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Gelaw A, Parker S, Johnson A, Nguyen H, Jolly A, Forner V, Deng C, Collie A. Determinants of psychological injury among health and social care workers in community settings: A systematic review. Work 2024; 78:3-27. [PMID: 38578915 DOI: 10.3233/wor-230426] [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] [Indexed: 04/07/2024] Open
Abstract
BACKGROUND Health and Social Care (HSC) workers face psychological health risks in the workplace. While many studies have described psychological injuries in HSC workers, few have examined the determinants. Previous research has primarily focused on hospitals, lacking systematic reviews of community-based settings. OBJECTIVE To systematically identify and appraise current evidence on the determinants of psychological injuries among HSC workers in community settings. METHODS Searches were conducted in three bibliographic databases, supplemented by citation searches. Included studies focused on community-based HSC workers, reporting statistical associations between psychological injury and personal, health, occupational, or organizational factors. Quantitative studies published in English between January 1, 2000 and August 15, 2023 were included. Quality appraisal was undertaken using the JBI critical appraisal checklist. RESULTS Sixty-six studies were included. Study quality was highly variable, and all studies were cross-sectional. Twenty-three studies linked psychological injury with occupational factors (e.g. low job control, high job demands and low job satisfaction). Thirteen studies observed an association between work environment and psychological injury, and a further eleven between workplace social support and psychological injury. Fewer studies have examined the relationship between psychological injury and personal/individual factors. CONCLUSION Occupational and organisational factors are significantly associated with psychological health among HSA workers, in community settings. These aspects of job design, work environment and workplace relationships are modifiable, suggesting an opportunity for work design interventions to improve workers' psychological health and reduce the prevalence of psychological injury in this sector.
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Affiliation(s)
- Asmare Gelaw
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Sharon Parker
- Future of Work Institute, Curtin University, Perth, WA, Australia
| | - Anya Johnson
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Helena Nguyen
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Anu Jolly
- Future of Work Institute, Curtin University, Perth, WA, Australia
| | - Vivien Forner
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Connie Deng
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Alex Collie
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
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Guastaferro K, Sheldrick RC, Nunez-Pepen R, Ortiz M, Much-Hichos M, Trieu D, Broder-Fingert S, Feinberg E. Commentary: How Lay Health Workers in a Federally Qualified Community Health Center Filled a Critical Void in a Public Health Crisis. FAMILY & COMMUNITY HEALTH 2023; 46:259-262. [PMID: 37703514 PMCID: PMC10584361 DOI: 10.1097/fch.0000000000000379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/15/2023]
Affiliation(s)
- Kate Guastaferro
- Department of Social and Behavioral Sciences, New York University, New York (Dr Guastaferro); Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester (Dr Sheldrick); Department of Pediatrics, Boston Medical Center, Boston, Massachusetts (Mss Nunez-Pepen and Much-Hichos); Department of Pediatrics, Boston Medical Center, Dorchester, Massachusetts (Mss Ortiz and Trieu); University of Massachusetts Chan Medical School, Worcester (Dr Broder-Fingert); and Brown University, Providence, Rhode Island (Dr Feinberg)
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Nightingale SD. Perceptions of Institutional Response to Sexual Assault Amongst College-Based Victim Advocates. JOURNAL OF INTERPERSONAL VIOLENCE 2023:8862605231168820. [PMID: 37102595 DOI: 10.1177/08862605231168820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Federal law in the United States mandates that institutions of higher education address sexual assault within their communities. Colleges and universities have increasingly hired full-time professionals to manage response efforts, including campus-based victim advocates. Campus-based advocates provide emotional support, help students access and understand report options, and ensure students receive appropriate accommodations. Very little is known about the experience or perceptions of campus-based victim advocates. In this study, 208 professional campus-based advocates from across the United States completed an anonymous online survey focused on their perceptions of campus response to sexual assault. Multiple regression analysis was applied to investigate how psychosocial factors (burnout, secondary trauma, and compassion satisfaction) and organizational factors (perceptions of leadership, organizational support, and community relational health) were associated with advocate perceptions of institutional response to sexual assault. Findings indicate that while advocates experience burnout and secondary trauma, and have lower than average compassion satisfaction scores, these psychosocial outcomes do not influence their perception of response efforts. However, all the organizational factors significantly contribute to how advocates view response. The more positively advocates viewed leadership, campus support, and relational health, the more positive they viewed the response efforts on campus. In order to improve response efforts, administrators should engage in meaningful training on sexual assault, include campus advocates in high-level discussions of campus sexual assault and ensure appropriate resources are provided to advocacy services.
