Abstract:
OBJECTIVE:Funding cuts have increased job demands and threatened clinicians' ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality of care in community health clinicians. METHOD:One hundred eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care. Clinicians also reported the importance of reducing stress and their confidence in reducing their stress. Clinicians who reported working overtime were compared to clinicians that did not on demographic and job characteristics and work-related outcomes. RESULTS:Ninety-four clinicians (52%) reported working overtime in a typical week. Controlling for exempt status and group differences in time spent supervising others, those working overtime reported significantly increased burnout and work-life conflict and significantly lower job satisfaction and quality of care than those not working overtime. Clinicians working overtime also reported significantly greater importance in reducing stress but less confidence in their ability to reduce stress than those not working overtime. There were no significant group differences for turnover intention. CONCLUSION AND IMPLICATIONS FOR PRACTICE:Working overtime is associated with negative consequences for clinician-related work outcomes and perceived quality of care. Policies and interventions aimed at reducing overtime and work-related stress and burnout may be warranted in order to improve quality of care. (PsycINFO Database Record
journal_name
Psychiatr Rehabil Jjournal_title
Psychiatric rehabilitation journalauthors
Luther L,Gearhart T,Fukui S,Morse G,Rollins AL,Salyers MPdoi
10.1037/prj0000234subject
Has Abstractpub_date
2017-06-01 00:00:00pages
252-259issue
2eissn
1095-158Xissn
1559-3126pii
2016-52088-001journal_volume
40pub_type
杂志文章,随机对照试验abstract::Chronic insomnia is a problem among individuals with serious mental illnesses. In an effort to expand treatment options, we examined whether well-established cognitive-behavioral treatments for insomnia developed for individuals in the general population generalize to those for people with serious mental illnesses. In...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/27.2004.235.242
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to describe perceptions of weight loss strategies, benefits, and barriers among persons with serious mental illness who lost weight in the ACHIEVE behavioral weight loss intervention. METHODS:Semistructured interviews with 20 ACHIEVE participants were conducted and analyzed usin...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000182
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:Based on previous literature showing that the association between coping styles and outcome depends on the context in which the coping takes place, the current study assessed the association between coping styles and parental distress among mothers with and without serious mental illness (SMI). METHOD:A tot...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000381
更新日期:2020-06-01 00:00:00
abstract::This study explores three social network characteristics as they relate to demographic, clinical, and quality of life factors. The sample consists of 219 participants with serious mental illness. Results indicate that clients' social networks were small, and that network size is robustly related to symptoms and other ...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/26.2003.393.402
更新日期:2003-04-01 00:00:00
abstract::Security Disability Insurance (SSDI) beneficiaries with primary psychiatric impairments comprise the largest, fastest growing, and most costly population in the SSDI program. The Mental Health Treatment Study provides a comprehensive test of the hypothesis that access to evidence-based employment services and behavior...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/31.4.2008.306.312
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abstract::Research has shown better prognosis rates for people with psychiatric disabilities in developing countries than in Western countries. By comparing psychosocial rehabilitation in India and the United States, this paper explores how cultual beliefs and practices impact the recovery of people with psychiatric disabilitie...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/h0095015
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:Without a reliable and valid tool, it is neither possible to gauge recovery orientation of persons with serious mental illness nor to evaluate whether existing mental health system encourages recovery in both its policies and current practice in Malaysia. Therefore, the aim of this study was to examine the re...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000308
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:Self-management of psychiatric illness is a central tenet of consumer-directed mental health treatment. While several manualized self-management programs have been developed in recent years, the most widely disseminated is the Wellness Recovery Action Plan (WRAP). This study examined the effects of WRAP parti...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/34.3.2011.214.222
更新日期:2011-01-01 00:00:00
abstract::The purpose of the present investigation was to develop and field test a measure of coping with symptoms specifically designed for use with persons diagnosed with severe mental illness. Findings are reported on both the development of the Coping with Symptoms Checklist and the initial field trial (n = 91) conducted to...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/27.2003.168.176
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions. METHO...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章,评审
doi:10.1037/prj0000100
更新日期:2015-06-01 00:00:00
abstract:TOPIC:This article describes the activities of 2 mHealth specialists who supported the deployment of FOCUS-a smartphone self-management application for individuals with serious mental illnesses. PURPOSE:Several support activities have been identified as potentially advantageous for individuals using mHealth interventi...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000275
更新日期:2017-09-01 00:00:00
abstract::In Japan, admission to a psychiatric facility for people with schizophrenia is usually for life. We developed a rehabilitation program aimed at discharging these patients into the Tokyo community. This paper describes the results for the 224 patients. Using an inpatient ward at the Tokyo Musashino Hospital, patients w...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/28.2004.143.149
更新日期:2004-10-01 00:00:00
