Yaşlı Bakım Merkezi Yöneticilerinin Tükenmişliğine Etkide Bulunan Faktörlerin İncelenmesi

Abstract

Bu araştırmanın amacı, Aile, Çalışma ve Sosyal Hizmetler Bakanlığı’na (AÇSHB) bağlı kuruluşlarda görev yapan yaşlı bakım merkezi yöneticilerinin tükenmişlik düzeylerine etkide bulunan faktörleri, yöneticileri strese bağlı olarak etkileyen önemli sağlık sorunlarını ve yaşlı refah alanının kalitesinin artırılmasına yönelik düşüncelerini saptamaktır. Bu doğrultuda hazırlanan Görüşme Formu ve Maslach Tükenmişlik Ölçeği (MTÖ) Türkiye’de Huzurevi ve Yaşlı Bakım ve Rehabilitasyon Merkezinde görev yapan toplam 113 yöneticiye uygulanmış ve 105’inden elde edilen veriler geçerli kabul edilerek analize tabi tutulmuştur. Yaşlı bakım yöneticileri, MTÖ’nün üç alt ölçeği olan duygusal tükenmeden: 0,90 duyarsızlaşmadan: 1.06 ve kişisel başarı noksanlığından: 2.96 puan almıştır. Bu ölçeğe göre yöneticilerin “düşük tükenmişlik” düzeyine sahip olduğu saptanmıştır (p<0,05). Yaşlı bakım merkezi yöneticilerinin tükenmişliğine neden olan kurumsal faktörlerin azaltılması, çalışma koşullarının iyileştirilmesi, esnek zaman yönetimi fırsatının tanınması gibi onları tükenmişlikten koruyabilecek uygulamalara başlanmalıdır.

 

Keywords

• Yaşlı bakımı,sosyal hizmet kuruluşları,Tükenmişlik

Investigation of Factors Affecting Burnout of Elderly Care Center Managers

Abstract

The aim of this study is to determine the factors affecting the burnout levels of the managers of the elderly care centers who work in the institutions affiliated to the Ministry of Family, Labor and Social Services; and the important health problems affecting the managers depending on the stress and their thoughts on increasing the quality of the elderly welfare area. An interview form and Maslach Burnout Inventory (MBI) was applied to a total of 113 managers of Retirement Homes and Nursing Care Centers for the Elderly in Turkey and 105 of them are subjected to analysis by accepting valid. Elderly care managers received: 0.90 points from emotional exhaustion subscale; 1.06 from depersonalization subscale and 2.96 from personal accomplishment subscale of MBI. According to this, managers have a low burnout level (p <0.05). The institutional factors that cause elderly care center managers’ burnout should be reduced, working conditions should be improved, the opportunity of flexible time management should be recognized and implemented to protect them from burnout.

Keywords

• : Elderly care,social work institutions,Burnout

References

1. Balloch, S., Pahl, J., ve McLean, j. (1998). Working in the social services: job satisfaction, stress and violence. Br.J.Social Wk. 28, 329-350.
2. Beck, D.F. (1987). Counselor burnout in family service agencies. Social Casework. 68 (1), 3-15.
3. Bennett, P., Evans, R. ve Tattersall, A. (1993). Stress and coping in social workers: A preliminary investigation. British Journal of Social Work. 23, 31-44.
4. Boyas, J., Wind, L. H., & Kang, S.-Y. (2012). Exploring the relationship between employment-based social capital, job stress, burnout, and intent to leave among child protection workers: An age-based path analysis model. Children and Youth Services Review, 34(1), 50-62. doi:https://doi.org/10.1016/j.childyouth.2011.08.033
5. Carrilio, T., ve Eisenberg, D. (1984). Using peer support to prevent worker burnout. Social Work. 65, 307-310.
6. Corcoran, K.J. (1987). The association of burnout in social work practitioners' impression of their clients: Empirical evidence. İçinde: D. F. Gillespie (Ed.), Burnout among Social Workers (57-66). New York: Haworth Press.
7. Cordes, C.L., ve Dougherty, T.M. (1993). A review and an integration of research on job burnout. Acad Manage Rev, 18, 621-56.
8. Courage, M., ve Williams, D. (1987). An approach to the study of burnout in professional care providers in human service organizations. Journal of Social Service Research. 10, 7-22.

