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Kanda K, Tei S, Takahashi H, Fujino J. Neural basis underlying the sense of coherence in medical professionals revealed by the fractional amplitude of low-frequency fluctuations. PLoS One 2023; 18:e0288042. [PMID: 37390054 PMCID: PMC10313006 DOI: 10.1371/journal.pone.0288042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 06/19/2023] [Indexed: 07/02/2023] Open
Abstract
Although mitigating burnout has long been a pressing issue in healthcare, recent global disasters, including the COVID-19 pandemic and wars, have exacerbated this problem. Medical professionals are frequently exposed to diverse job-induced distress; furthermore, the importance of people's sense of coherence (SOC) over work has been addressed to better deal with burnout. However, the neural mechanisms underlying SOC in medical professionals are not sufficiently investigated. In this study, the intrinsic fractional amplitude of low-frequency fluctuations (fALFF) were measured as an indicator of regional brain spontaneous activity using resting-state functional magnetic resonance imaging in registered nurses. The associations between participants' SOC levels and the fALFF values within brain regions were subsequently explored. The SOC scale scores were positively correlated with fALFF values in the right superior frontal gyrus (SFG) and the left inferior parietal lobule. Furthermore, the SOC levels of the participants mediated the link between their fALFF values in the right SFG and the depersonalization dimension of burnout. The results deepened the understanding of the counter role of SOC on burnout in medical professionals and may provide practical insights for developing efficient interventions.
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Affiliation(s)
- Kota Kanda
- Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Shisei Tei
- Department of Psychiatry, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
- Medical Institute of Developmental Disabilities Research, Showa University, Kita-karasuyama, Setagaya-ku, Tokyo, Japan
- Institute of Applied Brain Sciences, Waseda University, Tokorozawa, Saitama, Japan
- School of Human and Social Sciences, Tokyo International University, Kawagoe, Saitama, Japan
| | - Hidehiko Takahashi
- Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
- Department of Psychiatry, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
- Medical Institute of Developmental Disabilities Research, Showa University, Kita-karasuyama, Setagaya-ku, Tokyo, Japan
- Center for Brain Integration Research, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Junya Fujino
- Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
- Department of Psychiatry, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
- Medical Institute of Developmental Disabilities Research, Showa University, Kita-karasuyama, Setagaya-ku, Tokyo, Japan
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Wang AQ, Tang CH, Song J, Fan CX, Wang WC, Chen ZM, Yin WQ. Association of individual resilience with organizational resilience, perceived social support, and job performance among healthcare professionals in township health centers of China during the COVID-19 pandemic. Front Psychol 2022; 13:1061851. [PMID: 36524161 PMCID: PMC9744941 DOI: 10.3389/fpsyg.2022.1061851] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 11/08/2022] [Indexed: 04/03/2024] Open
Abstract
BACKGROUND Primary healthcare professionals were overworked and psychologically overwhelmed during the COVID-19 pandemic. Resilience is an important shield for individuals to cope with psychological stress and improve performance in crises. This study aims to explore the association of individual resilience with organizational resilience, perceived social support and job performance among healthcare professionals in township health centers of China during the COVID-19 pandemic. METHODS Data from 1,266 questionnaires were collected through a cross-sectional survey conducted in December 2021 in Shandong Province, China. Descriptive analysis of individual resilience, organizational resilience, perceived social support, and job performance was conducted. Pearson correlation analysis was used to examine the correlations among these variables, and structural equation modeling was performed to verify the relationships between these variables. RESULTS The score of individual resilience was 101.67 ± 14.29, ranging from 24 to 120. Organizational resilience (β = 0.409, p < 0.01) and perceived social support (β = 0.410, p < 0.01) had significant direct effects on individual resilience. Individual resilience (β = 0.709, p < 0.01) had a significant direct effect on job performance. Organizational resilience (β = 0.290, p < 0.01) and perceived social support (β = 0.291, p < 0.01) had significant indirect effects on job performance. CONCLUSION During the COVID-19 pandemic, the individual resilience of healthcare professionals in township health centers was at a moderate level. Organizational resilience and perceived social support positively affected individual resilience, and individual resilience positively affected job performance. Furthermore, individual resilience mediated the effect of organizational resilience and perceived social support on job performance. It is recommended that multiple stakeholders work together to improve the individual resilience of primary healthcare professionals.
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Affiliation(s)
- An-Qi Wang
- School of Public Health, Weifang Medical University, Weifang, Shandong, China
| | - Chang-Hai Tang
- School of Public Affairs, Zhejiang University, Hangzhou, Zhejiang, China
- School of Business, NingboTech University, Ningbo, Zhejiang, China
| | - Jia Song
- School of Management, Weifang Medical University, Weifang, Shandong, China
| | - Cheng-Xin Fan
- School of Management, Weifang Medical University, Weifang, Shandong, China
| | - Wan-Chen Wang
- School of Public Health, Weifang Medical University, Weifang, Shandong, China
| | - Zhong-Ming Chen
- School of Management, Weifang Medical University, Weifang, Shandong, China
| | - Wen-Qiang Yin
- School of Management, Weifang Medical University, Weifang, Shandong, China
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González-Siles P, Martí-Vilar M, González-Sala F, Merino-Soto C, Toledano-Toledano F. Sense of Coherence and Work Stress or Well-Being in Care Professionals: A Systematic Review. Healthcare (Basel) 2022; 10:1347. [PMID: 35885873 PMCID: PMC9323122 DOI: 10.3390/healthcare10071347] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/15/2022] [Accepted: 07/18/2022] [Indexed: 11/16/2022] Open
Abstract
Job-related stress affects the physical and psychological health of professionals dedicated to care. This work is a systematic review that aims to determine the relationships between a sense of coherence (SOC) and work stress and well-being perceived by care professionals. The review was carried out following the PRISMA guidelines, and the search was carried out using the Web of Science (WoS), PubMed, and Scopus databases, obtaining a final selection of 41 articles. The results indicate that stress, depression, burnout, and posttraumatic stress disorder (PTSD) negatively correlate with SOC; in contrast, job satisfaction, well-being, and quality of life positively correlate with SOC. It is concluded that SOC could act as a mediating variable and as a predictor variable of these health problems.
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Affiliation(s)
- Pablo González-Siles
- Departamento de Psicología Básica, Universitat de València, Avgda, Blasco Ibañez, 21, CP 46010 Valencia, Spain; (P.G.-S.); (M.M.-V.)
| | - Manuel Martí-Vilar
- Departamento de Psicología Básica, Universitat de València, Avgda, Blasco Ibañez, 21, CP 46010 Valencia, Spain; (P.G.-S.); (M.M.-V.)
| | - Francisco González-Sala
- Departamento de Psicología Evolutiva y de la Educación, Universitat de València, Avgda, Blasco Ibañez, 21, CP 46010 Valencia, Spain;
| | - César Merino-Soto
- Instituto de Investigación de Psicología, Universidad de San Martín de Porres, Av. Tomás Marsano 242, Lima 34, Peru;
| | - Filiberto Toledano-Toledano
- Unidad de Investigación en Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez, National Institute of Health, Dr. Márquez 162, Cuauhtémoc, Mexico City 06720, Mexico
- Unidad de Investigación Sociomédica, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra, Calzada Mexico-Xochimilco 289, Arenal de Guadalupe, Tlalpan, Mexico City 14389, Mexico
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Antonovsky A, Danon R, Schiff M, Shelef L. Predicting mental burnout among Israeli Home Front Command soldiers during the COVID-19 pandemic. Health Promot Int 2022; 37:daab036. [PMID: 34279594 PMCID: PMC8344459 DOI: 10.1093/heapro/daab036] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The present study examined personality, situational and organizational predictors of burnout during COVID-19 in a military setting, based on the salutogenic theory of health (Antonovsky, 1987). METHOD Questionnaires were completed by 116 reserve Israeli Home Front Command medical staff (71% males). Background variables (e.g., gender), personality variables (self-efficacy and sense of coherence - SOC), situational variables (state-anxiety, self-rated health and sense of threat) and organizational variables (satisfaction with military's and government's handling of the COVID-19 crisis) were measured as predictors of burnout. RESULTS Females had higher levels of state anxiety and burnout compared to males. Females also reported a lower level of satisfaction with the military's handling of the COVID-19 crisis than males. SOC and state anxiety were the only statistically significant predictors of burnout after controlling for sociodemographic variables. The entire model explained 59.4% of the burnout variance. CONCLUSION In accordance with salutogenic theory, SOC is associated with active adaptation through use of generalized and specific resistance resources to avoid burnout in a stressful milieu. Psychological support, psychoeducation and simulation training are offered to increase manageability in crisis situations. LIMITATIONS Following a large dropout rate due to being quarantined, the final sample size was much smaller than planned. Also, although previous longitudinal studies have found SOC to be a causal factor in burnout, the present cross-sectional design limits such conclusions.
