1
|
Maddigan J, Brennan M, McNaughton K, White G, Snow N. The Prevalence and Predictors of Compassion Satisfaction, Burnout and Secondary Traumatic Stress in Registered Nurses in an Eastern Canadian Province: A Cross-Sectional Study. Can J Nurs Res 2023; 55:425-436. [PMID: 36694930 PMCID: PMC10619188 DOI: 10.1177/08445621221150297] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The quality of Registered Nurses' worklife is impacting nurses' mental health, and the standard of care received by clients. Contributing factors to nurses' stress are the trauma of continuous caring for those in great suffering, and adverse working conditions. OBJECTIVES i) to explore the prevalence of work-related stress in a provincial sample of Registered Nurses; ii) to compare the levels of compassion satisfaction, burnout and secondary traumatic stress reported by nurses in hospital, community, non-direct care settings, and, iii) to identify factors that predict levels of nursing work stress. METHODS A descriptive, predictive study with a self-report survey containing demographic questions and the Professional Quality of Life Scale was emailed to over 3,300 Registered Nurses. The scale measured the prevalence of three worklife indicators, compassion satisfaction, burnout and secondary traumatic stress. Multiple linear regression identified factors that predicted the levels of the three indicators. A subgroup analysis explored the quality of worklife based on three practice environments. FINDINGS Nurses (n = 661) reported moderate compassion satisfaction, burnout, and secondary traumatic stress. The strongest predictor, satisfaction with one's current job, predicted high compassion satisfaction and lower burnout and secondary stress. The subgroup analysis identified hospital nurses as having the most work-related stress and the lowest level of compassion satisfaction. CONCLUSION Innovative, collaborative action can transform nurses' practice environments. Organizational support is essential to bring about needed improvements.
Collapse
Affiliation(s)
- Joy Maddigan
- Faculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| | - Maureen Brennan
- Organizational Development, Eastern Regional Health Authority, St. John's, NL, Canada
| | - Kelly McNaughton
- Peer Support and Trauma Response Program, Toronto Hospital for Sick Kids, Toronto, ON, Canada
| | - Gerry White
- Faculty of Medicine, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| | - Nicole Snow
- Faculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| |
Collapse
|
3
|
Tsegaw S, Getachew Y, Tegegne B. Determinants of Work-Related Stress Among Nurses Working in Private and Public Hospitals in Dessie City, 2021: Comparative Cross-Sectional Study. Psychol Res Behav Manag 2022; 15:1823-1835. [PMID: 35923164 PMCID: PMC9342705 DOI: 10.2147/prbm.s372882] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 07/20/2022] [Indexed: 11/23/2022] Open
Abstract
Background Globally, work-related stress had a significant impact on health-care providers. Private and public health-care institutions are considered intensive work areas for work-related stress. In Ethiopia, most studies were focused on only public hospitals. However, this study aimed to include private and public hospitals. Methods A hospital-based comparative cross-sectional study was conducted among 304 nurses working in public and private hospitals from 8 April to 7 May 2021. A simple random sampling technique was used to select nurses, and the data were collected using a standardized self-administered questionnaire. Data were entered into Epidata version 4.6.1 and then exported to SPSS version 26 for analysis. Descriptive statistics, bivariable and multivariable binary logistic regression were applied. The final multivariate regression declared significant determinants at a p-value <0.05 and a 95% confidence interval with an adjusted odds ratio (AOR) to reveal the strength of associated variables. Results In this study, the overall magnitude of work-related stress among nurses was 48.4% (95% CI: 42.4–54.6) (51.6% among public hospitals and 46.4% for private hospitals). Bachelor nurses (AOR=0.32,95% CI:0.13,0.76), working in operation room (AOR=7.89, 95% CI:1.46,9.60) and job dissatisfaction (AOR=4.95, 95% CI: 1.94,2.61) were determinants of work-stress in private hospitals whereas being female (AOR = 3.15, 95% CI: 1.43, 6.92), working experience 5 to 10 years (AOR=0.42, 95% CI: 0.18, 0.97), having degree and above (AOR = 0.41, 95% CI: 0.17, 0.99) and working in intensive care unit (AOR = 6.48, 95% CI:1.49, 8.18) were determinants of work-related stress in public hospitals. Conclusion The overall magnitude of work-related stress among nurses in Dessie city was almost half. In contrast, more work-related stress among nurses working in public hospitals than in private hospitals. Sex, operating (working) unit, working experience, and type of institution were work-related stress determinants in public and private hospitals. Hence, reducing workload and providing stress management training is crucial to reducing work-related stress among nurses.
