1
|
Rafiei S, Souri S, Nejatifar Z, Amerzadeh M. The moderating role of self-efficacy in the relationship between occupational stress and mental health issues among nurses. Sci Rep 2024; 14:15913. [PMID: 38987325 PMCID: PMC11237126 DOI: 10.1038/s41598-024-66357-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 07/01/2024] [Indexed: 07/12/2024] Open
Abstract
Occupational stress is a complex concept resulting from interaction among personnel, work environment, and cultural contexts. It can cause mental health issues, including clinical mental disorders, as well as emotional challenges like depression, anxiety, cognitive difficulties, and feeling sad. As a vulnerable group, healthcare professionals, especially nurses, experience a high rate of occupational stress. Therefore, we aimed to study the relationship between occupational stress, mental health problems, and self-efficacy among the nursing population. A cross-sectional study was conducted among 365 nurses selected through a two-stage sampling process from tertiary hospitals in Qazvin, Iran, between July and September 2022. Study variables included occupational stress measured by the persian version of the health and safety executive management standards revised indicator tool (MS-RIT), the general health questionnaire containing 28 questions measuring psychological distress in four primary areas of somatic and anxiety symptoms, sleep disorders, social dysfunction, and depression [GHQ-28], and general self-efficacy [GSE-10]. The mentioned variables and some of the nurses' demographic characteristics, including age, gender, education, and work experience, were analyzed using moderated multiple regression, descriptive statistics, and the Pearson correlation coefficient.The Pearson correlation analysis revealed a statistically significant association between self-efficacy and occupational stress (r = 0.62, P = 0.000) and self-efficacy and mental health (r = 0.67, P = 0.01). Regression analysis demonstrated that occupational stress accounted for 42% of the variation in mental health (R2 = 0.42, P < 0.01). The results also showed that self-efficacy moderates the relationship between occupational stress and mental health, with a significant effect (P < 0.01). The elevated prevalence of occupational stress and the concerning state of mental health among nurses highlight the need for the implementation of intervention programs, including stress prevention strategies at the workplace through organizing better working shifts, as well as increasing nurses' self-efficacy and their effective participation in work-related tasks aiming to enhance working conditions for nurses.
Collapse
Affiliation(s)
- Sima Rafiei
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Saber Souri
- Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Zahra Nejatifar
- Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Mohammad Amerzadeh
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
| |
Collapse
|
2
|
Dehghan M, Mokhtarabadi S, Rashidi E, Rahiminejad E, Asadi N. Correlation between professional quality of life and alarm fatigue symptoms among intensive care unit nurses. Health Sci Rep 2023; 6:e1583. [PMID: 37822846 PMCID: PMC10563168 DOI: 10.1002/hsr2.1583] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 08/03/2023] [Accepted: 09/14/2023] [Indexed: 10/13/2023] Open
Abstract
Introduction Medical devices and equipment are necessary for accurate and continuous monitoring of the patients admitted to intensive care units, one of which is alarm systems. Frequent sounds of alarms can affect nurses' concentration and accuracy when providing care. Complications such as headache, fatigue, and stress occur after repeated alarms, leading to poor quality of professional life among nurses. This study aimed to determine the relationship between quality of professional life and alarm fatigue syndrome among intensive care unit nurses. Methods This cross-sectional study used convenience sampling to select nurses working in intensive care units from three hospitals in southern Iran in 2021 (n = 201). Data were collected using three questionnaires, including sociodemographic form, the professional quality of life questionnaire (ProQOL), and the alarm fatigue symptom (AFS) scale. Results The mean scores of compassion satisfaction (CS), burnout, secondary traumatic stress (STS) (subscales of the ProQOL), and AFS were 34.66 ± 7.54, 28.98 ± 7.59, 27.69 ± 5.87, and 13.48 ± 7.32, respectively. The majority of them had no or mild AFS, moderate CS, burnout, and STS. Among the study variables, only AFS were a significant predictor of CS and STS among ICU nurses. In addition, work experience in ICU, AFS, and a second job were significant predictors of burnout among ICU nurses. Conclusions The study results showed a significant relationship between alarm fatigue syndrome, burnout, STS, and CS. Given that more than half of the nurses in the intensive care unit in the present study experienced some degree of alarm fatigue syndrome, it is necessary to plan and implement interventions to better manage the alarms in the intensive care unit.
Collapse
Affiliation(s)
- Mahlagha Dehghan
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Sima Mokhtarabadi
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Elham Rashidi
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Elham Rahiminejad
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Neda Asadi
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| |
Collapse
|
3
|
Kunkle R, Chaperon C, Popejoy LL, Struwe L, Wengel S, Berger AM. Understanding Formal Caregiver Burden in Nursing Assistants in Nursing Homes: A Mixed Methods Approach. Res Gerontol Nurs 2023; 16:231-240. [PMID: 37450780 DOI: 10.3928/19404921-20230706-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Abstract
The current study aimed to describe formal caregiver burden of nursing assistants in nursing homes. A descriptive, cross-sectional, convergent mixed methods approach identified attributes of formal caregiver burden using phenomenological interviews and established self-report measures. Themes included nursing assistants' experiences of stress, close relationships, extensive assistance of residents, balancing needs and routines, and feeling accomplished. Self-report measures demonstrated moderate stress, moderate caring behaviors, responsibility, and competence. MDS 3.0 results showed moderate cognitive impairment, minimal depressive symptoms, and decreased functional status of residents. The mixed methods synthesis confirmed the presence of five attributes of formal caregiver burden: perceived stress, caring for another, dependency of the older adult, responsibility, and competence. Burnout was not confirmed. Future investigation of attributes among a larger, diverse sample of nursing assistants, residents, and nursing homes will advance knowledge and inform research design and methods of interventions. [Research in Gerontological Nursing, 16(5), 231-240.].
Collapse
|
4
|
Wang X, Zong K, Gao Y, Li B, Wang S, Zhang L. The impact of COVID-19 lockdown on the quality of life of Chinese football referees: the chain mediating role of occupational stress and job burnout. BMC Public Health 2023; 23:1314. [PMID: 37430258 DOI: 10.1186/s12889-023-16248-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 07/05/2023] [Indexed: 07/12/2023] Open
Abstract
BACKGROUND COVID-19 lockdown measures have had a great negative impact on the development of sports competition in China, as well as on the quality of life of football referees. This study aims to explore the impact of lockdown measures implemented in response to the COVID-19 pandemic on the quality of life of football referees in China and its mechanism of action. METHODS The Impact of Event Scale-Revised (IES-R), the Effort-Reward Imbalance Scale (ERI), the Maslach Burnout Inventory General Survey (MBI-GS), and the World Health Organization Quality of Life Brief Version (WHOQOL-BREF). The scale was used from August to September 2022. Using an online questionnaire, 350 questionnaires were sent out and 338 were returned, for a return rate of 96.57%. Invalid questionnaires were excluded, and 307 football referees with referee grades in 29 provinces registered with the CFA were surveyed. SPSS 24.0 and Mplus 8.0 were used for data analysis and structural equation model testing in this study. RESULTS The results showed that the COVID-19 lockdown had no significant impact on the quality of life of Chinese football referees. However, the COVID-19 lockdown can affect the quality of life of Chinese football referees through occupational stress or job burnout. Occupational stress and job burnout also play a chain intermediary role between the COVID-19 lockdown and the quality of life of Chinese football referees. In addition, this study further explores the quality of life by dividing it into four dimensions (physical, social, psychological, and environmental). The results show that all four dimensions satisfy the chain mediation model. CONCLUSIONS Therefore, the quality of life of Chinese football referees can be improved by reducing their occupational stress and job burnout during the COVID-19 lockdown.
Collapse
Affiliation(s)
- Xianliang Wang
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Kehao Zong
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Yubo Gao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Bochen Li
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Shuzhen Wang
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Liguo Zhang
- School of Physical Education, Shandong University, Jinan, 250061, China.
| |
Collapse
|
5
|
Qin Y, Liu J, Wu D. The impact of emotional intelligence on life satisfaction among Chinese nurses: A chain mediating model. Front Psychol 2023; 14:1125465. [PMID: 36874842 PMCID: PMC9982156 DOI: 10.3389/fpsyg.2023.1125465] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 01/31/2023] [Indexed: 02/19/2023] Open
Abstract
Introduction Nurses' life satisfaction exerts a positive impact on their professional careers, and it seriously affects their physical and mental health. Low life satisfaction has become a key factor in the global shortage of nurses. Emotional intelligence may protect nurses from negative emotions that can affect the care they provide, as well as their life satisfaction. In this study, we aims to explore the impact of emotional intelligence on life satisfaction, and even verify the chain mediating effect of self-efficacy and resilience on this relationship among Chineses nurses. Method The Emotional Intelligence Scale, the General Self, Efficacy Scale, the Connor-Davidson Resilience Scale, and the Satisfaction with Life Scale were used to survey 709 nurses in southwest China. To analyze mediating effects, SPSS 26.0 and Process V3.3 were used for statistical processing. Result Emotional intelligence positively predicted life satisfaction. Meanwhile, it was also found that emotional intelligence and life satisfaction were continuously mediated by self-efficacy and resilience, and the indirect effect value was 0.033, accounting for 17.37%. Conclusion This study reveals how emotional intelligence affects nurses' life satisfaction. The results of this study have certain implications for nurses to better balance their career and life. Nursing managers should provide nurses with a favorable working environment from the perspective of positive psychology, improve their sense of self-efficacy and resilience, ultimately improve their life satisfaction.
Collapse
Affiliation(s)
- Yuan Qin
- School of Nursing, Chengdu Medical College, Chengdu, China.,Chongqing Mental Health Center, Chongqing, China
| | - Jiao Liu
- School of Nursing, Zunyi Medical University, Zunyi, China
| | - Dongmei Wu
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
| |
Collapse
|
6
|
Aldersley K, Gibb J, Grainger C, Abou-El-Ela-Bourquin B, Badhrinarayanan S, Bhanot R, Clark R, Douglas H, Fukui A, Hana Z, Imtiaz I, Kalsi T, Kerwan A, Khera R, MacLachlan E, McGrath J, Meredith E, Penrice S, Saleh D, Tank V, Vadeyar S, Devine OP. Medical leadership training varies substantially between UK medical schools: Report of the leadership in undergraduate medical education national survey (LUMENS). MEDICAL TEACHER 2023; 45:58-67. [PMID: 35981566 DOI: 10.1080/0142159x.2022.2078185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Doctors are increasingly expected to demonstrate medical leadership and management (MLM) skills. The Faculty of Medical Leadership and Management (FMLM) has published an indicative undergraduate curriculum to guide the development of MLM content at UK medical schools. METHOD Students from 30 medical schools were surveyed to determine their understanding of MLM teaching at their school. Timetables for 21 schools were searched for MLM-related keywords. Student-reported teaching and timetabled teaching were coded according to predefined themes. Aggregated demographic and postgraduate performance data were obtained through collaboration with the Medical Student Investigators Collaborative (msico.org). RESULTS Whilst 88% of medical students see MLM teaching as relevant, only 18% believe it is well integrated into their curriculum. MLM content represented ∼2% of timetabled teaching in each 5-year undergraduate medical course. Most of this teaching was dedicated to teamwork, performance/reflection and communication skills. There was minimal association between how much of a topic students believed they were taught, and how much they were actually taught. We found no association between the volume of MLM teaching and performance in postgraduate examinations, trainee career destinations or fitness to practice referrals. CONCLUSION Our findings demonstrate limited and variable teaching of MLM content. Delivery was independent of broader teaching and assessment factors.