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Affiliation(s)
- Avishai Antonovsky
- Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel
| | - Roey Danon
- Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel
| | - Miriam Schiff
- Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel
| | - Leah Shelef
- Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel
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OUP accepted manuscript. Health Promot Int 2022:6586599. [DOI: 10.1093/heapro/daac051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Ifindon Eroje A, AlShahrani I, Tikare S, Togoo R, Mahmoud Soliman AN, Rao GR. Psychometric properties and validation of the Arabic maslach burnout inventory-student survey in Saudi dental students. SAUDI JOURNAL OF MEDICINE AND MEDICAL SCIENCES 2022; 10:117-124. [PMID: 35602393 PMCID: PMC9121701 DOI: 10.4103/sjmms.sjmms_116_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 10/20/2021] [Accepted: 02/23/2022] [Indexed: 11/09/2022] Open
Abstract
Background: Few studies have studied burnout among dental students worldwide, and no such study is available from Saudi Arabia. In addition, an Arabic version of the Maslach Burnout Inventory-Student Survey (MBI-SS) has not yet been validated for use among students. Objectives: This study aimed to translate and validate an Arabic version of the MBI-SS questionnaire and to examine the psychometric properties of burnout among dental college students at a university in Saudi Arabia. Materials and Methods: This cross-sectional questionnaire study included all dental students at King Khalid University, Saudi Arabia, and was conducted between December 2019 and January 2020. After the MBI-SS questionnaire was translated, its face validity was determined and the test–retest reliability was assessed. Confirmatory factor analysis and reliability analysis were performed following the full-scale study to validate the Arabic MBI-SS. Results: A total of 433 dental students responded in the full-scale study (mean age: 21.9 ± 1.6 years). Emotional exhaustion was present in 32.3% (95% confidence interval: 28%–36.9%), cynicism in 33.7% (29.3%–38.4%), and poor academic efficacy in 34.2% (29.8%–38.9%) of the dental students. Emotional exhaustion and cynicism were significantly associated with academic level, a history of medication due to academic stress, and thoughts of quitting the course (for all, P < 0.05). The reliability of MBI-SS was found to be adequate for all three subscales: Emotional exhaustion, Cronbach's α = 0.827; cynicism, α = 0.855; academic efficacy, α = 0.704. Conclusions: All three subscales of burnout were highly prevalent in the study cohort. The Arabic version of the MBI-SS inventory was shown to be a valid and reliable tool for assessing the psychometric properties of burnout among dental students, and its use may aid in identifying burnout in the early stages.
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Listopad IW, Michaelsen MM, Werdecker L, Esch T. Bio-Psycho-Socio-Spirito-Cultural Factors of Burnout: A Systematic Narrative Review of the Literature. Front Psychol 2021; 12:722862. [PMID: 34925130 PMCID: PMC8672245 DOI: 10.3389/fpsyg.2021.722862] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 11/01/2021] [Indexed: 12/16/2022] Open
Abstract
Background: Burnout is a widespread, multifactorial, and mainly psychological phenomenon. The pathogenesis of burnout is commonly described within the bio-psycho-social model of health and disease. Recent literature suggests that the phenomenon of burnout may be broader so that the three dimensions might not reflect the multifaceted and complex nature of the syndrome. Consequently, this review aims to identify the diversity of factors related to burnout, to define overarching categories based on these, and to clarify whether the bio-psycho-social model adequately describes the pathogenesis of burnout-holistically and sufficiently. Method: Five online databases (PubMed, PubPsych, PsychARTICLES, Psychology and Behavioral Sciences Collection, and Google Scholar) were systematically searched using defined search terms to identify relevant studies. The publication date was set between January 1981 and November 2020. Based on the selected literature, we identified factors related to burnout. We aggregated these factors into a comprehensible list and assigned them to overarching categories. Then, we assigned the factors to the dimensions of an extended model of health and disease. Results: We identified a total of 40 burnout-related factors and 10 overarching categories. Our results show that in addition to biological, psychological, and socio-environmental factors, various factors that can be assigned to a spiritual and work cultural dimension also play an important role in the onset of burnout. Conclusion: An extended bio-psycho-socio-spirito-cultural model is necessary to describe the pathogenesis of burnout. Therefore, future studies should also focus on spiritual and work cultural factors when investigating burnout. Furthermore, these factors should not be neglected in future developments of diagnosis, treatment, and prevention options.
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Affiliation(s)
- Ian W. Listopad
- Institute for Integrative Health Care and Health Promotion, Department of Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany
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8
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Listopad IW, Esch T, Michaelsen MM. An Empirical Investigation of the Relationship Between Spirituality, Work Culture, and Burnout: The Need for an Extended Health and Disease Model. Front Psychol 2021; 12:723884. [PMID: 34589028 PMCID: PMC8473891 DOI: 10.3389/fpsyg.2021.723884] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 07/28/2021] [Indexed: 11/13/2022] Open
Abstract
Apart from biological, psychological, and social factors, recent studies indicate that spirituality and work culture also play an important role in the onset of burnout. Hence, the commonly applied bio-psycho-social model of health and disease might not be sufficient to comprehensively explain and describe burnout. This study empirically investigates the relationship between spirituality (operationalized by perceived meaningfulness of work) and work culture (operationalized by sense of homeliness of the working environment) with burnout risk and work engagement. For this purpose, an anonymous cross-sectional data collection with fully standardized questionnaires and selected socio-demographic and work-related items was conducted among working adults (n = 439) from different industries via social media and local health service centers. For all scales and subscales, we found significant moderate to strong correlations. Furthermore, positive meaning within the perceived meaningfulness of work scale was the largest beta coefficient for burnout (β = -0.65) and work engagement (β = 0.62). Within sense of homeliness, the largest beta coefficient for burnout was needs fulfillment (β = -0.34) and work engagement emotional connection (β = 0.36). The strong associations suggest that the current health and disease model needs to be expanded to a bio-psycho-socio-spirito-cultural model to be able to sufficiently describe burnout. The perceived meaningfulness of work and a sense of homeliness should be adequately considered when examining the onset of burnout, describing burnout as a concept, and explaining work engagement.
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Affiliation(s)
- Ian W Listopad
- Institute for Integrative Health Care and Health Promotion, Faculty of Health, Department of Medicine, Witten/Herdecke University, Witten, Germany
| | - Tobias Esch
- Institute for Integrative Health Care and Health Promotion, Faculty of Health, Department of Medicine, Witten/Herdecke University, Witten, Germany
| | - Maren M Michaelsen
- Institute for Integrative Health Care and Health Promotion, Faculty of Health, Department of Medicine, Witten/Herdecke University, Witten, Germany
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Moen ØL, Skundberg-Kletthagen H, Lundquist LO, Gonzalez MT, Schröder A. The Relationships between Health Professionals' Perceived Quality of Care, Family Involvement and Sense of Coherence in Community Mental Health Services. Issues Ment Health Nurs 2021; 42:581-590. [PMID: 32990103 DOI: 10.1080/01612840.2020.1820119] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Mental health professionals have a responsibility to ensure the best possible quality of care. Family is strongly involved in the patient's everyday life. The aim of this study was to investigate the relationship between health care professionals' perception of the quality of care, attitudes of family involvement and their own sense of coherence. A descriptive quantitative study with fifty-six health professionals, completed "Quality in Psychiatric Care-Community Outpatient Psychiatric Staff", "Families' Importance in Nursing Care-health professionals' attitudes", "The Sense of Coherence Scale-13". The health professionals perceived quality as high and did not perceive the families as a burden.
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Affiliation(s)
- Øyfrid Larsen Moen
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjovik, Norway
| | - Hege Skundberg-Kletthagen
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjovik, Norway
| | - Lars-Olov Lundquist
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Marianne Thorsen Gonzalez
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjovik, Norway.,Faculty of Health and Social Sciences, Institute of Nursing and Health Sciences, University of South-Eastern Norway (USN), Drammen, Norway
| | - Agneta Schröder
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjovik, Norway.,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
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10
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Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. J Adv Nurs 2021; 77:3286-3302. [PMID: 33764561 PMCID: PMC8250618 DOI: 10.1111/jan.14839] [Citation(s) in RCA: 390] [Impact Index Per Article: 130.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 02/11/2021] [Accepted: 03/12/2021] [Indexed: 02/06/2023]
Abstract
AIMS To examine the nurses' burnout and associated risk factors during the COVID-19 pandemic. DESIGN We followed the Cochrane criteria and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review and meta-analysis. DATA SOURCES PubMed, Scopus, ProQuest, Cochrane COVID-19 registry, CINAHL and pre-print services (medRχiv and PsyArXiv) were searched from January 1 to November 15, 2020 and we removed duplicates. REVIEW METHODS We applied a random effect model to estimate pooled effects since the heterogeneity between results was very high. RESULTS Sixteen studies, including 18,935 nurses met the inclusion criteria. The overall prevalence of emotional exhaustion was 34.1%, of depersonalization was 12.6% and of lack of personal accomplishment was 15.2%. The main risk factors that increased nurses' burnout were the following: younger age, decreased social support, low family and colleagues readiness to cope with COVID-19 outbreak, increased perceived threat of Covid-19, longer working time in quarantine areas, working in a high-risk environment, working in hospitals with inadequate and insufficient material and human resources, increased workload and lower level of specialized training regarding COVID-19. CONCLUSION Nurses experience high levels of burnout during the COVID-19 pandemic, while several sociodemographic, social and occupational factors affect this burnout. IMPACT We found that burnout among nurses is a crucial issue during the COVID-19 pandemic. There is an urgent need to prepare nurses to cope better with COVID-19 pandemic. Identification of risk factors for burnout could be a significant weapon giving nurses and health care systems the ability to response in a better way against the following COVID-19 waves in the near future.
