• 제목/요약/키워드: Scale of Burnout Risk

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질적-양적 연구방법론의 혼합에 의한 의료사회복지사의 소진탄력성 및 소진위험성 척도개발 연구 (Creating and Validating Scale of Resilience to Burnout and Scale of Burnout Risk with Mixed Methods)

  • 최명민
    • 한국사회복지학
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    • 제59권4호
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    • pp.245-272
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    • 2007
  • 본 연구는 혼합방법론의 탐색설계 중 척도개발모델에 의거하여 소진탄력성척도와 소진위험성척도를 개발하고 그 과정에서 산출된 자료들의 의미를 탐색하기 위한 것이다. 이를 위하여 척도개발모델 1단계에서는 선행 질적연구를 통해 도출한 의료사회복지사의 소진 보호 및 위험요인에 기반을 두고 각 척도의 내용을 구성하였고, 2단계 양적 연구 단계에서는 의료사회복지사 185명의 조사자료를 분석하여 척도들의 구성타당도와 신뢰도를 검증하였다. 확인적 요인분석 결과 6요인 31문항의 소진탄력성척도와 6요인 27문항의 소진위험성척도의 구성타당도가 검증되었으며, 두 척도의 신뢰도는 소진탄력성 0.92, 소진위험성 0.90으로 나타났다. 더불어 각 척도 및 하위요인들 간의 상관관계 분석을 통해 소진탄력성과 소진위험성의 속성 및 관계에 대한 분석을 제시하였고, 인구사회학적 변인들에 의한 조사 결과도 살펴보았다. 이와 같은 혼합방법론에 의한 척도개발과정을 통해 현장의 목소리를 최대한 반영하면서 수량적으로도 타당도와 신뢰도가 검증된 척도를 개발할 수 있었다.

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어린이집 교사의 소진과 ADHD, 우울, 불안, 자존감, 충동성, 자살사고, 삶의 질 (ADHD, Depression, Anxiety, Self-esteem, Impulsivity, Suicide Idea and Quality of Life with Burnout of Kindergarten Teacher)

  • 이혜안;심수연;양영애;임명호
    • 한국콘텐츠학회논문지
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    • 제16권7호
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    • pp.291-299
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    • 2016
  • 어린이집 교사는 과도한 업무 및 지속적인 스트레스에 노출되어 소진 등의 여러 가지 정신적 문제를 나타낼 수 있다. 본 연구는 어린이집 교사의 소진뿐만 아니라 주의력결핍 과잉행동장애 증상, 우울, 불안, 자존감, 충동성, 자살사고, 삶의 질의 관련성에 대해 광범위하게 평가하였다. 또한 회귀분석을 이용하여 어린이집 교사의 소진위험군에 대해서 대조군에 비해 주의력결핍 과잉행동장애 증상, 우울, 불안, 자존감, 충동성, 자살사고, 삶의 질의 위험도를 평가하였다. 2015년 4월부터 7월까지 ${\bigcirc}{\bigcirc}$시에 거주하는 어린이집 교사 310명을 대상으로 설문평가를 시행하였다. 이중에서 소진위험군에 해당하는 군은 80명이었다. 모든 대상군에서 한국형 성인 주의력결핍과잉행동장애척도, 벡 우울척도, 벡 불안척도, 바렛 충동성척도, 로젠버그 자존감 척도, 자살사고 척도, 삶의 질 척도 등을 평가하였다. 결과로서 소진위험군은 주의력결핍 과잉행동장애 증상, 우울, 불안, 자존감, 충동성, 자살사고, 삶의 질에서 대조군과 유의한 차이를 나타내었으며, 특히 회귀분석에서는 불안, 주의력결핍과잉행동장애, 충동성에서도 유의한 odds ratio를 나타내었다. 이는 어린이집 교사의 소진에는 불안 등의 정서적 위험요인 외에도 주의력결핍과잉행동장애, 충동성 등이 연관성을 나타내고 있으므로 이에 대한 중재적 노력이 필요할 것으로 생각된다.

