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Influence of perceived organisational factors on job burnout: survey of community mental health staff

  • Antonio Lasalvia (a1), Chiara Bonetto (a2), Mariaelena Bertani (a2), Sarah Bissoli (a2), Doriana Cristofalo (a2), Giovanna Marrella (a2), Enrico Ceccato (a3), Carla Cremonese (a4), Moreno De Rossi (a5), Lorenza Lazzarotto (a2), Vanna Marangon (a6), Idana Morandin (a7), Maria Zucchetto (a8), Michele Tansella (a2) and PICOS-Veneto Group...

Abstract

Background

Staff burnout is a critical issue for mental healthcare delivery, as it can lead to decreased work performance and, ultimately to poorer treatment outcomes.

Aims

To explore the relative weight of job-related characteristics and perceived organisational factors in predicting burnout in staff working in community-based psychiatric services.

Method

A representative sample of 2000 mental health staff working in the Veneto region, Italy, participated. Burnout and perceived organisational factors were assessed by using the Organizational Checkup Survey.

Results

Overall, high levels of job distress affected nearly two-thirds of the psychiatric staff and one in five staff members suffered from burnout. Psychiatrists and social workers reported the highest levels of burnout, and support workers and psychologists, the lowest. Burnout was mostly predicted by a higher frequency of face-to-face interaction with users, longer tenure in mental healthcare, weak work group cohesion and perceived unfairness.

Conclusions

Improving the workplace atmosphere within psychiatric services should be one of the most important targets in staff burnout prevention strategies. The potential benefits of such programmes may, in turn, have a favourable impact on patient outcomes.

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Copyright

Corresponding author

Antonio Lasalvia, Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Policlinico ‘G.B. Rossi’ 37134–Verona, Italy. Email: antonio.lasalvia@univr.it

Footnotes

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This study was supported by the Ricerca Sanitaria Finalizzata n. 219/05, Giunta Regionale del Veneto with a grant to A.L.

Declaration of interest

None.