abstract::Studies examining mental health services have identified a series of indicators with demonstrated effects on services access, barriers, and utilization, including gender, race/ethnicity, and socioeconomic status, as well as indicators such as type of insurance, client attitudes toward mental health, and diagnosis. Thi...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/29.2006.289.298
更新日期:2006-04-01 00:00:00
abstract::As psychiatric rehabilitation practitioners, we have solid evidence that our field's services are effective in helping people become employed, participate in social and civic life, avoid restrictive and coercive psychiatric treatment, and thrive in stable and secure community residences. Yet, hundreds of thousands of ...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000242
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:This study was designed to examine the impact of role clarity and job training on job satisfaction among peer specialists. METHOD:A 3-part survey assessing job training, job satisfaction, and role clarity was administered online to 195 peer specialists who are members of the International Association of Peer...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000259
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:Many combat veterans struggle with posttraumatic stress disorder (PTSD) and hazardous alcohol use and are hesitant to engage in behavioral health services. Combining peer support with an eHealth intervention may overcome many barriers to care. This pilot study investigated the feasibility of adding peer suppo...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章,随机对照试验
doi:10.1037/prj0000334
更新日期:2019-09-01 00:00:00
abstract::Satisfaction data have recently returned to popularity, as an outcome measure in managed behavioral healthcare systems. However, there are few examples of management uses of such data. We collected data 12 months after participants had completed a supported education program, concerning their retrospective satisfactio...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/h0095088
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Poor sleep and pain are common in veterans with serious mental illness (SMI), yet it is unclear how these may impact dimensions of quality of life. As such, this study examined independent and additive contributions of sleep and pain difficulties on quality of life (QoL) among a sample of veterans with SMI and ...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000358
更新日期:2019-09-01 00:00:00
abstract::This qualitative study analyzed 72 interviews with 39 formerly homeless psychiatric consumers to develop a grounded theory model of engagement and retention in mental health and substance abuse services. Person-centered themes included severity of mental illness and substance abuse (the latter also conflicting with pr...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/31.3.2008.226.233
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:This report provides a program description of a supported housing residence for individuals with co-occurring diabetes and serious mental illnesses and preliminary health outcome data. METHODS:Weight, blood glucose levels and satisfaction survey data were collected retrospectively on 13 individuals referred ...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/34.4.2011.324.327
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:In this proof-of-concept trial, we examined the feasibility and preliminary efficacy of Understanding Social Situations (USS), a new social-cognitive intervention that targets higher level social-cognitive skills using methods common to neurocognitive remediation, including drill and practice and hierarchica...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000190
更新日期:2017-03-01 00:00:00
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journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
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更新日期:2011-10-01 00:00:00
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journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章,随机对照试验
doi:10.1037/prj0000048
更新日期:2014-03-01 00:00:00
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journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000137
更新日期:2016-03-01 00:00:00
abstract::Facilitating the integration of persons with psychiatric disabilities is an important goal of community programs. In addition to limitations such as inadequate housing, poverty, and unemployment, a common barrier to community adjustment identified by people with psychiatric disabilities is their perception of being st...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/h0095005
更新日期:2002-04-01 00:00:00
abstract::This study examined the predictors of psychosocial outcomes (daily functioning and management of illness) for people with mood disorders. After controlling for demographic, severity of illness, and social support predictor variables, the study evaluated whether participation in self-help groups would predict improved ...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/h0095056
更新日期:2001-07-01 00:00:00
abstract:TOPIC:This contribution describes a personal recovery journey and highlights the value and importance of engagement in peer-to-peer services to help promote growth and transformation. PURPOSE:In this contribution, the author emphasizes the significance of educating and supporting others to overcome the barriers of sel...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000140
更新日期:2015-06-01 00:00:00
abstract::This paper sets out in detail how the Singapore Anglican Welfare Council (SAWC) has worked from its charter vision to a number of interlocking strategies and programs in the rehabilitation of those with psychiatric disabilities in Singapore. While the pathway toward a holistic and integrated model of rehabilitation ma...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.2975/26.2002.3.12
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:The current study examined the measurement equivalence on a measure of personal empowerment for Black and White consumers of mental health services. METHOD:Confirmatory factor analysis was used to assess measurement equivalence of the 28-item Empowerment Scale (Rogers, Chamberlin, Ellison, & Crean, 1997), us...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章
doi:10.1037/prj0000069
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:Despite the large number of Latinos living in the United States, little research has evaluated the effectiveness of different vocational rehabilitation programs for individuals with severe mental illness in this rapidly growing minority population. This article presents a secondary analysis of a randomized, c...
journal_title:Psychiatric rehabilitation journal
pub_type: 杂志文章,随机对照试验
doi:10.1037/prj0000062
更新日期:2014-06-01 00:00:00