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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
361

Analyse psychopathologique et interactionniste du stress professionnel chronique dans les métiers de l'urgence : étude des facteurs de risque et mise en place d'un programme de prévention / Psychopathological and interactionist analysis of chronic occupational stress in craft emergency : study of risk factors and implementation of a prevention program

Marien, Pauline 21 December 2012 (has links)
Le stress professionnel est un problème de santé publique en France. Néanmoins, peu de travaux français l’abordent auprès des Métiers de l’Urgence. Notre travail s’oriente autour de trois axes : i) l’adaptation et la validation du JSS aux (SP) (étude 1) ; ii) l’évaluation des modèles explicatifs du BO et du stress professionnel auprès de ces métiers (études 2, 3 et 4) et iii) la mise en place d’un programme de prévention secondaire sur 6 semaines (étude 5). Méthode : Pour les études 1 à 4, les SPP et les professionnels du SMUR ont répondu à des questionnaires centrés sur la psychopathologie du stress au travail, la personnalité et le coping. Quant à l’étude 5, l’efficacité du programme de prévention a été testée auprès de deux groupes de SPP (groupe contrôle versus groupe d’intervention) au travers de questionnaires sur le stress et le BO à trois temps de mesure (avant, après et trois mois après la fin du programme). Résultats : Le stress professionnel se caractérise par les dimensions « Pression professionnelle » et « Travail opérationnel ». En interaction avec certains patterns tempéramentaux, ces dimensions expliquent pour une part le BO. Quant au programme de prévention, une diminution de la sévérité des symptômes de stress et de BO est à noter entre le début et la fin du programme pour le groupe d’intervention. Conclusion : Travailler sur le stress professionnel nécessite une approche qualitative et quantitative du phénomène permettant une vision plus complète. Ceci permettra également d’adapter des programmes de prévention centrés tant sur l’individu que sur son environnement professionnel. / Occupational stress is a national health issue in France. However, few studies tackle it amongst the French Emergency workers. Our work focuses on three areas: i) the adaptation and validation of the Job stress survey among French firefighters (Study 1), ii) the evaluation of job stress and explanatory models of BO within these population (Studies 2, 3 and 4) and iii) the implementation of a secondary prevention program for 6 weeks (Study 5). Methodology: For the 1-4 studies, both firefighters and craft workers responded to questionnaires focused on the stress psychopathology at work, personality and coping. As for study 5, the effectiveness of the prevention program has been tested with two groups of professional firefighters: control group versus intervention group; through questionnaires on stress and BO. Three time measurement have been retained, namely before, after and three months after the end of the program. Results: The stress is characterized by two dimensions, namely the "job pressure at work" and the "operational work". In Interaction with some temperamental patterns; these two dimensions explain in part the BO. As for the prevention program, a decrease in the severity of both stress and BO symptoms is noted between the beginning and end of the program for the intervention group. Conclusion: Working on occupational stress requires a qualitative and quantitative approach allowing a more comprehensive vision. This will also adapt prevention programs focused on both the individual and its work environment.
362

Vid utmattningens gräns. Utmattningssyndrom som existentiellt tillstånd : Vårdtagares och vårdgivares erfarenheter av utmattningssyndrom och rehabilitering med en existentiell ansats i svensk vårdkontext

