Stress and burnout in forensic psychiatric nursing (original) (raw)
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International Journal of Mental Health Nursing, 2003
Within the nursing profession stress and burnout are considered to be widely present and problematic. These factors tend to impact negatively on job satisfaction and ultimately affect the retention of nurses. Psychiatric/mental health nursing as a specialty is considered to be a highly stressful environment; however, there is a paucity of research in this area. The current study adopted a survey design to compare forensic psychiatric nurses (n = 51) with psychiatric nurses from a mainstreamed mental health service (n = 78) in relation to burnout and job satisfaction. Forensic nurses displayed lower burnout and higher job satisfaction than their counterparts from the mainstreamed services. These findings are surprising in light of the image of forensic psychiatric nursing as dangerous and unpredictable.
Work-related stress in forensic mental health professionals: a systematic review
Journal of Forensic Practice, 2017
Purpose The purpose of this paper is to investigate the prevalence of stress and burnout among forensic mental health (FMH) professionals. Design/methodology/approach A systematic review of the available literature accessed by relevant databases was conducted. Findings This study concluded that FMH suffer from moderate levels of both stress and burnout. There is insufficient evidence to establish that they suffer from higher levels of stress than their non-forensic colleagues. Interventions such as psychosocial intervention training have been reported to demonstrate an improvement in staff knowledge and attitudes towards patients, whilst reducing burnout. Practical implications Stress in FMH is a cause of concern. Conclusions drawn are applicable only to nursing staff as other professions were not adequately represented. As most studies used the burnout scores, results were directly comparable. Further research is needed to fully evaluate stress and burnout in professionals who work...
Burnout in community mental health nurses: findings from the all-Wales stress study
Journal of Psychiatric and Mental Health Nursing, 2000
Stress and its outcomes are significant problems for mental health workers. Questionnaires were sent to 614 community mental health nurses (CMHNs) in Wales. Three hundred and one responded (49%). Of these, 283 completed the Maslach Burnout Inventory (MBI) (Maslach et al. 1996). Half of those who responded indicated that they were emotionally overextended and exhausted by their work. One quarter of respondents were found to possess negative attitudes towards their clients, and approximately one in seven experienced little or no sense of satisfaction with their work. Working in an urban environment and lacking a supportive line manager were indicators for higher emotional exhaustion. CMHNs were significantly more likely to have negative attitudes towards their clients if they: were male; worked with an elderly care caseload; lacked job security; and had an unsupportive line manager. However, CMHNs who had worked longer within the field of community mental health were more likely to have positive attitudes towards their clients. Those CMHNs who had not completed a specialist postqualifying education course and those who did not hold a supervisory or management position were found to have a lowered sense of personal satisfaction in their work. Those CMHNs who reported that they drank alcohol were more satisfied with their sense of personal accomplishments achieved in their work.
Burnout syndrome: a preliminary study of a population of nurses in italian prisons
La Clinica terapeutica, 2020
INTRODUCTION Burnout is a set of psychological manifestations ("emotional exhaustion", "depersonalization" and reduced "personal accomplishment") that principally affects healthcare professionals. OBJECTIVES Analysis of the level of burnout among twelve nurses who work in two Italian prisons. MATERIAL AND METHODS The Maslach Burnout Inventory was administered. In order to explore possible correlations between the three dimensions of the Maslach Burnout Inventory and such variables as age, years of service in general and years of service in prisons, multiple regression based on the ordinary least squares method (OLS model) was performed. RESULTS The response rate was 100%, of whom 66.6% female and 33.4% male. The average age is 38.1 years. Over half of the sample had worked from 0 to 10 years in prisons (58.4%), and only one respondent had done so between 21 and 30 years (8.3%). The data indicate that the highest levels of burnout concerned the dimension...
Prevalence of burnout among nurses working at a psychiatric hospital in the Western Cape
Curationis, 2020
Background: Nurses are exposed to stress when working in the mental health care environment. This may be because of nurses being frontline health care providers. They develop close interpersonal relationships with mental health care users (MHCUs), which is inherent in the type of care that is provided. Mental health nursing may therefore be demanding and stressful, which could render mental health nurses susceptible to burnout. Objectives: To determine the prevalence of burnout among nurses working at a selected psychiatric hospital in the Western Cape. Methods: A quantitative, descriptive, survey design, by using simple random sampling was used to select 198 nurses employed at a psychiatric hospital in the Western Cape, South Africa. Maslach Burnout Inventory-Human Services Survey measuring emotional exhaustion, depersonalisation and personal accomplishment was used to collect the data. Domain scores were calculated, and the influence of the demographic variables on the domains was tested with independent samples Kruskal-Wallis tests and Mann-Whitney U tests. Results: The study had a 100% response rate. Most of the respondents experienced low emotional exhaustion, low depersonalisation and high personal accomplishment. Enrolled nursing assistants reported significantly higher emotional exhaustion than did the advanced psychiatric nurses and professional registered nurses. Respondents with more than 5 years of experience scored significantly higher in depersonalisation. No respondents met the criteria for burnout on all three domains. Conclusion: Maintaining a safe working environment with adequate nursing staff is recommended. Strategies to prevent burnout in the future include the provision of resources and the promotion of open communication between staff and management.
