿者随着时间的推移。HIV/AIDS志愿者退出的最佳预测因子可分为压力(来访者问题和角色模糊、情绪过载和组织因素)和人格解体强度。结果表明,经历更多客户问题和角色模糊、更多情感负担和更多组织因素问题的志愿者更有可能退出志愿者方案。他们还表明,辍学志愿者的人格解体强度显著高于继续参与的志愿者,与得分较低的志愿者相比,人格解体强度得分最高的三分之一志愿者的辍学风险增加了近三分之一。这些数据表明,正是艾滋病志愿工作的压力因素,包括人格解体的强度,导致了辍学,而奖励似乎没有保护作用。
Burnout among HIV/AIDS volunteers contributes to the loss of dedicated personnel resulting in strain on the HIV/AIDS care system. Past research has suggested that there were significant stresses and burnout associated with AIDS caregiving. We investigated the predictors of dropout in AIDS volunteers over time, and specifically, which of the variables of the stressors and rewards of being a volunteer (collected at baseline) predicted who would drop our two years later. The volunteers were the subjects of Nesbitt et al. (1996), who mere members of an interfaith religious-based organization in Houston, Texas. The subjects were re-contacted by mail after two years, and 76 of the 174 respondents completed a brief questionnaire which gave derails of current volunteering activity, reasons for dropout (if they had dropped out) and completed the Texas Revised Inventory of Grief (TRIG). Forty dropped-out from volunteering while 36 continued. Data show the independent variables of total stressor score, the Maslach Burnout Inventory score of Depersonalization intensity and the three subscale scores involving stress: client problems and role ambiguity, emotional overload and organizational factors as being significant in predicting dropout in HIV/AIDS volunteers over time. The best predictors of the dropping-out of HIV/AIDS volunteers can be divided into the stresses (client problems and role ambiguity, Emotional overload and organizational factors) and depersonalization intensity. The results showed that volunteers who experienced more client problems and role ambiguity, more emotional overload and more problems with organizational factors are more likely to drop out from the volunteer programme. They also show that the dropout volunteers have a significantly higher level of depersonalization intensity than the continuing volunteers, with the risk of dropout increasing by almost a third in the highest tertile of depersonalization intensity scorers compared with those with lower scores. These data indicate that it is the stressors of AIDS volunteering, including the intensity of depersonalization, which lead to dropout, and that rewards do not appear to have a protective effect.