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Affiliation(s)
- Petros Galanis
- Center for Health Services Management and Evaluation, Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece
| | - Irene Vraka
- Department of Radiology, P & A Kyriakou Children's Hospital, Athens, Greece
| | - Despoina Fragkou
- Center for Health Services Management and Evaluation, Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece
| | - Angeliki Bilali
- Hospital Waste Management Unit, P & A Kyriakou Children's Hospital, Athens, Greece
| | - Daphne Kaitelidou
- Center for Health Services Management and Evaluation, Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece
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Fraser K, Brady J, Lordly D. " It was Like Magic": Relationships Supporting Compassion, Creativity, and Sense of Coherence in Nutrition Students. CAN J DIET PRACT RES 2020; 82:68-74. [PMID: 33320792 DOI: 10.3148/cjdpr-2020-032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The purpose of this exploratory research was to understand the experiences and learnings of dietetic and nutrition students following a 3-week intensive summer course designed to enhance students' understandings of compassion, creativity, and sense of coherence as they apply to personal growth and socially just professional practice. Seven of 15 students participated in one-on-one, semi-structured interviews. Data analysis was conducted using inductive thematic analysis, resulting in 3 meta-themes: (i) personal meaning and sense making, (ii) relational and power dynamics, and (iii) disruption; participants contextualized these themes via a dynamic interplay within and among the domains of self, pedagogy, and practice. As a result of taking this course, participants developed an enhanced sense of coherence, self-compassion, well-being, and a more equity-focused understanding of health. Student development may have been achieved through attending to student experience and a relational pedagogical epistemology that allowed students to make personal, interpersonal, and systemic connections among their own subjective experiences, the experiences of peers, and broader social impacts on health. Given nutrition classrooms are largely positivist, it is important to consider how these environments as relational contexts may support or undermine compassion, sense of coherence, and ultimately the health and well-being of students.
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Affiliation(s)
- Kathryn Fraser
- Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, NS
| | - Jennifer Brady
- Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, NS
| | - Daphne Lordly
- Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, NS
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12
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Work Ability among Upper-Secondary School Teachers: Examining the Role of Burnout, Sense of Coherence, and Work-Related and Lifestyle Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17249185. [PMID: 33316934 PMCID: PMC7763596 DOI: 10.3390/ijerph17249185] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 11/29/2020] [Accepted: 12/04/2020] [Indexed: 12/17/2022]
Abstract
Maintaining and promoting teachers’ work ability is essential for increasing productivity and preventing early exit from the teaching profession. This study aimed to identify the predictors of work ability among upper-secondary school teachers and examine the mediating role of burnout. A large and diverse group of Czech upper-secondary school teachers was surveyed to address this goal. The sample comprised 531 upper-secondary school teachers (50.0 ± 9.94 years, 19.9 ± 10.62 in the teaching profession, 57.6% females). Relatively greater empirical support was found for the effects of burnout, sense of coherence, work–life balance, and perceived relationships in the school environment on work ability than for the impact of age, homeroom teacher duties, workload, and caring for elderly relatives. Furthermore, burnout served as an important mediator of the relationship between sense of coherence and work ability. Teachers with a higher sense of coherence are thus better able to cope with adverse work circumstances and identify and mobilize internal and external resources to prevent professional exhaustion and the subsequent decline in work ability. The study can guide interventions on the work ability of teachers.
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Yang F, Ding J, Ma R, Song W, Jia Y, Zhao J, Yang X. Recovery Experience: A Concept for Maintaining Quality of Life and Its Mediating Effect Among Female Nurses in China. Psychol Res Behav Manag 2020; 13:831-841. [PMID: 33116971 PMCID: PMC7553666 DOI: 10.2147/prbm.s261666] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 09/08/2020] [Indexed: 11/23/2022] Open
Abstract
Purpose Nurses are high-risk groups for job burnout, which affect their quality of life (QOL). Recovery experience, a conceptualization of positive psychological resources, can combat the negative impacts of job burnout on health and QOL. The aim of this study was to examine the mediating effect of recovery experience on the relationship between job burnout and QOL among female nurses in China. Participants and Methods QOL information was captured from 1068 female nurses from December 2017 to February 2018 in tertiary hospitals in Shenyang, Liaoning Province of China. A structural equation model was employed to examine the mediating effect of recovery experience on the relationship between job burnout and QOL. Results Job burnout had a significant impact on both the mental component summary and the physical component summary of a 36-item Short-Form Health Survey. However, mental component summary scores were significantly lower than physical component summary scores in female nurses. Recovery experience played a mediating role in the relationship between job burnout and QOL. Conclusion Job burnout could result in a reduction in QOL among Chinese female nurses. Recovery experience, as a mediating factor, could alleviate the impact of job burnout on QOL. Recovery experience should be strengthened to attenuate job burnout and enhance QOL.
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Affiliation(s)
- Fengzhi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Jialin Ding
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Ruqing Ma
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Wenjie Song
- Office of Clinical Quality Improvement, Children's Hospital of Philadelphia, Philadelphia, PA 19147, USA
| | - Yajing Jia
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Jinfeng Zhao
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland 1142, New Zealand
| | - Xiaoshi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
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Satisfaction With the Quality Nursing Work Environment Among Psychiatric Nurses Working in Acute Care General Hospitals. J Nurs Res 2020; 28:e76. [PMID: 31633642 DOI: 10.1097/jnr.0000000000000350] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND The objective of this study was to investigate the impact on patient care quality of a positive, high-quality environment that is tailored to the practice of nursing. This study enabled nurses to show their professional skills and knowledge, which may help enhance job satisfaction. To date, little research has been done to assess the relationship between the nursing work environment and the job satisfaction of psychiatric nurses employed in acute wards of general hospitals. PURPOSE This study was designed to explain the relationship between job satisfaction and the perceived indicators of a quality nursing work environment (QNWE) after adjusting for demographic characteristics and work characteristics. METHODS A cross-sectional correlational design was employed, and a stratified random sample of 185 psychiatric nurses (99% response rate) working in acute wards in Taiwan was surveyed in 2013. Nurses were asked to complete a self-administered questionnaire that included measures of perceived QNWE and job satisfaction and demographic variables. RESULTS A statistically significant, positive relationship was found between perceived indicators of QNWE and job satisfaction (r = .813, p < .001). In the hierarchical multiple linear regression model, for the subdimensions of QNWE, the variables "perceived indicators of professional specialization and teamwork" and "support and caring" showed a significant and positive association with job satisfaction, after adjusting for personal demographic characteristics. CONCLUSIONS/IMPLICATIONS FOR PRACTICE Job satisfaction is related to the perception of nurses regarding their work environment. Therefore, nursing managers should improve workplace satisfaction by supporting and caring for nurses and creating better career development and teamwork opportunities for nurses through job training and planning.
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Abstract
BACKGROUND The work of nurses and correctional officers alike has long been pointed at as among the most stressful in the world. OBJECTIVE The primary aim was to evaluate the prevalence and level of occupational burnout among 214 hospital nurses and 201 correctional officers from Bulgaria. One of the focuses was to examine whether gender roles or occupational roles were more related to burnout. METHODS The current work used a descriptive cross-sectional inter-occupational comparative survey design. The participation was voluntary, individually and anonymously without any financial compensation. The only qualification in the sample selection was that the employee had direct contact with patients and inmates respectively. A translated MBI-Bulgarian version was used to measure burnout. Data were entered into SPSS17.0 to carry out data analysis. RESULTS The level of emotional exhaustion and personal accomplishment of nurses were significantly higher than that of correctional officers. Mean depersonalization score of correctional officers was significantly higher than that of nurses. Correctional officers demonstrated a higher prevalence of burnout syndrome compared with nurses. To examine whether gender is associated with burnout, Mann-Whitney U test was utilized to assess gender differences of correctional officers. Our results suggest that being male or female is not a critical determinant of burnout. CONCLUSION Correctional officers were found to have a higher prevalence of burnout syndrome compared with nurses.
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Affiliation(s)
- Stanislava Harizanova
- Department of Hygiene and Eco-medicine, Faculty of Public Health, Medical University Plovdiv, Plovdiv, Bulgaria
| | - Rumyana Stoyanova
- Department of Health Management and Health Economics, Faculty of Public Health, Medical University Plovdiv, Plovdiv, Bulgaria
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Fuchs A, Abegglen S, Berger-Estilita J, Greif R, Eigenmann H. Distress and resilience of healthcare professionals during the COVID-19 pandemic (DARVID): study protocol for a mixed-methods research project. BMJ Open 2020; 10:e039832. [PMID: 32737101 PMCID: PMC7397979 DOI: 10.1136/bmjopen-2020-039832] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
INTRODUCTION The unprecedented COVID-19 pandemic has exposed healthcare professionals (HCPs) to exceptional situations that can lead to increased anxiety (ie, infection anxiety and perceived vulnerability), traumatic stress and depression. We will investigate the development of these psychological disturbances in HCPs at the treatment front line and second line during the COVID-19 pandemic over a 12-month period in different countries. Additionally, we will explore whether personal resilience factors and a work-related sense of coherence influence the development of mental health problems in HCPs. METHODS AND ANALYSIS We plan to carry out a sequential qualitative-quantitative mixed-methods design study. The quantitative phase consists of a longitudinal online survey based on six validated questionnaires, to be completed at three points in time. A qualitative analysis will follow at the end of the pandemic to comprise at least nine semistructured interviews. The a priori sample size for the survey will be a minimum of 160 participants, which we will extend to 400, to compensate for dropout. Recruitment into the study will be through personal invitations and the 'snowballing' sampling technique. Hierarchical linear regression combined with qualitative data analysis, will facilitate greater understanding of any associations between resilience and mental health issues in HCPs during pandemics. ETHICS AND DISSEMINATION The study participants will provide electronic informed consent. All recorded data will be stored on a secured research server at the study site, which will only be accessible to the investigators. The Bern Cantonal Ethics Committee has waiv ed the need for ethical approval (Req-2020-00355, 1 April 2020). There are no ethical, legal or security issues regarding the data collection, processing, storage and dissemination in this project. TRIAL REGISTRATION NUMBER ISRCTN13694948.