Eriksson, Ann-Kristin Mimmi January 2016 (has links)
Background and objectives: Stress-related illness is a growing public health problem in Sweden and it is the most common reason for sick leave today. Stress-related illness causes suffering on a number of levels and affects the patient’s health and life in the long term. The stress-related ill health also leads to consequences for society, causing high costs for sick leave and health care as well as lost workforce since people partially or entirely lose their capacity to work. Research on stress-related ill health and rehabilitation often underline work-related conditions as crucial in dealing with the problem. There is also research that points out psychosocial factors in understanding stress-related ill health. What we know little about is the existential perspective of clinical burn-out. Therefore, it is of importance to investigate people’s existential experiences of clinical burn-out and the significance of an existential perspective in rehabilitation. Aim: The overall aim of this thesis is to gain insight into the existential experience of clinical burn-out as well as to highlight the significance of an existential perspective in rehabilitation. In addition, the thesis aims to reach a deeper understanding of clinical burn-out from an existential point of view and contribute to the field with knowledge of the existential dimension of health. Methods: The study, conducted in 2011, is based on qualitative interviews made with an inductive hermeneutic approach. Five patients and seven care givers were interviewed, focusing their existential experiences of clinical burn-out as well as their experiences of rehabilitation with an existential approach. A strategic selection was made of informants in the context of a rehabilitation program with an existential approach for people diagnosed with clinical burn-out. The data was analysed in two steps. In the first step the data was interpreted with an inductive hermeneutic approach. In step two of the analysis, the data was interpreted with a deductive hermeneutic approach, using Karl Jasper’s concept of limit situation as a way of interpreting the existential experience. Aaron Antonovsky’s concept sense of coherence was used as a tool for understanding components that can contribute to restoring health. Results: In this study, the patients describe clinical burn-out as a comprehensive existential experience that can be perceived as being in between life and death, in a shadow world, trapped in a dead end. It’s a situation characterized by being powerless. It creates a need to comprehend one’s situation in order to be able to regain control and manage it. It’s a struggle to make sense of the life situation. When not being met with understanding, the patients lose hope. Existential issues in terms of meaning, existence and life choices become urgent. Working with the existential perspective requires trust, openness from both caregiver and patient, distinctness, a way to communicate it and courage to take on the challenge of dealing with existential issues. The perspective also requires that the existential suffering can be contained. Dealing with existential questions leads to self-knowledge and insights that enables a possibility to make different choices and leave negative behavioural patterns. Also, it can lead to a discovery of spirituality and religion as a resource in life. Besides their personal struggle for meaning, the patients see an existential void in society, leaving people without tools to handle existential needs. This is understood as something that affects people’s ability to handle stressful times in life. The care providers understand burn-out as a manifestation of a way of living that is not sustainable. It is an existential experience embodied in body and mind that can be experienced as being drained of life. It’s an existential challenge, causing grief when realizing one’s limitations as a human being. Also, loss of meaning and sense of existential vulnerability due to an experience of being annihilated is crucial for understanding the deep existential crisis that clinical burn-out can induce. This situation makes the patient ask existential questions about identity, meaning, values and direction. In the burnout-process the patients have distanced themselves from their own self and therefore need to reconnect with themselves. This makes the existential questions central in the rehabilitation as a way to reconnect to inner strength and resources, which are prerequisites for starting a health promoting, sustainable process which is empowering, making it possible to see oneself as a human being who experience meaning, not only as a patient with a diagnosis. Instead of finding meaning in the diagnosis, the patient’s existential questions and the existential experience is a key to moving forward, out of the situation. Meaning-making is therefore important in the rehabilitation. A holistic-existential approach and view of man makes it possible to work with the complexity of the situation. The holistic-existential approach creates synergies and offers an extra tool both for the caregiver and the patient. Focusing on the patient’s resources and competence makes it possible to see the crisis as a way to learn from it. The existential perspective in health care and rehabilitation is enabled by competence, openness, reliance, empathy and respect when meeting the patient. It also requires courage to take on the challenge of dealing with existential issues. It can be hard for both the patient and the care giver to confront existential suffering. It is the responsibility of the care giver to enable the existential perspective by acknowledging and making the existential perspective possible to communicate and work it through. The care providers understands values in modern society as contributing to people’s experience of feeling alone with existential needs, which intensifies their existential aloneness. The care providers’ experience is that the biomedical paradigm aggravates an existential perspective. The perspective is not associated with the care situation. There is a lack of knowledge about and understanding of the value of the existential perspective, all the way from the decision-making level to the clinical meeting with the patient. In addition, the paradigm affects how the patients express their illness. Also, the perspective requires time. Existential perspectives, therefore, tend to be concealed in the health care context. Applying Karl Jasper’s concept of limit situation, clinical burn-out can be interpreted as a defining existential experience. It can be understood as a limit situation when humans realize their limitations and at the same time get insights that are crucial for their lives. It’s an experience they wish they had not gone through, but on the other hand, it has led to insights they do not want to be without. The meaning-making process is health promoting by recreating meaning, the fundamental part of sense of coherence, which is crucial for a salutogenic direction. Conclusion: The existential state that the clinical burnout patients go through can, using Karl Jasper’s concept, be understood as a limit situation. According to Jasper’s reasoning, the limit situation can be perceived as facing an abyss, making it clear one has limitations as a human being. At the same time, the experience can be perceived as reaching a limit where humans can get insights about human life that can enhance life. Clinical burn-out, using Aaron Antonovsky’s concept, can be understood as a loss of the components that create sense of coherence. Loss of meaning is particularly central for understanding burn-out. Consequently, it is crucial to acknowledge the existential challenge that the patient is facing, as well as the importance of the meaning-making process for facilitating a movement in a health promoting manner. It gives a deeper understanding of the challenges and needs of patients suffering from clinical burn-out. The existential dimension of health has been highlighted in health promotion, but gets little attention in practice. This is especially significant in the health care context. This points out the need for a discussion about how the existential health dimension can be used as a resource in health care and rehabilitation and how this resource for health can be applied in a better way in health promotion and public health.
363

