Occupational Stress and Burnout in the Nursing Profession

McAbee, Roberta

doi:10.1177/216507999103901204

Cited by 18 publications

(13 citation statements)

References 38 publications

(38 reference statements)

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“…According to the findings of this national study, the major sources of increased stress that relate to patient care involve: the deteriorating condition and death of patients, the close and dependent relationships that nursing personnel develop with them, and the fear about possible contamination by patients who are carriers of HIV or hepatitis. These findings are in accord with findings of other studies conducted in different countries (15)(16)(17)(18).…”

Section: Du: Dialysis Unit Pdu: Peritoneal Dialysis Unitsupporting

confidence: 93%

Job‐related stress among nursing personnel in Greek dialysis units

et al. 2001

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The purpose of this study was to describe specific work-related factors that contribute to increased levels of stress experienced by nursing personnel, and to compare their impact on nurses and assistant nurses who work in Dialysis Units (DU) to those who work in Peritoneal Dialysis Units (PDU) in Greece. The sample of the study consisted of 682 members of nursing personnel working in DU and in PDU in Greek Hospitals. The collection of data was done by means of a questionnaire. The latter included questions about the motivation of nursing personnel for having chosen to work in these units along with questions about the stress factors related to the patients and their care, the role of the nurse in the unit, and the working conditions. According to the results of the study, the percentage of nursing personnel working in DU or PDU by their own choice was 71% and 8.3% respectively, whereas the rest of the staff were placed there irrespective of their preferences, by the Administrators. Among nursing personnel who had chosen to work in DU, the reported motives that contributed to their decision were the absence of a night shift (27.8%), and working in a closed unit. The main motive that incited nursing personnel to work in PDU was the acquisition and the application of specialized knowledge. The percentage of nursing personnel working in DU that expected high levels of job satisfaction was 77%, whereas the corresponding percentage for nursing personnel working in PDU was 65%. However, only 44% and 37% of the nursing personnel working in DU and PDU reported high levels of job satisfaction. The most important stressors related: i) To the patient: were the risk of contamination (79% DU, 84% PDU) and the death of a patient (77% DU, 80% PDU). 2) To the role of nursing personnel in the unit: were increased responsibilities (65% DU, 37% PDU), low involvement of the nursing personnel in decision making (58% DU, 54% PDU), and low professional status of nursing personnel. 3) To the working conditions: were the shortage of nursing personnel (74% DU, 99% PDU), limited material (74% DU, 57% PDU), the closed environment (75% DU, 64% PDU) and the daily work routine (78% DU, 61% PDU). In conclusion, we can say that working in DU and PDU provokes increased stress in nursing personnel, even though the implicated stress factors differ between these units.

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Section: Du: Dialysis Unit Pdu: Peritoneal Dialysis Unitsupporting

confidence: 93%

Job‐related stress among nursing personnel in Greek dialysis units

et al. 2001

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“…The role of support and supervision within the`AIDS care relationship' appears important in this study. A number of authors describe the impact of support in ameliorating stress and burnout (Vachon 1987, McAbee 1991.…”

Section: The Role Of Support and Supervisionmentioning

confidence: 99%

Burnout and AIDS care‐related factors in HIV community Clinical Nurse Specialists in the North of England

Hayter

1999

Journal of Advanced Nursing

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Burnout in Acquired Immune Deficiency Syndrome (AIDS) care nursing is well described in the literature from a hospital based perspective. No studies into the effects of AIDS care and burnout have been carried out within the community setting. A two-stage, mixed method study was carried out. In Stage one 30 Clinical Nurse Specialists in human immunodeficiency virus (HIV)/AIDS from the North of England completed the Maslach Burnout Inventory (MBI) and the AIDS Impact Scale. For Stage two five practitioners were selected randomly for semi-structured interview. Burnout morbidity was significant. Sixty-six per cent of informants scored as moderate or high burnout cases on the emotional Exhaustion and Personal Accomplishment subscales of the MBI. Only three per cent scored as cases on the depersonalization subscale. Links between the close involvement of practitioners with clients, death of clients, isolation, stigma and discrimination and the availability of support and supervision were identified as significant factors in AIDS care within this population that contributed to stress and burnout. Paradoxically, informants found the close relationships with clients, the autonomy of isolation and the exclusive nature of AIDS care positive aspects of their practice. The role of support and supervision in facilitating the continuance of a close empathic and therapeutic relationship and the prevention of an over-involved, isolated and stressful relationship is proposed as a way forward.

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“…Negotiation, or its absence, was a feature of the roles, categorization of personal qualit-sonal and professional self-esteem, and this may push them away from participative care towards hierarchical ies and organizational context. Some participants had greater resources and space for negotiation, and this relationships, as the burnout literature describes (McAbee 1991). In terms of present health service ideology, this is seemed particularly to apply to therapists and doctors.…”

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confidence: 99%

Building a relationship: communications and relationships between staff and stroke patients on a rehabilitation ward

Jones

O’Neill

Waterman

et al. 1997

Journal of Advanced Nursing

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Communications among staff and patients on a stroke rehabilitation ward form the focus of this article, which reports on some aspects of a larger study using a grounded theory approach. Tape-recorded interviews were transcribed and analysed concurrently according to recommendations for the approach. A main theme entitled building a relationship was identified, and this process was found to occur in a context varying from participative at one end of a continuum to hierarchical at the other. Building a relationship was found to be influenced by role, personal qualities and organizational context. Appropriate relationships between role-holders were subject to negotiation, leading to a resulting congruence or incongruence between participants' expectations of each other and their roles. Personal qualities were brought into play in the process, with patients' views of staff and staff views of patients both being influential. Some of these views seemed to parallel what has been described in earlier literature as 'the sick role' and the labelling of patients as 'good' or 'bad'. Responses to personal qualities led to nurses ascribing meaning to patients' behaviour in terms of adjustment to their stroke, giving time to them to help them to adjust, and withdrawal and handing over to other staff if this strategy failed. Organizational context also had an influence on building a relationship, with time constraints being identified particularly by nurses, and the need to fit in the most essential aspects of care. Place was also important, in that nurses were confined to the ward as a work location, whereas other therapists and doctors worked in other places and sometimes had the facility to take patients off the ward to concentrate on therapy. The findings are discussed against the background of related literature and the conclusion is drawn that the crucial role of nurses in rehabilitation is not recognized and valued, and that shortages of resources-especially suitably qualified and trained nursing staff-are a negative influence on building the relationships which are vital to successful rehabilitation.

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Occupational Stress and Burnout in the Nursing Profession

Cited by 18 publications

References 38 publications

Job‐related stress among nursing personnel in Greek dialysis units

Job‐related stress among nursing personnel in Greek dialysis units

Burnout and AIDS care‐related factors in HIV community Clinical Nurse Specialists in the North of England

Building a relationship: communications and relationships between staff and stroke patients on a rehabilitation ward

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