Collapse
Affiliation(s)
- Katherine Aldersley
- Brighton and Sussex Medical School, Brighton, United Kingdom of Great Britain and Northern Ireland
| | - Jonathan Gibb
- School of Medical Sciences, University of Manchester, Manchester, United Kingdom of Great Britain and Northern Ireland
| | - Charlotte Grainger
- University of Birmingham Medical School, University of Birmingham, Birmingham, United Kingdom of Great Britain and Northern Ireland
| | - Bilal Abou-El-Ela-Bourquin
- University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom of Great Britain and Northern Ireland
| | - Shreya Badhrinarayanan
- Brighton and Sussex Medical School, Brighton, United Kingdom of Great Britain and Northern Ireland
| | - Ravina Bhanot
- Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom of Great Britain and Northern Ireland
| | - Ryan Clark
- School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, United Kingdom of Great Britain and Northern Ireland
| | - Hannah Douglas
- Edinburgh Medical School, University of Edinburgh, Edinburgh, United Kingdom of Great Britain and Northern Ireland
| | - Akiko Fukui
- St George's University of London, London, United Kingdom of Great Britain and Northern Ireland
| | - Zac Hana
- GKT School of Medical Education, King's College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Inshal Imtiaz
- UCL Medical School, University College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Tejinder Kalsi
- Hull York Medical School, Hull York Medical School, York, United Kingdom of Great Britain and Northern Ireland
| | - Ahmed Kerwan
- Medical Sciences Division, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland
| | - Rajkumar Khera
- School of Medicine, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland
| | - Eloisa MacLachlan
- School of Medicine, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland
| | - Jack McGrath
- School of Medicine, Cardiff University, Cardiff, United Kingdom of Great Britain and Northern Ireland
| | - Ellen Meredith
- School of Medical Education, Newcastle University, Newcastle, United Kingdom of Great Britain and Northern Ireland
| | - Sam Penrice
- School of Medicine, University of Dundee, Dundee, United Kingdom of Great Britain and Northern Ireland
| | - Dina Saleh
- Imperial College School of Medicine, Imperial College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Vivek Tank
- Norwich Medical School, University of East Anglia, Norwich, United Kingdom of Great Britain and Northern Ireland
| | - Sharvari Vadeyar
- School of Medicine, University of Nottingham, Nottingham, United Kingdom of Great Britain and Northern Ireland
| | - Oliver Patrick Devine
- UCL Medical School, University College London, London, United Kingdom of Great Britain and Northern Ireland
| |
Collapse
|
7
|
Grande-Alonso M, Castillo-Alcañiz B, Paraíso-Iglesias P, Cuenca-Martínez F, La Touche R, Vidal-Quevedo C. Comparative analysis of the burnout syndrome index between contract and freelance physiotherapists: An observational study. Work 2023; 76:1135-1144. [PMID: 37125600 DOI: 10.3233/wor-220238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
BACKGROUND Burnout syndrome has been extensively studied in different health science professions. It has been less studied in physiotherapy than in professions such as medicine. Moreover, it is not known how the working condition influences this syndrome. OBJECTIVE The main objective of this study was to compare the burnout index between contract and freelance physiotherapists in the private sector in the Community of Madrid, Spain. METHODS A cross-sectional study was performed with 174 participants divided into 2 groups; one group was composed of contract physiotherapists (n = 87) and the other group was composed of freelance physiotherapists (n = 87). A Mann-Whitney U test was performed for comparison between the groups. Spearman's correlation coefficient was used to analyze the correlations between the burnout syndrome index and the secondary variables. RESULTS There were statistically significant differences when comparing the groups, with a large effect size for the burnout index with a higher rate among contract physiotherapists (78 [71-84.75]) than in freelance physiotherapists (61.5 [55-72.75]).There were also significant differences in the type of patients treated, number of patients treated per day, time spent per patient, and the annual salary range between the contract and freelance physiotherapists. CONCLUSION Contract physiotherapists who participated in this study had a significantly higher burnout syndrome index than freelance physiotherapists. Other socio-occupational variables were also found to be related to the burnout syndrome index in freelance physiotherapists and contract physiotherapists. The results of this study could be of interest for new occupational health strategies to reduce the burnout index in contract physiotherapists.
Collapse
Affiliation(s)
- Mónica Grande-Alonso
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios (CSEU) La Salle, Universidad Autonoma de Madrid, Madrid, Spain
- Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios (CSEU) La Salle, Universidad Autonoma de Madrid, Madrid, Spain
- Unidad de Trastornos Musculoesqueléticos, Instituto de Rehabilitación Funcional La Salle, Centro Superior Estudios Universitarios La Salle, Madrid, Spain
| | - Beatriz Castillo-Alcañiz
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios (CSEU) La Salle, Universidad Autonoma de Madrid, Madrid, Spain
| | - Pablo Paraíso-Iglesias
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios (CSEU) La Salle, Universidad Autonoma de Madrid, Madrid, Spain
| | - Ferran Cuenca-Martínez
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Roy La Touche
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios (CSEU) La Salle, Universidad Autonoma de Madrid, Madrid, Spain
- Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios (CSEU) La Salle, Universidad Autonoma de Madrid, Madrid, Spain
- Instituto de Dolor Craneofacial y Neuromusculoesquelético (INDCRAN), Madrid, Spain
| | - Celia Vidal-Quevedo
- Servicio de Medicina Física y Rehabilitación, Hospital Universitario Rey Juan Carlos, Madrid, Spain
| |
Collapse
|
8
|
Gázquez Linares JJ, Molero Jurado MDM, Pérez-Fuentes MDC, Martos Martínez Á, Simón Márquez MDM. Mediating Role of Emotional Intelligence in the Relationship between Anxiety Sensitivity and Academic Burnout in Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:572. [PMID: 36612892 PMCID: PMC9819131 DOI: 10.3390/ijerph20010572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/17/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
(1) Background: Increased stress and study overload during adolescence could be related to academic burnout. Anxiety sensitivity of students seems to affect burnout levels, while emotional intelligence enables emotion management under stressful conditions. The objective of this study is to analyze the roles of anxiety sensitivity and emotional intelligence in academic burnout. (2) Methods: In this quantitative cross-sectional study conducted in Spain, the sample comprised 1287 high school students aged 14 to 18 who filled out the Maslach Burnout Inventory-General Survey, the Spanish version adapted for high school students of the Anxiety Sensitivity Index-3, and Brief Emotional Intelligence Inventory. (3) Results: Anxiety sensitivity was significantly higher in cynicism and emotional exhaustion. Furthermore, the mediation analysis showed that high anxiety sensitivity directly affected student exhaustion, cynicism, and efficacy levels. These effects were mediated mainly through stress management but also through the effect of stress management on mood, both emotional intelligence factors. (4) Conclusions: The academic changes that occur during high school hinder engagement and performance. Promoting the development of emotional skills would enable young people to manage their emotions when they become overwhelming and diminish their lack of interest and exhaustion in the classroom.
Collapse
Affiliation(s)
| | | | - María del Carmen Pérez-Fuentes
- Department of Psychology, University of Almería, 04120 Almería, Spain
- Department of Psychology, Universidad Politécnica y Artística del Paraguay, Asunción 1628, Paraguay
| | | | | |
Collapse
|
9
|
Lee J, Resick CJ, Allen JA, Davis AL, Taylor JA. Interplay between Safety Climate and Emotional Exhaustion: Effects on First Responders' Safety Behavior and Wellbeing Over Time. JOURNAL OF BUSINESS AND PSYCHOLOGY 2022; 39:1-23. [PMID: 36573129 PMCID: PMC9772603 DOI: 10.1007/s10869-022-09869-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
Various job demands continuously threaten Emergency Medical Service (EMS) first responders' safety and wellbeing. Drawing on Job Demands-Resources Theory, the present study examines the effects of the organizational context-safety climate-and the psychological context-emotional exhaustion-on safety behaviors and wellbeing over time. We tested our hypotheses in a longitudinal study of 208 EMS first responders nested within 45 stations from three fire departments in US metropolitan areas over 6 months during the beginning of the COVID-19 pandemic. Multilevel modeling showed that the relationship between safety climate and safety compliance behaviors can be attenuated when EMS first responders experience high emotional exhaustion. Emotional exhaustion was also negatively associated with morale while safety climate was positively associated with morale. Additionally, EMS first responders experienced increased depression when their emotional exhaustion levels were high. Higher safety climate was associated with decreased depression when emotional exhaustion was within a low-to-medium range. Higher safety climate was also associated with lower absolute levels of depression across the entire range of emotional exhaustion. These findings suggest that promoting safety climate and mitigating emotional exhaustion can augment EMS first responders' safety behaviors and wellbeing.].
Collapse
Affiliation(s)
- Jin Lee
- Department of Psychological Sciences, Kansas State University, Manhattan, USA
| | - Christian J. Resick
- Department of Management, LeBow College of Business at Drexel University, Philadelphia, USA
| | - Joseph A. Allen
- Department of Family & Preventive Medicine, University of Utah Health, Salt Lake City, USA
| | - Andrea L. Davis
- Department of Environmental & Occupational Health, Dornsife School of Public Health at Drexel University, Philadelphia, USA
| | - Jennifer A. Taylor
- Department of Environmental & Occupational Health, Dornsife School of Public Health at Drexel University, Philadelphia, USA
| |
Collapse
|
10
|
Stan R, Ciobanu C. The Mediation Chain Effect of Cognitive Crafting and Personal Resources on the Relationship between Role Ambiguity and Dentists' Emotional Exhaustion. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16617. [PMID: 36554497 PMCID: PMC9779455 DOI: 10.3390/ijerph192416617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/23/2022] [Accepted: 11/28/2022] [Indexed: 06/17/2023]
Abstract
Based on Job Demands-Resources (JD-R), Conservation of Resources (COR) and self-regulation theories integration, this study investigated the association between role ambiguity and emotional exhaustion among 191 Romanian dentists, as well as the chain mediating role of cognitive crafting and three personal resources (resilience, optimism, and self-efficacy). Three conceptual models which included, separately, the three personal resources were proposed. PROCESS macros were used to verify the hypotheses related to the testing of the path mediation models. The results indicated that role ambiguity was directly and positively associated with dentists' burnout. More importantly, the sequential indirect effect of role ambiguity on burnout via mediators in chains (cognitive crafting and resilience for the first model; cognitive crafting and optimism for the second model; cognitive crafting and self-efficacy for the third model) was significant. The findings provide a direction for dentists' health intervention because it reveals how the negative impact of role ambiguity on emotional exhaustion increasing can be buffered by the cumulative effect of cognitive crafting and different personal resources, as a result of their chain reinforcement.
Collapse
Affiliation(s)
- Rosana Stan
- Department of Psychology, University of Oradea, 410087 Oradea, Romania
| | - Cristina Ciobanu
- Department of Dental Medicine, University of Oradea, 410087 Oradea, Romania
| |
Collapse
|
11
|
Zeng BT, Jin Y, Cheng SD, Ding YM, Du JW. Administration approaches of nursing assistants in hospitals: a scoping review. BMJ Open 2022; 12:e063100. [PMID: 36428023 PMCID: PMC9703314 DOI: 10.1136/bmjopen-2022-063100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES The administration of nursing assistants (NAs) is closely associated with patient outcomes, but studies evaluating intrahospital administration of NAs are limited. This study aimed to identify existing literature on intrahospital NAs' administration approaches. DESIGN Scoping review. DATA SOURCES PubMed, Embase, CINAHL, Scopus, ProQuest, CNKI, APA PsycInfo, Wanfang Med, SinoMed, Ovid Emcare, NICE, AHRQ, CADTH, JBI EBP and Cochrane DSR were searched for articles published between January 2011 and March 2022. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Qualitative, quantitative or mixed-method studies and evidence syntheses that evaluate administration approaches, models and appraisal tools of intrahospital NAs were included. DATA EXTRACTION AND SYNTHESIS Two independent reviewers conducted search, data selection and data extraction according to Joanna Briggs Institute guidance and methodology for scoping review. The quality of included studies was assessed using Mixed Methods Appraisal Tool or AMSTAR V.2. Data were synthesised using narrative methods and frequency effect size analysis. RESULTS Thirty-six studies were eligible, with acceptable quality. We identified 1 administration model, 9 administration methods, 15 educational programmes and 7 appraisal tools from the included studies. The frequency effect size analysis yielded 15 topics of the main focus at four levels, suggesting that included articles were mainly (33%) focused on the competency of NAs, and the lectures were the most (80%) used strategy in quality improvement projects. Evidence from the studies was of low-to-moderate quality, indicating huge gaps between evidence-based research and management practice. CONCLUSIONS Practical intrahospital administration approaches were revealed, and fifteen primarily focused topics were identified. We should explore this area more thoroughly using structured frameworks and standardised methodology. This scoping review will help managers find more effective ways to improve the quality of care. Researchers may focus more on evidence-based practice in NA administration using the 15 topics as a breakthrough.