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Goings B, Iglesias-McElwee C, Le BV, Keller K, Sykes D, Brewer R. Frontline Perspectives from the Implementation of Evidenced-Informed Interventions to Improve Behavioral Health and HIV Outcomes Among Black Men Who Have Sex with Men in the United States. AIDS Patient Care STDS 2022; 36:S36-S45. [PMID: 36178387 DOI: 10.1089/apc.2022.0093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
The perspectives and contributions of frontline staff are critical to the success of integrated HIV and behavioral health services in the United States (US). In this analytic essay, we share five key priority areas from frontline staff at four diverse sites funded by the Health Resources and Services Administration to support the implementation of interventions to improve HIV and behavioral health outcomes among Black men who have sex with men (BMSM) living with HIV. The five main priorities focused on: (1) COVID-19 pandemic adaptations; (2) recruitment/enrollment; (3) retention; (4) frontline self-care; and (5) replication considerations. Projects had to be nimble and innovative in their delivery of services; leverage existing infrastructure; and they had to try multiple approaches to reach BMSM and modify/drop them as needed. Future implementers should expect to support frontline staff self-care given the added stress of working under COVID-19 pandemic conditions and in communities with limited and uncoordinated behavioral health services.
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Affiliation(s)
| | | | | | | | | | - Russell Brewer
- Biological Sciences Division, Department of Medicine, University of Chicago, Chicago, Illinois, USA
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Li C, Yang F, Yang BX, Chen W, Wang Q, Huang H, Liu Q, Luo D, Wang XQ, Ruan J. Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study. BMC Psychiatry 2022; 22:623. [PMID: 36131269 PMCID: PMC9490980 DOI: 10.1186/s12888-022-04252-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 09/05/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Mental illness is a major burden of disease worldwide. Community Mental Health Services (CMHS) are key to achieving community-based recovery for people with mental illness. In China, even though the community management of patients with mental illness is improving, the barriers faced by Community Mental Health Workers (CMHWs) are unclear. This study explores the difficulties and challenges in CMHS from the perspective of CMHWs. The results of this study may provide a practical basis for the training of CMHWs. METHODS We carried out a qualitative study using an empirical phenomenological approach. Nine CMHWs were recruited from nine communities in Wuhan, Hubei Province, using purposive and snowball sampling. Face to face semi-structured in-depth interviews were conducted with them from December 27 to 28, 2019. Interview recordings were converted to text content by Nvivo 11.0 software and analyzed using Colaizzi's phenomenological method. RESULTS Three main themes were identified in this study: 1) Lack of role orientation leads to role ambiguity, 2) Failure to establish a therapeutic trust relationship with patients, and 3) Lack of communication and collaboration with various departments and peers. Seven sub themes were also identified. In these themes, CMHWs emphasized the importance of role clarity, therapeutic trusting relationships, and effective communication and coordination mechanisms. CONCLUSION Although China has made great efforts on the road to improving the quality of CMHS, several salient issues regarding CMHWs must be addressed to optimize the quality of services provided by CMHWs. Community mental health institutions should help CMHWs overcome these difficulties, by maximizing its value and promoting the development of CMHS.
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Affiliation(s)
- Chaoyang Li
- grid.257143.60000 0004 1772 1285Hubei University of Chinese Medicine, School of Nursing, Wuhan, China
| | - Fen Yang
- grid.257143.60000 0004 1772 1285Hubei University of Chinese Medicine, School of Nursing, Wuhan, China
| | - Bing Xiang Yang
- grid.49470.3e0000 0001 2331 6153Wuhan University, School of Nursing, Wuhan, China
| | - Wencai Chen
- grid.33199.310000 0004 0368 7223Wuhan Mental Health Center, Wuhan, China
| | - Qinyu Wang
- grid.13394.3c0000 0004 1799 3993Department of Psychology, The Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, China
| | - Haishan Huang
- grid.33199.310000 0004 0368 7223Huazhong University of Science and Technology, Tongji Hospital Affiliated to Tongji Medical college, Wuhan, China
| | - Qian Liu
- grid.49470.3e0000 0001 2331 6153Wuhan University, School of Nursing, Wuhan, China
| | - Dan Luo
- Wuhan University, School of Nursing, Wuhan, China.
| | | | - Juan Ruan
- Wuhan Mental Health Center, Wuhan, China.