지역사회 사회복지전담 공무원의 직무소진과 관련된 심리사회적 요인 (Psychosocial Factors Related to Burnout of Job Duties in a Local Social Welfare Officers)

  • 허선;윤보현;김경민;정유란;시영화;박수희;송제헌;정하란;마수진
    • 우울조울병
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    • 제16권3호
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    • pp.158-162
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    • 2018
  • Objectives : The purpose of this study was to examine psychosocial factors related to burnout of social welfare officers working in Jeonnam Province. Methods : A total of 395 social welfare officers (male 99, female 296) working in 22 areas of Jeollanam-do province, were subjects of this study. We examined socio-demographic factors, using a self-reporting questionnaire. Subjects were asked to complete the Maslach Burnout Inventory-General Survey (MBI-GS), Center for Epidemiological Studies Depression Scale (CES-D), Perceived Stress Scale (PSS), and the Generalized Self-Efficacy Scale (GSS), to assess psychosocial factors affecting to burnout of social welfare officers. Results : Among 395 subjects, 221 (55.9%) reported recent experiences of burnout. There was no significant difference in age between two groups, divided by burnout. Sex (p<0.001), rank (p=0.003), working period (p=0.034), depression (p<0.001) revealed differences between the burnout group and control group. Scores of PSS (p<0.001) were higher, while the scores of GSS (p<0.001) were lower in the burnout group, than control group. Multivariate logistic regression analysis revealed that female (OR 2.840, 95%CI 1.466-5.504, p=0.002), depressive high-risk group (OR 6.824, 95%CI 2.893-16.096, p<0.001) PSS (OR 1.247, 95%CI 1.153-1.349, p<0.001) and GSS (OR 0.950, 95%CI 0.930-0.971, p<0.001), were significantly associated with burnout. Conclusion : We found that some factors, were associated with experienced burnout in social welfare officers. Depressive symptoms were the strongest associative factor, for burnout in public servants in charge of social welfare. Sex, stress and self-efficacy also correlated with burnout, and especially self-efficacy was a protecting factor.

A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study

  • Kim, Hyun Ji;Lee, Geon Ho
    • Journal of Yeungnam Medical Science
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    • 제39권3호
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    • pp.216-222
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    • 2022
  • Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19-related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19-related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19-related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19-related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

한국판 자기-자비척도 타당화 연구 - 교정시설 종사자를 대상으로 (Validation study of the Korean version of self-compassion scale - focusing on correctional workers)

  • 김현진;김민
    • 한국산학기술학회논문지
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    • 제20권8호
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    • pp.321-330
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    • 2019
  • 본 연구의 목적은 한국판 자기자비 척도(Korean self-compassion scale)의 신뢰도와 타당도를 검증하기 위해 교정기관 종사자들을 대상으로 수집된 자료와 관련된 척도들 간 관계를 알아보는 것이다. 자기자비척도의 타당화를 위해 312부의 설문지가 최종분석에 포함되었으며, 상관분석, 탐색적-확인적 요인분석을 실시하였다. 관련 척도와 신뢰도를 알아보기 위해 한국인 직무스트레스 척도(Korean occupational stress scale), 우울척도(The center for epidemiological studies depression scale), 소진척도(Maslach burnout inventory scale), 스트레스 지각척도(perceived stress scale), 삶의 만족도 척도(satisfaction with life scale)를 사용하였다. 탐색적 요인분석결과 자기자비척도는 자기친절, 자기비난, 보편적 인간성, 고립, 마음챙김, 과잉동일시로 구성된 6요인 모형이 3요인 혹은 2요인 모형보다 더 높은 모형적합도를 보였다. 최종 모형인 6요인 간 서로 유의미한 상관을 보이는 것으로 나타났으며 직무스트레스, 소진, 스트레스 지각, 삶의 만족도 척도들과 유의미한 상관이 있는 것으로 나타났다. 이러한 결과들은 자기자비척도가 스트레스 상황에 지속적으로 노출되는 위험요인을 낮추고, 치료적 관계를 유지할 수 있는 보호요인을 측정하는 도구임을 시사한다. 연구결과를 기반으로 연구의 함의점과 추후연구를 논의하였다.

Upward Flame Spread for Fire Risk Classification of High-Rise Buildings

  • McLaggan, Martyn S.;Gupta, Vinny;Hidalgo, Juan P.;Torero, Jose L.
    • 국제초고층학회논문집
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    • 제10권4호
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    • pp.299-310
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    • 2021
  • External fire spread has the potential to breach vertical compartmentation and violate the fire safety strategy of a building. The traditional design solution to this has been the use of non-combustible materials and spandrel panels but recent audits show that combustible materials are widespread and included in highly complex systems. Furthermore, most jurisdictions no longer require detailing of spandrel panels under many different circumstances. These buildings require rapid investigation using rational scientific methods to be able to adequately classify the fire risk. In this work, we use an extensive experimental campaign of material-scale data to explore the critical parameters driving upward flame spread. Two criteria are outlined using two different approaches. The first evaluates the time to ignition and the time to burnout to assess the ability for a fire to spread, and can be easily determined using traditional means. The second evaluates the preheated flame length as the critical parameter driving flame spread. A wide range of cladding materials are ranked according to these criteria to show their potential propensity to flame spread. From this, designers can use conservative approaches to perform fire risk assessments for buildings with combustible materials or can be used to aid decision-making. Precise estimates of flame spread rates within complex façade systems are not achievable with the current level of knowledge and will require a substantial amount of work to make progress.