9. Engstrom, M., Skytt, B., ve Nilsson, A. (2011). Working life and stress symptoms among caregivers in elderly care with formal and no formal competence. Journal of Nursing Management, 19(6), 732-741. doi:10.1111/j.1365-2834.2011.01270.x
10. Ergin, C. (1993). Doktor ve hemşirelerde tükenmişlik ve maslach tükenmişlik envanterinin uyarlanması. 7. Psikoloji Kongresi. Ankara, Psikologlar Derneği Yayınları. Gibson, F., McGrath, A., ve Reid, N. (1989). Occupational stress in social work. British Journal of Social Work. 19, 1-16.
11. Hamama, L. (2012). Burnout in social workers treating children as related to demographic characteristics, work environment, and social support. social Work Research, 36(2), 113-125. doi:10.1093/swr/svs003,
12. Himle, D., Jayaratne, S., ve Chess, W. (1987). Gender differences in work stress among clinical social workers. Journal of Social Service Research. 10, 41-56.
13. Himle, D.P., Jayaratne, S. D., ve Thyness, P. A. (1986). Predictors of job satisfaction, burnout and turnover among social workers in Norway and the USA: A cross-cultural study. International Social Work. 29, 323-334.
14. Hombrados-Mendieta, I., ve Cosano-Rivas, F. (2013). Burnout, workplace support, job satisfaction and life satisfaction among social workers in Spain: A structural equation model. International Social Work, 56(2), 228-246.doi:10.1177/0020872811421620
15. Hschaki, N. (1994). Occupational stress, and burnout among hospital social workers. Social Work Abstracts. September,121-130.
16. Huxley, P., Evans, S., Gately, C., Webber, M., Mears, A., Pajak, S., Kendall, T., Medina, J., ve Katona, C. (2005). Stress and pressures in mental health social work: The worker speaks. British Journal of Social Work. 35, 1063-1079.
17. Işıkhan, V. (1998). Yönetim Stresi. SSK Yayınları, Ankara.
18. Işıkhan, V. (2010) Sosyal Hizmette Tükenmişlik. Vizyon copy, Ankara.
19. Jones, F., Fletcher, B., ve Ibbetson, K. (1991). Stressors and strains amongst social workers: demands, supports, constraints and psychological health. British Journal of Social Work. 21, 443-469.
20. Karasar, N. (2015). Bilimsel Araştırma Yöntemi. Beta Yayınları, Ankara.
21. Kim, H., Ji, J., & Kao, D. (2011). Burnout and physical health among social workers: a three-year longitudinal study. Social Work, 56(3), 258-268. doi:10.1093/sw/56.3.258
22. LeCroy, C.W., ve Rank, M.R. (1987). Factors associated with burnout in the social services: An exploratory study. Journal of Social Service Research. 10, 23-39.
23. Martin, U., ve Schinke, S.P. (1998). Organizational and individual factors influencing job satisfaction and burn-out of mental health workers. Social Work in Health Care. 28 (2), 51-62.
24. McFadden, P., Campbell, A., ve Taylor, B. (2015). Resilience and burnout in child protection social work: individual and organisational themes from a systematic literature review. The British Journal of Social Work, 45(5), 1546-1563. doi:10.1093/bjsw/bct210
25. Newell, J. M., ve MacNeil, G. A. (2010). Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue: A review of theoretical terms, risk factors, and preventive methods for clinicians and researchers. Best Practices in Mental Health: An International Journal, 6(2), 57-68.
26. Örmen, U. (1993). Tükenmişlik duygusu ve yöneticiler üzerinde bir uygulama (Yayınlanmamış Yüksek Lisans Tezi), İstanbul: Marmara Üniversitesi, 30-36.
27. Poulin, J.E, ve Walter, C. (1993). Social worker burnout: A longitudinal study. Social Work Research and Abstracts. 29 (4), 5-11.
28. Poulin, J.E., ve Carolyn, A.W. (1993). Burnout in gerontological social work. Social Work. 38 (3), 305-310.
29. Poulin, J.E., ve Walter, C. (1992). Retention plans and job satisfaction of gerontological social workers. Journal of Gerontological Social Work. 19 (1), 99-114.
30. Powell, W.E. (1994). The relationship between feelings of alienation and burnout in social work. Families in Society: The Journal of Contemporary Human Services. 75 (4), 229-235.
31. Rai, G. S. (2010). Burnout Among Long-Term Care Staff. Administration in Social Work, 34(3), 225-240. doi:10.1080/03643107.2010.480887
32. Skovdahl, K., Fahlström, G., Horttana, B. M., Winblad, B., & Kihlgren, M. J. (2008). Demanding behaviours and workload in elderly care in Sweden: occurrence at two time points within a decade. Scandinavian Journal of Caring Sciences, 22(3), 323-330.
33. Smith, M., ve Nursten, J. (1998). Social worker’s experience of distress-moving towards change. J. British Journal of Social Work. 28, 351-368.
34. Strand, V. C., ve Dore, M. M. (2009). Job satisfaction in a stable state child welfare workforce: Implications for staff retention. Children and Youth Services Review, 31(3), 391-397.
35. Sutherland, V.J. ve Cooper, C.L. (1993). Identifying distress among general practitioner: Predictors of psychosocial ill-health and job dissatisfaction. Soc Sci Med, 37, 575-81.
36. Takeda, F., Ibaraki, N., Yokoyama, E., Miyake, T., ve Ohida, T. (2005). The relationship of job type to burnout in social workers at social welfare offices. J Occup Health. 47, 119-125.
37. Tang C., ve Lau B. (1996). Gender role stress and burnout in Chinese human service professionals in Hong Kong. Anxiety, Stress, Coping. 9, 217-227.
38. Tourangeau, A., Cranley, L., Laschinger, H., ve Pachis, J. (2010). Relationships among leadership practices, work environments, staff communication and outcomes in long‐term care. Journal of Nursing Management, 18(8), 1060-1072.
39. Ursprung, A. (1986). Incidence and correlates of burnout in residential service settings. Rehabilitation Counseling Bulletin. 29, 225-239.
40. Van Hook, M. P., ve Rothenberg, M. (2009). Quality of life and compassion satisfaction/fatigue and burnout in child welfare workers: a study of the child welfare workers in community based care organizations in central florida. Social Work & Christianity, 36(1).
41. Wagaman, M. A., Geiger, J. M., Shockley, C., ve Segal, E. A. (2015). The Role of empathy in burnout, compassion satisfaction, and secondary traumatic stress among social workers. Social Work, 60(3), 201-209. doi:10.1093/sw/swv014
42. Wright, T.A., ve Bonett, R. (1997). The contribution of burnout to work performance. Journal of Organizational Behavior, 18, 491-499.
43. Yürür, S., ve Sarıkaya, M. (2011). Sosyal Çalışmacıların Sosyal Destek Algılarının Tükenmişliğe Etkisi. Ege Academic Review, 11(4), 537-552.
44. Yürür, S., ve Sarıkaya, M. (2012). The effects of workload, role ambiguity, and social support on burnout among social workers in turkey. Administration in Social Work, 36(5), 457-478. doi:10.1080/03643107.2011.613365.