"The new normal has become a nonstop crisis": a qualitative study of burnout among Philadelphia's harm reduction and substance use disorder treatment workers during the COVID-19 pandemic.
"The new normal has become a nonstop crisis": a qualitative study of burnout among Philadelphia's harm reduction and substance use disorder treatment workers during the COVID-19 pandemic.
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DOI：
10.1186/s12954-023-00752-7
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发表时间：
2023-03-11
影响因子：
4.4
通讯作者：
Aronowitz, Shoshana V.
中科院分区：
文献类型：
--
作者：
Unachukwu, Ijeoma C.;Abrams, Matthew P.;Dolan, Abby;Oyekemi, Kehinde;Meisel, Zachary F.;South, Eugenia C.;Aronowitz, Shoshana V.
COVID-19 大流行加剧了美国 (US) 持续存在的用药过量危机，并给医护人员 (HCW) 造成了严重的心理健康压力和倦怠。由于资金不足、资源短缺和混乱的工作环境，减少危害、预防过量用药和药物滥用 (SUD) 工作人员可能会受到特别影响。现有关于医护人员倦怠的研究主要集中在传统环境中获得许可的医护人员，未能考虑到减低伤害工作者、社区组织者和 SUD 治疗临床医生的独特经历。我们对 30 名费城减害工作者、社区组织者和 SUD 治疗临床医生进行了定性二次分析描述性研究，了解他们在 2020 年 7 月至 8 月的 COVID-19 大流行期间的工作经验。我们的分析以 Shanafelt 和 Noseworthy 的职业倦怠和敬业度关键驱动因素模型为指导。我们的目的是评估该模型对 SUD 和非传统环境中减害工作者的经验的适用性。我们根据 Shanafelt 和 Noseworthy 的倦怠和敬业度关键驱动因素对数据进行演绎编码：(1) 工作量和工作需求，(2) 工作意义，(3) 控制和灵活性，(4) 工作与生活融合，(5) 组织文化和价值观，(6) 效率和资源，(7) 工作中的社会支持和社区。虽然 Shanafelt 和 Noseworthy 的模型广泛涵盖了参与者的经历，但它并没有完全考虑到他们对工作安全、对工作环境缺乏控制以及任务转移经历的担忧。医疗保健提供者的倦怠在全国范围内受到越来越多的关注。大部分报道和现有研究都集中在传统医疗保健领域的工作人员，通常不考虑基于社区的 SUD 治疗、过量预防和减少伤害提供者的经验。我们的研究结果表明，现有的职业倦怠框架存在差距，需要包含全方位的减少伤害、预防过量用药和 SUD 治疗劳动力的模型。随着美国药物过量危机的持续，我们必须解决并减轻减低危害工作者、社区组织者和 SUD 治疗临床医生的倦怠经历，以保护他们的福祉并确保他们宝贵工作的可持续性。
The COVID-19 pandemic worsened the ongoing overdose crisis in the United States (US) and caused significant mental health strain and burnout among health care workers (HCW). Harm reduction, overdose prevention, and substance use disorder (SUD) workers may be especially impacted due to underfunding, resources shortages, and chaotic working environments. Existing research on HCW burnout primarily focuses on licensed HCWs in traditional environments and fails to account for the unique experiences of harm reduction workers, community organizers, and SUD treatment clinicians. We conducted a qualitative secondary analysis descriptive study of 30 Philadelphia-based harm reduction workers, community organizers, and SUD treatment clinicians about their experiences working in their roles during the COVID-19 pandemic in July–August 2020. Our analysis was guided by Shanafelt and Noseworthy’s model of key drivers of burnout and engagement. We aimed to assess the applicability of this model to the experiences of SUD and harm reduction workers in non-traditional settings. We deductively coded our data in alignment with Shanafelt and Noseworthy’s key drivers of burnout and engagement: (1) workload and job demands, (2) meaning in work, (3) control and flexibility, (4) work-life integration, (5) organizational culture and values, (6) efficiency and resources and (7) social support and community at work. While Shanafelt and Noseworthy’s model broadly encompassed the experiences of our participants, it did not fully account for their concerns about safety at work, lack of control over the work environment, and experiences of task-shifting. Burnout among healthcare providers is receiving increasing attention nationally. Much of this coverage and the existing research have focused on workers in traditional healthcare spaces and often do not consider the experiences of community-based SUD treatment, overdose prevention, and harm reduction providers. Our findings indicate a gap in existing frameworks for burnout and a need for models that encompass the full range of the harm reduction, overdose prevention, and SUD treatment workforce. As the US overdose crisis continues, it is vital that we address and mitigate experiences of burnout among harm reduction workers, community organizers, and SUD treatment clinicians to protect their wellbeing and to ensure the sustainability of their invaluable work.
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DOI：
10.1016/j.drugpo.2021.103199
发表时间：
2021-08
期刊：
The International journal on drug policy
影响因子：
--
作者：
French R;Favaro J;Aronowitz SV
通讯作者：
Aronowitz SV
影响因子：
2.8
作者：
Holmes MR;Rentrope CR;Korsch-Williams A;King JA
通讯作者：
King JA
影响因子：
5.7
作者：
Forrest CB;Xu H;Thomas LE;Webb LE;Cohen LW;Carey TS;Chuang CH;Daraiseh NM;Kaushal R;McClay JC;Modave F;Nauman E;Todd JV;Wallia A;Bruno C;Hernandez AF;O'Brien EC;HERO Registry Research Group
通讯作者：
HERO Registry Research Group
影响因子：
4.8
作者：
Johnson, Lallen T.;Shreve, Tayler
通讯作者：
Shreve, Tayler
DOI：
10.1016/j.ssmqr.2021.100013
发表时间：
2021-12
期刊：
SSM. Qualitative research in health
影响因子：
--
作者：
Aronowitz SV;Engel-Rebitzer E;Lowenstein M;Meisel Z;Anderson E;South E
通讯作者：
South E