The impact of stress on elementary school principals and their effective coping mechanisms

Unknown Date (has links)
In today's era of high stakes testing and accountability, school principals are confronted with many difficult challenges in addition to those traditionally experienced by principals given the advent of No Child Left Behind (NCLB) and the many mandates each school principal must report on annually. With mandated curriculum standards and widespread demand to improve student achievement, principals face a multitude of administrative tasks. As the school accountability deadline to meet the 2014 federal objective of the No Child Left Behind Act of 2001 rapidly draws closer for the majority of states, this federal legislation has created increasingly high stress levels, potentially the highest ever, for principals across the country. ... The proposed study is significant to the field of education because this study provides the most current research regarding the mental and physical effects of work-related stress on elementary school principals in an era of increased accountability and the impact stress has on the school climate. Further, this study offers school principals a repertoire of effective coping mechanisms that can be utilized to help reduce their perceived stress levels. Over the time of the study, it was repeatedly reported by the principal participants that their work stress had increased, which was found to have impacted their health as well as the school climate. / by Joyce Krzemienski. / Thesis (Ph.D.)--Florida Atlantic University, 2012. / Includes bibliography. / Mode of access: World Wide Web. / System requirements: Adobe Reader.
364

Mobbing, burnout, and religious coping styles among Protestant clergy: a structural equation model and its implications for counselors

Unknown Date (has links)
This study investigates the relationship between mobbing, burnout, and religious coping styles among Protestant clergy. Mobbing is an emotionally abusive workplace behavior and is defined as the prolonged malacious harassment of a coworker by a group of other members of an organization to secure the removal from the organization of the one who is targeted. Mobbing has only recently become a focus of attention in the US. To date, there are no known studies investigating mobbing in the workplace setting of the church. The broad purpose of this study is to determine if Protestant pastors experience mobbing, how they are affected by it, and how they cope with it. Four religious coping styles - Self-directing, Collaborative, Deferring, and Surrender to God - are investigated to determine how coping styles of religious individuals function in mediating the effect of mobbing or burnout. Burnout is assessed throught he Maslach Burnout Inventory and measures emotional exhaustion, depersonalization, and reduced personal accomplishment. This study utilizes Structural Equation Modeling (SEM) and presents two models of mediational analysis.... The results of analysis indicate that Protestant clergy do experience being mobbed which results in emotional exhaustion and depersonalization. Clergy with a self-directing coping style experience more burnout than do those who utilize a surrender to God style. Differences in indirect effects between models were noted. The implications to theory and practice are discussed. / by Steven R. Vensel. / Thesis (Ph.D.)--Florida Atlantic University, 2012. / Includes bibliography. / Mode of access: World Wide Web. / System requirements: Adobe Reader.
365

A valida????o do Maslach Burnout inventory em l??ngua portuguesa: um estudo explorat??rio