Collapse
Affiliation(s)
- Ben-Tuo Zeng
- School of Medicine, Xiamen University, Xiamen, Fujian, China
| | - Yinghui Jin
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
| | - Shu-Dong Cheng
- Nursing Department, Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China
| | - Yan-Ming Ding
- Nursing Department, Peking University First Hospital, Beijing, China
| | - Ji-Wei Du
- Nursing Department, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China
| |
Collapse
|
12
|
Kuşcu Karatepe H, Tiryaki Şen H, Türkmen E. Predicting work performance and life satisfaction of nurses and physicians: The mediating role of social capital on self-efficacy and psychological resilience. Perspect Psychiatr Care 2022; 58:2542-2551. [PMID: 35430728 DOI: 10.1111/ppc.13092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 04/02/2022] [Accepted: 04/02/2022] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To examine the mediating role of social capital in the effects of self-efficacy and psychological resilience on nurses' and physicians' work performance and life satisfaction. DESIGN AND METHODS In this cross-sectional study, data were collected using an online questionnaire. FINDINGS Social capital had 0.04 indirect effects of general self-efficacy and psychological resilience on work performance, and accounted for 48% and 35% of the total effect, respectively. Social capital had 0.11 and 0.07 indirect effects of general self-efficacy and psychological resilience on life satisfaction, and accounted for 16% and 19% of the total effect, respectively. PRACTICE IMPLICATIONS The study suggests the existence of social capital when nurses' and physicians' self-efficacy and psychological resilience affect their work performance and life satisfaction.
Collapse
Affiliation(s)
- Hilal Kuşcu Karatepe
- Nursing Department Faculty of Health Sciences, Osmaniye Korkut Ata University, Osmaniye, Turkey
| | - Hanife Tiryaki Şen
- Health Services Presidency, Istanbul Provincial Health Directorate, Istanbul, Turkey
| | - Emine Türkmen
- Nursing Department Faculty of Health Sciences, Istinye University, Istanbul, Turkey
| |
Collapse
|
13
|
Zarei S, Fooladvand K. Mediating effect of sleep disturbance and rumination on work-related burnout of nurses treating patients with coronavirus disease. BMC Psychol 2022; 10:197. [PMID: 35962404 PMCID: PMC9372524 DOI: 10.1186/s40359-022-00905-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Accepted: 08/08/2022] [Indexed: 12/05/2022] Open
Abstract
Background COVID-19 has created significant and unprecedented psychological distress on nurses working with COVID-19 patients. Nurses dealing with such psychological distress are prone to burnout. This study examined the mediating role of sleep disturbance and rumination in the association between psychological distress and work-related burnout of nurses treating COVID-19 patients. Methods A cross-sectional study was conducted from 26th February to 16th March 2021, on a sample of 250 nurses who were actively working during the COVID-19 pandemic in five referral hospitals in Tehran, Iran. The Oldenburg Burnout Inventory, Kessler Psychological Distress Scale (K10), Pittsburgh Sleep Quality Index, and Ruminative Responses Scale were used to collect data. Data analysis was based on pearson’ correlation analysis and path analysis. Results Psychological distress has a significant effect on job burnout. When sleep disturbances were modeled as a mediator, path coefficients of psychological distress showed a significant effect on job burnout. Also, according to the findings, rumination poses a significant mediating effect on the association between psychological distress and job burnout. Conclusion This study demonstrated the importance of designing psychological interventions intended to reduce sleep disturbances and rumination when experiencing stressful events to avoid job burnout among nurses.
Collapse
Affiliation(s)
- Salman Zarei
- Psychology Department, Lorestan University, Khorramabad, Iran.
| | | |
Collapse
|
14
|
BURNOUT SYNDROME IN DENTISTS: WORK-RELATED FACTORS. J Dent 2022; 121:104143. [DOI: 10.1016/j.jdent.2022.104143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 11/18/2022] Open
|
15
|
Wan Z, Lian M, Ma H, Cai Z, Xianyu Y. Factors associated with burnout among Chinese nurses during COVID-19 epidemic: a cross-sectional study. BMC Nurs 2022; 21:51. [PMID: 35227272 PMCID: PMC8883459 DOI: 10.1186/s12912-022-00831-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 02/23/2022] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) epidemic has broken out and even spread globally. The healthcare system worldwide faces enormous challenges, and nurses are at the highest risk as one of the leading forces. It's worth paying attention to nurses' anxiety and job burnout. This study aimed to investigate nurses' levels of burnout and anxiety during the epidemic of COVID-19 and to analyze influencing factors of burnout. METHODS A cross-sectional survey was conducted from 19 to 25 February 2020. Questionnaires such as the basic information questionnaire, Maslach Burnout Inventory-General Survey (MBI-GS), and State-Trait Anxiety Inventory (STAI) were used among 1011 nurses in Wuhan tertiary hospitals via the online survey. The final number of valid questionnaires was 885. The effective response rate was 87.5%. RESULTS The average score of MBI-GS was 11.50, 6.02, 24.47, respectively. The average score for state anxiety was 45.52 and trait anxiety, 43.78. Anxiety was positively associated with emotional exhaustion and cynicism, and negatively related to personal accomplishment. The protective factors of burnout were personnel agency, five years or less work experience, living in hospital dormitory, Wuhan medical team, working time exceeding 9 h, and the best knowledge of COVID-19. The absence of siblings, median job title, working in isolation wards, three or more night shifts per week, living in hotels, and being surrounded by confirmed or suspected medical staff were all negative factors. CONCLUSIONS Nurses had high anxiety levels during the COVID-19 period, but the level of burnout was mild to moderate. Managers should continue to pay attention to nurses' psychological state and related factors and intervene to stabilize the nursing team.
Collapse
Affiliation(s)
- Zhiying Wan
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| | - Mengfei Lian
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China
| | - Hui Ma
- Cardiovascular Medicine Department, Renmin Hospital of Wuhan University, Wuhan, China
| | - Zhongxiang Cai
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China
| | - Yunyan Xianyu
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China.
| |
Collapse
|
16
|
Benincasa V, Passannante M, Perrini F, Carpinelli L, Moccia G, Marinaci T, Capunzo M, Pironti C, Genovese A, Savarese G, De Caro F, Motta O. Burnout and Psychological Vulnerability in First Responders: Monitoring Depersonalization and Phobic Anxiety during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052794. [PMID: 35270484 PMCID: PMC8910596 DOI: 10.3390/ijerph19052794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 02/23/2022] [Accepted: 02/25/2022] [Indexed: 02/06/2023]
Abstract
Background: It is common knowledge that first responders are among the helping professionals most at risk of burnout and psychological vulnerability. During the COVID-19 pandemic, their mental health has been subjected to various risk factors. Methods: Data on socio-demographic characteristics, the Maslach Burnout Inventory (MBI) and psychological vulnerability (SCL-90-R) were obtained from 228 subjects (55.3% female; M age = 45.23, SD = 13.14) grouped on the basis of their actual involvement during the emergency phases (82% First Responders and 18% Second Responders). Results: First responders exceeded the MBI clinical cut-off, while SRs did not (χ² ≥ 0.5); specifically, EE = 89.8%, DP = 85.8%, and PA = 82.1%. The FR group showed a higher mean in the global severity index (GSI = 49.37) than did the SRs (=43.95), and the FR group exceeded the clinical cut-off in the SCL-90-R scales of SOM (51.06), ANX (52.40), and PHOB (53.60), while the SF group did so only for the PHOB scale (50.41). The MBI dimensions correlated significantly (p = 0.05) with all investigated clinical scales of the SCL-90-R. Conclusions: Emergency situations expose first responders to specific risk factors related to work performance and relational aspects, which contribute to increased psychological vulnerability and burnout.
Collapse
|
17
|
Adaptation to Change Questionnaire for Nurses: Validation and New Needs in the Context of COVID-19. Healthcare (Basel) 2021; 9:healthcare9121762. [PMID: 34946488 PMCID: PMC8701125 DOI: 10.3390/healthcare9121762] [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: 10/22/2021] [Revised: 12/16/2021] [Accepted: 12/17/2021] [Indexed: 12/15/2022] Open
Abstract
Background: The worldwide pandemic caused by the SARS-CoV-2 coronavirus has challenged healthcare systems and the professionals who work in them. This challenge involves strong changes to which nurses have had to quickly adapt. Emotional and cognitive–behavioral factors influence the capacity for adaptation to change. Based on this model, the objective of this study was to validate the Adaptation to Change Questionnaire (ADAPTA-10) for identifying professionals in a population of nurses who have problems adapting to adverse situations such as those caused by COVID-19. Methods: This study was performed with a sample of 351 nurses. (3) Results: The ADAPTA-10 questionnaire was found to have good psychometric properties, and to be an effective, useful tool for nurses in research and clinical practice. The two-dimensional structure proposed in the original model was confirmed. Scales are also provided by sex for evaluation of adaptation to change; the highest scores on the emotional component were among nurses who had not personally encountered the virus. Conclusions: This instrument will be able to detect of the needs for adaptation to the new reality associated with COVID-19, as well as other situations in which nurses are immersed that demand adaptation strategies.
Collapse
|
18
|
Martos Martínez Á, Molero Jurado MDM, Pérez-Fuentes MDC, Barragán Martín AB, Simón Márquez MDM, Gázquez Linares JJ. Role of Personality and Positive and Negative Affects in Coping Strategies of Nurses: A Cross-Sectional Study. Front Psychol 2021; 12:682153. [PMID: 34539487 PMCID: PMC8446453 DOI: 10.3389/fpsyg.2021.682153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 07/27/2021] [Indexed: 12/13/2022] Open
Abstract
Nurses are exposed to many highly stressful events. Individual variables, such as personality and affective state, have been related to vulnerability to maladaptive coping. Therefore, the objectives of this study were to analyze the relationships between the personality, positive and negative affects, and coping strategies of nurses and to establish the mediating role of affective state in the relationship between personality and coping. The sample was made up of 1,268 Spanish nurses aged 22-63 years who completed the Coping Strategies Inventory, the Positive and Negative Affect Schedule, and the 10-item Big Five Inventory. Descriptive analyses, correlations, and mediation models were estimated. The results showed relationships between the Big Five personality factors, positive and negative affects, and coping strategies. Negative affect was confirmed as a mediator between personality and less adaptive strategies and positive affect was confirmed on positive strategies. This study emphasizes the need to develop actions directed at teaching nurses adequate problem-solving strategies and training them in the ability to assign a different emotional value to complex situations.
Collapse
Affiliation(s)
| | | | - María del Carmen Pérez-Fuentes
- Department of Psychology, Faculty of Psychology, University of Almería, Almería, Spain
- Department of Psychology, Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | | | | | | |
Collapse
|
19
|
Schorch K, Stamm R, Priddy D, Taylor C. A Wellness Program to Decrease Pediatric Postanesthesia Care Unit Staff Compassion Fatigue. J Pediatr Health Care 2021; 35:526-541. [PMID: 34112529 DOI: 10.1016/j.pedhc.2021.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 03/22/2021] [Accepted: 04/03/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Health care workers, especially those in pediatrics, have a high risk for compassion fatigue (CF). A wellness program (WP) might help decrease CF and increase compassion satisfaction (CS). METHOD This project implemented and evaluated a WP in a pediatric postanesthesia care unit at a large children's hospital. The project evaluated the effectiveness of a WP using pre- and post-WP surveys, which assessed CF (i.e., burnout and secondary traumatic stress), CS, and overall satisfaction with the WP. RESULTS Overall results demonstrated decreases in CF and increases in CS, self-care, healthy behaviors, and knowledge of CF. The perceived level of teamwork, morale, recognition, social support, and positive coworker interactions also increased. Overall, 77% of the respondents thought the WP helped decrease CF. DISCUSSION Implementing a WP that incorporates social support, education, and healthy behaviors had significant benefits, including a reduction in CF.