Collapse
Affiliation(s)
- Shbre Tsegaw
- Department of Nursing, Dessie Health Science College, Dessie, Ethiopia
| | - Yemiamrew Getachew
- Department of Community and Mental Health, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Belachew Tegegne
- Department of Comprehensive Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
- Correspondence: Belachew Tegegne, Email
| |
Collapse
|
5
|
Kerr DC, Ornelas IJ, Lilly MM, Calhoun R, Meischke H. Participant Engagement in and Perspectives on a Web-Based Mindfulness Intervention for 9-1-1 Telecommunicators: Multimethod Study. J Med Internet Res 2019; 21:e13449. [PMID: 31219045 PMCID: PMC6607772 DOI: 10.2196/13449] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 04/09/2019] [Accepted: 05/05/2019] [Indexed: 11/21/2022] Open
Abstract
Background Demanding working conditions and secondary exposure to trauma may contribute to a high burden of stress among 9-1-1 telecommunicators, decreasing their ability to work effectively and efficiently. Web-based mindfulness-based interventions (MBIs) can be effective in reducing stress in similar populations. However, low engagement may limit the effectiveness of the intervention. Objective The aim of this study was to assess participant engagement in a Web-based MBI designed for 9-1-1 telecommunicators. Specifically, we sought to describe the following: (1) participant characteristics associated with intervention engagement, (2) participant perspectives on engaging with the intervention, and (3) perceived challenges and facilitators to engaging. Methods We used qualitative and quantitative data from participant surveys (n=149) that were collected to assess the efficacy of the intervention. We conducted descriptive and bivariate analyses to identify associations between demographic, psychosocial, and workplace characteristics and engagement. We conducted a thematic analysis of qualitative survey responses to describe participant experiences with the MBI. Results We found that no individual participant characteristics were associated with the level of engagement (low vs high number of lessons completed). Participant engagement did vary by the call center (P<.001). We identified the following overarching qualitative themes: (1) the participants perceived benefits of mindfulness practice, (2) the participants perceived challenges to engage with mindfulness and the intervention, and (3) intervention components that facilitated engagement. The participants expressed positive beliefs in the perceived benefits of practicing mindfulness, including increased self-efficacy in coping with stressors and increased empathy with callers. The most commonly cited barriers were work-related, particularly not having time to participate in the intervention at work. Facilitators included shorter meditation practices and the availability of multiple formats and types of intervention content. Conclusions The findings of this study suggest that efforts to improve intervention engagement should focus on organizational-level factors rather than individual participant characteristics. Future research should explore the effect of mindfulness practice on the efficiency and effectiveness of 9-1-1 telecommunicators at work. Trial Registration ClinicalTrials.gov NCT02961621; https://clinicaltrials.gov/ct2/show/NCT02961621
Collapse
Affiliation(s)
- Darragh C Kerr
- Department of Health Services, University of Washington, Seattle, WA, United States
| | - India J Ornelas
- Department of Health Services, University of Washington, Seattle, WA, United States
| | - Michelle M Lilly
- Department of Psychology, Northern Illinois University, DeKalb, IL, United States
| | - Rebecca Calhoun
- Northwest Center for Public Health Practice, University of Washington, Seattle, WA, United States
| | - Hendrika Meischke
- Department of Health Services, University of Washington, Seattle, WA, United States.,Northwest Center for Public Health Practice, University of Washington, Seattle, WA, United States
| |
Collapse
|
6
|
Airagnes G, Lemogne C, Olekhnovitch R, Roquelaure Y, Hoertel N, Goldberg M, Limosin F, Zins M. Work-Related Stressors and Increased Risk of Benzodiazepine Long-Term Use: Findings From the CONSTANCES Population-Based Cohort. Am J Public Health 2018; 109:119-125. [PMID: 30495993 DOI: 10.2105/ajph.2018.304734] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives. To examine whether stressful job exposure to the public could be associated with having long-term benzodiazepine use.Methods. From the participants included between 2012 and 2016 in the French population-based CONSTANCES cohort, 13 934 men and 19 261 women declared a daily job exposure to the public and rated the frequency of stressful exposure. We examined benzodiazepine long-term use by using drug reimbursement administrative registries. Logistic regressions provided odds ratios (ORs) of benzodiazepine long-term use, with stratification for gender and adjustment for age, education, and area deprivation index. Occupational grade, job strain, depression, self-rated health, and alcohol use disorder were additional stratification variables.Results. Benzodiazepine long-term use was positively associated with stressful exposure to the public ("often or always" vs "rarely or never") in men (OR = 2.2; 95% confidence interval [CI] = 1.8, 2.8) and women (OR = 1.6; 95% CI = 1.4, 1.9), with dose-dependent relationships (P trends < .001). Adjustments and analyses in subgroups without other individual or environmental vulnerability factors led to similar results.Conclusions. Stressful job exposure to the public increases the risk of benzodiazepine long-term use. Prevention programs aiming at reducing the burden of benzodiazepine long-term use would benefit in targeting this specific population.
