Burnout in Veterans Health Administration Mental Health Providers in Posttraumatic Stress Clinics
Burnout in Veterans Health Administration Mental Health Providers in Posttraumatic Stress Clinics
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DOI：
10.1037/a0035643
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发表时间：
2014-02-01
影响因子：
2.3
通讯作者：
Peterson, Alan L.
中科院分区：
文献类型：
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作者：
Garcia, Hector A.;McGeary, Cindy A.;Peterson, Alan L.
本研究的目的是进行第一次评估的倦怠退伍军人健康管理局（VHA）的心理健康临床医生提供循证创伤后应激障碍（PTSD）护理。这项研究包括138名参与者，样本大多为女性（67%）、白人（非西班牙裔; 81%）和已婚（70%），平均年龄为44.3岁（SD = 11.2）。招募是通过VHA创伤后应激障碍临床团队（PCT）根据全国范围内的PCT诊所主任邮件列表在美国各地进行的。参与者完成了一项电子调查，评估人口统计学，组织工作因素，缺勤和倦怠（通过Maslach倦怠量表一般调查，MBI-GS评估）。12%的样本报告了低职业效能感，50%报告了高水平的疲惫感，47%报告了高水平的愤世嫉俗，这是由MBI-GS截止分数确定的。只有工作场所的特点显着相关的供应商得分在所有3个尺度。疲惫和愤世嫉俗的影响最大的组织政治/官僚主义的看法，增加临床工作量，并控制如何完成工作。组织因素也与供应商缺勤和意图离开他或她的工作显着相关。研究结果表明，供应商在VHA专业PTSD护理设置可能会受益于旨在预防和/或改善倦怠的计划或支持。
The purpose of this study was to conduct the first assessment of burnout among Veterans Health Administration (VHA) mental health clinicians providing evidence-based posttraumatic stress disorder (PTSD) care. This study consisted of 138 participants and the sample was mostly female (67%), Caucasian (non-Hispanic; 81%), and married (70%) with a mean age of 44.3 years (SD = 11.2). Recruitment was directed through VHA PTSD Clinical Teams (PCT) throughout the United States based on a nationwide mailing list of PCT Clinic Directors. Participants completed an electronic survey that assessed demographics, organizational work factors, absenteeism, and burnout (assessed through the Maslach Burnout Inventory-General Survey, MBI-GS). Twelve percent of the sample reported low Professional Efficacy, 50% reported high levels of Exhaustion, and 47% reported high levels of Cynicism as determined by the MBI-GS cut-off scores. Only workplace characteristics were significantly associated with provider scores on all 3 scales. Exhaustion and Cynicism were most impacted by perceptions of organizational politics/bureaucracy, increased clinical workload, and control over how work is done. Organizational factors were also significantly associated with provider absenteeism and intent to leave his or her job. Findings suggest that providers in VHA specialty PTSD-care settings may benefit from programs or supports aimed at preventing and/or ameliorating burnout.