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Morale of mental health professionals in Community Mental Health Services of a Northern Italian Province

Published online by Cambridge University Press:  11 October 2011

Gian Maria Galeazzi*
Affiliation:
Unità Operativa di Psichiatria, Dipartimento di Neuroscienze TCR, Università di Modena e Reggio Emilia, Modena
Sara Delmonte
Affiliation:
Unità Operativa di Psichiatria, Dipartimento di Neuroscienze TCR, Università di Modena e Reggio Emilia, Modena
Walid Fakhoury
Affiliation:
Unit for Social and Community Psychiatry, Barts and The London School of Medicine, University of London, London
Stefan Priebe
Affiliation:
Unit for Social and Community Psychiatry, Barts and The London School of Medicine, University of London, London
*
Address for correspondence: Dr. G.M. Galeazzi, Clinica Psichiatrica, Via del Pozzo 71, 41100 Modena (Italia). Fax: +39-059-422.4307 E-mail: [email protected]

Abstract

Summary

Aims — To explore morale of psychiatrists and psychiatric nurses working in Community Mental Health Centres (CMHC) in an Italian Province, and identify influential factors. Methods — Thirty psychiatrists and 30 nurses working in CMHCs in Modena completed questionnaires on burnout, team identity and job satisfaction. They also answered open questions about different aspects of their work. Answers were subjected to content analysis. Regression analyses were used to identify factors that predicted morale across groups. Results — Psychiatrists had higher scores on emotional exhaustion and depersonalisation. There were no significant differences between the two groups in job satisfaction and job or role perception. Professionals reported positive relationships with patients as the most enjoyable aspects of their job, whilst team conflicts and high workloads were seen as most difficult to cope with. Multivariate analyses showed that being a psychiatrist and perceiving team conflicts as a main cause of pressure in the job predicted higher burnout. Conclusions — Simple open questions coupled with quantitative measures appear a promising tool to investigate morale of mental health professionals and identify factors determining morale. Research, training and service development should focus on relationship aspects both with patients and within teams to reduce burnout in CMHCs.

Declaration of Interest

G.M.G. was employed by Modena local mental health service, but did not work in CMHCs. No other conflict of interest.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2004

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References

REFERENCES

Costantini, A., Riggio, F., Sparvoli, M., Bosco, A. & Balbi, A. (1999). Fase iniziale di aziendalizzazione e stress lavorativo nell'assistenza psichiatrica pubblica. Rivista di Psichiatria 34, 3241.Google Scholar
Curci, P., Beltrami, F., Pederzoli, L. & Mari, M. (1987). La sindrome del burnout e l'assistenza psichiatrica. Rivista Sperimentale di Freniatria 111, 195209.Google Scholar
Garzotto, N., Carcereri, G., Turrina, C. & Ballarini, C. (1992). The syndrome of burnout among mental health professionals in Verona (Italy). New Trends in Experimental and Clinical Psychiatry 8, 113118.Google Scholar
Gigantesco, A., Picardi, A., Chiaia, E., Balbi, A. & Morosini, P. (2003). Job satisfaction among mental health professionals in Rome, Italy. Community Mental Health Journal 39, 349355.CrossRefGoogle ScholarPubMed
Mackinnon, A. (2000). A spreadsheet for the calculation of comprehensive statistics for the assessment of diagnostic tests and inter-rater agreement. Computers in Biology and Medicine 30, 127134.CrossRefGoogle ScholarPubMed
Maslach, C. & Jackson, S.E. (1981). The Maslach Burnout Inventory Manual (“Human Services Survey”). Consulting Psychologists Press: Palo Alto (CA).Google Scholar
Maslach, C. & Jackson, S.E. (1993). MBI. Maslach Burnout Inventory: Manuale. Italian version by Sirigatti, S. & Stefanile, C. (eds). Organizzazioni Speciali: Firenze.Google Scholar
Odigwe, C. (2004). Despite all odds, NHS staff are happy with their jobs. British Medical Journal 328, 662.CrossRefGoogle Scholar
Piccinelli, M, Politi, P. & Barale, F. (2002). Focus on psychiatry in Italy. British Journal of Psychiatry 181, 538544.CrossRefGoogle ScholarPubMed
Priebe, S. (2000). Ensuring and improving quality in community mental health care. International Review of Psychiatry 12, 226232.CrossRefGoogle Scholar
Ranz, J., Stueve, A. & Me Quistion, H.L. (2001). The role of the psychiatrist: job satisfaction of medical directors and staff psychiatrists. Community Mental Health Journal 37, 525–53.CrossRefGoogle Scholar
Reid, Y., Johnson, S., Morant, N., Kuipers, E., Szmukler, G., Thornicroft, G., Bebbington, P. & Prosser, D. (1999a). Explanation for stress and satisfaction in mental health professionals: a qualitative study. Social Psychiatry and Psichiatric Epidemiology 34, 301308.CrossRefGoogle ScholarPubMed
Reid, Y., Johnson, S., Morant, N., Kuipers, E., Szmukler, G., Bebbington, P., Thornicroft, G. & Prosser, D. (1999b). Improving support for mental health staff: a qualitative study. Social Psychiatry and Psichiatric Epidemiology 34, 309315.CrossRefGoogle ScholarPubMed
Rizzo, J., House, R.J. & Lirtzman, S.I. (1970). Role conflict and ambiguity in complex organizations. Administative Science Quarterly 15, 150163.CrossRefGoogle Scholar
Ruggeri, M. (2002). Feasibility, usefulness, limitations and perspective of routine outcome assessment: the South Verona Outcome Project. Epidemiologia e Psichiatria Sociale 11, 177185.CrossRefGoogle ScholarPubMed
Ruggeri, M., Lasalvia, A., Tansella, M., Bonetto, C, Abate, M., Thornicroft, G., Allevi, L. & Ognibene, P. (2004). Heterogeneity of outcomes in schizophrenia: 3-year follow-up of treated prevalent cases. British Journal of Psychiatry 184, 4857.CrossRefGoogle ScholarPubMed
Tansella, M. (2002). he Radici Psicosociali della Psichiatria. II Pensiero Scientifico Editore: Roma.Google Scholar
Weiss, D. J., Davis, R.V., England, G.W. & Lofquist, L.H. (1967). Manual for the Minnesota Satisfaction Questionnaire. University of Minnesota: Minneapolis.Google Scholar
Wykes, T., Stevens, W. & Everitt, B. (1997). Stress in community care teams: will it affect the sustainability of community care? Social Psychiatry and Psychiatric Epidemiology 32, 398407.CrossRefGoogle ScholarPubMed