Collapse
|
20
|
Kang JH, Sakong J, Kim JH. Impact of violence on the burnout status of paramedics in the emergency department: A multicenter survey study. Australas Emerg Care 2021; 25:147-153. [PMID: 34284977 DOI: 10.1016/j.auec.2021.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 06/10/2021] [Accepted: 07/01/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Violence in emergency departments poses a threaten to both medical personnel and patients. We investigated the risk factors for high burnout status and the association between the impact of violence and burnout status of paramedics in emergency departments. METHODS We included paramedics of emergency departments in Korea. We conducted a survey on the emotional, physical, and social responses to violence using an assault response questionnaire. Additionally, we evaluated burnout status using the Maslach Burnout Inventory. RESULTS This study included 141 participants (57 females), with a mean age of 25.9 years. The burnout status was positively correlated with physical, emotional, and social responses, and the overall impact of violence (r = 0.576, 0.559, 0.446, and 0.590, respectively). Female sex, specialized centers, and emergency departments with <20 beds were associated with a high burnout status (adjusted odds ratio [95% confidence interval] = 13.11 [3.33-51.60], 35.34 [2.19-572.45], and 9.27 [1.75-53.56], respectively). Increased burnout was associated with emotional and physical responses to violence (B = 0.200 and 0.353, respectively). CONCLUSIONS Paramedics of emergency departments were directly affected by violence. Violence was also related to burnout status. Efforts to prevent violence and detect predictive responses signaling an increase in burnout are required, followed by necessary active interventions.
Collapse
Affiliation(s)
- Jae-Hwan Kang
- Department of Public Health, Graduate School of Environment and Public Health, Yeungnam University, 170, Hyeonchung-ro, Nam-gu, Daegu 42415, Republic of Korea
| | - Joon Sakong
- Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University, 170, Hyeonchung-ro, Nam-gu, Daegu 42415, Republic of Korea
| | - Jung Ho Kim
- Department of Emergency Medicine, Yeungnam University School of Medicine and College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu 42415, Republic of Korea.
| |
Collapse
|
21
|
Bodys-Cupak I, Majda A, Kurowska A, Ziarko E, Zalewska-Puchała J. Psycho-social components determining the strategies of coping with stress in undergraduate Polish nursing students. BMC Nurs 2021; 20:129. [PMID: 34253204 PMCID: PMC8276489 DOI: 10.1186/s12912-021-00630-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 06/08/2021] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND In order for the nursing students to fully benefit from the clinical experience, it is necessary for them to be able to handle education-related stress. It is important to establish the importance of personal resources and social determinants, that influence coping strategies in stressful situations. METHODS The cross-sectional study was conducted among 307 nursing students. The study research tools: Perceived Stress Scale (PSS-10), Life Orientation Test - Revised (LOT-R), Generalized Self-Efficacy Scale (GSES), Satisfaction With Life Scale (SWLS), Clinical Learning Environment Inventory (CLEI - 19), Brief COPE and the original questionnaire were used. RESULTS Active strategies of coping with stress were used significantly more often by the respondents with a greater sense of self-efficacy, a greater sense of life satisfaction and disposable optimism. Avoidance strategies of coping with stress were used significantly more often by the respondents with low self-efficacy, low level of disposable optimism, low sense of life satisfaction, and not a lot of teacher support. The higher was the intensity of stress experienced by students, the more often they coped by avoidance behaviour or showing helplessness. CONCLUSIONS All the variables had a significant impact on coping with stress: the level of perceived stress, disposable optimism, sense of self-efficacy, sense of life satisfaction, as well as satisfaction with the stay in a hospital ward, support received from the teacher and the year of the study. The results of the research have allowed the identification of the needs in the field of strengthening the personal resources of nursing students. In the future, they may be useful for the development of educational programs.
Collapse
Affiliation(s)
- Iwona Bodys-Cupak
- Department of Nursing Fundamentals, Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, 12 Michałowskiego Str, 31-126 Krakow, Poland
| | - Anna Majda
- Department of Nursing Fundamentals, Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, 12 Michałowskiego Str, 31-126 Krakow, Poland
| | - Anna Kurowska
- Department of Nursing Fundamentals, Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, 12 Michałowskiego Str, 31-126 Krakow, Poland
| | - Ewa Ziarko
- Department of Nursing Fundamentals, Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, 12 Michałowskiego Str, 31-126 Krakow, Poland
| | - Joanna Zalewska-Puchała
- Department of Nursing Fundamentals, Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, 12 Michałowskiego Str, 31-126 Krakow, Poland
| |
Collapse
|
22
|
Burnout, compassion fatigue and suicidal ideation in oncology healthcare professionals. JOURNAL OF SURGERY AND MEDICINE 2021. [DOI: 10.28982/josam.796290] [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
|
23
|
Hafeez H, Abdullah MI, Zaheer MA, Ahsan Q. Organizational resilience process: integrated model of safety culture. ORGANIZATION MANAGEMENT JOURNAL 2021. [DOI: 10.1108/omj-03-2020-0893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of the study is to create substantial awareness for safety precautions and safety parameters to lessen occupational injuries and accidents. Utilization of safety culture phenomenon with its fundamental understanding has imperative consideration for safety compliance and participation behaviors. Thoughtful aim of this study is the extension of knowledge related to safety orientation particularly in primary health-care workforce.
Design/methodology/approach
Only slips and trips accounted for 40% of workplace injuries in nursing professionals. To identity, the data were collected through structured surveys from nursing professionals of public and private hospitals in Pakistan. To evaluate that data for current study, standardized regression coefficients (parameter estimation) with 95% confidence interval and 5,000 bootstrap samples were subjected. Confirmatory factor analysis was also used to measure the validity of study constructs.
Findings
The potential findings of present study have assured the presence of safety culture at workplace has potential to influences negative safety outcomes. In addition, safety compliance and safety participation as mediation paths would be the strengthening addition to safety model. These findings have extended the existing understanding of compliance and participation behaviors from single factor to two different constructs of safety orientation. This safety culture model offers an evidence-based approach to nursing practitioners and nursing managers with implications for nurse’s safety, education and training.
Originality/value
Occupational injuries and accidental happenings have adversely affecting the quality of care, patient’s recovery spam, satisfaction level and psychological health in care agents. This study has proposed a comprehensive model for understanding the mechanism of possible and reliable safety implications at health-care units. Prior knowledge has limitation to the inevitable effects of occupational injuries only rather than focusing on corrective actions against this phenomenon.
Collapse
|
24
|
Park CE, Zinsser KM, Jeon L. Committed to Caring: Cluster-Analysis of Appraisals and Feelings of Family Childcare Work. CHILD & YOUTH CARE FORUM 2021; 51:237-265. [PMID: 34108828 PMCID: PMC8178656 DOI: 10.1007/s10566-021-09625-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2021] [Indexed: 12/02/2022]
Abstract
Background There is a concern regarding the decreasing number of family childcare (FCC) providers, due to the population that primarily relies on it. Compared to studies of center- and school-based preschool practitioners, the FCC literature is lacking robust workforce studies, including examinations of whether and how FCC providers’ workplace appraisals of and feelings while at work are associated with indicators of interaction quality (relationships with families, relationships with children, and responsiveness to children's negative emotions) and the quality of their interactions with children and families. Objective The present study examines how groups of FCC providers, categorized based on differences in appraisals of and feelings experienced at work, differ in the quality of interactions with children and families. The study seeks to extend the FCC literature by also describing socio-ecological factors, such as provider and program characteristics, of these different groups of providers. Method Survey data was collected through a national study of FCC providers (N = 888). A person-centered analysis using hierarchical clustering was used to classify providers into groups based on their workplace appraisals and feelings experienced at work. Results A person-centered cluster analysis identified four groups. Indicators of interaction quality varied between groups. Group membership was associated with FCC providers' professional commitment, job satisfaction, and emotional exhaustion. Conclusions Findings from the current study support calls to increase investment in the support of the FCC workforce by addressing FCC providers’ needs through recognition of differences in workplace appraisals and provider feelings at work. In particular, reducing FCC providers’ emotional exhaustion may be an effective way to increase the quality of their interactions with children and families.
Collapse
Affiliation(s)
- Christen E. Park
- Psychology, University of Illinois at Chicago, M/C 285, 1007 W. Harrison St., Chicago, IL 60607 USA
| | - Katherine M. Zinsser
- Psychology, University of Illinois at Chicago, M/C 285, 1007 W. Harrison St., Chicago, IL 60607 USA
| | - Lieny Jeon
- Education, Johns Hopkins University, Baltimore, MD USA
| |
Collapse
|
25
|
Quijada-Martínez PJ, Cedeño-Idrogo IR, Terán-Ángel G. Quality of Professional Life and Burnout of the Nursing Staff at an Intensive Care Unit in Venezuela. INVESTIGACION Y EDUCACION EN ENFERMERIA 2021; 39:e08. [PMID: 34214285 PMCID: PMC8253524 DOI: 10.17533/udea.iee.v39n2e08] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 05/10/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES To determine the relationship between the level of quality of professional life and the characteristics of the burnout syndrome of the nursing staff in the intensive care unit. METHODS An analytic cross-sectional study was conducted in the intensive care unit of a public hospital in Mérida (Venezuela), with the participation of 40 nurses from a total population of 43. The Professional Quality of Life of 35 items (QoPL-35) and Maslach Burnout Inventory scales were used. RESULTS Of the participants, 67.5% were professionals and 32.5% were residents, < 41 years of age (75%) and of female sex (90%). The professional quality of life was regular (median = 213), the intrinsic motivation dimension was the best scored (median = 76), followed by that of workload (median = 68) and that of directive support (median = 65). The prevalence of high burnout syndrome was 22.5%; emotional exhaustion affected 75.5% of the participants and 37.5% had low personal achievement. The level of professional quality of life was related with the severity of the burnout syndrome (p=0.04). CONCLUSIONS The professional quality of life of the nurses in the ICU studied was regular and is associated with a higher risk of suffering severe burnout syndrome.
Collapse
|
26
|
Jiménez-Picón N, Romero-Martín M, Ponce-Blandón JA, Ramirez-Baena L, Palomo-Lara JC, Gómez-Salgado J. The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105491. [PMID: 34065519 PMCID: PMC8161054 DOI: 10.3390/ijerph18105491] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 04/29/2021] [Accepted: 05/18/2021] [Indexed: 12/23/2022]
Abstract
Emotional intelligence is an essential trait and skill for healthcare professionals. Mindfulness meditation has proved to be effective in increasing the wellbeing of those who practice it, leading to better mental health, self-care and job satisfaction. This paper aims to identify the recent evidence on the relationship between mindfulness and emotional intelligence among healthcare professionals and students. A systematic review was conducted including the databases PubMed, Cinhal, PsycINFO and Web of Science. The main variables were emotional intelligence skills and mindfulness practice. Data were extracted according to the following outcomes: authors, year of publication, country, study design, participants, mindfulness training intervention, tools used in data collection and main results. The following inclusion criteria were applied: peer-reviewed articles; published in English or Spanish; published between 2010 and 2020; quantitative methodology; a study population of healthcare professionals or students; the relationship with the aim of the study. The Joanna Briggs Institute criteria were followed for assessing the methodological quality of the selected studies. Three researchers were involved in the review. After the selection process, 10 studies were selected out of the 197 references initially identified. These studies revealed a positive relationship between mindfulness and emotional intelligence, particularly the capacity to regulate emotions. Furthermore, mindfulness is negatively related to emotional exhaustion. Training interventions based on mindfulness have proved to be useful in promoting emotional balance, emotional awareness, emotional acceptance, emotion recognition, expressive suppression and a reduction in emotional exhaustion. This study could serve as a basis for further research on the benefits of emotional intelligence and practicing mindfulness for the bio-psycho-social welfare of healthcare professionals.
