The roles of individual and organizational factors in burnout among community-based mental health service providers.

Green, Amy E.; Albanese, Brian J.; Shapiro, Nicole M.; Aarons, Gregory A.

doi:10.1037/a0035299

Cited by 119 publications

(113 citation statements)

References 48 publications

(89 reference statements)

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“…In terms of protective factors, our attention was particularly focused around the workplace environment. Although there is a growing body of research on STS and burnout among workers in the human services field (e.g., Boyas & Wind, 2010;Leiter, Gascon, & Martinez-Jarreta, 2010;Lizano & Mor Barak, 2012), there is a lack of research on protective factors that may mitigate risks for STS and burnout (Gupta, Paterson, Lysaght, & von Zweck, 2012;Halbsleben & Buckley, 2004;Herbert & Dudley, 2009) and just how these protective factors may vary across different groups of workers (Boyas, Wind, & Ruiz, 2015;Green, Albanese, Shapiro, & Aarons, 2014). Because working in the home visiting field often means working with high-need families while being relatively poorly compensated and having limited resources, it seemed imperative to understand whether and to what extent a supportive work environment may act as a protective factor that could mitigate the prevalence of STS and burnout.…”

Section: Risk and Protective Factors For Home Visitorsmentioning

confidence: 99%

Risk and protective factors for secondary traumatic stress and burnout among home visitors

Begić

Weaver

McDonald

2019

Journal of Human Behavior in the Social Environment

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The overarching goal of this study was to understand the context of home visitor secondary traumatic stress and burnout, and how this might affect intention to quit among home visitors, particularly focusing on potential risk factors and supportive strategies identified by the home visitors. All home visitors providing services in the state in which the research was conducted (N = 27) completed a structured interview and a quantitative survey at two time points, 6 months apart. Results indicated that more than two-thirds of the home visitors experienced either medium or high levels of secondary traumatic stress and burnout over the course of the study. Approximately one quarter of home visitors indicated thinking of leaving their present position. Qualitative data indicated that risk factors associated with burnout included those related to both direct and non-direct services. Risk factors associated with secondary traumatic stress included traumatic stress of families, inability to recognize one's own experiences of secondary traumatic stress, and unhealthy work culture. In terms of protective factors, home visitors strongly emphasized the importance of having a supportive supervisor who they could trust and communicate with openly.

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Section: Risk and Protective Factors For Home Visitorsmentioning

confidence: 99%

Risk and protective factors for secondary traumatic stress and burnout among home visitors

Begić

Weaver

McDonald

2019

Journal of Human Behavior in the Social Environment

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“…At the same time, recent state funding cuts (Johnson, Oliff, & Williams, 2011; National Alliance on Mental Illness (NAMI), 2015) have jeopardized clinicians’ ability to meet the objectives of high-quality person-centered care. This mismatch of demands outpacing resources puts clinicians at risk for burnout (Bakker & Demerouti, 2007; Green, Albanese, Shapiro, & Aarons, 2014), which in turn may negatively impact quality of care. Understanding the relationship between work demands, burnout, and quality of care has important implications for both policy and practice.…”

Section: Introductionmentioning

confidence: 99%

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Luther¹,

Gearhart²,

Fukui³

et al. 2017

Psychiatric Rehabilitation Journal

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Objective Funding cuts have increased job demands and threatened clinicians’ ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality of care in community health clinicians. Methods One hundred and eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care. Clinicians also reported the importance of reducing stress and their confidence in reducing their stress. Clinicians who reported working overtime were compared to clinicians that did not on demographic and job characteristics and work-related outcomes. Results Ninety-four clinicians (52%) reported working overtime in a typical week. Controlling for exempt status and group differences in time spent supervising others, those working overtime reported significantly increased burnout and work-life conflict and significantly lower job satisfaction and quality of care than those not working overtime. Clinicians working overtime also reported significantly greater importance in reducing stress but less confidence in their ability to reduce stress than those not working overtime. There were no significant group differences for turnover intention. Conclusions and Implications for Practice Working overtime is associated with negative consequences for clinician-related work outcomes and perceived quality of care. Policies and interventions aimed at reducing overtime and work-related stress and burnout may be warranted in order to improve quality of care.

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“…Staff who have an insecure attachment style [40,65] and previous experience of trauma [81] appear to be more vulnerable to burnout. Moreover, wider aspects of organisational culture has been found to play a much greater role in the development of burnout, when compared to patient care [110] or individual factors [49].…”

Section: Emotional Labour and Schwartz Roundsmentioning

confidence: 99%

Stress in NHS staff triggers defensive inward-focussing and an associated loss of connection with colleagues: this is reversed by Schwartz Rounds

George

2016

J of Compassionate Health Care

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Background: The aim of this case study was to examine the impact of Schwartz Rounds on staff wellbeing and patient care. Methods: A series of interviews were conducted with staff, regarding stress. The key themes, which were extracted using Grounded Theory, were used to inform the development of a new measure, 'The Organizational Response to Emotions Scale'. This was administered at the beginning and end of Schwartz Rounds.Results: Analysis of the results revealed a significant reduction in attendees' appraisal of emotional labour and an increase in reflection. This was associated with a reported upsurge in feelings of interconnectivity and compassion towards colleagues. More traditional forms of individualised staff support were in contrast, viewed as unhelpful. In particular, the offer of counselling sessions was resented by many staff because it carried the implicit message that the problem arose from a deficiency or weakness within them. New performance management policies compounded this problem and left many feeling blamed and punished for their stress. A referral to Occupational Health was widely seen as an index of failure; a sign that they could not cope.Discussion: Attendance at the Schwartz Rounds helped staff to recognise that their feelings were normal in the context of a highly-pressured healthcare system. Eradicating the stigma associated with emotional responses should help to improve organizational culture. It may also help to address an emerging phenomenon that was identified within this study, namely that staff had begun to hide their feelings from their managers. In the longer term, this could serve to mask the true extent of stress and burnout within the NHS. Conclusions: The findings suggest that Schwartz Rounds may indirectly improve the quality of patient care by addressing the stress-induced cognitive narrowing and decline in empathy that precedes withdrawal; the process that is a likely forerunner of dehumanization. An additional finding was that the line manager played an important mediating role of containment. This, in turn, appeared to influence the level of support that staff provided to each other.

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The roles of individual and organizational factors in burnout among community-based mental health service providers.

Cited by 119 publications

References 48 publications

Risk and protective factors for secondary traumatic stress and burnout among home visitors

Risk and protective factors for secondary traumatic stress and burnout among home visitors

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Stress in NHS staff triggers defensive inward-focussing and an associated loss of connection with colleagues: this is reversed by Schwartz Rounds

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