Footnotes

References

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1 Maslach, C. Burnout: The Cost of Caring. Prentice-Hall, 1982.
2 Thomsen, S, Soares, J, Nolan, P, Dallender, J, Arnetz, B. Feelings of professional fulfillment and exhaustion in mental health personnel: the importance of organisational and individual factors. Psychother Psychosom 1999; 68: 157–64.
3 Snibbe, JR, Radcliffe, T, Weisberger, C, Richards, M, Kelly, J. Burnout among primary care physicians and mental health professionals in a managed health care setting. Psychol Rep 1989; 65: 775–80.
4 Priebe, S, Fakhoury, W, White, I, Watts, J, Bebbington, P, Billings, J, et al. Characteristics of teams, staff and patients: associations with outcomes of patients in assertive outreach. Br J Psychiatry 2004; 185: 306–11.
5 Sainsbury Centre for Mental Health. Finding and Keeping: Review of Recruitment and Retention in the Mental Health Workforce. The Sainsbury Centre, 2001.
6 de Girolamo, G, Bassi, M, Neri, G, Ruggeri, M, Santone, G, Picardi, A. The current state of mental health care in Italy: problems, perspectives, and lessons to learn. Eur Arch Psychiatry Clin Neurosci 2007; 257: 8391.
7 Maslach, C, Leiter, MP. The Truth about Burnout. Jossey-Bass, 1997.
8 Prosser, D, Johnson, S, Kuipers, E, Szmukler, G, Bebbington, P, Thornicroft, G. Mental health, “burnout” and job satisfaction among hospital and community-based mental health staff. Br J Psychiatry 1996; 169: 334–7.
9 Guthrie, E, Tattan, T, Williams, E, Black, D, Bacliocotti, H. Sources of stress, psychological distress and burnout in psychiatrists: comparison of junior doctors, senior registrars and consultants. Psychiatr Bull 1999; 23: 207–12.
10 Edwards, D, Burnard, P, Coyle, D, Fothergill, A, Hannigan, B. Stress and burnout in community mental health nursing: a review of the literature. J Psychiatr Ment Health Nurs 2000; 7: 714.
11 Reid, Y, Johnson, S, Morant, N, Kuipers, E, Szmukler, G, Thornicroft, G, et al. Explanations for stress and satisfaction in mental health professionals: a qualitative study. Soc Psychiatry Psychiatr Epidemiol 1999; 34: 301–8.
12 Prosser, D, Johnson, S, Kuipers, E, Dunn, G, Szmukler, G, Reid, Y, et al. Mental health, “burnout” and job satisfaction in a longitudinal study of mental health staff. Soc Psychiatry Psychiatr Epidemiol 1999; 34: 295300.
13 Kilfedder, CJ, Power, KG, Wells, TJ. Burnout in psychiatric nursing. J Adv Nurs 2001; 34: 383–96.
14 Evans, S, Huxley, P, Gately, C, Webber, M, Mears, A, Pajak, S, et al. Mental health, burnout and job satisfaction among mental health social workers in England and Wales. Br J Psychiatry 2006; 188: 7580.
15 Deary, IJ, Agius, RM, Sadler, A. Personality and stress in consultant psychiatrists. Int J Soc Psychiatry 1996; 42: 112–23.
16 Iacovides, A, Fountoulakis, K, Moysidou, C, Lerodiakonou, C. Burnout in nursing staff: a clinical syndrome rather than a psychological reaction? Gen Hosp Psychiatry 1997; 19: 419–28.
17 Leiter, MP, Maslach, C. Preventing Burnout and Building Engagement: A Complete Program for Organizational Renewal. Jossey-Bass, 2000.
18 Leiter, MP, Maslach, C. Areas of worklife: a structured approach to organizational predictors of job burnout. In Research in Occupational Stress and Well Being, Vol. 3: Emotional and Physiological Processes and Positive Intervention Strategies (eds Perrewe, PL, Ganster, DC): 91134. JAI Press/Elsevier, 2004.
19 Maslach, C, Goldberg, J. Prevention of burnout: new perspectives. Appl Prev Psychol 1998; 7: 6374.
20 Maslach, C, Schaufeli, WB, Leiter, MP. Job Burnout. Annu Rev Psychol 2001; 52: 397422.
21 Maslach, C, Leiter, MP. Early predictors of job burnout and engagement. J Appl Psychol 2008; 93: 498512.
22 Korkeila, JA, Töyry, S, Kumpulainen, K, Toivola, JM, Räsänen, K, Kalimo, R. Burnout and self-perceived health among Finnish psychiatrists and child psychiatrists: a national survey. Scand J Public Health 2003; 31: 8591.
23 Lloyd, C, King, R. A survey of burnout among Australian mental health occupational therapists and social workers. Soc Psychiatry Psychiatr Epidemiol 2004; 39: 752–57.
24 Kumar, S, Fischer, J, Robinson, E, Hatcher, S, Bhagat, RN. Burnout and job satisfaction in New Zealand psychiatrists: a national study. Int J Soc Psychiatry 2007; 53: 306–16.
25 Sørgaard, KW, Ryan, P, Hill, R, Dawson, I, OSCAR Group. Sources of stress and burnout in acute psychiatric care: inpatient vs. community staff. Soc Psychiatry Psychiatr Epidemiol 2007; 42: 794802.
26 Eklund, M, Hansson, L. Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit based on occupational therapy. Acta Psychiatr Scand 1997; 95: 329–35.
27 Nash, L, Gorrell, J, Cornish, A, Rosen, A, Miller, V, Tennant, C. Clinical outcome of an early psychosis intervention program: evaluation in a real-world context. Aust N Z J Psychiatry 2004; 38: 694701.
28 Rossberg, JI, Melle, I, Opjordsmoen, S, Friis, S. Patient satisfaction and treatment environment: a 20-year follow-up study from an acute psychiatric ward. Nord J Psychiatry 2006; 60: 176–80.
29 Lasalvia, A, Gentile, B, Ruggeri, M, Marcolin, A, Nosè, F, Cappellari, L, et al. Heterogeneity of the Departments of Mental Health in the Veneto Region ten years after the National Plan 1994–96 for Mental Health. Which implication for clinical practice? Findings from the PICOS Project. Epidemiol Psichiatr Soc 2007; 16: 5970.
30 Leiter, MP, Maslach, C. Organizational Checkup Survey. Jossey-Bass, 2000.