Collapse
Affiliation(s)
- Nerea Jiménez-Picón
- Centro Universitario de Enfermería Cruz Roja, University of Seville, 41009 Sevilla, Spain; (N.J.-P.); (J.A.P.-B.); (L.R.-B.); (J.C.P.-L.)
| | | | - José Antonio Ponce-Blandón
- Centro Universitario de Enfermería Cruz Roja, University of Seville, 41009 Sevilla, Spain; (N.J.-P.); (J.A.P.-B.); (L.R.-B.); (J.C.P.-L.)
| | - Lucia Ramirez-Baena
- Centro Universitario de Enfermería Cruz Roja, University of Seville, 41009 Sevilla, Spain; (N.J.-P.); (J.A.P.-B.); (L.R.-B.); (J.C.P.-L.)
| | - Juan Carlos Palomo-Lara
- Centro Universitario de Enfermería Cruz Roja, University of Seville, 41009 Sevilla, Spain; (N.J.-P.); (J.A.P.-B.); (L.R.-B.); (J.C.P.-L.)
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain;
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| |
Collapse
|
27
|
Kakemam E, Chegini Z, Rouhi A, Ahmadi F, Majidi S. Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses. J Nurs Manag 2021; 29:1974-1982. [PMID: 33966312 PMCID: PMC8237033 DOI: 10.1111/jonm.13359] [Citation(s) in RCA: 66] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 04/27/2021] [Accepted: 05/05/2021] [Indexed: 12/19/2022]
Abstract
AIMS To assess nurses' burnout and its association with their perceived quality of patient care and occurrence of adverse events (AEs) during COVID-19. BACKGROUND Burnout is a serious problem among nursing staff internationally with negative impacts on the quality of care and patient safety. METHODS We conducted a cross-sectional online study among 1,004 Iranian nurses through the convenience sampling technique. Data were collected using the Maslach Burnout Inventory, five items of questions related to self-reported poor patient care quality and estimated occurrence of AEs. RESULTS Prevalence of high burnout among nurses was 31.5%. The risk of AEs ranged from 26.1% to 71.7%. Self-reported quality of patient care was found to be poor. A positive correlation was found between emotional exhaustion and depersonalization scores and patient care quality, whereas a negative correlation was found between personal accomplishment scores and all poor care item scores. Depersonalization was found to increase the risk of the onset of all AEs (odds ratio [OR] = 1.06-1.08). Also, Personal accomplishmentreduced the risk of occurrence of 'medication errors' (OR = 0.99) and the onset of 'patient and their family verbal abuse' (OR = 0.97). CONCLUSIONS Our findings confirmed the hypothesis that a higher degree of burnout is correlated with a perceived higher number of AEs and reduced perceived patient care quality. IMPLICATIONS FOR NURSING MANAGEMENT Reducing burnout among nurses through implementing interventions may be an effective strategy to enhance patient care quality and reduce the number of AEs in Iranian public hospitals. Therefore, in order to minimize work burnout, primary approaches include access to psychosocial support, including Web-based services, psychological first aid, mental support hotlines and self-care techniques during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Edris Kakemam
- Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Zahra Chegini
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Amin Rouhi
- Department of Educational Sciences and Psychology, Hamadan Science and Research Branch, Islamic Azad University, Hamadan, Iran
| | - Forouzan Ahmadi
- Deputy of Treatment, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Soheila Majidi
- District Health Center of Hamadan City, Hamadan University of Medical Sciences, Hamadan, Iran
| |
Collapse
|
28
|
Wu DTY, Xu C, Kim A, Bindhu S, Mah KE, Eckman MH. A Scoping Review of Health Information Technology in Clinician Burnout. Appl Clin Inform 2021; 12:597-620. [PMID: 34233369 PMCID: PMC8263130 DOI: 10.1055/s-0041-1731399] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 05/24/2021] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Clinician burnout is a prevalent issue in healthcare, with detrimental implications in healthcare quality and medical costs due to errors. The inefficient use of health information technologies (HIT) is attributed to having a role in burnout. OBJECTIVE This paper seeks to review the literature with the following two goals: (1) characterize and extract HIT trends in burnout studies over time, and (2) examine the evidence and synthesize themes of HIT's roles in burnout studies. METHODS A scoping literature review was performed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines with two rounds of searches in PubMed, IEEE Xplore, ACM, and Google Scholar. The retrieved papers and their references were screened for eligibility by using developed inclusion and exclusion criteria. Data were extracted from included papers and summarized either statistically or qualitatively to demonstrate patterns. RESULTS After narrowing down the initial 945 papers, 36 papers were included. All papers were published between 2013 and 2020; nearly half of them focused on primary care (n = 16; 44.4%). The most commonly studied variable was electronic health record (EHR) practices (e.g., number of clicks). The most common study population was physicians. HIT played multiple roles in burnout studies: it can contribute to burnout; it can be used to measure burnout; or it can intervene and mitigate burnout levels. CONCLUSION This scoping review presents trends in HIT-centered burnout studies and synthesizes three roles for HIT in contributing to, measuring, and mitigating burnout. Four recommendations were generated accordingly for future burnout studies: (1) validate and standardize HIT burnout measures; (2) focus on EHR-based solutions to mitigate clinician burnout; (3) expand burnout studies to other specialties and types of healthcare providers, and (4) utilize mobile and tracking technology to study time efficiency.
Collapse
Affiliation(s)
- Danny T. Y. Wu
- Department of Biomedical Informatics, University of Cincinnati College of Medicine, Ohio, United States
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
- Division of Cardiology, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
| | - Catherine Xu
- Department of Biomedical Informatics, University of Cincinnati College of Medicine, Ohio, United States
- Medical Science Baccalaureate Program, University of Cincinnati College of Medicine, Ohio, United States
| | - Abraham Kim
- Department of Biomedical Informatics, University of Cincinnati College of Medicine, Ohio, United States
- Medical Science Baccalaureate Program, University of Cincinnati College of Medicine, Ohio, United States
| | - Shwetha Bindhu
- Department of Biomedical Informatics, University of Cincinnati College of Medicine, Ohio, United States
- Medical Science Baccalaureate Program, University of Cincinnati College of Medicine, Ohio, United States
| | - Kenneth E. Mah
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
- Division of Cardiology, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
| | - Mark H. Eckman
- Division of General Internal Medicine, University of Cincinnati College of Medicine, Ohio, United States
| |
Collapse
|
29
|
Perez-Fuentes MDC, Molero Jurado MDM, Martos Martinez A, Simon Marquez MDM, Gazquez Linares JJ. Mood and Affective Balance of Spaniards Confined by COVID-19: A Cross-Sectional Study. Int J Psychol Res (Medellin) 2021; 14:55-65. [PMID: 34306579 PMCID: PMC8297570 DOI: 10.21500/20112084.4765] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 10/05/2020] [Accepted: 11/04/2020] [Indexed: 12/28/2022] Open
Abstract
The aim of this study was to analyze the mood and affective balance of Spaniards in quarantine and determine the predictive role of sociodemographic variables and mood on the negative affective balance. This cross-sectional study was carried out with a sample of 1014 Spanish adults, 67.2% were women and 32.8% men. The age ranged from 17 to 76. The instruments used were the Mood Assessment Scale and the Affective Balance Scale, which were implemented as a CAWI survey (Computer Aided Web Interviewing). Results showed that age correlated negatively with Sadness-Depression, Anxiety, and Happiness. Women had more Sadness-Depression, Anxiety, and negative affect, while men showed more Happiness and higher positive affect. Thus, the risk of a negative affective balance during confinement was greater for women and those who showed an emotional state marked by sadness-depression and anxiety, while older age and higher scores in happiness were associated with lower risk. In conclusion, knowing which groups are at risk of emotional and affective alteration can facilitate the detection and prevention of later disorders, such as severe stress and posttraumatic stress disorder, avoiding their generalized presence, and becoming a new public health problem derived from COVID-19.
Collapse
Affiliation(s)
- Maria Del Carmen Perez-Fuentes
- Facultad de Educación, Departamento de Psicología, Universidad de Almería. Spain. Universidad de Almería Universidad de Almería Spain
| | - Maria Del Mar Molero Jurado
- Facultad de Educación, Departamento de Psicología, Universidad de Almería. Spain. Universidad de Almería Universidad de Almería Spain
| | - Africa Martos Martinez
- Facultad de Educación, Departamento de Psicología, Universidad de Almería. Spain. Universidad de Almería Universidad de Almería Spain
| | - Maria Del Mar Simon Marquez
- Facultad de Educación, Departamento de Psicología, Universidad de Almería. Spain. Universidad de Almería Universidad de Almería Spain
| | - Jose Jesus Gazquez Linares
- Facultad de Educación, Departamento de Psicología, Universidad de Almería. Spain. Universidad de Almería Universidad de Almería Spain.,Universidad Autónoma de Chile. Chile. Universidad Autónoma de Chile Universidad Autónoma de Chile Chile
| |
Collapse
|
30
|
Burnout Status of Italian Healthcare Workers during the First COVID-19 Pandemic Peak Period. Healthcare (Basel) 2021; 9:healthcare9050510. [PMID: 33925215 PMCID: PMC8145524 DOI: 10.3390/healthcare9050510] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 04/19/2021] [Accepted: 04/22/2021] [Indexed: 01/10/2023] Open
Abstract
The pandemic of 2019 coronavirus disease (COVID-19) has burdened extraordinary psychological stress on the healthcare workforce. The present survey aimed to examine the personal resources and psychological symptoms associated with burnout in 933 healthcare workers in Italy during the COVID-19 outbreak period. Sociodemographic and occupational data, depression, anxiety, burnout, and post-traumatic symptoms, as well as psychological well-being, were cross-sectional assessed through an online questionnaire. A considerable part of the sample scored over the clinical levels of depression (57.9%), anxiety (65.2%), post-traumatic symptoms (55%), and burnout (25.61%). Working in the front-line (p < 0.05), being part of the medical staff (p < 0.05), experiencing lower levels of psychological well-being (p < 0.001), and higher levels of post-traumatic symptoms (p < 0.001) independently explained 38% of burnout variance. The healthcare industry, services, and professionals should be aware of the harmful effects of COVID-19 on healthcare workers and take adequate preventive measures.
Collapse
|
31
|
Rodríguez-Fernández M, Herrera J, de las Heras-Rosas C. Model of Organizational Commitment Applied to Health Management Systems. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4496. [PMID: 33922667 PMCID: PMC8122969 DOI: 10.3390/ijerph18094496] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 04/15/2021] [Accepted: 04/22/2021] [Indexed: 12/17/2022]
Abstract
In this paper, we try to build on the problems surrounding the management of human resources in health care organizations worldwide. After the analysis of the reviewed literature, we detected that the scientific community considers several recurring themes that need attention: stress, burnout, and turnover intention. Based on this, we developed a model of organizational commitment that aims to achieve performance and health quality, its main result the establishment of the appropriate management policies in order to avoid the abandonment of the organization through the search for commitment and job satisfaction. Amongst our main conclusions, we highlight the need to implement a human resources model for hospital administrators based on the relationships with "patients" not "clients" through the maintenance of a positive and strong atmosphere of staff participation. It is important to develop innovative practices related to clear job design that eliminate reasons for ambiguity and stress in executing the tasks of the healthcare system. Finally, we urge training programs in transformational leadership to promote the well-being and organizational commitment of employees.
