Reducing occupational distress in veterinary medicine personnel with acceptance and commitment training: a pilot study.

IF 1.1 4区农林科学 Q3 VETERINARY SCIENCES

New Zealand veterinary journal Pub Date : 2022-11-01 Epub Date: 2021-06-30 DOI:10.1080/00480169.2021.1938270

M B Spitznagel, Asg Updegraff, M P Twohig, M D Carlson, C M Fulkerson

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引用次数: 7

Abstract

Aims: To determine whether an educational programme targeting the reaction of veterinary personnel to difficult client interactions reduced burden transfer, stress and burnout in veterinary staff.

Methods: Employees of three small-animal veterinary hospitals in the south-western United States of America were recruited and randomised to intervention (educational programme; n = 16) or control (no intervention; n = 18) groups. Participants of this randomised, parallel arms trial completed pre-programme assessment including the Burden Transfer Inventory (BTI), Perceived Stress Scale, and Copenhagen Burnout Inventory. Assessment was followed by two, group-format educational sessions, based on acceptance and commitment training, tailored to reducing reactivity to difficult veterinary client interactions (intervention group only). After training was completed, both groups were assessed using the same measures and the intervention participants provided use and acceptability ratings.

Results: Intervention participants rated the programme as useful and appropriate, and reported that programme techniques were used a median of 43 (min 9, max 68) times during the 2 weeks prior to retesting. Relative to pre-programme scores, median post-programme scores for reaction (subscore of BTI) to difficult client interactions decreased in the intervention group (33 vs. 54; p = 0.047), but not in the control group (51 vs. 59; p = 0.210). Changes in median scores for stress and burnout from pre- to post-programme were non-significant for both groups.

Conclusions: This pilot and feasibility trial showed high rates of acceptability and use by participants, as well as promising reductions in burden transfer. A larger scale clinical trial with follow-up at extended time points is needed to more fully examine the efficacy of this novel programme.

Clinical relevance: Preliminary findings suggest this programme may be a useful approach to reducing occupational distress for individuals working in veterinary practice.

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通过接受和承诺培训减少兽医人员的职业痛苦：一项试点研究。

目的：确定针对兽医人员对困难客户互动的反应的教育计划是否能减少兽医人员的负担转移、压力和倦怠。方法：美国西南部三家小型动物兽医医院的员工被招募并随机接受干预（教育计划 = 16）或控制（无干预；n = 18）小组。这项随机、平行军备试验的参与者完成了计划前评估，包括负担转移量表（BTI）、感知压力量表和哥本哈根倦怠量表。评估之后，以接受和承诺培训为基础，举行了两次小组形式的教育会议，旨在减少对困难的兽医客户互动的反应（仅干预小组）。培训完成后，使用相同的措施对两组进行评估，干预参与者提供使用和可接受性评级。结果：干预参与者认为该程序有用且适当，并报告在重新测试前的2周内，程序技术平均使用了43次（最小9次，最大68次）。相对于项目前得分，干预组对困难客户互动的反应（BTI分量表）的项目后得分中值有所下降（33对54；p = 0.047），但对照组没有（51对59；p = 0.210）。从项目前到项目后，两组的压力和倦怠中位得分的变化都不显著。结论：这项试点和可行性试验表明，参与者的可接受率和使用率很高，并且有望减少负担转移。需要进行更大规模的临床试验，并在更长的时间点进行随访，以更全面地检查这一新方案的疗效。临床相关性：初步研究结果表明，该计划可能是减少兽医从业人员职业痛苦的有用方法。

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来源期刊

New Zealand veterinary journal 农林科学-兽医学

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

12-24 weeks

期刊介绍： The New Zealand Veterinary Journal (NZVJ) is an international journal publishing high quality peer-reviewed articles covering all aspects of veterinary science, including clinical practice, animal welfare and animal health. The NZVJ publishes original research findings, clinical communications (including novel case reports and case series), rapid communications, correspondence and review articles, originating from New Zealand and internationally. Topics should be relevant to, but not limited to, New Zealand veterinary and animal science communities, and include the disciplines of infectious disease, medicine, surgery and the health, management and welfare of production and companion animals, horses and New Zealand wildlife. All submissions are expected to meet the highest ethical and welfare standards, as detailed in the Journal’s instructions for authors.