31 Borgogni, L, Galati, D, Petitta, L, Centro Formazione Schweitzer. Il questionario di Checkup Organizzativo. Manuale dell'adattamento italiano [Organisational Checkup Survey. Manual of the Italian Adaptation]. O.S. Organizzazioni Speciali, 2005.
32 Schaufeli, WB, Leiter, MP, Maslach, C, Jackson, SE. Maslach Burnout Inventory-General Survey. In The Maslach Burnout Inventory (3rd edn) (eds Maslach, C, Jackson, SE, Leiter, MP). Consulting Psychologists Press, 1996.
33 Maslach, C, Jackson, SE, Leiter, MP. The Maslach Burnout Inventory (3rd edn). Consulting Psychologists Press, 1996.
34 Schaufeli, WB, Van Dierendonck, D. UBOS Utrecht Burnout Scale: Manual (in Dutch). Swets Test Publishers, 2000.
35 Rabe-Hesketh, S, Skrondal, A, Pickles, A. GLLAMM Manual. University of California Berkeley, Division of Biostatistics, 2004 (http://www.bepress.com/ucbbiostat/paper160/).
36 Onyett, S, Pillinger, T, Muijen, M. Job satisfaction and burnout among members of community mental health teams. J Mental Health 1997; 6: 5566.
37 Priebe, S, Fakhoury, W, Hoffmann, K, Powell, RA. Morale and job perception of community mental health professionals in Berlin and London. Soc Psychiatry Psychiatr Epidemiol 2005; 40: 223–32.
38 Kumar, S. Burnout in psychiatrists. World Psychiatry 2007; 6: 186–9.
39 Pajak, S, Mears, A, Kendall, T, Katona, C, Medina, J. Workload and Working Patterns in Consultant Psychiatrists. An Investigation into Occupational Pressure and Burdens. College Research Unit, Royal College of Psychiatrists, 2003.
40 Fischer, J, Kumar, S, Hatcher, S. What makes psychiatry such a stressful profession? A qualitative study. Australas Psychiatry 2007; 15: 417–21.
41 Bakker, AB, Demerouti, E, Euwema, MC. Job resources buffer the impact of job demands on burnout. J Occup Health Psychol 2005; 10: 170–80.
42 Quattrin, R, Zanini, A, Nascig, E, Annunziata, M, Calligaris, L, Brusaferro, S. Level of burnout among nurses working in oncology in an Italian region. Oncol Nurs Forum 2006; 33: 815–20.
43 Klersy, C, Callegari, A, Martinelli, V, Vizzardi, V, Navino, C, Malberti, F, et al. Burnout in health care providers of dialysis service in Northern Italy – a multicentre study. Nephrol Dial Transplant 2007; 22: 2283–90.
44 Billings, J, Johnson, S, Bebbington, P, Greaves, A, Priebe, S, Muijen, M, et al. Assertive outreach teams in London: staff experiences and perceptions. Pan-London Assertive Outreach Study, Part 2. Br J Psychiatry 2003; 183: 139–47.
45 Reininghaus, U, Priebe, S. Assessing morale in community mental health professionals: a pooled analysis of data from four European countries. Soc Psychiatry Psychiatr Epidemiol 2007; 42: 237–43.
46 Moore, K, Cooper, C. Stress in mental health professionals: a theoretical overview. Int J Soc Psychiatry 1996; 42: 82–9.
47 Eichler, T, Schützwohl, M, Priebe, S, Wright, D, Adamowski, T, Rymaszewska, J, et al. Loss to follow-up in longitudinal psychiatric research. Epidemiol Psichiatr Soc 2008; 17: 138–47.
48 Riordan, C, Weatherly, E. Defining and measuring employees' identification with their work groups. Educ Psychol Meas 1999; 59: 310–24.
49 Gilbert, JA, Tang, LP. An examination of organizational trust antecedents. Public Pers Manage 1998; 27: 321–5.
50 Blegen, MA. Nurses' job satisfaction: a meta-analysis of related variables. Nurs Res 1993; 42: 3641.
51 Mullen, B, Copper, C. The relation between group cohesiveness and performance: an integration. Psychol Bull 1994; 115: 210–27.
52 Healthcare Commission. National NHS Staff Survey 2007: Summary of Key Findings. Commission for Healthcare Audit and Inspection, 2008 (http://www.cqc.org.uk/_db/_documents/National_NHS_staff_survey_2007_summary_of_key_findings_200804183620.pdf).
53 Leiter, MP, Harvie, P. Conditions of staff acceptance of organizational change: burnout as a mediating construct. Anxiety Stress Coping 1998; 11: 125.
54 Alimo-Metcalfe, B, Alban-Metcalfe, J, Bradley, M, Mariathasan, J, Samele, C. The impact of engaging leadership on performance, attitudes to work and wellbeing at work: A longitudinal study. J Health Organ Manag 2008; 22: 586–98.
55 Marine, A, Ruotsalainen, J, Serra, C, Verbeek, JH. Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews 2006, issue 4.
56 Killaspy, H, Johnson, S, King, M, Bebbington, P. Developing mental health services in response to research evidence. Epidemiol Psichiatr Soc 2008; 17: 4756.
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Influence of perceived organisational factors on job burnout: survey of community mental health staff

  • Antonio Lasalvia (a1), Chiara Bonetto (a2), Mariaelena Bertani (a2), Sarah Bissoli (a2), Doriana Cristofalo (a2), Giovanna Marrella (a2), Enrico Ceccato (a3), Carla Cremonese (a4), Moreno De Rossi (a5), Lorenza Lazzarotto (a2), Vanna Marangon (a6), Idana Morandin (a7), Maria Zucchetto (a8), Michele Tansella (a2) and PICOS-Veneto Group...

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Influence of perceived organisational factors on job burnout: survey of community mental health staff

  • Antonio Lasalvia (a1), Chiara Bonetto (a2), Mariaelena Bertani (a2), Sarah Bissoli (a2), Doriana Cristofalo (a2), Giovanna Marrella (a2), Enrico Ceccato (a3), Carla Cremonese (a4), Moreno De Rossi (a5), Lorenza Lazzarotto (a2), Vanna Marangon (a6), Idana Morandin (a7), Maria Zucchetto (a8), Michele Tansella (a2) and PICOS-Veneto Group...
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