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von Hippel C, Brener L, Rose G. Lived Experience as a Protective Factor for Mental Health Workers. Psychiatr Serv 2022; 73:999-1004. [PMID: 35291818 DOI: 10.1176/appi.ps.202100468] [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: 11/30/2022]
Abstract
OBJECTIVE When clients do not seem to be improving, mental health workers have more negative job attitudes, experience higher levels of client-related burnout, and are more interested in leaving the field. Nonetheless, it is unclear whether all mental health workers are equally susceptible to burnout caused by feelings that their clients are not improving. Specifically, people with lived experience of mental illness are intimately familiar with their own recovery challenges and thus may be less susceptible to this source of burnout. METHODS To test this possibility, mental health providers (N=179) from a nongovernmental community mental health organization in Australia completed a survey assessing their perceptions of client improvement from treatment, their feelings of client-related burnout, and a range of organizational outcomes (job satisfaction, job engagement, workplace well-being, and intentions to resign). RESULTS Moderated mediation analyses revealed that although mental health providers who felt that their clients were not improving experienced client-related burnout, lived experience served as a buffer. Staff with lived experience were less susceptible to burnout associated with perceptions that their clients were not improving from treatment. Mental health providers with lived experience also reported more positive job attitudes compared with providers without lived experience. CONCLUSIONS Given the high rates of burnout in the mental health profession, future research should examine why lived experience appears to buffer staff from burnout when they believe that their clients are not improving. This knowledge could aid in the development of interventions to boost resilience, engagement, and longevity in the field.
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Affiliation(s)
- Courtney von Hippel
- Faculty of Health and Behavioural Sciences, School of Psychology, University of Queensland, Brisbane, Queensland, Australia (von Hippel); Centre for Social Research in Health, University of New South Wales, Kensington, New South Wales, Australia (Brener); Flourish Australia, Sydney, New South Wales, Australia (Rose)
| | - Loren Brener
- Faculty of Health and Behavioural Sciences, School of Psychology, University of Queensland, Brisbane, Queensland, Australia (von Hippel); Centre for Social Research in Health, University of New South Wales, Kensington, New South Wales, Australia (Brener); Flourish Australia, Sydney, New South Wales, Australia (Rose)
| | - Grenville Rose
- Faculty of Health and Behavioural Sciences, School of Psychology, University of Queensland, Brisbane, Queensland, Australia (von Hippel); Centre for Social Research in Health, University of New South Wales, Kensington, New South Wales, Australia (Brener); Flourish Australia, Sydney, New South Wales, Australia (Rose)
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Van Hoy A, Rzeszutek M. Burnout and Psychological Wellbeing Among Psychotherapists: A Systematic Review. Front Psychol 2022; 13:928191. [PMID: 36046419 PMCID: PMC9423708 DOI: 10.3389/fpsyg.2022.928191] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 06/23/2022] [Indexed: 12/15/2022] Open
Abstract
Objectives The general aim of this systematic review is to synthesize, analyze, and critically review existing studies concerning the relationship between sociodemographic, intrapersonal, and work-related factors and burnout, as well as psychological wellbeing among psychotherapists. Methodology We performed a structured literature search utilizing the PRISMA framework in the following databases: Web of Science, Scopus, MedLine, PsyARTICLES, ProQuest, and Google Scholar. The most relevant inclusion criteria were quantitative and peer-reviewed articles published in English. Results After the selection process, we accepted 52 articles for further systematic review. Thirty-eight studies examined burnout among psychotherapists, while the other 14 studies focused on psychological wellbeing in this sample. Conclusions Burnout and wellbeing among psychotherapists are related to numerous sociodemographic (e.g., age, gender), intrapersonal (e.g., coping, personality), and work-related characteristics, including work settings and professional support in this profession (e.g., supervision or personal therapy). However, the high heterogeneity observed between studies in terms of burnout and wellbeing operationalization and measurement warrants more consistent and advanced methodological models of these theoretical constructs in the future in this specific sample.
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Méndez Fernández AB, Lombardero Posada X, Aguiar Fernández FX, Murcia Álvarez E, González Fernández A. Professional preference for mental illness: The role of contact, empathy, and stigma in Spanish Social Work undergraduates. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:1492-1503. [PMID: 34184366 DOI: 10.1111/hsc.13479] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 05/14/2021] [Accepted: 06/02/2021] [Indexed: 06/13/2023]
Abstract
The treatment of the mentally ill people is a challenge across the world, and different professionals, such as doctors, social workers, psychologists, or nurses, take care of this group. Nonetheless, mental health is not a vocational sector preferred by students and professionals of many of these careers. Research has proposed that professional preference for a patient group would be positively influenced by intergroup contact (quantity and quality) and empathy (perspective-taking), and negatively associated with intergroup anxiety and social distance. However, the evidence testing this proposal was partial and mainly referring to other patient groups such as minorities or immigrants. The major aim of this cross-sectional study was to clarify two research questions referring to mentally ill persons: Do contact and empathy protect undergraduates from intergroup anxiety and social distance and promote professional preference? Do intergroup anxiety and social distance predict professional preference and mediate the influence of contact and empathy in professional preference? A convenience sample of 409 Social Work undergraduates (81% females) from three Spanish universities completed a questionnaire between February and June 2020. Concerning direct relationships, the structural equation model showed that the quantity of contact only predicted intergroup anxiety negatively; quality of contact and empathy negatively predicted intergroup anxiety and social distance; intergroup anxiety positively predicted social distance; intergroup anxiety and social distance negatively predicted professional preference. Concerning mediated relationships, the influence of quality of contact and empathy on social distance was mediated by intergroup anxiety; social distance mediated the relationship of intergroup anxiety with professional preference; both anxiety and distance mediated the influence of quality of contact and empathy in professional preference. These results encourage interventions aimed at enhancing professional preference for mental illness by improving contact, knowledge, and empathy and reducing stigma in students and workers from diverse mental health careers.
