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Present tense and future perfect? Stress and stress prevention in 4 UK HIV/AIDS care sites.

Miller D, Gillies PA, Elliott C; International Conference on AIDS.

Int Conf AIDS. 1996 Jul 7-12; 11: 199 (abstract no. We.D.3867).

University College London, London, England. Fax: 44171 380 9949.

Objective: To perform a qualitative and quantitative longitudinal assessment of work stress, impact of staff support models, and preferences for future staff support, across 4 HIV/AIDS care facilities in England. Methods: 85 staff (response rate of 53%) were assessed and re-assessed over a 6-month time span in 1994, using standardised measures (MBI, GHQ-28) and structured interviews. Self-reported absence from work was correlated with psychometric scores for stress and work stress. Interview data described current staff support experiences and future preferences. Results: At first interview 59% (N=50) scored above the cutoff for psychological morbidity on the GHQ-28, and 54% scored in the same region at second interview. Further, 31% (N=26) scored in the high range for MBI emotional exhaustion, 8% (7) scored high for MBI depersonalisation, and 28% (24) for high levels of reduced personal accomplishment. Over the period of the study, 56% reported an increase in work stress levels. Work stress was primarily identified with general work difficulties, problems with service management, and staff relationships. There was no statistically significant relationship between self-reported and verified work absence and morbidity on the GHQ-28 or MBI, or self-reported stress (X2=0.2,df=1,p=0.66). 48% found emotional support seeking difficult at work, and main reported barriers to staff support effectiveness were lack of time and resources, lack of management committment, and problems with group composition. Conclusions: This study confirmed that a majority of HIV/AIDS staff experience work stress as measured on standardised scales. There was no significant relationship between self-reported work stress and absence from work. Staff have useful, clear and consistent ideas about optimal forms and processes of staff support.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Acquired Immunodeficiency Syndrome
  • England
  • HIV Infections
  • HIV Seropositivity
  • Morbidity
  • Psychometrics
  • Stress
  • Stress, Psychological
  • methods
  • therapy
Other ID:
  • 96924157
UI: 102220056

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