GONZAGA, Alexandre Lu??s 24 November 2003 (has links)
Submitted by Elba Lopes (elba.lopes@fecap.br) on 2016-02-10T14:57:11Z No. of bitstreams: 2 Alexandre_Luis_Gonzaga.pdf: 709405 bytes, checksum: 4d482624a35ea9c5fee2573da0231a90 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-02-10T14:57:11Z (GMT). No. of bitstreams: 2 Alexandre_Luis_Gonzaga.pdf: 709405 bytes, checksum: 4d482624a35ea9c5fee2573da0231a90 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2003-11-24 / Burnout, a widely studied phenomenon, has been defined as having a three dimension structure. In this study, the instrument was translated to Portuguese and afterwards the survey was applied in a financial institution. The instrument was submitted to a statistic validation with the use of factorial analysis - Equamax rotation and tests KMO and Barlett - opening the way to the comparison with Barnet works et al. (1999), Gil-Monte (2002), Jimenez (2002) and Maslach & Jackson (1986). It was identified a structure with five factors in the process of validation of Maslach Burnout Inventory opening new perspectives of analysis of this syndrome in the working place. The octagonal rotation did not confirm the factors predicted by Maslach and Jackson. This way the factors were called: 1 - Street in the workplace; 2 - Interpersonal relationship; 3 - Satisfaction in the workplace; 4 - Interest in the customer service; 5 - Apathy in the workplace. / Burnout, um fen??meno amplamente estudado, tem sido definido como tendo uma estrutura fatorial de tr??s dimens??es. Neste estudo efetuou-se a tradu????o do instrumento para a l??ngua portuguesa, e o submetemos a valida????o segundo m??todos quantitativos, abrindo caminho para compara????o com os trabalhos de Barnet et. al. (1999), Gil-Monte (2002), Grajales (2000), Jimenez (2002) Schutte (2000) e Maslach & Jackson (1986). N??s identificamos uma estrutura de cinco fatores no processo de valida????o do instrumento de medida Maslach Burnout Inventory abrindo novas perspectivas de an??lise desta s??ndrome no ambiente de trabalho. A rota????o ortogonal n??o confirmou os fatores previstos por Maslach & Jackson. Assim, os fatores foram denominados: 1- Stress no local de trabalho; 2- Relacionamento interpessoal; 3- Satisfa????o no trabalho; 4- Atendimento ao cliente; 5- Apatia no trabalho.
366

Occupational stress, social support, and burnout syndrome among outreaching social workers of Hong Kong.

January 1986 (has links)
Ngai Sek-yum, Steven. / Bibliography: leaves 187-193 / Thesis (M.S.W.)--Chinese University of Hong Kong, 1986
367

Teacher burnout in Hong Kong secondary schools (China). / Teacher burnout in Hong Kong secondary schools / CUHK electronic theses & dissertations collection / Digital dissertation consortium

January 2002 (has links)
"May 2002." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (p. 362-387). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.
368

Child Welfare Workforce Turnover: Frontline Workers' Experiences with Organizational Culture and Climate, and Implications for Organizational Practice

Sage, Melanie Dawn 01 January 2010 (has links)
Public child welfare agencies experience front line worker turnover rates as high as 25% a year. Worker turnover has significant financial costs to agencies, and has been linked to negative outcomes for children in care. Prior research has linked organizational factors, such as organizational climate, culture, and supervisor satisfaction, to turnover intent in child welfare populations. This research uses an empowerment framework to turn to workers directly to answer the question, "What are the organizational factors that lead frontline child welfare workers to stay or leave the agency, and what, then, are the implications for agency administrators?" This study relies upon secondary data of a workforce study conducted by the Child Welfare Partnership at Portland State University's School of Social Work. The data was collected via a pilot internet survey of approximately 400 State-employed Oregon child welfare case workers across all geographic regions in the state, and focuses on workers who plan to leave for preventable reasons. This study explored links between organizational factors and turnover in a sample of Oregon public child welfare workers. This research finds that climate, culture, supervision, and knowledge of the job prior to hire are all significantly correlated with intent to leave. Climate is most significantly correlated to Intent to Leave, and explains 25% of the variance in intent to leave in a regression model. These research findings suggest that agency administrators who are interested in improving worker retention can monitor and address local culture and climate as one tool for increasing workforce stability. Retention may be improved by maintaining an organizational culture and climate that is empowering to workers and that encourages workers to be a part of the change process. Additional implications for the child welfare workforce, social work research, and social work education are discussed.
369

