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Chen C, Zheng X, Cui Y, Mu H, Yang Q, Zhang M, Xu H, Guan J, Chen W, Lang H. Heterogeneity of work alienation and its relationship with job embeddedness among Chinese nurses: a cross-sectional study using latent profile analysis. BMC Nurs 2024; 23:122. [PMID: 38360635 PMCID: PMC10870478 DOI: 10.1186/s12912-023-01674-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 12/17/2023] [Indexed: 02/17/2024] Open
Abstract
OBJECTIVE To identify the distinct profiles of work alienation among Chinese nurses, examine the demographic factors associated with profile memberships, and then explore the relationship between latent categories of work alienation and job embeddedness. METHODS A cross-sectional survey of 523 nurses was conducted from July to August 2023. Latent profile analysis (LPA) was performed to identify distinct profiles of nurses based on three aspects: powerlessness, helplessness, and meaningfulness. A multinomial logistic regression analysis was conducted to explore the predictors of profile membership. Hierarchical regression analysis was carried out to examine the association between profile memberships and job embeddedness. RESULTS Three subgroups of work alienation of nurses were identified: 23.1%, 57.8%, and 19.1% in the low work alienation group (profile 1), the moderate work alienation group (profile 3), and the high work alienation group (profile 2), respectively. Nurses with college degrees were more likely to be grouped into moderate work alienation. Nurses who did not work night shifts were more likely to have low or moderate levels of work alienation. Nurses earning 2,000-3,000 and 3,001-5,000 yuan per month were likely to be in the low work alienation group. The different categories of work alienation significantly predicted job embeddedness among nurses (ΔR2 = 0.103, p < 0.001). CONCLUSIONS Work alienation has an important impact on clinical nurses' job embeddedness. Nursing managers should pay attention to the differences in individual work alienation status and adopt reasonable management strategies to improve the level of job embeddedness, ensure the quality of care, and reduce nursing turnover.
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Affiliation(s)
- Changchang Chen
- Department of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Xutong Zheng
- School of Nursing, China Medical University, Shenyang, Liaoning, China
| | - Yi Cui
- Department of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Hezi Mu
- Department of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Qian Yang
- Department of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Man Zhang
- Intensive Care Unit, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China
| | - Huan Xu
- School of Nursing, Shaanxi University of Chinese Medicine, Xian Yang, Shaanxi, China
| | - Jian Guan
- Intensive Care Unit, Sixth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
| | - Wenjie Chen
- College of Chemical and Biological Engineering, Yichun University, Yichun, Jiangxi, China
| | - Hongjuan Lang
- Department of Nursing, Air Force Medical University, Xi'an, Shaanxi, China.
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Mareva S, Chapman B, Hardwick R, Hewlett C, Mitchell S, Sanders A, Hayes R. The Mental Wellbeing of Child and Adolescent Mental Health Service (CAMHS) Workers in England: A Cross-Sectional Descriptive Study Reporting Levels of Burnout, Wellbeing and Job Satisfaction. Healthcare (Basel) 2024; 12:430. [PMID: 38391806 PMCID: PMC10888124 DOI: 10.3390/healthcare12040430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Revised: 01/25/2024] [Accepted: 02/04/2024] [Indexed: 02/24/2024] Open
Abstract
In the UK, there has been a notable increase in referrals to specialist children's mental health services. This, coupled with shortages of qualified staff, has raised concerns about the escalating occupational stress experienced by staff in this sector. In this brief report, we present cross-sectional quantitative data from 97 staff members working in one Child and Adolescent Mental Health Service (CAMHS) in the UK during spring 2023, reporting on their wellbeing, job satisfaction, and burnout. Our findings reveal that over a third of CAMHS staff experienced moderate or high levels of work-related burnout; 39% reported moderate or high levels of personal burnout, but levels of client-related burnout were much lower (13%). Both work- and client-related burnout showed a robust negative relationship with job satisfaction, with higher burnout predicting lower levels of job satisfaction. Only a small proportion of respondents reported high levels of wellbeing, with about a quarter experiencing levels of wellbeing that can be considered indicative of mild or clinical depressive symptoms. Whilst these results are from a small sample in one area of the UK, they present an important snapshot of CAMHS staff wellbeing and are discussed in the context of similar trends reported in the wider NHS sector.
