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Camaraderie, cuts, and COVID-19: Factors affecting the wellbeing of NHS psychological therapists

Armstrong, Stephanie Laura; (2023) Camaraderie, cuts, and COVID-19: Factors affecting the wellbeing of NHS psychological therapists. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Aims: Burnout refers to the physical and psychological impact on an employee when chronic demands from their work overwhelm their personal resources to cope. This results in emotional exhaustion, cynicism and disengagement from work, and a decreased sense of personal accomplishment. Healthcare professionals have been found to be particularly vulnerable to burnout, however, there is relatively little literature focussing on psychological therapists. This is despite research which indicates therapists may have a unique relationship to burnout due to high emotional demands of their job. // Methods: A systematic search of four databases (PsycINFO, Medline, EMCARE, and CINAHL) was conducted to retrieve qualitative and quantitative literature which examined the relationship between organisational factors and the experience of burnout in psychological therapists. // Results: Fifteen empirical studies were identified which met inclusion criteria. A narrative synthesis of these studies identified five key organisational factors which contribute to or protect against burnout; job demands, colleague relationships, supervision, organisational culture, and employment issues. Perceived high job demands, pressure from one’s employing organisation, and conflict with colleagues contributed to burnout. Supportive collegial relationships and high-quality supervisory relationships were identified as protective against burnout. // Conclusions: This review highlights key areas on which organisations should focus to maximise supportive working environments, to maintain the welfare of their employees and maximise outcomes for their service users. However, further research is needed to understand particular stressors which therapists perceive to be particularly demanding, under what circumstances therapists seek certain types of support, and what barriers may persist to therapists seeking help.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Camaraderie, cuts, and COVID-19: Factors affecting the wellbeing of NHS psychological therapists
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: CC BY-NC: Copyright © The Author 2023. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10179383
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