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Affiliation(s)
| | | | | | - Evelia Murcia Álvarez
- Facultade de Educación e Traballo Social, Universidade de Vigo, Ourense, Spain
- Centro de Investigação e de Intervenção Social do Instituto Universitário de Lisboa (CIS-IUL), Lisboa, Portugal
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Anderson J, West S, Lees D, Cleary M. Developing the Right Skills to Meet the Mental Health Needs of Older Adults. Issues Ment Health Nurs 2022; 44:453-455. [PMID: 35724399 DOI: 10.1080/01612840.2022.2087012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Judith Anderson
- School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Bathurst, NSW, Australia
| | - Sancia West
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, Australia
| | - David Lees
- School of Nursing, University of Tasmania, Launceston, Tasmania, Australia
| | - Michelle Cleary
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, Australia
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Chen K, Lou VWQ, Tan KCK, Wai MY, Chan LL. Burnout and intention to leave among care workers in residential care homes in Hong Kong: Technology acceptance as a moderator. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1833-1843. [PMID: 33506980 DOI: 10.1111/hsc.13294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 12/07/2020] [Accepted: 12/30/2020] [Indexed: 06/12/2023]
Abstract
Care workers in residential care settings for older adults often experience job burnout, resulting in a high turnover rate. Previous studies offered contradictory findings on technology use in the workplace and its relationship with burnout. This study aimed to explore the moderator role technology acceptance plays in the relationship between burnout and intention to leave among care workers in residential care settings in Hong Kong. The study was based on a multicenter, cross-sectional questionnaire survey. The acceptance of general, and three specific, technologies (i.e., tablets, social robots and video gaming) was measured based on the scale of the Technology Acceptance Model. Two dimensions of burnout (exhaustion and disengagement) were measured using the Oldenburg Burnout Inventory scale. Intention to leave was measured using a self-reported item. Data collection took place from July to December 2018. We analysed data from 370 care workers from seven non-private residential care homes for older people in Hong Kong. A hierarchical multiple regression approach was used for moderator analysis. The results revealed that two measures of burnout (exhaustion and disengagement) were significantly and positively associated with intention to leave. The four measures of technology acceptance were negatively associated with intention to leave. The interaction of video-gaming acceptance and exhaustion was predictive of intention to leave (standardized beta = -0.20, p = .011). Acceptance of video gaming changed the strength of the relationship between exhaustion and intention to leave among participants. No significant moderating effects were observed in the relationship between disengagement and intention to leave. We highlight the importance of integrating technology variables, especially subjective appraisal of technology, in the issues of burnout and intention to leave. These findings shed new light on policies and practices that consider implement technology in routine care in residential care settings without unanticipated negative impacts for care staff.
