دانلود رایگان مقاله انگلیسی استرس شغلی و رفاه در میان مراجعه کنندگان اولیه: مطالعه روش های ترکیبی - الزویر 2018

abstract

The current, unprecedented scaling up of evidence-based home visiting makes it crucial to elucidate the factors and processes that promote successful program implementation. One key factor is the well-being of the workforce. Scant attention has been paid to the ways in which early childhood home visitors may be affected by their work with low-income, high-risk families, however. This mixed methods study examined Early Head Start(EHS) home visitors’ compassion satisfaction, secondary traumatic stress, burnout, and job withdrawal, and their associations with home visitor, family, and work characteristics. Data included survey questionnaires (N = 77) and individual interviews (n = 7). A subset of home visitor survey data (n = 27) was linked with data from EHS families (N = 102) to examine the associations between home visitors’ well-being and EHS families’ psychosocial risks. Overall, EHS home visitors demonstrated moderate to high compassion satisfaction and more variable levels of secondary traumatic stress. The home visitors’ occupational stress and well-being were associated with home visitor, family, and work characteristics. For example, home visitors’ secondary traumatic stress was associated with EHS families’ psychosocial risks. Home visitors’ burnout was associated with job withdrawal. Both quantitative and qualitative data showed that home visitors were exposed to varying levels of EHS family risk and trauma, and that some home visitors were deeply affected by this exposure.

4.7. Conclusion

As the largest federally funded program designed to promote optimal development in low-income infants and toddlers, EHS has tremendous potential to make large-scale, population-based impacts in the lives of vulnerable families and children. Home visitors serve as the essential link between these program goals and service outcomes. The currentfindings confirmthathome visiting is experienced as rewarding by all home visitors and as physically and emotionally demanding by some home visitors. The need to recruit, support, and retain a competent workforce is of paramount importance. Additional supports and shifts in thinking may be needed to address the complex needs of both the EHS families and staff in order to help the EHS home-based program realize its full potential.