Of satisfaction that we wished to include Reference Kersley, Alpin and Forth10, 11 this generated several satisfaction subscores (see online TableĭS2). Satisfaction we used a combination of items from the 2004 WorkplaceĮmployment Relations Survey and the NHS Staff Survey to cover the aspects High scores and depression at low scores.
Whereas on the depression–enthusiasm scale enthusiasm predominates at Predominance of contentment over anxiety and low scores the reverse, Which in the version used generates two partially independent subscales: Reference Warr9 on the anxiety–contentment scale high scores represent Reference Maslach and Jackson8 The second measure was the Job-related Affective Well-being Scale, To patients and personal accomplishment, measuring whether they feel Original designation of ‘depersonalisation’ Reference Lasalvia, Bonetto, Bertani, Bissoli, Cristofalo and Marella7), assessing how far they feel emotionally hardened and indifferent Inventory, which yields three dimensions of burnout: emotionalĮxhaustion, assessing the extent to which participants feel overburdenedīy their work cynicism (a clearer description of this subscale than the First, burnout was rated with the Maslach Burnout Staff well-being and attitudes to work were assessed with the followingįive measures. Data collection commenced in late 2007 and MulticentreĮthical approval was obtained. Tokens of gratitude such as fruit and biscuits distributed. Assurances of confidentiality were provided and reminders and Teams and their immediate managers, and invited them to complete our Researchers approached all frontline clinical staff in the participating (providing rapid assessment and short-term intensive home treatment in a EighteenĬommunity mental health teams (CMHTs) and 18 crisis resolution teams (CRTs) (PICUs) (for patients too difficult to manage on a general ward). Wards (for those under 18 years old) and psychiatric intensive care units Referred by the criminal justice system), child and adolescent mental health Older people, rehabilitation wards (providing longer-term but time-limitedĬare for severely ill people with major difficulties functioning in theĬommunity), forensic wards (caring for mentally ill offenders usually General wards serving adults of working age resident within a specificĬatchment area the remainder were divided between wards providing care for The in-patient care sample was recruited on 100 wards. May be accounted for by job characteristics. (c) to explore how far variations in morale between settings and professions Satisfaction used, and whether a smaller number of higher-order (b) to investigate the interrelationships of the measures of well-being and Which morale problems are especially acutely felt or, conversely, morale Sample, identifying whether there are subspecialties or professions in
(a) to describe staff well-being and satisfaction in a large multicentre Work-related well-being and satisfaction and engagement with work. Like previous authors, Reference Reininghaus and Priebe6 we use morale as a general term encompassing the main aspects of Reference Paris and Hoge4, Reference Richards, Bee, Barkham, Gilbody, Cahill and Glanville5 Our study aimed to address this need for large-scale evidence on morale in Other than services for adults of working age. That encompass all the main mental health professions and include subspecialties Research into staff morale remains limited, with a lack of large multisite studies Skilled and motivated workforce is recruited and retained. Initiatives aimed at service improvement, which are unlikely to succeed unless a Settings (a central focus of our study), as wards in the UK have been criticisedįor being threatening and unsafe environments in which therapeutic relationshipsĪre impoverished and treatment limited. Reference Tansella and Thornicroft3 Implementation is particularly relevant to psychiatric in-patient care Implementation of new service initiatives. 2 Finally, staff attitudes are a key factor facilitating or impeding Well-being and patient experiences and outcomes. 2 Third, there is some evidence suggesting links between health staff High levels of staff sickness in the UK National Health Service (NHS) result in a This large workforce is exposed to substantial stresses and, at times, threats Reference Reid, Johnson, Morant, Kuipers, Szmukler and Thornicroft1 ensuring staff well-being is thus a key challenge for employers. The morale of the mental health workforce is important in several ways.
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