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Sharing stories: Indigenous alcohol and other drug workers' well-being, stress and burnout

机译:分享故事:土著酒精和其他吸毒工人的健康,压力和倦怠

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Background: Indigenous alcohol and other drug (AOD) workers' roles are often exhausting, poorly paid and under-recognised. There has been relatively little examination of work-related stressors on their health and well-being. This national study identified Indigenous AOD workers' experiences and perspectives on well-being, stress and burnout along with strategies to improve worker well-being. Methods.: Focus groups were conducted with 121 participants (70 Indigenous, 20 non-Indigenous, 31 unspecified) from metropolitan, rural and remote locations around Australia, selected via a purposive sampling strategy. Audio files and interview notes were analysed to identify key themes. Results: Main themes identified included excessive workloads, extensive demands and expectations, workers' proximity to communities, loss and grief issues, lack of recognition, inadequate rewards, stigma and racism, and Indigenous ways of working. Stressors were compounded by workers' complex personal circumstances, profound levels of loss and grief, and lack of culturally safe working environments. Discussion and Conclusion: Indigenous workers' stress was exacerbated by close links and responsibilities to their communities and a 'dual accountability', being constantly on call, playing multiple roles, complex personal and professional lives, and needing to interact with multiple agencies. Many Indigenous AOD workers had developed mechanisms to deal with work-related pressures and received valued support from their communities. The study identified the importance of workforce strategies to improve Indigenous workers' well-being and reduce stress, including: mutual support networks, training in assertiveness and boundary setting, workloads that take account of Indigenous ways of working, adequate remuneration, supervision and mentorship, and cultural sensitivity training for non-Indigenous workers. [Roche AM, Duraisingam V, Trifonoff A, Battams S, Freeman T, Tovell A, Weetra D, Bates N. Sharing stories: Indigenous alcohol and other drug workers' well-being, stress and burnout. Drug Alcohol Rev 2013;32:527-535]
机译:背景:土著酒精和其他毒品(AOD)工人的角色经常精疲力尽,报酬不高且人们对其认识不足。与工作有关的压力源对其健康和福祉的检查相对较少。这项全国性研究确定了土著AOD工人在福祉,压力和倦怠方面的经验和观点,以及改善工人福祉的策略。方法:焦点小组是通过有目的抽样策略选择的,来自澳大利亚各地大城市,农村和偏远地区的121名参与者(70名土著居民,20名非土著居民,31名未指定)。分析了音频文件和采访记录,以识别关键主题。结果:确定的主要主题包括工作量过多,需求和期望广泛,工人与社区的距离,损失和悲伤问题,缺乏认识,奖励不足,污名和种族主义以及土著人的工作方式。工人的复杂个人情况,深深的失落和悲伤以及缺乏文化上安全的工作环境,加剧了压力源。讨论与结论:与社区的紧密联系和责任以及“双重责任制”,不断征求意见,扮演多个角色,复杂的个人和职业生活以及需要与多个机构进行互动,加剧了土著工人的压力。许多土著AOD工人已经建立了应对与工作有关的压力的机制,并从其社区中获得了宝贵的支持。该研究确定了劳动力战略对于改善土著工人的福祉和减轻压力的重要性,其中包括:相互支持网络,自信和边界设置方面的培训,考虑到土著工作方式的工作量,充足的报酬,监督和指导,非土著工人的文化敏感性培训。 [Roche AM,Duraisingam V,Trifonoff A,Battams S,Freeman T,Tovell A,Weetra D,BatesN。分享故事:土著酒精和其他吸毒工人的福祉,压力和倦怠。药物酒精评论2013; 32:527-535]

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