소방 공무원에서 간접 외상이 정신 건강에 미치는 영향 (Effects of Vicarious Trauma on Mental Health in Firefighters)

  • 백준혁;정영은;채정미;명준표;임현우;채정호
    • 대한불안의학회지
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    • 제6권1호
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    • pp.65-70
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    • 2010
  • Objectives : Indirect contact with trauma may occur when a person empathically listens to detailed descriptions, exposing the person to intense emotional pain from trauma victims. Although less severe than direct trauma, indirectly traumatized persons may experience the same fear, rage, and despair as direct trauma victims. This phenomenon has been variously termed vicarious trauma, traumatic countertransference, burnout, compassion fatigue, and secondary traumatic stress. Using a psychiatric symptoms questionnaires, this study investigated the effects of indirect exposure to co-worker's trauma on the mental health of firefighters who had not directly experienced traumatic events in the previous year. Methods : We administered self-report questionnaires, such as the Impact of Event Scale-Revised (IESR) and Alcohol Use Disorder Identification Test (AUDIT), to firefighters working at two fire stations in a metropolitan city. We analyzed 188 of 232 collected surveys, after excluding falsely entered data (28 cases) and questionnaires by directly-traumatized victims (16 cases). Results : Alcohol consumption and posttraumatic stress disorder (PTSD) symptoms, as determined by the AUDIT and IES-R, were significantly higher in the indirectly-traumatized group. The ratio of high-risk members scoring higher than 23 in IES-R was larger in the indirectly traumatized group, although this was not statistically significant. Conclusion : Alcohol consumption was significantly higher in the indirectly traumatized group. This group also included more members at high risk for PTSD. Further research, with a larger group of indirectly traumatized firefighters and ongoing investigation of PTSD development and other psychiatric symptoms, is needed.

A Review and Analysis of the Thermal Exposure in Large Compartment Fire Experiments

  • Gupta, Vinny;Hidalgo, Juan P.;Lange, David;Cowlard, Adam;Abecassis-Empis, Cecilia;Torero, Jose L.
    • 국제초고층학회논문집
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    • 제10권4호
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    • pp.345-364
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    • 2021
  • Developments in the understanding of fire behaviour for large open-plan spaces typical of tall buildings have been greatly outpaced by the rate at which these buildings are being constructed and their characteristics changed. Numerous high-profile fire-induced failures have highlighted the inadequacy of existing tools and standards for fire engineering when applied to highly-optimised modern tall buildings. With the continued increase in height and complexity of tall buildings, the risk to the occupants from fire-induced structural collapse increases, thus understanding the performance of complex structural systems under fire exposure is imperative. Therefore, an accurate representation of the design fire for open-plan compartments is required for the purposes of design. This will allow for knowledge-driven, quantifiable factors of safety to be used in the design of highly optimised modern tall buildings. In this paper, we review the state-of-the-art experimental research on large open-plan compartment fires from the past three decades. We have assimilated results collected from 37 large-scale compartment fire experiments of the open-plan type conducted from 1993 to 2019, covering a range of compartment and fuel characteristics. Spatial and temporal distributions of the heat fluxes imposed on compartment ceilings are estimated from the data. The complexity of the compartment fire dynamics is highlighted by the large differences in the data collected, which currently complicates the development of engineering tools based on physical models. Despite the large variability, this analysis shows that the orders of magnitude of the thermal exposure are defined by the ratio of flame spread and burnout front velocities (VS / VBO), which enables the grouping of open-plan compartment fires into three distinct modes of fire spread. Each mode is found to exhibit a characteristic order of magnitude and temporal distribution of thermal exposure. The results show that the magnitude of the thermal exposure for each mode are not consistent with existing performance-based design models, nevertheless, our analysis offers a new pathway for defining thermal exposure from realistic fire scenarios in large open-plan compartments.