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Affiliation(s)
- Alexander Fuchs
- Department of Anaesthesiology and Pain Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland
| | - Sandra Abegglen
- Department of Health Psychology and Behavioural Medicine, University of Bern, Bern, Switzerland
| | - Joana Berger-Estilita
- Department of Anaesthesiology and Pain Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland
| | - Robert Greif
- Department of Anaesthesiology and Pain Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland
- School of Medicine, Sigmund Freud Private University Vienna, Wien, Austria
| | - Helen Eigenmann
- Department of Health Psychology and Behavioural Medicine, University of Bern, Bern, Switzerland
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Schäfer SK, Sopp MR, Staginnus M, Lass-Hennemann J, Michael T. Correlates of mental health in occupations at risk for traumatization: a cross-sectional study. BMC Psychiatry 2020; 20:335. [PMID: 32586338 PMCID: PMC7318450 DOI: 10.1186/s12888-020-02704-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 05/28/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Hospitals, police stations, and fire departments are highly demanding workplaces. Staff members are regularly exposed to various stressors including traumatic events. Correspondingly, several studies report high rates of mental health issues among these occupations. Nevertheless, despite these challenging circumstances, some staff members manage to sustain their mental health. The current study is the first to investigate three health-promoting factors simultaneously among three different, highly demanding occupations. METHODS The present cross-sectional survey investigated health-promoting factors (sense of coherence - SOC, trait-resilience, locus of control - LOC) and mental health outcomes (general psychopathological symptom burden, posttraumatic stress, burnout) in medical staff (n = 223), police officers (n = 257), and firefighters (n = 100). RESULTS Among all occupations, SOC, trait-resilience, and an internal LOC were negatively associated with general psychopathological symptoms, posttraumatic stress, and burnout symptoms. By contrast, all these outcome measures were positively correlated with an external LOC. Multiple regression models including all health-promoting factors explained 56% of the variance in general psychopathological symptoms and 27% in posttraumatic stress symptoms. Among all occupations, SOC was the strongest predictor of both general psychopathological symptom burden and posttraumatic stress symptoms. Multigroup path analyses revealed minor differences across occupations, mainly driven by a stronger influence of LOC in police officers. CONCLUSION Across all occupations, SOC was identified as the most important health-promoting factor. Future longitudinal studies should further examine the causal link between health-promoting factors and mental distress in different workplaces. Such studies will also allow for further development and evaluation of resilience promoting programs.
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Affiliation(s)
- Sarah K. Schäfer
- Department of Psychology, Saarland University, Building A1 3, 66123 Saarbruecken, Germany
| | - M. Roxanne Sopp
- Department of Psychology, Saarland University, Building A1 3, 66123 Saarbruecken, Germany
| | - Marlene Staginnus
- Department of Psychology, Saarland University, Building A1 3, 66123 Saarbruecken, Germany
| | - Johanna Lass-Hennemann
- Department of Psychology, Saarland University, Building A1 3, 66123 Saarbruecken, Germany
| | - Tanja Michael
- Department of Psychology, Saarland University, Building A1 3, 66123 Saarbruecken, Germany
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Dall'Ora C, Ball J, Reinius M, Griffiths P. Burnout in nursing: a theoretical review. HUMAN RESOURCES FOR HEALTH 2020; 18:41. [PMID: 32503559 PMCID: PMC7273381 DOI: 10.1186/s12960-020-00469-9] [Citation(s) in RCA: 273] [Impact Index Per Article: 68.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 03/24/2020] [Indexed: 05/13/2023]
Abstract
BACKGROUND Workforce studies often identify burnout as a nursing 'outcome'. Yet, burnout itself-what constitutes it, what factors contribute to its development, and what the wider consequences are for individuals, organisations, or their patients-is rarely made explicit. We aimed to provide a comprehensive summary of research that examines theorised relationships between burnout and other variables, in order to determine what is known (and not known) about the causes and consequences of burnout in nursing, and how this relates to theories of burnout. METHODS We searched MEDLINE, CINAHL, and PsycINFO. We included quantitative primary empirical studies (published in English) which examined associations between burnout and work-related factors in the nursing workforce. RESULTS Ninety-one papers were identified. The majority (n = 87) were cross-sectional studies; 39 studies used all three subscales of the Maslach Burnout Inventory (MBI) Scale to measure burnout. As hypothesised by Maslach, we identified high workload, value incongruence, low control over the job, low decision latitude, poor social climate/social support, and low rewards as predictors of burnout. Maslach suggested that turnover, sickness absence, and general health were effects of burnout; however, we identified relationships only with general health and sickness absence. Other factors that were classified as predictors of burnout in the nursing literature were low/inadequate nurse staffing levels, ≥ 12-h shifts, low schedule flexibility, time pressure, high job and psychological demands, low task variety, role conflict, low autonomy, negative nurse-physician relationship, poor supervisor/leader support, poor leadership, negative team relationship, and job insecurity. Among the outcomes of burnout, we found reduced job performance, poor quality of care, poor patient safety, adverse events, patient negative experience, medication errors, infections, patient falls, and intention to leave. CONCLUSIONS The patterns identified by these studies consistently show that adverse job characteristics-high workload, low staffing levels, long shifts, and low control-are associated with burnout in nursing. The potential consequences for staff and patients are severe. The literature on burnout in nursing partly supports Maslach's theory, but some areas are insufficiently tested, in particular, the association between burnout and turnover, and relationships were found for some MBI dimensions only.
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Affiliation(s)
- Chiara Dall'Ora
- School of Health Sciences, and Applied Research Collaboration Wessex, Highfield Campus, University of Southampton, Southampton, SO17 1BJ, UK.
| | - Jane Ball
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Tomtebodavägen 18a, 17177, Solna, Sweden
| | - Maria Reinius
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Tomtebodavägen 18a, 17177, Solna, Sweden
| | - Peter Griffiths
- School of Health Sciences, and Applied Research Collaboration Wessex, Highfield Campus, University of Southampton, Southampton, SO17 1BJ, UK
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Tomtebodavägen 18a, 17177, Solna, Sweden
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19
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Owuor RA, Mutungi K, Anyango R, Mwita CC. Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review. JBI Evid Synth 2020; 18:1189-1207. [DOI: 10.11124/jbisrir-d-19-00170] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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20
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Abstract
School psychologist have been considered at a high risk for developing work burnout due to their multiple responsibilities, overload and engagement in caring for children, families and professionals. In line with the salutogenic approach, the aim of the current research was to investigate protective and risk factors to burnout. Research has indicated that sense of coherence (SOC) may act as a protective factor. Studies reported that loneliness has been found a risk factor that may advance burnout. The current study hypothesized that loneliness may moderate the link between SOC and burnout. In a sample of 104 Israeli school psychologists, demographic aspects such as the gender, years of experience, or type of school in which they work did not predict the burnout, focusing on the importance of emotional aspects. The analysis demonstrated that the SOC was negatively associated with burnout among low or mean levels of loneliness, but not among psychologists with high levels of loneliness. The current study provides a new insight into the burnout risk, through the focus on personal resources and social perceptions. Implications for theoretical and practices are further discussed.
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21
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Malagon-Aguilera MC, Suñer-Soler R, Bonmatí-Tomas A, Bosch-Farré C, Gelabert-Vilella S, Juvinyà-Canal D. Relationship between sense of coherence, health and work engagement among nurses. J Nurs Manag 2019; 27:1620-1630. [PMID: 31444895 DOI: 10.1111/jonm.12848] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 07/13/2019] [Accepted: 08/20/2019] [Indexed: 11/28/2022]
Abstract
AIM To examine the sense of coherence among registered nurses and its relationship with health and work engagement. BACKGROUND Sense of coherence is a global orientation to view life as structured, manageable and meaningful and have the capacity to cope with stressful situations. A high sense of coherence score indicates that an individual can understand, manage and attribute meaning to events in his or her life as well as in the work environment. Registered nurses face many workplace stressors that may be easier to manage with a strong sense of coherence; however, the effect of this score on their self-reported health status and work engagement remains unknown. METHODS In a cross-sectional study, 109 registered nurses working in a long-term care setting responded to a self-administered questionnaire. Social support, work-related family conflicts, sense of coherence, self-reported health status and work engagement variables were analysed using multiple linear regression models. RESULTS Nurses with a high sense of coherence score reported no work-related family conflicts (mean difference -6.91; 95% CI -10.65 to -3.18; p = .000), better health (r = .408) and greater work engagement (r = .223), compared to their peers with lower sense of coherence. The association between sense of coherence and self-reported health was confirmed by linear regression modelling (β = .276, p = .003). CONCLUSIONS Nurses with a higher sense of coherence had better health and greater work engagement. The work engagement variable showing the highest association with sense of coherence was dedication. IMPLICATIONS FOR NURSING MANAGEMENT Implementing interventions that increase sense of coherence among nurses can increase commitment to their work, to the institution and to building more engaged teams.
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Affiliation(s)
- Maria Carmen Malagon-Aguilera
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Rosa Suñer-Soler
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Anna Bonmatí-Tomas
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Cristina Bosch-Farré
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Sandra Gelabert-Vilella
- Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Dolors Juvinyà-Canal
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
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22
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Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, Fricchione GL, Dossett ML, Gelaye B. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health 2019; 19:1247. [PMID: 31510975 PMCID: PMC6737653 DOI: 10.1186/s12889-019-7566-7] [Citation(s) in RCA: 105] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 08/29/2019] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Burnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa. METHODS Relevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa. RESULTS A total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout. Burnout among healthcare providers is associated with their work environments, interpersonal and professional conflicts, emotional distress, and low social support. CONCLUSIONS Available studies on this topic are limited by several methodological challenges. More rigorously designed epidemiologic studies of burnout among healthcare providers are warranted. Health infrastructure improvements will eventually be essential, though difficult to achieve, in under-resourced settings. Programs aimed at raising awareness and coping with burnout symptoms through stress management and resilience enhancement trainings are also needed.
