This project aimed to: identify work-related problems to assist mental health nurses to locate the sources and effects of carer fatigue and burnout, set up a dialogue between the participants and the identified sources of stress in the workplace to address the identified problems, and make recommendations to a local Area Health Service to prevent and manage stressors in the practice of mental health nursing. In total, 20 experienced registered nurses working as mental health nurses were enlisted through a snowballing method of recruitment, and convenience sampling was used to intentionally target those research participants who were interested in identifying sources of carer fatigue and burnout in their work. Data collection was via semistructured interviews which used questions reflecting the first stage of White and Epston's (1990) method of narrative therapy, in which relative influence questioning is used to externalize the problem. The research questions related to the effect of burnout in mental health nursing across various interfaces, through the dominant story of emotional stress and fatigue. The sources of work-related problems for mental health nurses that contribute towards their experiences of carer fatigue and burnout were: employment insecurity and casualization of the work-force; issues with management and the system; difficulties with the nature of the work, inadequate resources and services, problems with doctors, aggressive and criminal consumers, undervaluing consumers and nurses, physical and emotional constraints of the work setting, and nurse-nurse relationships and horizontal violence. The effects of stress were shown in dealing with and reacting to work place stressors.

Mental health nursing as one of the human services professions has frequently, been associated with stress and burnout. The three dimensions of burnout; emotional exhaustion, depersonalisation and reduced personal accomplishment have major implications for the quality of the service that mental health nurses are capable of giving. Various studies have demonstrated mental health nurses suffer a high degree of burnout. Other studies have identified the stressors associated with mental health nursing that may be precursors to burnout. The Evaluation of the National Mental Health Strategy (1998) demonstrated that the Strategy was achieving many of its objectives. The objectives that have been achieved in service delivery have produced a work environment that has many of the identified stressors associated with burnout. Therefore, it is imperative that strategies are implemented that address the problem of stress and burnout in the current mental health system.