Counsellors in the National Health Service: A mixed‐method study of efficacy and satisfaction from the counsellor perspective
Counsellors in the National Health Service: A mixed‐method study of efficacy and satisfaction from the counsellor perspective
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国家卫生服务咨询师：从咨询师角度进行的功效和满意度混合方法研究
DOI：
10.1002/capr.12221
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发表时间：
2019
影响因子：
2.4
通讯作者：
N. Moller
中科院分区：
文献类型：
--
作者：
G. Ryan;Charlie Duncan;N. Moller
背景：很难知道有多少咨询师在英国国家医疗服务体系(NHS)工作。在英国政府承诺扩大心理健康工作队伍的时候，了解咨询师在NHS工作的机会和障碍是很重要的。目的：了解咨询师的工作角色、薪酬、对服务的看法、工作场所压力以及离开NHS的原因。方法：向英国咨询和心理治疗协会(BACP)的成员发布了一份在线调查广告，只有不到2000名咨询师做出了回应。样本大多数为女性，白人，并已完成培训。采用混合方法对数据进行分析，其中包括专题分析。研究结果：数据显示，作为一名工作人员，咨询师很容易被英国国民健康保险制度的劳动力“挤出”，他们的工资相对“偏低”，他们受到高水平工作需求的“压力”，因此感受到了工作场所的压力，而且他们认为自己在很多方面都被“低估”了。尽管如此，成员们还是报告了NHS服务中治疗师资格和监督质量的高度充分性。结论：咨询师表达了在NHS承担更多工作的愿望，与其他类型的专业人员相比，他们是潜在的具有成本效益的精神卫生工作人员。然而，这项研究证明了与结构、文化、薪酬和晋升相关的重大障碍，这些障碍正在将辅导员赶出NHS。尤其令人担忧的是，作为一个专业群体，咨询师似乎普遍被低估了。
Background: It is difficult to know how many counsellors work in the UK’s National Health Service (NHS). At a time when the British Government is pledging an expansion of the mental health workforce it is important to understand both the opportunities and barriers for counsellors to work in the NHS. Aim: To understand counsellors’ job roles, pay, perceptions of services, workplace stress, and reasons for leaving the NHS. Method: An online survey was advertised to members of the British Association for Counselling and Psychotherapy (BACP); just under 2,000 counsellors responded. The sample was majority female, white and had completed training. Mixed methods were utilised to analyse the data which incorporated use of thematic analysis. Findings: The data suggest that, as a workforce, counsellors are prone to being ‘squeezed’ out of the NHS workforce, that they are comparatively ‘underpaid’, are ‘pressurised’ by high level of work demand and are consequently experiencing concerning levels of workplace stress, and that they perceive themselves to be, in multiple ways, ‘under-valued’. Despite this, members reported high adequacy of therapist qualifications and supervision quality within NHS services. Conclusions: Counsellors have expressed a desire to undertake more work in the NHS and are a potentially cost-effective mental health workforce in comparison with other types of professionals. However, this study has evidenced significant structural, cultural and pay and promotion-related barriers that are pushing counsellors out of the NHS. Of particular concern is what appears to be a broad under-valuing of counsellors as a professional group.