Collapse
Affiliation(s)
| | - Juan Herrera
- Department of Economics and Business Administration, Universidad de Málaga, 29071 Málaga, Spain
| | | |
Collapse
|
32
|
Molero Jurado MDM, Martos Martínez Á, Barragán Martín AB, Simón Márquez MDM, Oropesa Ruiz NF, Sisto M, Pérez-Fuentes MDC, Gázquez Linares JJ. Emotional Intelligence Profiles and Mobbing in Nursing: The Mediating Role of Social Support and Sensitivity to Anxiety. Eur J Investig Health Psychol Educ 2021; 11:345-357. [PMID: 34708830 PMCID: PMC8314364 DOI: 10.3390/ejihpe11020026] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 03/30/2021] [Accepted: 04/05/2021] [Indexed: 01/13/2023] Open
Abstract
The prevalence of mobbing among nurses in various countries is around 17–20%. Some researchers have attempted to explain the success or failure of adaptation to the work environment and teamwork and to buffer the effects of psychological harassment in the workplace by incorporating emotional intelligence into the mobbing context. As its main objectives, this quantitative, observational, cross-sectional study analyzed the relationship between emotional intelligence and mobbing as perceived by nurses and sought to establish the mediating roles of other variables involved, such as social support and sensitivity to anxiety. The final sample consisted of 1357 Spanish, self-selected nurses aged 22–58 from multiple healthcare institutions. The questionnaires (Perceived Psychological Harassment Questionnaire, The Brief Emotional Intelligence Inventory, Brief Perceived Social Support Questionnaire, Anxiety Sensitivity Index-3) were implemented on a web platform, which enabled the participants to complete them online. Descriptive analyses and mediation models were estimated. Personal characteristics related to high sensitivity to anxiety and low emotional intelligence implied greater presence of mobbing at work. This mobbing may be buffered if the person perceives enough support from family, friends or significant others. Our results recommend reinforcing the social support network of nursing personnel to improve the work climate and training them in emotional intelligence in university and on-the-job programs.
Collapse
Affiliation(s)
- María del Mar Molero Jurado
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - África Martos Martínez
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - Ana Belén Barragán Martín
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - María del Mar Simón Márquez
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - Nieves Fátima Oropesa Ruiz
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - Maria Sisto
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - María del Carmen Pérez-Fuentes
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
| | - José Jesús Gázquez Linares
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain; (M.d.M.M.J.); (Á.M.M.); (A.B.B.M.); (M.d.M.S.M.); (N.F.O.R.); (M.S.); (M.d.C.P.-F.)
- Department of Psychology, Universidad Autónoma de Chile, Providencia 7500000, Chile
- Correspondence: ; Tel.:+34-950-015-598
| |
Collapse
|
33
|
Cunningham T, Çayir E. Nurse Leaders Employ Contemplative Practices to Promote Healthcare Professional Well-being and Decrease Anxiety. J Nurs Adm 2021; 51:156-161. [PMID: 33570373 DOI: 10.1097/nna.0000000000000987] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
OBJECTIVE The purpose of this study was to test the effectiveness of a daylong resilience retreat on healthcare professionals' anxiety levels, intention to engage in mindfulness practices, and self-efficacy around mindfulness. BACKGROUND Caregiver burnout is a concern that needs to be addressed at the organizational level so that professionals can reduce their risk of psychological injury while providing high-quality care. The COVID-19 (novel coronavirus) pandemic has exacerbated symptoms of burnout among nurses nationally. METHODS Ten sessions of daylong resilience retreats were delivered to independent groups of nurses, nurse practitioners, and other healthcare professionals. Preretreat and postretreat assessments were completed using a 19-item survey developed by the research team to assess state anxiety, intention to engage in mindfulness practices, and self-efficacy around mindfulness. RESULTS One hundred six healthcare professionals completed the resilience retreats. There was a statistically significant decrease in state anxiety scores following the retreat. The majority of the participants reported high intentions to engage in mindfulness practices and felt confident about incorporating mindfulness in their lives. CONCLUSIONS Brief resilience retreats endorsed by nurse leadership can reduce perceived anxiety and facilitate engagement in contemplative practices, which are associated with a decrease in the risk of burnout.
Collapse
Affiliation(s)
- Tim Cunningham
- Author Affiliations: Vice President (Dr Cunningham), Practice & Innovation, Emory Healthcare Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA; Postdoctoral Research Associate (Dr Cayir), University of Virginia School of Nursing, Charlottesville
| | | |
Collapse
|
34
|
Jyothindran R, d’Etienne JP, Marcum K, Ho AF, Robinson RD, Tijerina A, Graca C, Knowles HC, Zenarosa NR, Wang H. Association between burnout and wellness culture among emergency medicine providers. Clin Exp Emerg Med 2021; 8:55-64. [PMID: 33845524 PMCID: PMC8041580 DOI: 10.15441/ceem.20.074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 07/11/2020] [Accepted: 07/20/2020] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE Burnout is a common occurrence among healthcare providers and has been associated with provider wellness culture. However, this association has not been extensively studied among emergency medicine (EM) providers. We aim to determine the association between EM provider burnout and their culture of wellness, and to elicit the independent wellness culture domains most predictive of burnout prevention. METHODS This was a multi-center observational study. We enrolled EM physicians and advanced practice providers from sixteen different emergency departments (EDs). Provider wellness culture and burnout surveys were performed. The wellness culture domains included in this study are personal/organizational value alignment, provider appreciation, leadership quality, self-controlled scheduling, peer support, and family support. Correlations between each wellness culture domain and burnout were analyzed by Pearson correlation co-efficiency, and their associations were measured by multivariate logistic regression with adjustments of other confounders. RESULTS A total of 242 ED provider surveys were entered for final analysis. The overall burnout rate was 54% (130/242). Moderate correlations were found between burnout and two wellness culture domains (value alignment: r=-0.43, P<0.001 and provider appreciation: r=-0.49, P<0.001). The adjusted odds ratio of provider appreciation associated with burnout was 0.44 (95% confidence interval, 0.25-0.77; P=0.004), adjusted odds ratio of family support was 0.67 (95% confidence interval, 0.48-0.95; P=0.025). CONCLUSION ED providers have a relatively high burnout rate. Provider burnout might have certain associations with wellness culture domains. Provider appreciation and family support seem to play important roles in burnout protection.
Collapse
Affiliation(s)
- Revathi Jyothindran
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - James P d’Etienne
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Kevin Marcum
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Amy F Ho
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Richard D Robinson
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Aubre Tijerina
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Clare Graca
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Heidi C Knowles
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Nestor R Zenarosa
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| | - Hao Wang
- Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA
| |
Collapse
|
35
|
Quiun L, Herrero M, Del Carmen Yeo Ayala M, Moreno-Jiménez B. Entrepreneurs and Burnout. How Hardy Pesonality works in this process. Psychol Rep 2021; 125:1269-1288. [PMID: 33632019 DOI: 10.1177/0033294121996978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Considering the importance of entrepreneurship and the impact of burnout on workers' health, this study aims to explore the presence of burnout in entrepreneurs and the interaction of hardy personality (HP) in this process. METHOD The sample included 255 Spanish entrepreneurs. Occupational factors, working hours, labour immersion, HP, burnout syndrome (i.e. Emotional exhaustion, Depersonalization and Lack of accomplishment) and burnout consequences were assessed. RESULTS Descriptive analysis showed that entrepreneurs had low levels of occupational factors, burnout syndrome and consequences. Hierarchical regression exploratory results indicated that working hours, labour immersion, and Emotional exhaustion were the most relevant predictors of the consequences. Besides, mediation models with PROCESS macro (v.3.0) highlighted the indirect effect of occupational factors and showed that emotional exhaustion was the only component of burnout that mediated in between the predictors and the consequences. As well, HP moderated the relationship between occupational factors and emotional exhaustion. CONCLUSIONS Occupational factors are the main predictor of burnout in entrepreneurs and HP could prevent their effect on Emotional exhaustion. The results suggest the importance of training to promote HP for better health and performance of entrepreneurs.
Collapse
Affiliation(s)
- Laura Quiun
- Grupo de Investigación el Mobbing como riesgo laboral, Universidad Carlos III, Madrid, Spain.,Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, España
| | - Marta Herrero
- Faculty of Psychology and Education, Department of Social and Developmental Psyhology, Universidad de Deusto, Bilbao, Spain.,Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, España
| | - Maria Del Carmen Yeo Ayala
- Centro Universitario Ciencias de la Salud, 27802Universidad de Guadalajara, Guadalajara, México.,Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, España
| | | |
Collapse
|
36
|
de las Heras-Rosas C, Herrera J, Rodríguez-Fernández M. Organisational Commitment in Healthcare Systems: A Bibliometric Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052271. [PMID: 33668880 PMCID: PMC7967696 DOI: 10.3390/ijerph18052271] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 02/17/2021] [Accepted: 02/22/2021] [Indexed: 11/29/2022]
Abstract
Business organisations are subject to high pressure to ensure their sustainability and competitiveness. In the case of healthcare institutions, moreover, there are unique characteristics where human resource management is of vital importance. The workforce in these institutions is at a critical moment where the shortages of qualified staff, burnout, or job dissatisfaction represent some of the detrimental aspects for the performance of the organisation, and more importantly, they diminish the quality of patient care. The promotion of organisational commitment is positioned as one of the tools that organisations have to face this problem. This paper aims to increase knowledge about research trends that analyse organisational commitment in healthcare institutions. To this end, using bibliometric techniques, a sample of 448 publications on this subject from journals indexed in Web of Science between 1992 and 2020 is analysed. The results obtained suggest a growing interest in this subject and a visible concern for the management of human resources in these institutions. Research has focussed mainly on organisational factors related to nursing staff. The most analysed topics have been job satisfaction, the implications of stress and high turnover, burnout syndrome, and the possibility of leaving the job. On the other hand, issues emerged such as empowerment in the workplace and others related to organisational management such as quality of service or performance. Finally, there is a lack of research that deals more deeply with other groups working in health centres, such as doctors or administrative staff. There is also a need for further development in the analysis of the implications of the ideological psychological contract in relation to normative organisational commitment in the field of healthcare organisations. The contribution of this work focusses on expanding knowledge about commitment in healthcare organisations and creating points of support for future research as well as helping healthcare managers make decisions in HR management.
Collapse
Affiliation(s)
| | - Juan Herrera
- Correspondence: (C.d.l.H.-R.); (J.H.); (M.R.-F.)
| | | |
Collapse
|
37
|
Diehl E, Rieger S, Letzel S, Schablon A, Nienhaus A, Escobar Pinzon LC, Dietz P. The relationship between workload and burnout among nurses: The buffering role of personal, social and organisational resources. PLoS One 2021; 16:e0245798. [PMID: 33481918 PMCID: PMC7822247 DOI: 10.1371/journal.pone.0245798] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 01/07/2021] [Indexed: 01/11/2023] Open
Abstract
Workload in the nursing profession is high, which is associated with poor health. Thus, it is important to get a proper understanding of the working situation and to analyse factors which might be able to mitigate the negative effects of such a high workload. In Germany, many people with serious or life-threatening illnesses are treated in non-specialized palliative care settings such as nursing homes, hospitals and outpatient care. The purpose of the present study was to investigate the buffering role of resources on the relationship between workload and burnout among nurses. A nationwide cross-sectional survey was applied. The questionnaire included parts of the Copenhagen Psychosocial Questionnaire (COPSOQ) (scale 'quantitative demands' measuring workload, scale 'burnout', various scales to resources), the resilience questionnaire RS-13 and single self-developed questions. Bivariate and moderator analyses were performed. Palliative care aspects, such as the 'extent of palliative care', were incorporated to the analyses as covariates. 497 nurses participated. Nurses who reported 'workplace commitment', a 'good working team' and 'recognition from supervisor' conveyed a weaker association between 'quantitative demands' and 'burnout' than those who did not. On average, nurses spend 20% of their working time with palliative care. Spending more time than this was associated with 'burnout'. The results of our study imply a buffering role of different resources on burnout. Additionally, the study reveals that the 'extent of palliative care' may have an impact on nurse burnout, and should be considered in future studies.
