Purpose: To describe an educational workshop delivered to travel nurses, with analysis of the shared discussion. Background: Travel nurses work beyond the realm of traditional nursing positions as they typically are contracted for short periods of time, fill positions created by nursing shortages, and are willing to work in various capacities. As currently conceptualized, compassion fatigue is comprised of compassion satisfaction, burnout, and secondary traumatic stress. Travel nurses are at risk for compassion fatigue as they often work on high acuity units such as emergency room and ICU. Additionally, travel nurses lack natural support systems as they often work far from usual supports such as family, which may increase the risk of compassion fatigue. Method: A two-part educational workshop was developed to reduce the risk of compassion fatigue among travel nurses (N=3). Workshops included education and skills training. Participants discussed their experiences, symptoms, and strategies they used to cope with the negative constructs of compassion fatigue. They journaled and make notations of personal and professional experiences including symptoms, triggers, and self-reflection of compassion fatigue and skills learned. Findings: Commonalities included symptoms of fatigue, isolation, disassociation, second-hand grief, physical pain, dysfunctional communication, and questioning role as a nurse. Triggers to compassion fatigue included limited resources, patient complexity, length of shift, patient influences such as gratitude for nursing service, and witnessing loss. Outcomes included self-medicating with alcohol, self-isolating, working extra shifts, and not debriefing with clinical professionals. Implications: Travel nurses experience symptoms of compassion fatigue including burnout and secondary traumatic stress that is consistent with other nursing professionals. The participants did not understand the phenomenon and had no knowledge of how to protect against compassion fatigue. Travel nurses would benefit from incorporating skills and strategies to address the phenomenon of compassion fatigue, burnout and secondary traumatic stress. The data from this educational intervention project magnify the knowledge currently known about the impact and experience of compassion fatigue in nursing populations, specifically travel nurse populations. It provides insight into the possible benefit of focus group discussions and self-care strategies in lessening the impact of compassion fatigue in travel nurse populations.

M.A. / From the conceptualisation of burnout in the 1970’s until present day, burnout has been recognised as a significant problem for both individuals and organisations. Although originally confined to the helping professions, the notion that burnout can also occur in university students has recently emerged. University students experience a myriad of stressors on a daily basis, and may develop burnout and several of the symptoms of burnout. This in turn may have deleterious consequences for both the student and the university. With the recently developed Maslach Burnout Inventory - Student Survey, the examination of burnout in university students has received increasingly more research attention. However, the psychometric properties of this instrument has received limited research attention in South Africa. The relationship between burnout and personality has also received limited attention, both internationally and in South Africa. The role of personality in burnout is considered pertinent to a complete conceptualisation of the antecedents to burnout. Recent research suggests that Neuroticism and Extroversion tend to consistently demonstrate a relationship with burnout. The present study aimed to explore the notion of burnout in university students in the South African context, relying on the three-factor structure definition of burnout as forwarded by Maslach and Jackson (1981). These three factors, namely emotional exhaustion, depersonalisation and reduced personal accomplishment were complemented with a fourth structure, namely professional inefficacy, as suggested by Bresó, Salanova and Schaufeli (2007) and Schaufeli and Salanova (2007).

This study sought to determine whether there is a significant difference in the level of burn-out between general elementary music educators employed by Miami-Dade County Public Schools and general elementary music educators from the rest of Florida. Burn-out can be defined as a state where a professional feels completely fatigued, dehumanized, reduced in regard to achievement, chronic despair, and withdrawn (Dworkin, 1987). Previous studies of this syndrome have used a Maslach Burn-out Inventory (M.B.I) to assess burn-out indicators. This study examined morale in the current educational atmosphere, using a modified M.B.I. to identify differences between two sample sets: one from Miami-Dade County Public Schools and another from other Florida counties. Applying the Mann-Whitney U test to the results revealed significant differences between the two populations on four items. In conclusion, areas of high stress for teachers were related to the FCAT, administrative support, and job security.