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Affiliation(s)
- Silvana Mareva
- Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Beth Chapman
- Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Rebecca Hardwick
- Peninsula Medical School, Faculty of Health, University of Plymouth, Plymouth PL6 8BH, UK
| | - Charlotte Hewlett
- Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Siobhan Mitchell
- Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Amy Sanders
- Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Rachel Hayes
- Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, UK
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Bedendo A, Papworth A, Taylor J, Beresford B, Mukherjee S, Fraser L, Ziegler L. Staff well-being in UK children's hospices: a national survey. BMJ Support Palliat Care 2024; 13:e1363-e1372. [PMID: 37643839 DOI: 10.1136/spcare-2022-004056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 08/09/2023] [Indexed: 08/31/2023]
Abstract
OBJECTIVES Poor psychological well-being among healthcare workers can have numerous negative impacts, but evidence about levels of burnout in children's hospice care staff is limited. This study aimed to determine the prevalence of burnout and to explore the association between staff characteristics and support mechanisms with burnout among children's hospice care staff in the UK. METHODS Two national online surveys collecting data on hospice care staff psychological well-being and hospice organisational characteristics. All children's hospices in the UK were invited.Thirty-one hospices (out of 52) responded to the hospice survey and 583 staff responded to the staff survey. Data collection took place between May and December 2020 and measures included the Copenhagen Burnout Inventory, Work Engagement and the Health and Safety Executive Management Standards Indicator Tool. RESULTS Burnout prevalence was 11% and mean burnout score was 32.5 (SD: 13.1). Burnout levels were independent of working arrangements (eg, working from home or at the hospice) during the COVID-19 pandemic. Hospices performed well in most management standards, but poorly on the 'Control' domain. The average Work Engagement score for staff was 7.5 (SD: 1.5). CONCLUSIONS Burnout levels for staff in children's hospices in the UK were lower than in other healthcare settings, with this comparing to 17.3% among palliative care staff generally. Overall, hospices performed well in management standards and there was no indication of urgent action needed. Work Engagement in our sample was higher compared with other National Health Service workers during the COVID-19 pandemic.
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Affiliation(s)
- Andre Bedendo
- Department of Health Sciences, University of York, York, UK
| | | | - Johanna Taylor
- Department of Health Sciences, University of York, York, UK
| | | | | | - Lorna Fraser
- Cicely Saunders Institute and Dept of Women's and Children's Health, King's College London, London, UK
| | - Lucy Ziegler
- Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
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Redelmeier DA, Etchells EE, Najeeb U. Psychology of envy towards medical colleagues. J R Soc Med 2023:1410768231182880. [PMID: 37378692 PMCID: PMC10387808 DOI: 10.1177/01410768231182880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2023] Open
Affiliation(s)
- Donald A Redelmeier
- Department of Medicine, University of Toronto, Toronto, ON, M5S 3H2, Canada
- Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada
- Institute for Clinical Evaluative Sciences in Ontario, Toronto, ON M4N 3M5, Canada
- Division of General Internal Medicine, Sunnybrook Health Science Centre, Toronto ON M4Y 3M5, Canada
- Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, M5T 3M6, Canada
| | - Edward E Etchells
- Department of Medicine, University of Toronto, Toronto, ON, M5S 3H2, Canada
- Division of General Internal Medicine, Sunnybrook Health Science Centre, Toronto ON M4Y 3M5, Canada
- Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, M5T 3M6, Canada
- Division of General Internal Medicine, Women's College Hospital, Toronto, ON M5S 1B2, Canada
| | - Umberin Najeeb
- Department of Medicine, University of Toronto, Toronto, ON, M5S 3H2, Canada
- Division of General Internal Medicine, Sunnybrook Health Science Centre, Toronto ON M4Y 3M5, Canada
