علل و پیامدهای فرسودگی شغلی در مراقبان شاغل در مراکز نگهداری از کودکان دارای فلج مغزی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری کاردرمانی، گروه آموزش کاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

2 دانشیار، گروه آموزشی کاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

3 استادیار، گروه کاردرمانی، دانشکده توانبخشی، دانشگاه علوم پزشکی اراک، اراک، ایران

چکیده

مقدمه و اهداف
مراقبت از کودکان دارای فلج مغزی در مراکز نگهداری، سخت، انرژی­بر و طولانی­مدت بوده و می‌تواند سبب بروز فرسودگی شغلی در مراقبان شود. لذا هدف از مطالعه حاضر شناسایی علل و پیامدهای فرسودگی شغلی از دید مراقبان، مدیران و درمانگران شاغل در مراکز نگهداری از کودکان دارای فلج مغزی در جامعه ایرانی می‌باشد.
مواد و روش‌ها
مطالعه کیفی حاضر، از نوع تحلیل محتوا بود که با مشارکت 9 مراقب، 2 مدیر مرکز و یک فیزیوتراپیست انجام شد. افراد بر اساس نمونه­گیری به صورت هدفمند و تا رسیدن به اشباع انتخاب شدند. داده‌ها با استفاده از مصاحبه عمیق فردی نیمه ساختارمند در مرکز و بخش­های نگهداری از کودکان دارای فلج مغزی جمع­آوری شدند. کلیه مصاحبه‌ها ضبط، بازنویسی و مرور شد. سپس به روش تحلیل محتوای عرفی و با استفاده از مقایسه مداوم مورد تجزیه و تحلیل قرار گرفت.
یافته‌ها
از مجموع مصاحبه‌ها 623 کد باز یا اولیه به دست آمد. این کدها در طی فرآیند تجزیه و تحلیل در سه درون­مایه اصلی: تنیدگی‌های مراقبتی، ماهیت شغلی مراقبت کردن و چالش­ها و کاستی‌های سازمانی و مدیریتی و 9 زیر درون­مایه طبقه­بندی شد.
نتیجه ­گیری
شناسایی چالش‌ها و موانع موجود، سبب افزایش آگاهی مدیران و متعاقبا برنامه­ریزی بهتر اداری و سازمانی به منظور افزایش کیفیت خدمات مراقبتی در مراکز می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Causes and Consequences of Burnout in Caregivers: A Qualitative Content Analysis

نویسندگان [English]

  • Abbass Dehghan 1
  • Sayed Ali Hosseini 2
  • Mehdi Rassafiani 2
  • Hamid Dalvand 3
1 PhD Student of Occupational Therapy, Department of Occupational Therapy, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran
2 Associate Professor, Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3 Assistant professor, Department of Occupational therapy, School of Rehabilitation, Arak University of Medical Sciences, sardasht St,Basij square, Arak,Iran
چکیده [English]

Background and Aim: Caring for children with Cerebral Palsy (CP) is hard, energy-consuming, and long-term, and can lead to caregivers’ burnout. The present study aimed to identify reasons for and consequences of occupational burnout among caregivers working in institutes for children with CP in an Iranian context.
Materials and Methods: The present study was carried out using qualitative approach and content analysis methodology. Nine caregivers, two managers, and one physiotherapist participated in the study. Purposive sampling method was used to select participants and in depth, semi-structure interviews were used to collect the data. All interviews were conducted in institutes. The interviews were recorded, transcribed verbatim, and overviewed. Constant comparative analyses were used to analyze the interviews.
Results: A total of 623 initial codes were extracted from the interviews. Then, the codes were categorized into three main categories and nine sub-categories. The main categories were as follows: care-related stress, nature of caring occupation, and managerial and organizational challenges and shortcomings.
Conclusion: Identifying the barriers and challenges can lead to betterment of managers’ knowledge and, consequently, adoption of more proper organizational policies to increase the quality of caring services in the institutes.

کلیدواژه‌ها [English]

  • Caregiver
  • Cerebral palsy
  • Burnout
  • Content Analysis
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