Collapse
Affiliation(s)
- Elisabeth Diehl
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Sandra Rieger
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Stephan Letzel
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Anja Schablon
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Albert Nienhaus
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department for Occupational Medicine, Hazardous Substances and Health Science, Institution for Accident Insurance and Prevention in the Health and Welfare Services (BGW), Hamburg, Germany
| | - Luis Carlos Escobar Pinzon
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Pavel Dietz
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| |
Collapse
|
38
|
Gameiro M, Chambel MJ, Carvalho VS. A Person-Centered Approach to the Job Demands-Control Model: A Multifunctioning Test of Addictive and Buffer Hypotheses to Explain Burnout. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E8871. [PMID: 33260306 PMCID: PMC7730790 DOI: 10.3390/ijerph17238871] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/20/2020] [Accepted: 11/22/2020] [Indexed: 01/15/2023]
Abstract
This study used a cross-sectional design and a person-centered approach in order to test the addictive and interactive strain hypotheses of Job Demands-Control Model to explain burnout. A large sample (n = 6357) of Portuguese workers (nurses, bank employees, retail traders, and contact center agents) was used. Through latent profile analysis (LPA), first latent profiles of demands and control were identified and then it was examined how these profiles differed in workplace well-being (engagement and burnout) through an ANCOVA. The four hypothesized profiles (i.e., "high-strain", "low-Strain", "passive", and "active") and one more profile denominated "moderate active", emerged from LPA analysis. The hypotheses were supported in both addictive effects and interactive effects (buffer hypothesis), suggesting that the difficulty in finding consistent support for the buffer hypothesis might be related to the use of variable-centered approaches. Moreover, this reinforces that, in organizational practice, job control is a crucial characteristic to face job demands, as job control will buffer job demands' harmful effects on workplace well-being.
Collapse
Affiliation(s)
| | - Maria José Chambel
- CICPSI, Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal;
| | - Vânia Sofia Carvalho
- CICPSI, Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal;
| |
Collapse
|
39
|
Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217816. [PMID: 33114522 PMCID: PMC7663662 DOI: 10.3390/ijerph17217816] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 10/01/2020] [Accepted: 10/22/2020] [Indexed: 12/15/2022]
Abstract
Background: Burnout syndrome is very prevalent among healthcare residents. Initiatives addressing workload conditions have had limited impact on burnout. The present study aims to explore the contribution of two emotion regulation strategies, namely emotion suppression and cognitive reevaluation, to residents’ burnout, while accounting for workload factors. Methods: Participants were 105 residents (68.6% women; mean age = 27.5, SD = 3.0). They completed measures of workload, burnout, and emotion regulation. The study was cross-sectional. Results: Emotional suppression was associated with higher burnout (depersonalization scale; β = 0.20, p < 0.05, CI 0.15–2.48) and cognitive revaluation was linked to lower burnout (higher personal accomplishment; β = 0.35, p < 0.01, CI 0.16–2.56), even after controlling for demographic and workload factors. We found interaction effects between workload variables (supervisor support and number of patient hours) and emotion regulation (p < 0.05). Conclusions: The relationship between workload, emotion regulation, and burnout seems to be complex. That is, similar work conditions might generate different levels of burnout depending on the resident’s emotional regulation strategies. This might partly explain why existing initiatives based on workload changes have had a modest impact on burnout. Results also support including emotion regulation training in prevention and treatment programs targeting burnout during residency.
Collapse
|
40
|
Mahmoudi S, Barkhordari-Sharifabad M, Pishgooie AH, Atashzadeh-Shoorideh F, Lotfi Z. Burnout among Iranian nurses: a national survey. BMC Nurs 2020; 19:69. [PMID: 32690983 PMCID: PMC7364314 DOI: 10.1186/s12912-020-00461-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Accepted: 07/12/2020] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Nurses, particularly critical care nurses, are exposed to high levels of stress and burnout. Burnout is associated with many deleterious consequences affecting health care outcomes. The present study is intended to determine the dimensions of burnout in nurses on surgical, medical and critical care units and its relationship with demographic characteristics. METHODS In this descriptive research study, performed at critical and non- critical care units, 743 nurses were randomly selected by quota sampling from medical sciences universities in Iran. Data collection instruments included a "demographic questionnaire" and the "Persian version of the Copenhagen Burnout Inventory. Data were analyzed using SPSS20. RESULTS The findings showed that regarding all dimensions, the lowest level of burnout belonged to surgical wards whereas the highest level pertained to critical care wards indicating a significant difference among various aspects of burnout in different wards, i.e., surgery, medical, and critical care. There was no significant difference in gender, academic degree, and marital status in any of the aspects of burnout in critical care units; yet, the difference was significant between surgical and medical wards (P < 0.05). There were a negative significant correlation between some dimensions of burnout with age and nursing experience in critical care and medical wards (P < 0.05). Whereas in surgical wards, there were a positive significant correlation between some aspects of burnout with nursing experience and age (P < 0.05). CONCLUSION This study found that the critical care nurses have significantly higher level of burnout compared to the medical-surgical nurses. These results should be considered when planning burnout prevention schedules for nurses.
Collapse
Affiliation(s)
- Sara Mahmoudi
- Department of Nursing, School of Nursing, Dezful University of Medical Sciences, Dezful, Iran
| | | | - Amir-Hosein Pishgooie
- Department of Critical Care Nursing, School of Nursing, AJA University of Medical Sciences, Tehran, Iran
| | - Foroozan Atashzadeh-Shoorideh
- Department of Psychiatric Nursing and Management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and Hashemi Rafsanjani Highway, Opposite to Rajaee Heart Hospital, Tehran, Iran
| | - Zahra Lotfi
- Department of Nursing, Royal Free Hospital, London, UK
| |
Collapse
|
41
|
Pérez-Fuentes MDC, Molero Jurado MDM, Martos Martínez Á, Gázquez Linares JJ. Threat of COVID-19 and emotional state during quarantine: Positive and negative affect as mediators in a cross-sectional study of the Spanish population. PLoS One 2020; 15:e0235305. [PMID: 32584897 PMCID: PMC7316299 DOI: 10.1371/journal.pone.0235305] [Citation(s) in RCA: 71] [Impact Index Per Article: 17.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 06/12/2020] [Indexed: 12/19/2022] Open
Abstract
Aims The objective of this study was therefore to analyze the effect of exceptionally stressful situations, such as the current health risk, on the cognitive and emotive state of the individual, that is, perceived threat and emotional state on affect and mood. Method This was a cross-sectional study with snowball sampling. The sample came to 1014 Spanish adults (67.2% women and 32.8% men). The Perception of Threat from COVID-19 questionnaire, the Affective Balance Scale and the Mood Evaluation Scale were used. Results The results showed that the perception of threat from COVID-19 was related positively to negative affect and emotional signs, that is, sadness-depression, anxiety and anger-hostility. There was a direct positive effect of perceived threat from COVID-19 on sadness-depression, anxiety and anger-hostility moods, while anxiety and anger-hostility had a direct positive effect on perception of threat from the virus. Thus, there was a circular relationship, in which perceived threat influenced the presence of negative mood, and negative mood, in turn, linked to emotions of irritation and agitation from a present situation, promoted the feeling of threat. Conclusions A negative affective balance increases both one’s perception of threat from COVID-19 and negative mood. Thus, knowing the emotional and cognitive effects on the population would enable measures to be put into service to facilitate their effective coping.
Collapse
Affiliation(s)
- María Del Carmen Pérez-Fuentes
- Department of Psychology, Faculty of Psychology, University of Almería, Almería, Spain.,Department of Psychology, Faculty of Psychology, Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | | | | | - Jose Jesús Gázquez Linares
- Department of Psychology, Faculty of Psychology, University of Almería, Almería, Spain.,Department of Psychology, Universidad Autónoma de Chile, Providencia, Chile
| |
Collapse
|
42
|
Hafeez H, Abdullah MI, Riaz A, Shafique I. Prevention of occupational injuries and accidents: A social capital perspective. Nurs Inq 2020; 27:e12354. [PMID: 32406124 DOI: 10.1111/nin.12354] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 04/10/2020] [Accepted: 04/18/2020] [Indexed: 12/30/2022]
Abstract
Prior research has consistently established the pragmatic nature of literature regarding occupational injuries and accidental happenings faced by nursing professionals. However, current realities require a subjective approach to identify preventative measures that could influence occupational health and safety in healthcare sectors. A qualitative design followed a descriptive approach to assess unbiased opinions towards occupational obstructions that lead to accidental happenings. This study used the social capital framework in particular as a support resource to eliminate its detrimental effects on nurse's capacity to serve their patients. The findings extended the fundamental understanding of social capital from social ties to workplace and personal ties as potential mechanisms of support. Healthcare organizations need to redefine their control policies to provide the ultimate support to their care agents. A social capital model offers nursing practitioners and nursing managers an approach for building evidence-based policies with implications for nurse's safety, education and training.
Collapse
Affiliation(s)
- Hira Hafeez
- University of Lahore, Gujrat, Pakistan.,COMSATS University Islamabad, Lahore, Pakistan
| | | | - Amir Riaz
- COMSATS University Islamabad, Lahore, Pakistan
| | | |
Collapse
|
43
|
Questionnaire on Perception of Threat from COVID-19. J Clin Med 2020; 9:jcm9041196. [PMID: 32331246 PMCID: PMC7230235 DOI: 10.3390/jcm9041196] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 04/20/2020] [Accepted: 04/21/2020] [Indexed: 12/15/2022] Open
Abstract
The ravages caused by the disease known as COVID-19 has led to a worldwide healthcare and social emergency requiring an effective combined effort from everyone to reduce contagion. Under these circumstances, the perception of the disease is going to have a relevant role in the individual’s psychological adjustment. However, at the present time there is no validated instrument for evaluating adult perception of threat from COVID-19. Considering the importance of perception or representation of the disease in a state of social alert, our study intended to validate an instrument measuring the psychological process of the disease caused by the coronavirus (COVID-19). In view of the above, this study evaluated the factor structure and reliability of the version of the Illness Perception Questionnaire (IPQ) for COVID-19 in a sample of adults. The sample consisted of 1014 Spanish adults (67.2% women and 32.8% men). The exploratory and confirmatory factor analyses supported a unidimensional model of the scale, which was the one that showed the best fit and explained 43.87% of the variance. This brief version has adequate psychometric properties and may be used to evaluate the perception of threat from COVID-19 in an adult Spanish population. The validation of this instrument contributes to progress in representation of COVID-19 in our culture.
Collapse
|
44
|
Grigorescu S, Cazan AM, Rogozea L, Grigorescu DO. Original targeted therapy for the management of the burnout syndrome in nurses: an innovative approach and a new opportunity in the context of predictive, preventive and personalized medicine. EPMA J 2020; 11:161-176. [PMID: 32549915 DOI: 10.1007/s13167-020-00201-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Accepted: 03/06/2020] [Indexed: 02/07/2023]
Abstract
Background Currently considered an occupational disease, the burnout syndrome affects 13-27% of the active population in multiple occupational sectors of the modern world. Objectives Considering the burnout syndrome from the new perspective of the predictive, preventive, personalized medicine concept as a pathological entity with a predictable appearance and evolution which allows a preventive approach and a personalized therapy, the main objective of the study is to highlight the possibility of psychotherapeutic interventions for producing measurable psychological changes in order to decrease the burnout level of hospital nurses. Method The research design is experimental, the independent variable being the participation or non-participation of nurses in psychotherapeutic sessions where specific classical psychodrama techniques are originally used. Nurses previously identified with medium or high levels of burnout participated in the clinical study, split into two groups: the experimental one, with 150-min weekly sessions, and the control one, without any intervention. Pre- and post-intervention questionnaires were administered to the members of both groups. Results The statistical analysis of the differences between pre- and post-intervention revealed (a) the decrease of the levels of personal burnout and of burnout generated by the working conditions and (b) the decrease of the depression and of anxiety on four dimensions (self-awareness, ergic tension, veiled and general anxiety). Conclusions The classical psychodrama method can be an effective solution in the prophylaxis and treatment of the burnout syndrome. The multidisciplinary approach according to the PPPM concept including changes of the environmental factors within the professional framework associated with stress control programmes can be promising solutions for the management of this syndrome.