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Beavis J, McKenzie S, Davis L, Ellison N. Implementation and evaluation of clinical supervision for support workers in a paediatric palliative care setting. Clin Child Psychol Psychiatry 2022; 27:369-384. [PMID: 34865519 DOI: 10.1177/13591045211055565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Support workers represent a large proportion of the NHS workforce and yet their supervisory needs are often overlooked. This study focused specifically on a cohort of support workers in a community paediatric palliative care setting. Peer supervision was implemented for this group, initially face to face and then virtually. The experiences of clinical supervision for this group were investigated through responses to an online survey (n = 25) and two focus groups (n = 7). Survey data were analysed concurrently with a thematic analysis. The following themes and sub-themes were developed from transcribed focus groups: (1) Barriers to engagement (2) Being Listened to (3) What Worked Well: Logistics. Overall, delivery of supervision was effective to a mixed degree - though support workers appreciated a space to be listened to, their distrust of colleagues and other barriers impeded the capacity of supervision to achieve more than support and catharsis for this group. Future projects should focus on introducing more preliminary interventions to promote reflection and peer support for these groups as well as continue to consider the supervisory needs of support workers.
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Affiliation(s)
| | - Sian McKenzie
- Department of Psychology, Lifetime Service, Bristol, UK
| | - Lucy Davis
- Department of Psychology, Lifetime Service, Bristol, UK
| | - Nell Ellison
- Department of Psychology, Lifetime Service, Bristol, UK
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Zaman S, Ansari AH, Chaturvedi S. Work-life enablers for job satisfaction in healthcare: moderating role of organization type. INDUSTRIAL AND COMMERCIAL TRAINING 2021. [DOI: 10.1108/ict-05-2020-0060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This paper aims to examine how the quality of work-life (QWL) factors influence job satisfaction and tests if organization type moderates this relationship.
Design/methodology/approach
The study adopts a quantitative cross-sectional research design using survey administration among resident doctors used in the Indian health-care sector. Drawing on the person-environment fit theory, leader-member exchange theory and action learning theory, the authors discuss the results.
Findings
Results depicted that in addition to the direct relationship between QWL and job satisfaction, this association is moderated by organization type.
Practical implications
The study provides critical information for health-care managers to prioritize three QWL attributes, namely, meaningful development, supervision, working conditions to enhance job satisfaction among resident doctors.
Originality/value
The study contributes to the limited empirical scholarly research adding a deeper understanding of pertinent factors influencing resident doctor’s QWL-job satisfaction relationship.
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Burhan R, Ahmed S. Evaluating the utility of publications in medical recruitment-Time for a cultural shift? J Eval Clin Pract 2021; 27:989-991. [PMID: 33049078 DOI: 10.1111/jep.13493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 09/25/2020] [Accepted: 09/28/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Rasan Burhan
- St Georges University Hospitals NHS Foundation Trust, London, England
| | - Sajeel Ahmed
- Gateshead Health NHS Foundation Trust, Gateshead, England
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Abstract
The introduction of new rotas, rota gaps, poor handover arrangements, the junior hospital doctors' strike, the imposition of a new contract after a four-year period of contract negotiation, the Bawa-Garba case, the abolition of the "Firm", poor rest facilities and bullying have all contributed to eroding the morale of junior doctors. The retention of newly registered doctors is falling. Recent evidence shows that in 2010 83% of Foundation Year 2's went straight into training compared to 38% in 2018. This study was undertaken to assess the extent to which the plans and intentions of current Foundation Year Doctors have been influenced by recent history. With the large volume of complaints and their associated costs on the NHS, the study included questions to identify whether junior doctors feel prepared to deal with the medico-legal issues.
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Affiliation(s)
- E R Chandler
- Imperial College Healthcare NHS Trust, London, UK
| | - Eje Briggs
- Imperial College Healthcare NHS Trust, London, UK
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