Relationship between Psychiatric Nurse Work Environments and Nurse Burnout in Acute Care General Hospitals

Abstract

Following deinstitutionalization, inpatient psychiatric services moved from state institutions to general hospitals. Despite the magnitude of these changes, evaluations of the quality of inpatient care environments in general hospitals are limited. This study examined the extent to which organizational factors of the inpatient psychiatric environments are associated with psychiatric nurse burnout. Organizational factors were measured by an instrument endorsed by the National Quality Forum. Robust clustered regression analysis was used to examine the relationship between organizational factors in 67 hospitals and levels of burnout for 353 psychiatric nurses. Lower levels of psychiatric nurse burnout was significantly associated with inpatient environments that had better overall quality work environments, more effective managers, strong nurse-physician relationships, and higher psychiatric nurse-to-patient staffing ratios. These results suggest that adjustments in organizational management of inpatient psychiatric environments could have a positive effect on psychiatric nurses’ capacity to sustain safe and effective patient care environments.

Occupational Burnout Syndrome in the nursing context: an integrative literature review

“…Overall, studies propose generalizations without giving due attention to the specificities of hospital sectors, assuming that the different work contexts present similar risks for the onset of OBS (71,94) , which is not always proven. Furthermore, emergency rooms and palliative care units are the least investigated sites probably due to difficulties in research operationalization (14,41,57,102) , although a small concentration of studies on OBS in intensive care nurses can be found (19,22,(39)(40)(92)(93) . Still, the need for further investigations on OBS in professionals from acute care (59,62) and psychiatric ward units (57,86) is clear, given that these are places which in theory present greater risks in relation to the syndrome due to the type of work performed and the attended patients.…”

Sindrom sagorijevanja i mentalno zdravlje kod medicinskog osoblja sa psihijatrijskog i nepsihijatrijskih odjela

“…Deskriptivni podaci prikazani su u tablici 1. Prosječna je dob sudionika 35,66 (raspon od 23 do 62 godine), a prosječne godine radnog U skladu s time, različita dosadašnja istraživanja pokazuju da su medicinske sestre zaposlene na psihijatrijskim odjelima općenito u velikom riziku od sagorijevanja 6,14,16,17,18,19,20,21 u usporedbi s medicinskim sestrama zaposlenima na drugim bolničkim odjelima te imaju više sagorijevanja na poslu 11,22,23 .…”

“…Pri usporedbi sestara/tehničara sa psihijatrijskih i nepsihijatrijskih odjela nije nađena statistički značajna razlika u učestalosti visokoga profesionalnog sagorijevanja, iako su neka prethodna istraživanja pokazivala taj trend 11,22,23 .…”

“…U istraživanju psihijatrijskih medicinskih sestra u Južnoj Africi dobivene su visoke razine sagorijevanja na sve tri dimenzije 19 , dok je istraživanje psihijatrijskog osoblja u Jordanu pokazalo visoku razinu emocionalne iscrpljenosti te umjerene razine depersonalizacije i osobnog postignuća 17 . U Americi, Škotskoj i Australiji osoblje pokazuje umjerenu emocionalnu iscrpljenost i nisku depersonalizaciju, ali postoje razlike na dimenziji osobnog postignuća -u Americi je visoko, u Škotskoj umjereno, a u Australiji nisko 14,18,38 . Osoblje s nepsihijatrijskih odjela također je imalo više rezultate na gotovo svim ispitivanim varijablama osim depersonalizacije, među-tim te razlike nisu dosegnule razinu značajnosti.…”

Thai Psychiatric Nurses’ Experiences and Perceptions of the Professional Role When Caring for Older People Displaying Depressive Symptoms

“…These emotions can lead to burnout. The prior research found that higher psychiatric nurse-to-patient staffing ratios are one of the factors that cause psychiatric nurse burnout [32]. Moreover, it also found that an increased workload or lack of resources are the main stressors of the psychiatric nurses.…”