Beanspruchungsmuster im Pflegeberuf : eine Studie an österreichischem Pflegepersonal im Schnittpunkt von persönlichkeits-, gesundheits- und arbeitspsychologischem Herangehen / Strain patterns of nursing personnel

Fischer, Andreas W. January 2006 (has links)
Gegenstand der Arbeit ist die Beanspruchungssituation des Pflegepersonals im Krankenhausbereich. Es wird der Frage nachgegangen, mit welchem Verhaltens- und Erlebensmuster Pflegepersonen ihren Anforderungen gegenübertreten und wie sie über die Art und Weise der persönlichen Auseinandersetzung mit den Anforderungen ihre Beanspruchungsverhältnisse mitgestalten.<br><br>Den theoretischen Ausgangspunkt der Arbeit bilden salutogenetisch orientierte Ressourcenmodelle, insbesondere Beckers Modell der seelischen Gesundheit (Becker, 1982, 1986). Nach ihm hängt der Gesundheitszustand einer Person davon ab, wie gut es ihr gelingt, externe und interne Anforderungen mithilfe externer und interner Ressourcen zu bewältigen. Hier knüpft das in der Arbeit im Mittelpunkt stehende diagnostische Instrument AVEM (Arbeitsbezogenes Verhaltens- und Erlebensmuster; Schaarschmidt & Fischer, 1996, 2001) an, das die Erfassung interner Anforderungen und Ressourcen der Person sowie deren Zuordnung zu 4 Verhaltens- und Erlebensmustern gegenüber der Arbeit unter Gesundheits- und Motivationsbezug ermöglicht.<br><br>Mit den Hypothesen wird angenommen, dass in Anbetracht der problematischen Arbeitsbedingungen in der Pflege eine Zurücknahme im Engagement bzw. eine Schutzhaltung vor nicht gewollten und als unangemessen empfundenen Anforderungen sowie wenig beeinflussbaren Bedingungen im Vordergrund stehen. Dort, wo zumindest partiell gesundheitsförderliche und als herausfordernd erlebte Arbeitsbedingungen anzutreffen sind, sollten günstigere Musterkonstellationen auftreten. Wir vermuteten, dass sich die ungünstigen Tendenzen bereits in der Berufsausbildung und in frühen Berufsjahren zeigen. Musterveränderungen in gesundheits- und persönlichkeitsförderlicher Hinsicht sollten durch gezielte Intervention herbeigeführt werden können. Schließlich nahmen wir an, dass die Tätigkeit und die mit ihr verbundenen Anforderungen und Ausführungsbedingungen musterspezifisch wahrgenommen werden.<br><br>Zur Beantwortung der Fragen werden Ergebnisse aus verschiedenen Quer- und Längsschnittuntersuchungen herangezogen, die in Wiener Spitälern und Krankenpflegeschulen, aber auch in deutschen Krankenhäusern durchgeführt wurden. Zu Vergleichszwecken werden Befunde anderer Berufsgruppen dargestellt. Neben dem AVEM wurden weitere Fragebögen zu folgenden Inhalten eingesetzt: Arbeitsbezogene Werte, Erleben von Ressourcen in der Pflegetätigkeit, Belastungserleben und Objektive Merkmale der Arbeitstätigkeit.<br><br>Die Ergebnisse bestätigen die Hypothesen in allen wesentlichen Punkten. Im Vergleich mit anderen Berufsgruppen fallen für die Pflegekräfte deutliche Einschränkungen im Arbeitsengagement auf. In Bezug auf die gesundheitlichen Risikomuster nimmt das Pflegepersonal eine Mittelstellung ein. Die Musterdifferenzierung in der Pflegepopulation lässt die stärksten Unterschiede in Abhängigkeit von der Position erkennen: Je höher die Position, desto größer ist der Anteil des Gesundheitsmusters und desto geringer ist die Resignationstendenz. Die meisten Risikomuster zeigen sich bei den Pflegekräften mit der niedrigsten Qualifikation. Für Pflegeschüler ist ein zeitweiliges starkes Auftreten von resignativen Verhaltens- und Erlebensweisen sowie eine kontinuierliche Abnahme des Engagements kennzeichnend. Dieser Trend setzt sich nach Aufnahme der Berufstätigkeit fort. Nur gezielte intensive personenorientierte Interventionen erwiesen sich als geeignet, Musterveränderungen in gesundheits- und persönlichkeitsförderlicher Hinsicht zu erreichen. Die Tätigkeit und die mit ihr verbundenen Anforderungen und Ausführungsbedingungen werden musterspezifisch wahrgenommen, wobei Personen mit eingeschränktem Engagement bzw. mit einer Resignationstendenz wesentliche Tätigkeitsmerkmale, denen persönlichkeits- und gesundheitsförderliche Wirkung zugesprochen wird, für sich als wenig wichtig beurteilen und sich mehr Defizite im Verhalten gegenüber Patienten bescheinigen.