RESUMO
This study investigates the effects of a primary nursing care delivery system on some work-related factors of nurses in long-stay psychiatric care settings. In a quasi-experimental research design a cohort of 176 nurses was followed for 2.5 years. Results showed that as a result of primary nursing the primary nurses found more autonomy in their work and experienced it to be less complex. Furthermore, primary nurses performed personal care tasks less frequently and worked more according to a patient-oriented care model. Several additional analyses were performed owing to the two main problems encountered in this study, namely a high dropout due to job turnover among nurses and the imitation of the intervention by the control group.
Assuntos
Cuidados de Enfermagem/métodos , Enfermagem Psiquiátrica , Adulto , Análise de Variância , Feminino , Seguimentos , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , Países Baixos , Processo de Enfermagem , Autonomia Profissional , Análise e Desempenho de TarefasRESUMO
The purpose of this study was to describe the relative strengths of a number of variables on burnout among psychiatric nurses. A meta-analysis of correlations revealed that burnout was negatively associated with job satisfaction, staff support and involvement with the organization and positively associated with role conflict. The results of the meta-analysis were in line with results of other studies in which different populations were investigated. Therefore, the findings as such are not specific to psychiatric nurses. Based on the literature, three typical risk factors of burnout among psychiatric nurses were found: the patient group the nurse works with, such as patients who are aggressive and suicidal; the inequity in the exchange process between nurses and patients; and the unrealistic expectations of nurses of the patients' potential for rehabilitation.
Assuntos
Esgotamento Profissional/psicologia , Enfermeiras e Enfermeiros/psicologia , Enfermagem Psiquiátrica , Esgotamento Profissional/etiologia , Humanos , Satisfação no Emprego , Apoio SocialRESUMO
The aim of this study was to investigate the relationship between burnout and a number of work-related factors among nurses working in psychiatric long-stay care settings. Another aim was to investigate the differences between these associations at individual and at group level. Differences were found in the correlations, as well as in the regression analyses, at individual and group level. The correlations between burnout and the independent variables were more often significant at individual level and the explained variances of the regression analyses were much higher at ward than at individual level. Results showed that work environments associated with low levels of burnout were those in which workers had good support and feedback, job clarity, autonomy and low levels of complexity in their work, who had managers with a social leadership style and who had realistic expectations about their patients' potential for rehabilitation. Furthermore, it was found that it was not the individual work experience of the nurse that was important in determining burnout, but the mean work experience of the nursing staff.
Assuntos
Esgotamento Profissional/etiologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Enfermagem Psiquiátrica/normas , Adulto , Análise de Variância , Estudos Transversais , Feminino , Hospitais Psiquiátricos/normas , Humanos , Assistência de Longa Duração/psicologia , Masculino , Países Baixos , Análise de Regressão , Estudos de Amostragem , Local de Trabalho/psicologiaRESUMO
This study was set up to test the effectiveness of primary nursing on the burnout level of psychiatric nurses. It was expected that, under certain conditions, such as a primary nursing care delivery with an adequate feedback system, the burnout level would decrease. In a quasi-experimental research design, a cohort of 161 psychiatric nurses was followed for 2.5 years. Results showed that although the burnout level did not change as a result of primary nursing, psychiatric nurses and the practical nurses seemed able to work according to the principles of primary nursing. Strong indications were found that the job turnover decreased as a result of the introduction of primary nursing. Because two main problems were encountered in this study, a high drop-out due to job turnover among nurses and the imitation of the intervention by the control group, several additional analyses were performed.