Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team
Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team
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DOI：
10.1371/journal.pone.0233173
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发表时间：
2020-05-18
期刊：
影响因子：
3.7
通讯作者：
Quattropani, Maria C.
中科院分区：
文献类型：
--
作者：
Lenzo, Vittorio;Bordino, Valentina;Quattropani, Maria C.
尽管倦怠综合征已经被深入研究，但专门针对姑息性家庭护理的研究仍然有限。此外，在家庭护理环境中，情绪灵活性和对环境的敏感性之间的相互作用仍然缺乏证据。基于这些原因，本研究的目的是检查姑息家庭护理从业人员的倦怠症状，并调查调节灵活性和对环境的敏感性在理解倦怠中的作用。采用探索性横断面设计。方便样本（n = 65）意大利专科姑息治疗从业人员参加了本研究。参与者是在2019年2月至4月期间从两家主要照顾临终癌症患者的姑息性家庭护理服务中招募的。采用意大利版Maslach倦怠量表（MBI）、情绪表达灵活调节量表（FREE）和情境敏感性指数（CSI）（对情境的敏感性）进行测试。以三个MBI因素为因变量，以职业为自变量进行方差分析。随后，以年龄、工作经验、灵活性和对情境的敏感性为协变量，进行了三次相同的协方差分析。结果显示，三种MBI因素的倦怠风险均较低，且无性别差异。方差分析显示，职业类型和年龄对MBI的情绪耗竭因素有显著影响，方差分析表明，在考虑协变量后，这些影响仍然存在。结果还显示，自由得分对情绪耗竭有显著影响。这些发现有助于解释职业类型和年龄对倦怠症状的差异贡献。此外，情绪弹性成分作为弹性的一个方面，是情绪耗竭的一个重要而具体的因素。预防倦怠的干预措施必须考虑到这些关系。
Although burnout syndrome has been investigated in depth, studies specifically focused on palliative home care are still limited. Moreover, there is still a lack of evidence regarding the interplay between emotional flexibility and sensitivity to context in preventing burnout in home care settings. For these reasons, the aims of this study were to examine burnout symptoms among practitioners specializing in palliative home care and to investigate the role of regulatory flexibility and sensitivity to context in understanding burnout. An exploratory cross-sectional design was adopted. A convenience sample (n = 65) of Italian specialist palliative care practitioners participated in this study. Participants were recruited between February and April 2019 from two palliative home care services that predominantly cared for end-of-life cancer patients. The Italian version of the Maslach Burnout Inventory (MBI), the Flexible Regulation of Emotional Expression (FREE) scale (a measure of emotional flexibility), and the Context Sensitivity Index (CSI) (a measure of sensitivity to context) were administered. Analyses of variance were conducted using the three MBI factors as dependent variables and profession as an independent variable. Subsequently, three identical analyses of covariance were conducted with age, work experience, flexibility and sensitivity to context as covariates. The results showed a low burnout risk for all three of the MBI factors, and there were no gender differences. An ANOVA revealed a significant effect of profession type and age on the emotional exhaustion factor of the MBI, and an ANCOVA indicated that these effects persisted after covariates were accounted for. The results also showed a significant effect of the FREE score on emotional exhaustion. These findings can help explain the differential contributions of profession type and age to the burnout symptoms investigated. In addition, the emotional flexibility component, as an aspect of resilience, represents a significant and specific factor of emotional exhaustion. Interventions to prevent burnout must consider these relationships.