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Affiliation(s)
- Ke Chen
- Sau Po Centre on Ageing, the University of Hong Kong, Hong Kong, China
| | - Vivian Wei-Qun Lou
- Sau Po Centre on Ageing, the University of Hong Kong, Hong Kong, China
- Social Work and Social Administration, the University of Hong Kong, Hong Kong, China
| | - Kelvin Cheng-Kian Tan
- Social Work and Social Administration, the University of Hong Kong, Hong Kong, China
| | - Man-Yi Wai
- Hong Kong Sheng Kung Hui Welfare Council Limited, Hong Kong, China
| | - Lai-Lok Chan
- Hong Kong Sheng Kung Hui Welfare Council Limited, Hong Kong, China
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Liu D, Yang X, Li Q, Shi L, Tang Q. Prevalence and associated factors of the career plateau of primary care providers in Heilongjiang, China: a cross-sectional study. BMC FAMILY PRACTICE 2021; 22:38. [PMID: 33596820 PMCID: PMC7888696 DOI: 10.1186/s12875-021-01389-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 02/09/2021] [Indexed: 11/10/2022]
Abstract
Background Primary care providers are pillars of China’s medical and health sectors. However, due to the gap between career expectations and reality, they enter a career plateau phase through excessive pressure. This study aims to examine the prevalence and associated factors of the career plateau of primary care providers in Heilongjiang Province, China, and proposes strategies to improve and promote their career advancement. Methods Based on city-level GDP growth in the province, a questionnaire survey was conducted among 1500 primary care providers (effective response rate = 85.8%). Pearson’s chi-square analysis and binary logistic regression were used to analyse the factors associated with their career plateau. Results The prevalence rate of career plateau was 61.8% among primary care provider respondents. The factors associated with a career plateau included having a spouse (OR = 1.394, 95%CI = 1.056–1.839), working more than 40 h per week (OR = 1.473, 95%CI = 1.146–1.893); working for 11–20 years (OR = 1.607, 95%CI = 1.150–2.246); working for more than 20 years (OR = 2.818, 95%CI = 1.938–4.097); having an average monthly income of 3001–4000 yuan (OR = 1.886, 95%CI = 1.197–2.969) or 4001–5000 yuan (OR = 2.104, 95%CI = 1.256–3.524); and reporting unsatisfactory or very unsatisfactory sleep quality (OR = 1.838, 95%CI = 1.317–2.567). Conclusions Primary care providers in Heilongjiang Province face a high career plateau, with marital status, weekly working hours, number of years employed, monthly average income, and sleep quality considered associated factors. To eliminate negative factors of the career plateau, it is necessary to provide support to primary care providers in four domains: individual, organisation, society, and policy. Supplementary Information The online version contains supplementary material available at 10.1186/s12875-021-01389-w.
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Affiliation(s)
- Di Liu
- School of Economics and Management, Harbin Engineering University, Harbin, People's Republic of China.,School of Marxism, Harbin Medical University, Harbin, People's Republic of China
| | - Xu Yang
- School of Economics and Management, Harbin Engineering University, Harbin, People's Republic of China.
| | - Qinglin Li
- School of Health Management, Harbin Medical University, Harbin, People's Republic of China
| | - Lei Shi
- School of Health Management, Harbin Medical University, Harbin, People's Republic of China
| | - Qiaoran Tang
- Children's Hospital of Soochow University, Suzhou, People's Republic of China
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Matsumoto-Takahashi ELA, Tongol-Rivera P, Villacorte EA, Angluben RU, Jimba M, Kano S. Factors determining job satisfaction of malaria community microscopists in Palawan, the Philippines: a cross-sectional mixed-methods study. Int Health 2021; 13:22-29. [PMID: 32285911 PMCID: PMC7807231 DOI: 10.1093/inthealth/ihaa015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 01/14/2020] [Accepted: 03/14/2020] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND This study was conducted to investigate the overall job satisfaction and its associated factors among microscopists as community health workers who specialize in malaria microscopic diagnosis and treatment in Palawan, the Philippines. The study offered new insights to further lessen the burden of malaria and improve treatment by enhancing their commitment and satisfaction. METHODS A quantitative study was conducted with 217 microscopists who were asked about their sociodemographic characteristics, ability as microscopists (service quality, knowledge of malaria and ability to diagnose malaria by microscopy [malaria microscopy]) and job satisfaction. Structural equation modelling (SEM) was conducted to analyse these factors. A qualitative study was also conducted and four focus group discussions (FGDs) were carried out. RESULTS SEM identified that the job satisfaction of microscopists was enhanced by ability in malaria microscopy, the annual parasite index and belonging to ethnic minorities. In the FGDs, high job satisfaction was seen in their devotion to the community and increasing knowledge about malaria. CONCLUSIONS Providing opportunities to improve malaria microscopy ability would increase the overall job satisfaction of microscopists and eventually improve the quality of care.
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Affiliation(s)
- Emilie Louise Akiko Matsumoto-Takahashi
- Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan
| | - Pilarita Tongol-Rivera
- Department of Parasitology, College of Public Health, University of the Philippines Manila, 625 Pedro Gil Street, Ermita Manila, Philippines
| | - Elena Andino Villacorte
- Department of Parasitology, College of Public Health, University of the Philippines Manila, 625 Pedro Gil Street, Ermita Manila, Philippines
| | - Ray Uyaan Angluben
- Pilipinas Shell Foundation, Inc., Puerto Princesa City, Palawan 5300, Philippines
| | - Masamine Jimba
- Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8654, Japan
| | - Shigeyuki Kano
- Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan
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