Collapse
Affiliation(s)
- Guillaume Airagnes
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Cédric Lemogne
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Romain Olekhnovitch
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Yves Roquelaure
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Nicolas Hoertel
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Marcel Goldberg
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Frédéric Limosin
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| | - Marie Zins
- Guillaume Airagnes is with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, UMS011, UMR1168, Inserm, Villejuif, France. Cédric Lemogne, Nicolas Hoertel, and Frédéric Limosin are with AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry and Addictology, Université Paris Descartes, U894, Inserm, Paris, France. Romain Olekhnovitch is with UMS011, UMR1168, Inserm. Yves Roquelaure is with UMR1085, Inserm Irest, Université d'Angers, Angers, France. Marcel Goldberg is with Université Paris Descartes, UMS011, Inserm. Marie Zins is with Université Paris Descartes, UMS011, UMR1168, Inserm
| |
Collapse
|
7
|
Meischke H, Lilly M, Beaton R, Calhoun R, Tu A, Stangenes S, Painter I, Revere D, Baseman J. Protocol: a multi-level intervention program to reduce stress in 9-1-1 telecommunicators. BMC Public Health 2018; 18:570. [PMID: 29716576 PMCID: PMC5930694 DOI: 10.1186/s12889-018-5471-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2017] [Accepted: 04/17/2018] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Nationwide, emergency response systems depend on 9-1-1 telecommunicators to prioritize, triage, and dispatch assistance to those in distress. 9-1-1 call center telecommunicators (TCs) are challenged by acute and chronic workplace stressors: tense interactions with citizen callers in crisis; overtime; shift-work; ever-changing technologies; and negative work culture, including co-worker conflict. This workforce is also subject to routine exposures to secondary traumatization while handling calls involving emergency situations and while making time urgent, high stake decisions over the phone. Our study aims to test the effectiveness of a multi-part intervention to reduce stress in 9-1-1 TCs through an online mindfulness training and a toolkit containing workplace stressor reduction resources. METHODS/DESIGN The study employs a randomized controlled trial design with three data collection points. The multi-part intervention includes an individual-level online mindfulness training and a call center-level organizational stress reduction toolkit. 160 TCs will be recruited from 9-1-1 call centers, complete a baseline survey at enrollment, and are randomly assigned to an intervention or a control group. Intervention group participants will start a 7-week online mindfulness training developed in-house and tailored to 9-1-1 TCs and their call center environment; control participants will be "waitlisted" and start the training after the study period ends. Following the intervention group's completion of the mindfulness training, all participants complete a second survey. Next, the online toolkit with call-center wide stress reduction resources is made available to managers of all participating call centers. After 3 months, a third survey will be completed by all participants. The primary outcome is 9-1-1 TCs' self-reported symptoms of stress at three time points as measured by the C-SOSI (Calgary Symptoms of Stress Inventory). Secondary outcomes will include: perceptions of social work environment (measured by metrics of social support and network conflict); mindfulness; and perceptions of social work environment and mindfulness as mediators of stress reduction. DISCUSSION This study will evaluate the effectiveness of an online mindfulness training and call center-wide stress reduction toolkit in reducing self-reported stress in 9-1-1 TCs. The results of this study will add to the growing body of research on worksite stress reduction programs. TRIAL REGISTRATION ClinicalTrials.gov Registration Number: NCT02961621 Registered on November 7, 2016 (retrospectively registered).
Collapse
Affiliation(s)
- Hendrika Meischke
- Northwest Center for Public Health Practice, University of Washington, 1107 NE 45th St. Suite 400, Seattle, WA, 98105, USA
| | - Michelle Lilly
- Department of Psychology, Psychology-Computer Science Building, Northern Illinois University, DeKalb, IL, 60115, USA
| | - Randal Beaton
- Department of Psychosocial and Community Health, University of Washington, Box 357263, Seattle, WA, 98195, USA
| | - Rebecca Calhoun
- Center for Child and Family Well-Being, University of Washington, Box 351525, Seattle, WA, 98195, USA
| | - Ann Tu
- OEM Program, University of Washington, Box 359739, 325 9th Ave, Seattle, WA, 98104, USA
| | - Scott Stangenes
- Northwest Center for Public Health Practice, University of Washington, 1107 NE 45th St. Suite 400, Seattle, WA, 98105, USA.
| | - Ian Painter
- Northwest Center for Public Health Practice, University of Washington, 1107 NE 45th St. Suite 400, Seattle, WA, 98105, USA
| | - Debra Revere
- Department of Health Services, University of Washington, Box 354809, Seattle, WA, 98195, USA
| | - Janet Baseman
- Department of Epidemiology, University of Washington, Box 354809, Seattle, WA, 98195, USA
| |
Collapse
|