Burnout, Attachment and Mentalization in Nursing Students and Nurse Professionals

Bordoagni, Giulia; Fino, Edita; Agostini, Alessandro

doi:10.3390/healthcare9111576

Cited by 11 publications

(12 citation statements)

References 15 publications

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“…The Mental States Rating System Self‐Report (MSRS‐Self‐Report) was used to measure mentalizing capacity in one study (Goldfeld et al, 2008; Goldfeld & Bouchard, 2004). Four studies used the Reflective Functioning Questionnaire (RFQ) (Bordoagni et al, 2021; Brugnera et al, 2021; Fonagy et al, 2016; Georg et al, 2022; Safiye et al, 2022). The Knowledge and Application of MBT Questionnaire (KAMQ) was used in two studies (Polnay et al, 2015; Welstead et al, 2018; Williams et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…The studies we examined also had some weaknesses. For instance, in four of the studies (Bordoagni et al, 2021; Brugnera et al, 2021; Georg et al, 2022; Safiye et al, 2022) the RFQ (Fonagy et al, 2016) was used to assess the mentalizing capacity of healthcare professionals. This instrument was originally developed to assess the mentalizing capacity of people with severe mental health problems and, as a result, using the RFQ in a non‐clinical population could lead to ceiling‐effects.…”

Section: Discussionmentioning

confidence: 99%

“…In a sample of nursing students, lower levels of mentalizing capacity (measured with the RFQ) were associated with a preoccupied attachment pattern. Such a pattern is a form of an insecure attachment style (Bordoagni et al, 2021). This study used a case-control, cross-sectional design.…”

Section: Mentalizing Capacities Related To Undergoing Psychotherapymentioning

confidence: 99%

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Mentalizing capacities of mental health nurses: A systematic PRISMA review

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Swildens

Knapen

et al. 2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Mentalizing is the capacity to understand both one‘s own and other people‘s behaviour in terms of mental states, such as, for example, desires, feelings and beliefs. The mentalizing capacities of healthcare professionals help to establish effective therapeutic relationships and, in turn, lead to better patient outcomes. What this paper adds to existing knowledge? The personal factors positively associated with the mentalizing capacities of healthcare professionals are being female, greater work experience and having a more secure attachment style. Psychosocial factors are having personal experience with psychotherapy, burnout, and in the case of female students, being able to identify with the female psychotherapist role model during training. There is limited evidence that training programmes can improve mentalizing capacities. Although the mentalization field is gaining importance and research is expanding, the implications for mental health nursing have not been previously reviewed. Mental health nurses are underrepresented in research on the mentalizing capacities of healthcare professionals. This is significant given that mental health nurses work closest to patients and thus are more often confronted with patients‘ behaviour compared to other health care professionals, and constitute a large part of the workforce in mental healthcare for patients with mental illness. What are the implications for practice? Given the importance of mentalizing capacity of both the patient and the nurse for a constructive working relationship, it is important that mental health nurses are trained in the basic principles of mentalization. Mental health nurses should be able to recognize situations where patients‘ lack of ability to mentalize creates difficulties in the interaction. They should also be able to recognize their own difficulties with mentalizing and be sensitive to the communicative implications this may have. AbstractIntroductionMentalizing capacities of clinicians help to build effective therapeutic relationships and lead to better patient outcomes. Few studies have focused on factors associated with clinicians‘ mentalizing capacities and the intervention strategies to improve them.AimPresent a systematic review of empirical studies on factors associated with healthcare professionals‘ mentalizing capacities and the effectiveness of intervention programmes designed to improve these capacities.MethodFollowing PRISMA‐guidelines, a systematic literature search was conducted in PubMed, PsycINFO, Cochrane Library and CINAHL.ResultsOut of a systematic search with 1537 hits, 22 studies were included. Personal factors positively associated with mentalizing capacities of healthcare professionals are being female, greater work experience and having a more secure attachment style. Psychosocial factors are having personal experience with psychotherapy, burnout, and in the case of female students, being able to identify with the female psychotherapist role model during training. Evidence that training programmes improve mentalizing capacities is limited.DiscussionMental health nurses are underrepresented in research on mentalizing capacities of healthcare professionals and training programs to improve these capacities are practically absent.Implications for PracticeFor mental health nurses, training in basic mentalizing theory and skills will improve their capacities in building effective working relationships with patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mentalizing capacities of mental health nurses: A systematic PRISMA review