This thesis explores the relationship between work environment and burnout by examining the question: Do workers experiencing burnout see their work environment more negatively than co-workers who are not burned-out? The goal is to explore the potential usefulness of measures of work environment and burnout to guide efforts at burnout intervention and prevention. Thirty-nine family and childcare workers from five sites in the Vancouver area responded to a survey to test hypotheses addressing this question. The work environment and burnout were found to be highly interactive with the work environment variables of supervisor support and clarity identified as key factors in burnout. The Maslach Burnout Inventory and Moos (1981) Work Environment Scale were found to be useful instruments for intervention and future research. / Arts, Faculty of / Social Work, School of / Graduate

M.A. (Psychology) / The purpose of the· analysis was to translate the Maslach Burnout Inventory (MBI) into Afrikaans and to evaluate the metrical qualities of the translated and adjusted questionnaire, as well as to establish the difference between ministers with high and low burn-out, with regard to specific personality traits, anxiety, selfactualization and demographical and workrelated variables. The research design was of an ex post facto nature. The test sample consisted of 82 ministers of the Dutch Reformed Church of the Ring of Western Transvaal. They were randomly selected. The MBI was used to determine burn-out, the Sixteen Personality Factor Questionnaire (16-PF) to measure the primary personality traits, the IPAT Anxiety Scale to measure free floating manifested anxiety and the Personal Orientation Inventory (POI) for the measurement of selfactualization. A semi-structured questionnaire was used to obtain information about the demographical, workrelated and other variables of the experimental subjects. To determine the reliability of the inventory, Kuder Richardson coefficients were computed for the various subscales of the adjusted MEl. Determination of validity involved the calculation of Bravais-Pearson correlation coefficients between the various subscales in relation to each other and between other criterion measurements. to determine burn-out vary The U-test of Mann-Whitney was conducted whether persons with low and high with regard to specific personality

M.Cur. (Nursing Management) / The largest and most expensive asset of any health care institution is its human resources. Mol [1984 : 1J quite correctly says that no organization can reach its full potential when these resources are not utilized effectively. The researcher has noticed certain behavior patterns amongst the nursing staff in intensive care units. These behaviour patterns include an increase in staff turnover and absenteeism. The question that arose was whether it could be ascribed to professional burnout and whether nursing managers could be contributing to the cause thereof. Th. burnout syndrome is a slowly developing psychologically destructive process, which is in relation to the effect the work environment· has on the individual. The consequences of professional burnout has many negative effects on the nurse, ·the patient, the profession and the health care delivery system. The concept of professional burnout is described with reference from the literature and by means·of a survey the following was determined, that:- all nurses working in intensive care units in the hospital were the research was conducted, had experienced symptoms of professional burnout; the majority of these nurses perceive their work situation as severely stressful; and - nursing managers are overwhelmingly applying the autocratic leadership style. Some of the important conclusions culminating from this study are that:- all these nurses experience one or other degree of professional burnout as a result of experiences resulting from unresolved stress in the work environment; and the nursing manager possibly uses ineffective management strategies due to a lack of management training, thus contributing to professional burnout.

This study investigated the impact of a psychoeducational and experiential structured counselor self-care curriculum, developed by Drs. Charles and Kathleen Figley, on compassion fatigue and the prevention of professional impairment as measured by the Professional Quality of Life (ProQOL), Version 5. Volunteer licensed professional counselors, supervisors, and interns from four children's advocacy centers in Texas were assigned to treatment group (n = 21; 20 females, 1 male; mean age 34.4 years) or waitlist control group (n = 21; 19 females, 2 males; mean age 34.6 years). Participating counselors identified themselves ethnically as 64% Caucasian, 26% Hispanic, 7% African-American, and 2% Native-American. Employing a quasi-experimental design, three reliability-corrected analysis of covariance (ANCOVA) were utilized to analyze the data with an alpha level of .05 to assess statistical significance and partial eta squared to assess effect size. With pre-test scores as the covariate, results revealed in the experimental group a statistically significant reduction with large treatment effect for burnout (p = .01; partial ?2 = .15), a statistically nonsignificant reduction with a medium effect for secondary traumatic stress (p = .18; partial ?2 = .05), and a statistically nonsignificant increase with a medium effect for compassion satisfaction (p = .06; partial ?2= .09). Findings supported the use of this curriculum to train counselors on self-care as required of professional counselors by the American Counseling Association code of ethics and listed as a necessary skill in the standards of the Council for Accreditation of Counseling and Related Educational Programs.