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Affiliation(s)
- Benyam W Dubale
- Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
| | - Lauren E Friedman
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Kresge 505, Boston, MA, 02115, USA
| | - Zeina Chemali
- The Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.,Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - John W Denninger
- Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Darshan H Mehta
- Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Atalay Alem
- Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
| | - Gregory L Fricchione
- The Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.,Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Michelle L Dossett
- Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Bizu Gelaye
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Kresge 505, Boston, MA, 02115, USA. .,The Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
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23
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Eriksson M, Kerekes N, Brink P, Pennbrant S, Nunstedt H. The level of sense of coherence among Swedish nursing staff. J Adv Nurs 2019; 75:2766-2772. [PMID: 31236952 DOI: 10.1111/jan.14137] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 04/19/2019] [Accepted: 05/14/2019] [Indexed: 11/30/2022]
Abstract
AIM To explore the level of sense of coherence among Swedish nursing staff. DESIGN An explorative quantitative study design was adopted using a short form for measuring sense of coherence. METHODS Data were collected in January 2018 from nurses working in full-time positions at two hospitals in Western Sweden. A total of 93 nurses completed the 13 item questionnaire measuring sense of coherence. Descriptive statistics were applied to obtain means and standard deviations. Spearman's rank correlation was used to describe strength of association between sense of coherence and socio-demographic categories. Between-group differences were defined using the nonparametric tests of Mann Whitney U test and Kruskal-Wallis test. RESULTS The internal consistency of the SOC-13 was low. An inter-item-correlation test indicated that two items decreased the internal consistency of the scale. The level of the three dimensions of sense of coherence varied; manageability was weakest and decreased the total sense of coherence. The meaningfulness dimension was as strongest. CONCLUSION On a national level, nurses reported weaker sense of coherence (SOC) than the general population, but stronger in an international comparison of nurses. They found their work difficult to manage, but meaningful. IMPACT On a national level, the nurses reported weaker SOC than the general population, but stronger in an international comparison of nurses. Findings from this study will have an impact on how nurses can manage work related stress in terms of sense of coherence. There will also be an impact on nurses' well-being, which in a long run benefits patients.
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Affiliation(s)
- Monica Eriksson
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Nóra Kerekes
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Peter Brink
- Department of Health Sciences, University West, Trollhättan, Sweden.,NU Hospital Group, Trollhättan, Sweden
| | - Sandra Pennbrant
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Håkan Nunstedt
- Department of Health Sciences, University West, Trollhättan, Sweden
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Wilczek-Rużyczka E, Dębska G, Pasek M, Zwierzchowska M. The mediational effect of coherence on the relationship between mental load and job burnout among oncology nurses. Int J Nurs Pract 2019; 25:e12736. [PMID: 31087514 DOI: 10.1111/ijn.12736] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 01/15/2019] [Accepted: 03/08/2019] [Indexed: 11/30/2022]
Abstract
AIMS The purpose of this study was to determine the mediational effect of coherence on the relationship between mental load and job burnout among oncology nurses. BACKGROUND Working stress and strain cause high mental load and can lead to job burnout among oncology nurses. Sense of coherence protects against the negative consequences of occupational mental load and may prevent professional burnout. MATERIALS AND METHODS The study was carried out with 165 oncology nurses from chemotherapy departments. The data were collected from April to September 2013 using the Antonovsky Sense of Coherence Scale, Meister questionnaire, and Maslach Burnout Inventory. RESULTS Manageability mediated the relations between Mental Load and both Emotional Exhaustion and Depersonalization. Meaningfulness exerted significant mediational effect on the relationship between Mental Load and Depersonalization. Manageability and Meaningfulness attenuate the unfavourable effect of Monotony and Unspecific load on motional Exhaustion and Depersonalization. CONCLUSIONS Sense of coherence, especially Manageability and Meaningfulness, seems to be an important resource for oncology nurses, buffering the negative impact of mental load on well-being of nurses. Strengthening the sense of coherence can be helpful in preventing or dealing with professional burnout.
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Affiliation(s)
- Ewa Wilczek-Rużyczka
- Faculty of Psychology and Humanities, A.F. Modrzewski Krakow University, Krakow, Poland
| | - Grażyna Dębska
- Faculty of Health and Medical Studies, A.F. Modrzewski Krakow University, Krakow, Poland
| | - Małgorzata Pasek
- Faculty of Health and Medical Studies, A.F. Modrzewski Krakow University, Krakow, Poland
| | - Marta Zwierzchowska
- Faculty of Individual Differences and Psychological Diagnosis, SWPS University of Social Sciences and Humanities, Warszawa, Poland
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Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. Eur Psychiatry 2018; 53:74-99. [PMID: 29957371 DOI: 10.1016/j.eurpsy.2018.06.003] [Citation(s) in RCA: 209] [Impact Index Per Article: 34.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 06/12/2018] [Accepted: 06/13/2018] [Indexed: 11/23/2022] Open
Abstract
This study aimed to estimate the level of burnout in mental health professionals and to identify specific determinants of burnout in this population. A systematic search of MEDLINE/PubMed, PsychINFO/Ovid, Embase, CINAHL/EBSCO and Web of Science was conducted for original research published between 1997 and 2017. Sixty-two studies were identified as meeting the study criteria for the systematic review. Data on the means, standard deviations, and prevalence of the dimensions of burnout were extracted from 33 studies and included in the meta-analysis (n = 9409). The overall estimated pooled prevalence for emotional exhaustion was 40% (CI 31%-48%) for depersonalisation was 22% (CI 15%-29%) and for low levels of personal accomplishment was 19% (CI 13%-25%). The random effects estimate of the mean scores on the Maslach Burnout Inventory indicate that the average mental health professional has high levels of emotional exhaustion [mean 21.11 (95% CI 19.98, 22.24)], moderate levels of depersonalisation [mean 6.76 (95% CI 6.11, 7.42)] but retains reasonable levels of personal accomplishment [mean 34.60 (95% CI 32.99, 36.21)]. Increasing age was found to be associated with an increased risk of depersonalisation but also a heightened sense of personal accomplishment. Work-related factors such as workload and relationships at work, are key determinants for burnout, while role clarity, a sense of professional autonomy, a sense of being fairly treated, and access to regular clinical supervision appear to be protective. Staff working in community mental health teams may be more vulnerable to burnout than those working in some specialist community teams, e.g., assertive outreach, crisis teams.
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26
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McMullan E, Gupta A, Collins SC. Experiences of mental health nursing staff working with voice hearers in an acute setting: An interpretive phenomenological approach. J Psychiatr Ment Health Nurs 2018; 25:157-166. [PMID: 29280257 DOI: 10.1111/jpm.12448] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/20/2017] [Indexed: 11/28/2022]
Abstract
UNLABELLED WHAT IS KNOWN ON THE SUBJECT?: Community mental health staff and their service users have reported mixed views on the importance of talking about the content of voices. Community staff have reported feeling that they do not have the skills to explore voice content and worry about making things worse. Voice hearers experiencing extreme distress due to the content of their voices can access support through acute inpatient mental health services. No previous studies have focused on the experiences of staff who nurse voice hearers at a time of acute distress. WHAT DOES THIS STUDY ADD TO EXISTING KNOWLEDGE?: MHNs and HSWs working with voice hearers in acute distress report feeling powerless and helpless, as they feel that they cannot lessen the distress experienced by the voice hearer. Despite these difficult feelings, staff report finding ways of coping, including using structured tools to help make sense of their service users' voice-hearing experiences and accessing reflective practice forums. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Due to the current context of increased acuity and limited resources in acute services, there may be a need to further protect time for staff to access reflective practice groups and supervision forums to help them manage the difficult feelings arising from their work with voice hearers. ABSTRACT Introduction Mental health nursing (MHN) staff in acute settings work with voice hearers at times of crises when they experience high levels of distress. Previous research has focused on community mental health staff's experiences and their service users views on exploring the content of voices. No studies have explored this from an acute mental health service perspective. Aim This study therefore sought to explore the experiences of staff working with voice hearers in an acute mental health service. Method Due to the exploratory nature of the research, a qualitative design was chosen. Three MHNs and five healthcare support workers (HSWs) were interviewed. The data were analysed using Interpretative Phenomenological Analysis. Results A group analysis elicited three master themes: "It's quite scary really, not unlike a horror movie;" "I can only influence what's in front of me;" and "Just chipping away". Discussion Staff working with voice hearers in acute settings experience feelings of powerlessness and helplessness, as they feel unable to reduce the distress experienced by voice hearers in their care. Staff employ coping strategies to help manage these difficult feelings, including using structured tools in their work with voice hearers and attending reflective practice forums. Implications for Practice Acute mental health services may need to protect time for staff to access regular reflective practice and other supervision forums to help manage their feelings of powerlessness and helplessness arising from their work with voice hearers.
