How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy

Article


Cetrano, G., Tedeschi, F., Rabbi, L., Gosetti, G., Lora, A., Lamonaca, D., Manthorpe, J. and Amaddeo, F. 2017. How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy. BMC Health Services Research. 17. https://doi.org/10.1186/s12913-017-2726-x
TypeArticle
TitleHow are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy
AuthorsCetrano, G., Tedeschi, F., Rabbi, L., Gosetti, G., Lora, A., Lamonaca, D., Manthorpe, J. and Amaddeo, F.
Abstract

BACKGROUND:
Quality of working life includes elements such as autonomy, trust, ergonomics, participation, job complexity, and work-life balance. The overarching aim of this study was to investigate if and how quality of working life affects Compassion Fatigue, Burnout, and Compassion Satisfaction among mental health practitioners.
METHODS:
Staff working in three Italian Mental Health Departments completed the Professional Quality of Life Scale, measuring Compassion Fatigue, Burnout, and Compassion Satisfaction, and the Quality of Working Life Questionnaire. The latter was used to collect socio-demographics, occupational characteristics and 13 indicators of quality of working life. Multiple regressions controlling for other variables were undertaken to predict Compassion Fatigue, Burnout, and Compassion Satisfaction.
RESULTS:
Four hundred questionnaires were completed. In bivariate analyses, experiencing more ergonomic problems, perceiving risks for the future, a higher impact of work on life, and lower levels of trust and of perceived quality of meetings were associated with poorer outcomes. Multivariate analysis showed that (a) ergonomic problems and impact of work on life predicted higher levels of both Compassion Fatigue and Burnout; (b) impact of life on work was associated with Compassion Fatigue and lower levels of trust and perceiving more risks for the future with Burnout only; (c) perceived quality of meetings, need of training, and perceiving no risks for the future predicted higher levels of Compassion Satisfaction.
CONCLUSIONS:
In order to provide adequate mental health services, service providers need to give their employees adequate ergonomic conditions, giving special attention to time pressures. Building trustful relationships with management and within the teams is also crucial. Training and meetings are other important targets for potential improvement. Additionally, insecurity about the future should be addressed as it can affect both Burnout and Compassion Satisfaction. Finally, strategies to reduce possible work-life conflicts need to be considered.

KeywordsCompassion fatigue; Burnout; Compassion satisfaction; Quality of working life; Mental health staff; Mental health services
LanguageEnglish
PublisherBMC
JournalBMC Health Services Research
ISSN
Electronic1472-6963
Publication dates
Online21 Nov 2017
Print31 Dec 2017
Publication process dates
Deposited31 Mar 2020
Accepted13 Nov 2017
Output statusPublished
Publisher's version
License
Copyright Statement

© The Author(s). 2017
Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Digital Object Identifier (DOI)https://doi.org/10.1186/s12913-017-2726-x
Web of Science identifierWOS:000416044100010
Permalink -

https://repository.mdx.ac.uk/item/88w7w

Download files


Publisher's version
  • 36
    total views
  • 2
    total downloads
  • 7
    views this month
  • 1
    downloads this month

Export as

Related outputs

Mapping of specialist primary health care services in England for people who are homeless. Summary of findings and considerations for health service commissioners and providers
Crane, M., Cetrano, G., Joly, L., Coward, S., Daly, B., Ford, C., Gage, H., Manthorpe, J. and Williams, P. 2018. Mapping of specialist primary health care services in England for people who are homeless. Summary of findings and considerations for health service commissioners and providers. United Kingdom, United Kingdom Social Care Workforce Research Unit, King's College London.
Mapping of specialist primary health care services in England for people who are homeless (full report)
Crane, M., Cetrano, G., Joly, L., Coward, S., Daly, B., Ford, C., Gage, H., Manthorpe, J. and Williams, P. 2018. Mapping of specialist primary health care services in England for people who are homeless (full report). London Social Care Workforce Research Unit, King's College London.
Inventory of specialist primary health care services in England for people who are homeless
Crane, M., Cetrano, G., Joly, L., Coward, S., Daly, B., Ford, C., Gage, H., Manthorpe, J. and Williams, P. 2018. Inventory of specialist primary health care services in England for people who are homeless. Social Care Workforce Research Unit, King's College London.
Developing a tool for mapping adult mental health care provision in Europe: the REMAST research protocol and its contribution to better integrated care
Salvador-Carulla, L., Amaddeo, F., Gutierrez-Colosia, M., Salazzari, D., Gonzalez-Caballero, J., Montagni, I., Tedeschi, F., Cetrano, G., Chevreul, K., Kalseth, J., Hagmair, G., Strasmayr, C., Park, A., Sfetcu, R., Wahlbeck, K. and Garcia-Alonso, C. 2015. Developing a tool for mapping adult mental health care provision in Europe: the REMAST research protocol and its contribution to better integrated care. International Journal of Integrated Care. 15. https://doi.org/10.5334/ijic.2417
Standard comparison of local mental health care systems in eight European countries
Gutiérrez-Colosía, M., Salvador-Carulla, L., Salinas-Pérez, J., García-Alonso, C., Cid, J., Salazzari, D., Montagni, I., Tedeschi, F., Cetrano, G., Chevreul, K., Kalseth, J., Hagmair, G., Straßmayr, C., Park, A., Sfectu, R., Ala-Nikkola, T., González-Caballero, J., Rabbi, L., Kalseth, B. and Amaddeo, F. 2019. Standard comparison of local mental health care systems in eight European countries. Epidemiology and Psychiatric sciences. 28 (2), pp. 210-223. https://doi.org/10.1017/s2045796017000415
The balance of adult mental health care: provision of core health versus other types of care in eight European countries
Cetrano, G., Salvador-Carulla, L., Tedeschi, F., Rabbi, L., Gutiérrez-Colosía, M., Gonzalez-Caballero, J., Park, A-L., McDaid, D., Sfetcu, R., Kalseth, J., Kalseth, B., Hope, Ø., Brunn, M., Chevreul, K., Straßmayr, C., Hagmair, G., Wahlbeck, K. and Amaddeo, F. 2020. The balance of adult mental health care: provision of core health versus other types of care in eight European countries. Epidemiology and Psychiatric sciences. 29, pp. 1-10. https://doi.org/10.1017/S2045796018000574
Burnout, compassion fatigue, and compassion satisfaction among staff in community-based mental health services
Rossi, A., Cetrano, G., Pertile, R., Rabbi, L., Donisi, V., Grigoletti, L., Curtolo, C., Tansella, M., Thornicroft, G. and Amaddeo, F. 2012. Burnout, compassion fatigue, and compassion satisfaction among staff in community-based mental health services. Psychiatry Research. 200 (2-3), pp. 933-938. https://doi.org/10.1016/j.psychres.2012.07.029