The relationship between occupational stress and burnout was investigated through a meta-analysis of 81 studies and 364 correlations. Occupational stress was measured by role conflict, role ambiguity, workload, cumulative role stress, job specific stress/stressors, and work setting characteristics. Burnout was measured by the Maslach Burnout Inventory, 1981 and 1986 versions, emotional exhaustion, depersonalization, and reduced personal accomplishment components of burnout, measures of tedium, and the Staff Burnout Scale for Health Professionals. Thirty occupations in human and non-human service organizations throughout four publication periods were examined. Results indicated occupational stress strongly predicts burnout in non-human service organizations like industry and manufacturing as well as the human services. Job specific stressors most strongly predict burnout across organization types and occupation. Occupational stress predicts emotional exhaustion and depersonalization more than perceptions of reduced personal accomplishment. The findings support the use of transactional models of stress which consider occupational context as a precipitator of burnout, especially emotional exhaustion.

The concept of compassion fatigue (CF) emerged in the early 1990s in North America to explain a phenomenon observed in nurses employed in emergency departments. A precursor to burnout, CF is a well-known phenomenon associated with emotional exhaustion, depersonalization, and an inability to work effectively. In nurses, CF has been shown to reduce productivity, increase staff turnover and sick days, and lead to patient dissatisfaction and risks to patient safety. The aim of this study was to determine if the use of a Watson Room designated as a 'quiet zone' with warm colors on the wall, massage chair, and soothing sounds in the workplace environment, reduced CF in clinical nurses at the bedside in acute care settings. The data came from a survey of nurses (n = 19) working in a level 1 trauma center in an acute care setting. This quantitative study was conducted over a two week period. A single-group of nurses completed both a pre and post professional quality of life (ProQol) survey, a 30 item self-measurement of positive and negative aspects of caring. The ProQol operationalizes in three subcategories: compassion satisfaction (10 items), burnout (10 items), and CF (10 items). The ProQOL survey results showed statistically significant differences in the mean scores in all three categories. Paired samples t tests indicate the Watson Room proved to be successful in increasing compassion satisfaction (p = .009), decreasing burnout (p = .002), and decreasing secondary trauma/CF respectively (p = .02). This study shows the importance of nurses taking care of themselves while taking care of others. Understanding CF and devising and implementing interventions to address the subject are important for nurses and patients.

Data were collected from 388 administrators from ten urban and suburban school districts in Oregon and Washington to identify the work values of public school administrators, (as measured by the Ohio Work Values Inventory, OWVI), and determine the relationship between public school administrator role perceptions associated with burnout, (as measured by the Administrator Role Perception Inventory, ARPI), and their work values. The data were analyzed by levels of administration, background data and specific scales on the instruments. Cluster sampling by district was used; i.e. all administrators within each of ten school districts in Oregon and Washington comprised the initial sample of 701 administrators. The independent variables of the study were level of administration and the biographical descriptors of sex, age, education, administrative work experience and years of administrative experience at the same job and at the same location. The dependent variables were the seven constructs of the ARPI and the eleven constructs of the OWVI. The results indicated only moderate burnout in administrators in the sample and no statistically significant differences in the burnout among different levels of administration, although respondents reported moderate to considerable job stress. There were no significant differences in the burnout of male and female administrators and in nine of the 11 work values measured. Women administrators assigned statistically significantly more importance to the work values of Self-realization and Ideas/Data. In total, there were 35 statistically significant correlations between the OWVI scales and the ARPI subscales and the Total ARPI scale, indicating there are statistically significant relationships between administrator work values and role perceptions associated with burnout. Statistically significant differences were found between three work values of central office administrators and elementary school administrators, with central office administrators assigning statistically significantly more importance to the work values of Independence and Prestige and less importance to Altruism than did elementary school administrators and statistically significantly more importance to Independence than building administrators. Respondents assigned the greatest importance to the work value of Task Satisfaction and the least importance to Solitude. Administrators assigned considerable importance to the work values of Altruism, Independence and Ideas/Data Orientation.