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Affiliation(s)
- E McMullan
- South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK
| | - A Gupta
- Leeds and York Partnership NHS Foundation Trust, Leeds, UK
| | - S C Collins
- Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
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Schäfer SK, Lass-Hennemann J, Groesdonk H, Volk T, Bomberg H, Staginnus M, Brückner AH, Holz E, Michael T. Mental Health in Anesthesiology and ICU Staff: Sense of Coherence Matters. Front Psychiatry 2018; 9:440. [PMID: 30283365 PMCID: PMC6156425 DOI: 10.3389/fpsyt.2018.00440] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Accepted: 08/24/2018] [Indexed: 01/26/2023] Open
Abstract
Background: Hospitals, and particularly intensive care units (ICUs), are demanding and stressful workplaces. Physicians and nurse staff are exposed to various stressors: emergency situations, patients' deaths, and team conflicts. Correspondingly, several studies describe increased rates of PTSD symptoms and other mental health problems in hospital staff. Therefore, it is important to identify factors that lower the risk of psychopathological symptoms. High levels of sense of coherence (SOC) and general resilience as well as an internal locus of control (LOC) have already been identified as important health-benefitting factors in medical staff. The current study aimed to evaluate their unique impact in an ICU and an anesthesiology unit. Method: The cross-sectional online survey investigated SOC, LOC, general resilience, general mental health problems as well as PTSD symptoms in nurses and physicians within an ICU and an anesthesiology unit (N = 52, 65.4% female). General mental health problems were assessed using the ICD-10-Symptom-Rating (ISR) and PTSD symptoms were measured using the PTSD Checklist for DSM-5 (PCL-5). The Sense of Coherence Scale (SOC-L9) assessed SOC, the Resilience Scale (RS-11) measured general resilience, and LOC was determined using a 4-item scale for the assessment of control beliefs (IE-4). Results: As expected, SOC, r = -0.72, p < 0.001, general resilience, r = -0.46, p < 0.001, and internal LOC, r = -0.51, p < 0.001, were negatively correlated with general mental health problems while an external LOC showed a positive association, r = 0.35, p = 0.010. However, in a multiple regression model, R 2 = 53.9%, F (4, 47) = 13.73, p < 0.001, only SOC significantly predicted general mental health problems by uniquely accounting for 13% of the variance. For PTSD symptoms, which were highly correlated with general mental health problems, a similar pattern of results was found. Conclusion: SOC was found to be the most important correlate of both general mental health problems and PTSD symptoms in an ICU and an anesthesiology unit. Thus, if further evidenced by longitudinal studies, implementing interventions focusing on an enhancement of SOC in training programs for ICU and anesthesiology unit staff might be a promising approach to prevent or reduce psychopathological symptoms.
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Affiliation(s)
- Sarah K Schäfer
- Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany
| | - Johanna Lass-Hennemann
- Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany
| | - Heinrich Groesdonk
- Department of Anesthesiology and Intensive Care, Saarland University Medical Center, Homburg, Germany
| | - Thomas Volk
- Department of Anesthesiology and Intensive Care, Saarland University Medical Center, Homburg, Germany
| | - Hagen Bomberg
- Department of Anesthesiology and Intensive Care, Saarland University Medical Center, Homburg, Germany
| | - Marlene Staginnus
- Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany
| | - Alexandra H Brückner
- Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany
| | - Elena Holz
- Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany
| | - Tanja Michael
- Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany
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Khamisa N, Peltzer K, Ilic D, Oldenburg B. Effect of personal and work stress on burnout, job satisfaction and general health of hospital nurses in South Africa. Health SA 2017. [DOI: 10.1016/j.hsag.2016.10.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Nurses’ burnout and counterproductive work behavior in a Nigerian sample: The moderating role of emotional intelligence. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2017. [DOI: 10.1016/j.ijans.2017.11.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Naudé JLP, Rothmann S. Work-Related Well-Being of Emergency Workers in Gauteng. SOUTH AFRICAN JOURNAL OF PSYCHOLOGY 2016. [DOI: 10.1177/008124630603600105] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The objective of this study was to assess the relationships between occupational stress, sense of coherence, burnout and work engagement of emergency workers in Gauteng and to determine whether sense of coherence moderates the effects of occupational stress on burnout and work engagement. A cross-sectional survey design was used. A convenience sample ( N = 323) was taken from emergency workers in Gauteng. The Maslach Burnout Inventory — Human Services Survey, the Utrecht Work Engagement Scale, the Emergency Worker Stress Inventory and the Orientation to Life Questionnaire were administered. The results showed that occupational stress (as a result of a lack of job resources) and a weak sense of coherence predicted emotional exhaustion and depersonalisation. Sense of coherence predicted personal accomplishment and work engagement. However, sense of coherence did not moderate the effects of occupational stress on emotional exhaustion, depersonalisation, personal accomplishment or work engagement.
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Affiliation(s)
- Johannes L. P. Naudé
- WorkWell: Research Unit for People, Policy and Performance, North-West University, Vanderbijlpark Campus, South Africa
| | - Sebastiaan Rothmann
- WorkWell: Research Unit for People, Policy and Performance, North-West University, Potchefstroom Campus, Potchefstroom, 2520, South
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Khamisa N, Peltzer K, Ilic D, Oldenburg B. Work related stress, burnout, job satisfaction and general health of nurses: A follow-up study. Int J Nurs Pract 2016; 22:538-545. [PMID: 27241867 DOI: 10.1111/ijn.12455] [Citation(s) in RCA: 101] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Revised: 04/13/2016] [Accepted: 04/30/2016] [Indexed: 11/30/2022]
Abstract
Nurses experience high levels of work related stress and burnout as well as low job satisfaction and poor general health owing to the nature of their work. This paper seeks to provide a better understanding of the nature of relationships between work related stress, burnout, job satisfaction and general health of nurses over one year. This study involved a longitudinal design. Two hundred and seventy seven nurses from four hospitals completed a follow up survey consisting of five questionnaires. Data were collected between 2013 and 2014. The data were analysed using generalized estimation equation analysis. Lack of support was associated with burnout, patient care was associated with job satisfaction and staff issues were associated with general health of nurses. Burnout is more strongly related to job satisfaction than general health. The findings of this study could inform evidence based policy and practice through interventions aimed at improving job satisfaction and reducing the impact of burnout on general health of nurses.
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Affiliation(s)
- Natasha Khamisa
- Department of Public Health, School of Health Sciences, Monash South Africa, Johannesburg, South Africa.,Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Karl Peltzer
- HIV/AIDS/STIS and TB Research Unit (HAST), Human Sciences Research Council, Pretoria, South Africa.,Department of Psychology, University of Limpopo, Polokwane, South Africa.,ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand
| | - Dragan Ilic
- Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Brian Oldenburg
- School of Population and Global Health, University of Melbourne, Melbourne, Australia
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Stevenson KN, Jack SM, O'Mara L, LeGris J. Registered nurses' experiences of patient violence on acute care psychiatric inpatient units: an interpretive descriptive study. BMC Nurs 2015; 14:35. [PMID: 25999795 PMCID: PMC4440495 DOI: 10.1186/s12912-015-0079-5] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Accepted: 04/30/2015] [Indexed: 11/10/2022] Open
Abstract
Background Nurses working in acute care psychiatry settings experience high rates of patient violence which influences outcomes for nurses and the organization. This qualitative study explored psychiatric nurses’ experiences of patient violence in acute care inpatient psychiatric settings. Methods An interpretive descriptive design guided this study that included 17 semi-structured interviews with a purposeful sample of 12 Canadian registered nurses who self-reported experiencing patient violence within acute care inpatient psychiatry. Thematic analysis and constant comparison techniques were used for analysis. A problem, needs and practice analysis was also used to structure overall data interpretation. Results Thirty three unique exposures to patient violence among the sample of nurses were analysed. Nurses reported experiencing physical, emotional and verbal violence. For many, patient violence was considered “part of the job.” Nurses often struggled with role conflict between one’s duty to care and one’s duty to self when providing care following a critical incident involving violence. Issues of power, control and stigma also influenced nurse participant perceptions and their responses to patient violence. Nurses used a variety of strategies to maintain their personal safety and to prevent, and manage patient violence. Nurses endorsed the need for improved education, debriefing following an incident, and a supportive work environment to further prevent patient violence. Present findings have implications for reducing the barriers to reporting violent experiences and the creation of best practice guidelines to reduce patient violence in the workplace. Conclusions Understanding the perspectives and experiences of nurses in acute inpatient psychiatry leads to greater understanding of the phenomenon of patient violence and may inform the development of interventions to prevent and to respond to patient violence, as well as support nurses working within the acute care setting.
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Affiliation(s)
| | - Susan M Jack
- School of Nursing, McMaster University, Hamilton, ON Canada
| | - Linda O'Mara
- School of Nursing, McMaster University, Hamilton, ON Canada
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Khamisa N, Oldenburg B, Peltzer K, Ilic D. Work related stress, burnout, job satisfaction and general health of nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:652-66. [PMID: 25588157 PMCID: PMC4306884 DOI: 10.3390/ijerph120100652] [Citation(s) in RCA: 311] [Impact Index Per Article: 34.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Accepted: 12/25/2014] [Indexed: 11/17/2022]
Abstract
Gaps in research focusing on work related stress, burnout, job satisfaction and general health of nurses is evident within developing contexts like South Africa. This study identified the relationship between work related stress, burnout, job satisfaction and general health of nurses. A total of 1200 nurses from four hospitals were invited to participate in this cross-sectional study (75% response rate). Participants completed five questionnaires and multiple linear regression analysis was used to determine significant relationships between variables. Staff issues are best associated with burnout as well as job satisfaction. Burnout explained the highest amount of variance in mental health of nurses. These are known to compromise productivity and performance, as well as affect the quality of patient care. Issues, such as security risks in the workplace, affect job satisfaction and health of nurses. Although this is more salient to developing contexts it is important in developing strategies and intervention programs towards improving nurse and patient related outcomes.