Journal of Psychiatric and Mental Health Nursing, 2000
This questionnaire study aimed to investigate nurses' views regarding the areas of responsibility, work content and the theoretical perspectives found to dominate nursing duties in Swedish forensic care. The sample (n = 350) was chosen randomly from the five forensic units which provide treatment for patients in Sweden and there was a response rate of 70% (n = 246). The role of the nurses consisted mainly of actions related to activities of daily living (ADL)-activities. It is worth noting that, within the area of ADL-activities, practical work on the ward was the nurses' most common responsibility as well as work content. Less dominating aspects, were educating patients' families, leading group discussions with family or patients, co-operating with social authorities as well as activities related to life outside the unit. There were no significant differences with regard to gender but several differences between registered nurses (RNs) and licensed mental nurses (LMNs) were noted. There were mostly weak correlations between areas of responsibility or work content and theoretical perspectives. The results thus suggest that nurses in forensic care view their work to be mainly directed at patients' capacity for ADL-activities, medical psychiatric actions, informing and educating patients and families and assessing patients. An even greater emphasis on these aspects may be warranted because of the patients' serious deficits in social and life skills. It may be useful to consider an increased focus on a psychoeducational approach and to develop and test methods focusing on the development of patients' capacity for activities related to daily living in a broad sense. Further research is needed to investigate whether the aspects that dominate nursing care also coincide with what the patients apprehend as beneficial for their recovery.
Prevalence of burnout among nurses working at a selected psychiatric hospital in Western Cape
2018
Background: Research studies allude to the escalation of work related stress, which leads to burnout among mental health nurses, internationally. Mental health nursing is stressful because it is a helping profession that involves close interpersonal working relationships and the burden of providing nursing care to mental health care users (MHCUs) with complex emotional demands. These stressful working conditions render mental health nurses susceptible to burnout. Globally, health care services share a concern about the effects of burnout on nurses. Although burnout is a personal experience for the nurses, the results impact negatively on the quality of care delivered to MHCUs, while increasing the cost of care of the hospitals, which employ these mental health nurses. Aim and objectives: The aim of this study was to investigate the phenomenon of burnout in mental health nurses working at a selected psychiatric hospital in the Western Cape, South Africa. The objectives of this study were: to determine the prevalence of burnout among mental health nurses; and, to determine the correlation between the emotional exhaustion and the depersonalisation domains, depersonalisation and the lack of personal accomplishment domains, and the lack of personal accomplishment and emotional exhaustion domains. Method: A descriptive, survey design, using simple random sampling was used to select 198 nurses employed at a psychiatric hospital in Western Cape, South Africa. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS), which is a 22 item, Likert type, structured questionnaire was used to collect the data with a response rate was 84 %(n= 167). The data were analysed using Statistical Package for Social Sciences (SPSS), version 24. Findings: The results of this study revealed that the respondents experienced low emotional exhaustion, low depersonalisation, and a high lack of personal accomplishment, which concluded that they did not suffer from burnout. In addition, there was a positive correlation between the emotional exhaustion and depersonalisation domains, a negative correlation between the emotional exhaustion and personal accomplishment and a negative correlation between depersonalisation and personal accomplishment.
Forensic psychiatric nursing: skills and competencies: I
This paper reports on an investigation into the skills and competencies of forensic psychiatric nurses from the perspective of three groups: (A) forensic psychiatric nurses; (B) non-forensic psychiatric nurses; and (C) other disciplines. A national survey of forensic psychiatric services in the UK was conducted, and information gathered on the perceived skills and competencies in this growing field of psychiatric practice. From 3360 questionnaires, 1172 were returned, making a response rate of 35%. The results indicate a small discrepancy between forensic nurses' and non-forensic nurses' perceptions of the role constructs of forensic practice. However, a larger difference was noted between nurses' perceptions and other disciplines' perceptions of the constituent parts to forensic psychiatric nursing. Nurses tended to focus on personal qualities both in relation to themselves and the patients, while the other disciplines focused on organizational structures both in defining the role and in the resolution of perceived deficits. The findings have implications for multidisciplinary working, as well as policy formulation and curriculum development in terms of the skills and competencies of forensic nurse training.