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Swildens

Knapen

et al. 2023

Psychiatric Ment Health Nurs

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“…Bordoagni et al [ 22 ] evaluated the attachment style and mentalization capacity in nurse professionals and nursing students and investigated the impact of these factors on burnout in professional nurses. The author’s results importantly highlight the usefulness of the assessment of attachment style and mentalization in professional nurses to elucidate and reinforce the role of protective factors against burnout [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Strategies for Managing Stress by Polish Nurses during the COVID-19 Pandemic

Stefanowicz

Słomion

Rąpała³

2022

Healthcare

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Background: The COVID-19 pandemic is having a negative impact on the mental health of nurses around the world. The aim of the study was to assess the sense of fear and the degree of exposure to SARS-CoV-2 infection and to estimate the influence of various factors on the fear of SARS-CoV-2. We analysed methods and strategies for coping with stress used by Polish nurses during the COVID-19 pandemic. Methods: The study was conducted using a diagnostic survey, which included a self-constructed questionnaire and a standardized psychological questionnaire: Brief-Cope. Results: A total of 361 nurses confirmed their participation in the study. Most of the nurses were ages 31 to 50 (48.2%), lived in a city (83.7%), and had a master’s degree in nursing (45.7%). Nurses ≥ 51 years of age, with ≥ 21 years of work experience and with secondary education in nursing and master of nursing were more likely than other nurses to agree with the statement, I am afraid of contracting the SARS-CoV-2 (appropriately p = 0.009, p = 0.007, p = 0.014). During the outbreak of COVID-19, nurses most often took action to improve the situation, reflecting on and planning what to do. The most frequent means of coping with stress by Polish nurses during the COVID-19 outbreak were problem-focused strategies. The least frequent strategy was the use of substances (taking substances to alleviate unpleasant emotions), considered to be the least effective, but useful in some situations. Conclusions: Most nurses were afraid of being infected with COVID-19. The most frequently used strategies for coping with stress by Polish nurses during the COVID-19 pandemic were problem-focused strategies. Nurses should receive psychological support and assistance from the employer in improving their working conditions.

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“…Ultimately, the presence of burnout would prejudice the student's subsequent career, restricting the skills and qualifications obtained and leading to disillusionment with the profession ( 17 , 18 ). The proper management of factors related to burnout would help prevent its appearance and enable trainee nurses to better adapt to the clinical environment ( 19 , 20 ).…”

Section: Introductionmentioning

confidence: 99%

Factors related to the appearance and development of burnout in nursing students: a systematic review and meta-analysis

Velando‐Soriano

Suleiman‐Martos

Pradas‐Hernández

et al. 2023

Front. Public Health

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IntroductionBurnout may be suffered not only by experienced nurses, but also by those in training. The university environment can be highly stressful for student nurses, who are exposed to various stress-producing situations.AimThe aim of this study is to identify and analyse the main risk factors for burnout among nursing students.MethodsA systematic review with meta-analysis was performed. The search equation used was “Burnout AND Nursing students”. Quantitative primary studies on burnout in nursing students, and related risk factors published in English or Spanish and with no restriction by year of publication were included.ResultsA sample of n = 33 studies were included. Three variables are identified can influence burnout in nursing students: academic, interpersonal, environmental and/or social factors. The meta-analyses, with the higher sample of n = 418 nursing students, show that some personality factors, empathy, and resilience are correlated with emotional exhaustion, depersonalization and personal accomplishment.ConclusionThe personality factors that can influence the development of burnout in nursing students, such as resilience and empathy, among others, must be taken into account when preventing the appearance and treating burnout. Professors should teach nursing students to prevent and recognize the most frequent symptoms of burnout syndrome.

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Burnout, Attachment and Mentalization in Nursing Students and Nurse Professionals

Cited by 11 publications

References 15 publications

Mentalizing capacities of mental health nurses: A systematic PRISMA review

Mentalizing capacities of mental health nurses: A systematic PRISMA review

Analysis of Strategies for Managing Stress by Polish Nurses during the COVID-19 Pandemic

Factors related to the appearance and development of burnout in nursing students: a systematic review and meta-analysis

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