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Affiliation(s)
- Natasha Khamisa
- Department of Public Health, School of Health Sciences, Monash South Africa, 144 Peter Road, Roodepoort, 1725 Johannesburg, South Africa.
| | - Brian Oldenburg
- School of Population and Global Health, University of Melbourne, Victoria, 3010 Melbourne, Australia.
| | - Karl Peltzer
- Department of Psychology, University of Free State, Bloemfontein 9300, South Africa.
| | - Dragan Ilic
- Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, 3004 Melbourne, Australia.
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Riasudeen S, Srinivasan P, Venkatesakumar R. Task Characteristics, Task Process, Task Structure and their Relationship with Work and Personal Burnout. SOUTH ASIAN JOURNAL OF HUMAN RESOURCES MANAGEMENT 2014. [DOI: 10.1177/2322093714549106] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This research focuses on identifying the relationship of task characteristics, task process and task structure with work and personal burnout of individuals working in a group. A sample comprising of Information Technology (IT) and Information Technology Enabled Services (ITES) professionals, working in group setting, were surveyed using a structured questionnaire measuring the constructs. A structural equation model was performed and fitness measures of the model confirm significant relationship among the task characteristics, process and structure with work and personal burnout. In particular, the study results suggest that the task characteristics affects work burnout rather than personal burnout, that task process explicate moderately both personal and work burnout and finally, task structure is strongly related to personal burnout relative to work burnout.
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Affiliation(s)
- S. Riasudeen
- S. Riasudeen (corresponding author), Pondicherry University, Department of Management Studies, Pondicherry 605014, India
| | - P.T. Srinivasan
- P.T. Srinivasan, University of Madras, Department of Management Studies, Chennai 600005, India
| | - R. Venkatesakumar
- R. Venkatesakumar, Pondicherry University, Department of Management Studies, Pondicherry 605014, India
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van der Colff JJ, Rothmann S. Occupational stress of professional nurses in South Africa. JOURNAL OF PSYCHOLOGY IN AFRICA 2014. [DOI: 10.1080/14330237.2014.980626] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
| | - Sebastiaan Rothmann
- Optentia Research Focus Area, North-West University, Vanderbijlpark, South Africa
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Banovcinova L, Baskova M. Sources of Work-related Stress and their Effect on Burnout in Midwifery. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/j.sbspro.2014.04.306] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Khamisa N, Peltzer K, Ilic D, Oldenburg B. Evaluating research recruitment strategies to improve response rates amongst South African nurses. SA JOURNAL OF INDUSTRIAL PSYCHOLOGY 2014. [DOI: 10.4102/sajip.v40i1.1172] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Orientation: Nurse recruitment to and participation in empirical research is increasingly important in understanding and improving nursing practice. However, the low participation and recruitment rate amongst nurses is not well understood.Research purpose: The aim of this study was to evaluate three research recruitment methods for their impact on recruitment and participation rates amongst South African nurses.Motivation for the study: A limited number of studies exist that formally evaluates different recruitment strategies to improve participation in research amongst nurses within developing contexts, especially South Africa.Research approach, design and method: Participants were recruited using three different methods. Of the 250 nurses randomly selected and invited to participate in a cross-sectional survey, 201 agreed and 162 (81%) returned the questionnaires.Main findings: Nursing management participation in the recruitment and data collection process produces more favourable response rates. Reminders and the use of shorter questionnaires also aid higher response rates.Practical/managerial implications: Reminders as well as face-to-face recruitment strategies (especially by a familiar person) successfully improved participation rates amongst South African nurses in this study.Contribution/value-add: This study identifies some strategies that could be used more widely to increase the recruitment and participation of South African nurses in research whilst potentially improving their work situation.
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Campos JADB, Jordani PC, Zucoloto ML, Bonafé FSS, Maroco J. Burnout in dental students: effectiveness of different methods. REVISTA DE ODONTOLOGIA DA UNESP 2013. [DOI: 10.1590/s1807-25772013000500002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE: This study was proposed to estimate the effectiveness of different screening methods of the Burnout Syndrome among dental students. MATERIAL AND METHOD: The Burnout Syndrome assessment was performed using the Oldenburg Inventory-Student survey (OLBI-SS) and the Copenhagen Inventory-Student survey (CBI‑SS). The Maslach Burnout Inventory-Student survey (MBI-SS) was used as the gold standard. The psychometric properties of the instruments were measured. The second-order hierarchical model was estimated to calculate the overall scores for OLBI-SS and CBI-SS, and ROC curves were constructed and the areas were estimated (AUROC). RESULT: A total of 235 undergraduate students participated in this study. The instruments showed an adequate reliability and validity; however three questions had to be removed from OLBI-SS and one from CBI-SS. The Exhaustion dimension of OLBI-SS, and Personal Burnout and Study related Burnout of CBI-SS presented a good discriminating capacity. CONCLUSION: CBI-SS showed higher discriminating capacity, than OLBI-SS, to identify the Burnout Syndrome (DAUROC=.172 [.103-.240]; p<.05).
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Affiliation(s)
| | | | | | | | - João Maroco
- Instituto Superior de Psicologia Aplicada, Portugal
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Khamisa N, Peltzer K, Oldenburg B. Burnout in relation to specific contributing factors and health outcomes among nurses: a systematic review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2013; 10:2214-40. [PMID: 23727902 PMCID: PMC3717733 DOI: 10.3390/ijerph10062214] [Citation(s) in RCA: 187] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Revised: 05/16/2013] [Accepted: 05/24/2013] [Indexed: 11/16/2022]
Abstract
Nurses have been found to experience higher levels of stress-related burnout compared to other health care professionals. Despite studies showing that both job satisfaction and burnout are effects of exposure to stressful working environments, leading to poor health among nurses, little is known about the causal nature and direction of these relationships. The aim of this systematic review is to identify published research that has formally investigated relationships between these variables. Six databases (including CINAHL, COCHRANE, EMBASE, MEDLINE, PROQUEST and PsyINFO) were searched for combinations of keywords, a manual search was conducted and an independent reviewer was asked to cross validate all the electronically identified articles. Of the eighty five articles that were identified from these databases, twenty one articles were excluded based on exclusion criteria; hence, a total of seventy articles were included in the study sample. The majority of identified studies exploring two and three way relationships (n = 63) were conducted in developed countries. Existing research includes predominantly cross-sectional studies (n = 68) with only a few longitudinal studies (n = 2); hence, the evidence base for causality is still very limited. Despite minimal availability of research concerning the small number of studies to investigate the relationships between work-related stress, burnout, job satisfaction and the general health of nurses, this review has identified some contradictory evidence for the role of job satisfaction. This emphasizes the need for further research towards understanding causality.
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Affiliation(s)
- Natasha Khamisa
- School of Health Sciences, Department of Public Health, Monash South Africa, 144 Peter Road, Roodepoort, Johannesburg 1725, South Africa
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Melbourne 3800, Australia; E-Mail:
| | - Karl Peltzer
- Human Science Research Council, 134 Pretorius Street, Pretoria 0002, South Africa; E-Mail:
- University of Limpopo, University Street, Turfloop, Sovenga, Polokwane 0727, South Africa
- ASEAN Institute for Health Development, Mahidol University, Salaya 73170, Thailand
| | - Brian Oldenburg
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Melbourne 3800, Australia; E-Mail:
- Monash Alfred Hospital Campus, Level 3 Burnet Tower, 89 Commercial Road, Melbourne 3004, Australia
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Görgens-Ekermans G, Brand T. Emotional intelligence as a moderator in the stress-burnout relationship: a questionnaire study on nurses. J Clin Nurs 2012; 21:2275-85. [PMID: 22788561 DOI: 10.1111/j.1365-2702.2012.04171.x] [Citation(s) in RCA: 111] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To investigate inter-relationships between emotional intelligence (EI), work stress and burnout in a group of nurses in the Western Cape Province, South Africa. The moderating effect of EI in the stress-burnout relationship and group differences (nurses working in different wards) in burnout were also investigated. BACKGROUND Stress and subsequent burnout commonly threaten the occupational health and well-being of nurses in South Africa and elsewhere. Developing EI in nurses may increase individual stress resistance and combat burnout. DESIGN A cross-sectional research design with anonymous questionnaires was conducted. Self-report data were used. METHODS Survey data were collected from 122 nurses working in different wards at four hospitals from a private hospital group. The Swinburne University Emotional Intelligence Test, Sources of Work Stress Inventory and Maslach Burnout Inventory were used to measure EI, stress and burnout, respectively. RESULTS Consistent inverse relationships between emotional control and management as dimensions of EI, and stress and burnout emerged. A differential effect of high vs. low EI on the stress-burnout relationship was evident. Workload and the work/family interface emerged as significant predictors of burnout. Respondents working in maternity, paediatric and ER wards reported more feelings of personal accomplishment than those working in general wards. CONCLUSIONS Higher EI is significantly related with lower stress and burnout in a sample of South African nurses. The moderator effect of EI in the stress-burnout relationship suggests that enhanced EI may help diminish burnout development when chronic stress is experienced. RELEVANCE TO CLINICAL PRACTICE EI developmental interventions, if introduced in nursing curricula, may increase emotional coping resources and enhanced social skills, which may benefit the long-term occupational health of nurses. This may be relevant in developing countries, where environmental stressors related to the organisational context (budget constraints) and wider social factors (shortage of qualified nurses) are difficult to address.
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Affiliation(s)
- Gina Görgens-Ekermans
- Department of Industrial Psychology, Stellenbosch University, Cape Town, South Africa.
