"无效,被解雇或被最小化:"工作场所经历中的性别差异和VHA精神卫生提供者的倦怠:一项混合方法研究
Kara Zivin1,2, Molly Harrod1, Linda Takamine1
1Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109, USA.
SSM. Qualitative research in health
|June 30, 2025
概括
退伍军人卫生管理局 (VHA) 的女性心理健康提供者 (MHP) 由于性别歧视和为自己辩护的挑战,经历了更高的倦怠和负面的工作场所经历. 需要在系统层面进行改进,以解决这些差异,并提高劳动力福利.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 卫生社会学 卫生社会学
背景情况:
- 疲劳严重影响全国各地的临床医生,退伍军人卫生管理局 (VHA) 的心理健康提供者 (MHP) 报告了较高的水平.
- 女性提供者不成比例地承担着倦怠和工作场所负面经历的负担.
- 了解影响这些差异的背景因素对于有针对性的干预至关重要.
研究的目的:
- 检查影响工作场所体验和VHA内的MHPs中倦怠的上下文情况.
- 识别和分析男性和女性MHP之间的工作场所经验和倦怠程度的差异.
- 探索基于性别的差异对MHP福利和组织气候的影响.
主要方法:
- 融合混合方法设计,整合定量和定性数据.
- 分析了2022年VHA所有员工调查 (AES) 数据,来自14,265家MHP (72.1%为女性).
- 在2021-2022年期间对51名MHP (66.7%为女性) 进行了深度采访.
主要成果:
- 与男性 (40.18%) 相比,女性MHP报告的燃烧率更高 (42.71%).
- 女人报告说,主管的偏爱,公平的冲突解决,主管的响应能力和绩效认可较少.
- 定性数据显示,女性在自我倡导和界限设定方面感到不舒服,不尊重,歧视和普遍的性别歧视的经历增加,导致燃烧.
结论:
- 女性MHP面临着独特的挑战,包括更高的倦怠率和更不积极的工作场所经历,通常与性别歧视和自我倡导困难有关.
- 调查结果强调需要在系统层面进行改进,解决一般员工倦怠和性别差异的问题.
- 实施有针对性的干预措施可以促进更健康的劳动力,并改善VHA内的患者护理.
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