Collapse
Affiliation(s)
- Simona Grigorescu
- Transilvania University of Brașov, 29, Eroilor Street, 500036 Brașov, Romania.,Emergency Clinical Children Hospital, 45, Nicopole Street, 500063 Brașov, Romania
| | - Ana-Maria Cazan
- Transilvania University of Brașov, 29, Eroilor Street, 500036 Brașov, Romania
| | - Liliana Rogozea
- Transilvania University of Brașov, 29, Eroilor Street, 500036 Brașov, Romania
| | - Dan Ovidiu Grigorescu
- Transilvania University of Brașov, 29, Eroilor Street, 500036 Brașov, Romania.,Emergency Clinical County Hospital, 25-27, Calea București Street, 500326 Brașov, Romania
| |
Collapse
|
45
|
Kind N, Bürgin D, Fegert JM, Schmid M. What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2212. [PMID: 32218385 PMCID: PMC7178075 DOI: 10.3390/ijerph17072212] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Revised: 03/21/2020] [Accepted: 03/23/2020] [Indexed: 01/03/2023]
Abstract
Background: Professional caregivers are exposed to multiple stressors and have high burnout rates; however, not all individuals are equally susceptible. We investigated the association between resilience and burnout in a Swiss population of professional caregivers working in youth residential care. Methods: Using a prospective longitudinal study design, participants (n = 159; 57.9% women) reported on burnout symptoms and sense of coherence (SOC), self-efficacy and self-care at four annual sampling points. The associations of individual resilience measures and sociodemographic variables, work-related and personal stressors, and burnout symptoms were assessed. Cox proportional hazards regressions were calculated to compute hazard ratios over the course of three years. Results: Higher SOC, self-efficacy and self-care were related to lower burnout symptoms in work-related and personal domains. Higher SOC and self-efficacy were reported by older caregivers and by those with children. All three resilience measures were highly correlated. A combined model analysis weakened the protective effect of self-efficacy, leaving only SOC and self-care negatively associated with burnout. Conclusion: This longitudinal analysis suggests that SOC and self-caring behaviour in particular protect against burnout. Our findings could have implications for promoting self-care practices, as well as cultivating a meaningful, comprehensible and manageable professional climate in all facets of institutional care.
Collapse
Affiliation(s)
- Nina Kind
- Child and Adolescent Psychiatry, University Basel, Psychiatric University Hospital Basel, Wilhelm Klein-Strasse 27, 4002 Basel, Switzerland; (D.B.); (M.S.)
| | - David Bürgin
- Child and Adolescent Psychiatry, University Basel, Psychiatric University Hospital Basel, Wilhelm Klein-Strasse 27, 4002 Basel, Switzerland; (D.B.); (M.S.)
| | - Jörg M. Fegert
- University Hospital Ulm, Department for Child and Adolescent Psychiatry and Psychotherapy, Steinhövelstrasse 5, 89075 Ulm, Germany;
| | - Marc Schmid
- Child and Adolescent Psychiatry, University Basel, Psychiatric University Hospital Basel, Wilhelm Klein-Strasse 27, 4002 Basel, Switzerland; (D.B.); (M.S.)
| |
Collapse
|
46
|
Sarabi RE, Javanmard R, Shahrbabaki PM. Study of burnout syndrome, job satisfaction and related factors among health care workers in rural areas of Southeastern Iran. AIMS Public Health 2020; 7:158-168. [PMID: 32258197 PMCID: PMC7109528 DOI: 10.3934/publichealth.2020014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 02/17/2020] [Indexed: 12/18/2022] Open
Abstract
Background Burnout syndrome is a Psycho-somatic state resulting from prolonged exposure to job stressors that leads to negative self-concept, Job dissatisfaction and lack of communication with the client. Rural health centers because of lack of facilities and lack of knowledge of the service users are characterized by a high level of work-related stress, a factor known to increase the risk of burnout syndrome. The purpose of this study was to determine burnout syndrome and Job Satisfaction among health care workers in rural areas of southeastern Iran. Methods This is a cross-sectional study that has been conducted among 225 of the healthcare workers with more than five years of experience using simple random sampling method. Data were collected by a Maslach's burnout inventory and Smith's job satisfaction questionnaire. Data were analyzed using dependent and independent t-test, one-way ANOVA and Pearson correlation coefficient. Results The results of this study showed that the rate of burnout and job satisfaction score in health centers in rural areas was moderate. In job satisfaction, the highest score was related to the colleague and the lowest score was related to salaries and benefits. The emotional exhaustion had a negative significant effect on job satisfaction (p < 0.01). Conclusion Considering the importance of rural community health, burnout status of health care workers should be improved. It is necessary to provide appropriate interventions to decrease stress relating to role conflict, professional communications, factors related to the families and work load.
Collapse
Affiliation(s)
- Roghayeh Ershad Sarabi
- Assistant Professor, Management and Leadership in Medical Education Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Rezvan Javanmard
- MSc in Community Health Education, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Parvin Mangolian Shahrbabaki
- Assistant Professor, Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
47
|
Nurse Practitioners’ Work Values and Their Conflict Management Approaches in a Stressful Workplace: A Taiwan Study. SUSTAINABILITY 2020. [DOI: 10.3390/su12031040] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Globalization has created an urgent need to understand management practices in different cultures. This study examines Confucianism-based work values of nurse practitioners in Taiwan and explores their impact on conflict management approaches in order to help health practitioners maintain sustainable work relationships and improve organizational effectiveness in an increasingly stressful workplace. Based on the data from 259 nurse practitioners in Taiwan, this study shows that nurse practitioners in Taiwan consider holistic rewards, self-fulfillment and personal growth, challenge and responsibility, autonomy, and meaningfulness as important work values. Hierarchical regression results further indicate that nurse practitioners with strong group-centered needs, such as needs for holistic rewards, preferred collaborative methods to manage conflicts in the workplace, and individuals with strong self-centered needs, such as needs for personal growth and self-fulfillment and needs for autonomy, preferred competitive methods to manage conflicts. Interestingly, this study also finds that self-centered needs such as needs for self-fulfillment and personal growth, and needs for challenge and responsibility are also related to collaborative approaches. Managerial implications are then discussed for conflict management training for nurse practitioners under stressful work conditions.
Collapse
|
48
|
Pérez-Fuentes MDC, Gázquez Linares JJ, Molero Jurado MDM, Simón Márquez MDM, Martos Martínez Á. The mediating role of cognitive and affective empathy in the relationship of mindfulness with engagement in nursing. BMC Public Health 2020; 20:16. [PMID: 31910847 PMCID: PMC6947930 DOI: 10.1186/s12889-019-8129-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Accepted: 12/24/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The work of health professionals is characterized by a high demand for psychological and emotional resources and high levels of stress. Therefore, the promotion of commitment and job well-being through strategies such as increased mindfulness, is important among nursing workers. Although mindfulness has shown positive effects in the health field, few studies have explored the mechanisms and processes underlying these results. We investigated the mediating role of empathy (cognitive/affective) in the effect of mindfulness on the dimensions of engagement in nursing professionals. METHODS Sample was comprised of 1268 Spanish nurses between 22 and 62 years old, that completed the Utrecht Labor Engagement Scale and the adapted versions of Mindful Attention Awareness Scale and Basic Empathy Scale. The relationship between variables to be included in the regression analyses, bivariate correlations were carried out, and the descriptive statistics of these variables were also found. To estimate the mediation model was used, in this case for multiple mediation effects. RESULTS Mindfulness is found to affect the Vigor and Dedication factors of engagement through cognitive empathy. While for the Absorption factor, the affective component of empathy also exerts a mediating role, although weaker than cognitive empathy. Cognitive empathy, as an individual factor, was shown to have a mediating effect between mindfulness and the factors of engagement in healthcare workers. CONCLUSIONS The level of mindfulness influences engagement of nursing professionals positively, and this result is mediated mainly by cognitive empathy. Both mindfulness and empathy are modifiable individual factors, so their intervention by designing and implementing specific programs, can increase the commitment and wellbeing of professionals generating benefits to workers and to their patients.
Collapse
Affiliation(s)
- María Del Carmen Pérez-Fuentes
- Department of Psychology, University of Almería, 04120, Almería, Spain.
- Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay.
| | - José Jesús Gázquez Linares
- Department of Psychology, University of Almería, 04120, Almería, Spain
- Department of Psychology, Universidad Autónoma de Chile, 4780000, Santiago, Chile
| | | | | | | |
Collapse
|
49
|
Frey R, Balmer D, Robinson J, Boyd M, Gott M. What factors predict the confidence of palliative care delivery in long‐term care staff? A mixed‐methods study. Int J Older People Nurs 2019; 15:e12295. [DOI: 10.1111/opn.12295] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 11/04/2019] [Accepted: 11/15/2019] [Indexed: 12/24/2022]
Affiliation(s)
- Rosemary Frey
- Faculty of Medical and Health Sciences School of Nursing University of Auckland Auckland New Zealand
| | - Deborah Balmer
- Faculty of Medical and Health Sciences School of Nursing University of Auckland Auckland New Zealand
| | - Jackie Robinson
- Faculty of Medical and Health Sciences School of Nursing University of Auckland Auckland New Zealand
| | - Michal Boyd
- Faculty of Medical and Health Sciences School of Nursing University of Auckland Auckland New Zealand
| | - Merryn Gott
- Faculty of Medical and Health Sciences School of Nursing University of Auckland Auckland New Zealand
| |
Collapse
|
50
|
López-López IM, Gómez-Urquiza JL, Cañadas GR, De la Fuente EI, Albendín-García L, Cañadas-De la Fuente GA. Prevalence of burnout in mental health nurses and related factors: a systematic review and meta-analysis. Int J Ment Health Nurs 2019; 28:1032-1041. [PMID: 31132216 DOI: 10.1111/inm.12606] [Citation(s) in RCA: 93] [Impact Index Per Article: 18.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 04/29/2019] [Accepted: 04/29/2019] [Indexed: 01/12/2023]
Abstract
The aim of this study was to determine the prevalence of burnout in mental health nurses and to identify its predictors. A systematic review was conducted of studies published in the following databases: CINAHL, Dialnet, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus. The search equation used was "Nurs * AND Burnout AND mental health". Subsequently, three fixed-effects meta-analyses were performed, one for each dimension of burnout, to calculate its prevalence and the corresponding confidence intervals. The data were analysed using StatsDirect meta-analysis software. Eleven studies were finally included (n = 11). In most cases, the literature informs about moderate levels of emotional exhaustion, depersonalization, and personal accomplishment. The studies inform that variables such as work overload, work-related stress, professional seniority, male gender, being single, and aggression at work, among other factors, contribute to burnout development. The meta-analytic prevalence estimations of burnout with a sample of n = 868 mental health nurses are 25% for high emotional exhaustion, 15% for depersonalization, and 22% for low personal accomplishment. From a workforce development and safety perspective, it is important for managers to address the emotional exhaustion and low personal accomplishment aspects of burnout reported in the workplace by mental health nurses.
Collapse
Affiliation(s)
| | | | - Gustavo Raúl Cañadas
- Department of Didactic of Mathematics, Faculty of Education Science, University of Granada, Granada, Spain
| | - Emilia Inmaculada De la Fuente
- Department of Methodology of the Behavioral Science, Faculty of Psychology, University of Granada, Granada, Spain.,The Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Luis Albendín-García
- Department of Nursing, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Guillermo Arturo Cañadas-De la Fuente
- Department of Nursing, Faculty of Health Sciences, University of Granada, Granada, Spain.,The Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| |
Collapse
|