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Abstract
AIM The aims of this study were to validate the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) for registered nurses in South Africa and to analyse the differences between the levels of burnout of different biographical groups. BACKGROUND The nursing profession is seen as a stressful and emotionally demanding profession, which makes nurses susceptible to burnout. METHOD A cross-sectional survey design with a stratified random sample (n = 818) was used. The MBI-HSS and a biographical questionnaire were administered. RESULTS Exploratory factor analysis resulted in a three-factor structure of burnout, consisting of emotional exhaustion, depersonalization and personal accomplishment. Construct equivalence and reliability of the three factors were confirmed. Significant differences were found in burnout levels with regard to language, age, rank, job satisfaction, reciprocity, full-time employment and specialised training. CONCLUSIONS The MBI-HSS showed acceptable validity and reliability for South African nurses. Burnout is associated with specific factors, including language, age, rank, job satisfaction, reciprocity, full-time employment and specialised training. IMPLICATIONS FOR NURSING MANAGEMENT The use of the MBI-HSS is recommended to assess burnout of nurses in South Africa. Organisations employing nurses should intervene to prevent and/or manage burnout.
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Affiliation(s)
- Johanna J van der Colff
- Fundamental Nursing and Administration, College of Nursing, Sultan Qaboos University, Muscat, Oman
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Campos JADB, Jordani PC, Zucoloto ML, Bonafé FSS, Maroco J. Burnout syndrome among dental students. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2012; 15:155-65. [PMID: 22450501 DOI: 10.1590/s1415-790x2012000100014] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2011] [Accepted: 09/08/2011] [Indexed: 11/22/2022] Open
Abstract
The burnout syndrome is characterized by professional exhaustion and has been reported in college students. The aim of this study was to estimate the prevalence of Burnout Syndrome among dentistry students from a public university, and its relationship to socio-demographic characteristics. All students (n = 300) were invited to participate. We used the Maslach Burnout Inventory-Student Version (MBI-SS). We carried out an analysis of the MBI-SS' psychometric properties. Multivariate Analysis of Variance (MANOVA) was performed, followed by Analysis of Variance (ANOVA) and Tukey's post-hoc tests to compare the mean scores of burnout dimensions. Of the 235 participants, 72.8% were women and the mean age was 21.0 ± 1.8 years. The MBI-SS was reliable and valid. Of the students, 17.0% had Burnout Syndrome. There was a significant relation between Burnout Syndrome and a student's performance during the course (F = 4.433, p < 0.001), medication intake because of studies (F = 7.721, p < 0.001), and the thought of dropping the course (F = 16.168, p < 0.001). The students most affected were those with poor performance, those who took medication because of studies, and those with thoughts of dropping the course. We concluded that the prevalence of the syndrome among dentistry students was high, with a significant relation between the syndrome and a student's academic performance, use of medication because of studies, and thoughts of dropping the course.
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Laker C, Rose D, Flach C, Csipke E, McCrone P, Craig T, Kelland H, Wykes T. Views of the Therapeutic Environment (VOTE): stakeholder involvement in measuring staff perceptions of acute in-patient care. Int J Nurs Stud 2012; 49:1403-10. [PMID: 22789460 DOI: 10.1016/j.ijnurstu.2012.06.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2011] [Revised: 05/08/2012] [Accepted: 06/04/2012] [Indexed: 10/28/2022]
Abstract
BACKGROUND The impact of staff perceptions of daily work pressures on burnout requires further exploration because both issues may be adversely affecting the quality of staff interactions with service users. OBJECTIVES To use a model of 'stakeholder involvement' to develop and test a self-report instrument capturing nursing staff perceptions of the daily pressures of working in acute in-patient mental health wards. DESIGN Measure development followed a participatory methodology, followed by psychometric testing of the new measure of the daily pressures of working on an acute ward (VOTE). SETTINGS Acute in-patient wards in an inner London mental health trust. PARTICIPANTS All nursing staff from acute in-patient settings are eligible for this study. In total 376 staff (qualified nurses and healthcare assistants) were involved at the various stages of measure development and testing. METHODS Focus groups of nursing staff met to discuss their perceptions of acute wards. A twenty item measure was generated through thematic analysis of these data and staff feedback. Reliability and validity were tested and the effects of demographic characteristics on VOTE, and VOTE on burnout were examined. RESULTS Staff found VOTE easy to understand and complete. Test-retest reliability and the internal consistency of the measure and subscales were good. A test of criterion validity showed that staff with negative perceptions of the daily pressures of the working on an acute ward also had negative perceptions of job satisfaction and high levels of burnout. Regression modelling showed that VOTE had a significant effect on burnout. CONCLUSIONS VOTE is a concise measure which combines aspects of care provision as well as the organisational and professional stressors of acute ward working. VOTE can be used to further explore how staff perceptions of the daily pressures of acute ward working affect the quality of care delivered.
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Affiliation(s)
- C Laker
- Department of Psychology, Institute of Psychiatry, Kings College London, United Kingdom.
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Van Humbeeck G, Van Audenhove C. Expressed emotion of professionals towards mental health patients. Epidemiol Psychiatr Sci 2011; 12:232-7. [PMID: 14968481 DOI: 10.1017/s1121189x00003043] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Alarcon GM. A meta-analysis of burnout with job demands, resources, and attitudes. JOURNAL OF VOCATIONAL BEHAVIOR 2011. [DOI: 10.1016/j.jvb.2011.03.007] [Citation(s) in RCA: 304] [Impact Index Per Article: 23.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Jones R, Østrem A. Optimising pharmacological maintenance treatment for COPD in primary care. PRIMARY CARE RESPIRATORY JOURNAL : JOURNAL OF THE GENERAL PRACTICE AIRWAYS GROUP 2011; 20:33-45. [PMID: 21103801 DOI: 10.4104/pcrj.2010.00069] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Chronic obstructive pulmonary disease (COPD) is a multi-faceted disease that is a major cause of morbidity and mortality worldwide, and is a significant burden in terms of healthcare resource utilisation and cost. Despite the availability of national and international guidelines, and effective, well-tolerated pharmacological treatments, COPD remains substantially under-diagnosed and under-treated within primary care. As COPD is both preventable and treatable there is an urgent need to raise the awareness and profile of the disease among primary care physicians and patients. Increasing evidence suggests that initiation of long-acting bronchodilator treatment at an early stage can significantly improve the patient's long-term health and quality of life (QoL). Recent large-scale trials in COPD have confirmed the longterm benefits of maintenance treatment with long-acting bronchodilators. A wide range of benefits have been shown in selected patient groups including improved lung function and QoL, reduced exacerbations and, in some studies, delayed disease progression and improved survival. In this review, we consider recent developments in our understanding of COPD, including current and emerging pharmacological treatment options, and identify steps for optimising early diagnosis and pharmacological treatment of COPD within the primary care environment.
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Affiliation(s)
- Rupert Jones
- Respiratory Research Unit, Peninsula Medical School, University of Plymouth, UK.
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Pienaar JW, Bester CL. The Impact of Burnout on the Intention to Quit among Professional Nurses in the Free State Region — a National Crisis? SOUTH AFRICAN JOURNAL OF PSYCHOLOGY 2011. [DOI: 10.1177/008124631104100112] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Thousands of qualified nurses leave the South African health sector on an annual basis owing to various reasons, including burnout. Research showed that demanding work circumstances could influence employees to consider whether to leave an organisation or not. The aim of this study was to determine the level of burnout among professional nurses and to explore the potential impact of burnout on the intention to quit/change. The sample consisted of 563 professional nurses representing 140 clinics located in five health districts in the Free State region. A total of 542 (97%) questionnaires were completed and returned. Participants in the study were predominantly black (83.8%), female (89.3%), day-shift working (89.8%) and full-time employed (99.8%). The measuring tools included a biographical questionnaire, Maslach's Burnout Inventory to determine the level of burnout of professional nurses, and an Intention to Quit/Change questionnaire. Analysis of variance was used to determine differences regarding burnout between different groups with varying degrees of intention to quit/change. Respondents exhibited high levels of Emotional Exhaustion, Depersonalization and average levels of Personal Accomplishment. Respondents with the highest levels of Emotional Exhaustion and Depersonalization and the lowest levels of Personal Accomplishment displayed a higher degree of intention to quit/change.
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Affiliation(s)
- Jacobus W. Pienaar
- Centre for Health Systems Research and Development, Department of Industrial Psychology, University of the Free State, Bloemfontein, South Africa
| | - Coenraad L. Bester
- Centre for Health Systems Research and Development, Department of Industrial Psychology, University of the Free State, Bloemfontein, South Africa
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Hill RG, Atnas CI, Ryan P, Ashby K, Winnington J. Whole team training to reduce burn-out amongst staff on an in-patient alcohol ward. JOURNAL OF SUBSTANCE USE 2010. [DOI: 10.3109/14659890903013059] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Abstract
The helping professions have always been associated with high levels of stress and burnout because of the emotional intensity of the relationships with patients. The nature of hospice work can be both rewarding and challenging. Hospice workers encounter a variety of work- and client-related stressors. The work-related stressors they face include organizational stressors and role ambiguity they experience in their work environment. Social factors make up a third set of work-related stressors. Chronic exposure to these stressors may result in burnout if they are not adequately dealt with. Coping strategies can be divided into 3 categories, namely, problem-focused coping strategies, emotionally focused coping strategies, and ineffective coping strategies. The focus of this research is to determine how the stressors experienced by hospice workers in and outside the working environment as well as the coping strategies adopted by them can be used to predict the extent to which they experience burnout. The findings of this study suggest that hospice workers do experience a great deal of burnout, which affects their work performance and general functioning. The burnout is mainly the result of work-related stressors. Recommendations to alleviate this problematic situation are made.
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