Burnout Among Service Providers for People Living with HIV: Factors Related to Coping and Resilience.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rachelle Reid, Aarti Madhu, Stephanie Gonzalez, Hannah Crosby, Michelle Stjuste, Sannisha K Dale
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引用次数: 0

Abstract

Individuals who provide services for people living with HIV (PLWH) face numerous work-related challenges, including psychosocial and structural factors affecting the quality of care that they provide. Little is known about the factors that relate to burnout among service providers for PLWH. The current study seeks to examine the factors associated with burnout and the role of resilience and coping in the context of burnout. Via convenience sampling, data was collected from 28 professionals (e.g., peer counselors, HIV testers, case managers/case workers, group facilitators, or social workers) serving PLWH in the USA. Participants completed quantitative measures on sociodemographics, organizational factors, discrimination, trauma, depression, and burnout. A sub-sample of 19 participants provided in-depth qualitative data via semi-structured interviews on burnout, coping, and resilience as a buffer against the effects of burnout. Thematic content analysis revealed themes on the factors related to burnout (e.g., discrimination, limited financial and housing resources, and COVID-19), rejuvenating factors, coping with burnout, and intervention strategies. Additionally, Pearson's product moment correlations revealed significant associations between mental health variables such as depressive and posttraumatic stress disorder symptomology with (a) discrimination and microaggressions and (b) burnout. The current study highlights challenges to providing HIV care, including structural barriers and discrimination that are doubly impactful to the professionals in this sample who share identities with the PLWH whom they serve. These findings may inform the development of an intervention targeting burnout among individuals providing services to PLWH and motivate change to remove structural barriers and improve quality of care for PLWH.

艾滋病病毒感染者服务提供者的职业倦怠:与应对和复原力相关的因素。
为艾滋病病毒感染者(PLWH)提供服务的人员面临着许多与工作相关的挑战,其中包括影响他们所提供的护理质量的社会心理因素和结构性因素。人们对与艾滋病毒感染者服务提供者职业倦怠有关的因素知之甚少。本研究旨在探讨与职业倦怠相关的因素,以及抗压能力和应对措施在职业倦怠中的作用。本研究通过方便抽样的方式,收集了美国 28 名为 PLWH 服务的专业人员(如同伴咨询师、HIV 检测员、个案经理/个案工作者、小组促进者或社会工作者)的数据。参与者完成了有关社会人口统计学、组织因素、歧视、创伤、抑郁和职业倦怠的定量测量。19名参与者中的一个子样本通过半结构化访谈提供了关于职业倦怠、应对和复原力的深度定性数据,作为对职业倦怠影响的缓冲。主题内容分析揭示了与职业倦怠相关的因素(如歧视、有限的经济和住房资源以及 COVID-19)、恢复活力因素、应对职业倦怠和干预策略等主题。此外,皮尔逊积矩相关性显示,心理健康变量(如抑郁和创伤后应激障碍症状)与(a)歧视和微侵害以及(b)职业倦怠之间存在显著关联。当前的研究凸显了提供 HIV 护理所面临的挑战,包括结构性障碍和歧视,这对样本中与所服务的 PLWH 有着相同身份的专业人员来说具有双重影响。这些发现可以为制定针对为 PLWH 提供服务的人员的职业倦怠的干预措施提供信息,并推动消除结构性障碍和提高 PLWH 护理质量的变革。
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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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