<br><br>Die Ergebnisse verweisen darauf, dass im Pflegeberuf vor allem die Zurückhaltung im Engagement Anlass für eine kritische Betrachtung sein muss. Das Problem "Burnout" stellt sich in seiner Bedeutung relativiert dar. Günstigere Voraussetzungen für die Aufrechterhaltung und Förderung der Gesundheit bestehen dort, wo im konkreten Arbeitsfeld ein erweiterter Tätigkeits- und Handlungsspielraum sowie mehr Verantwortung vorliegen. Diese Befunde stehen in Einklang mit arbeitspsychologischen Ressourcenmodellen. Die Befunde zu den Pflegeschülern verweisen auf teilweise ungünstige Eignungsvoraussetzungen der Auszubildenden und legen nahe, die Angemessenheit der Anforderungen in den Krankenpflegeschulen zu hinterfragen. Hinsichtlich der Möglichkeiten der Veränderung der Muster in gesundheits- und motivationsdienlicher Weise brachten die Ergebnisse zum Ausdruck, dass verhaltensbezogenen Maßnahmen ohne gleichzeitige bedingungsbezogene Interventionen wenig Erfolg beschieden ist. Mit Blick auf die musterspezifische Wahrnehmung der Tätigkeit und der mit ihr verbundenen Anforderungen und Ausführungsbedingungen ist schließlich grundsätzlich festzuhalten, dass arbeitspsychologische Konzepte, die hohen bzw. komplexen Anforderungen und umfangreichen Freiheitsgraden in der Arbeit grundsätzlich persönlichkeits- und gesundheitsförderliche Wirkungen zuschreiben, einer Relativierung durch eine differentielle Perspektive bedürfen. Die vorgefundene Interaktion von Persönlichkeit und Arbeitsbedingungen hat zur Konsequenz, dass Verhaltens- und Verhältnisprävention in untrennbarem Zusammenhang gesehen werden sollten. / The object of this essay is the strain situation of nursing personnel in the hospital sector. We will take a look at the coping capacity of the nursing personnel, the behaviour and experience patterns with which they meet their challenges and how they co-design their present and future strain situations by means of their personal approach to these challenges.<br><br>The theoretic starting points of this work are salutogenetic-oriented resource models, especially Becker's model of mental health (Becker, 1982, 1986). According to him, a person's state of health depends on how well he or she manages to cope with external and internal demands with the help of external and internal resources. The model uses the lack of satisfaction of personal requirements as a source of extraordinary strain. This is where the diagnostic instrument AVEM (Arbeitsbezogenes Verhaltens- und Erlebensmuster [work-related behaviour and experience patterns]; Schaarschmidt & Fischer, 1996, 2001) comes into the picture, which is at the center of work and helps to determine the internal requirements and resources of the person as well as the classification into 4 behaviour and experience patterns compared to working under health and motivation aspects.<br><br>These hypotheses assume that reduced engagement as well as guarding against demands deemed unwanted and inappropriate together with hard to influence conditions are in the foreground when considering the problematic working conditions in the nursing profession.<br><br>More favourable model constellations should occur in areas with partially health-promoting and challenging working conditions. We furthermore assume that the expected unfavourable trends already become apparent during vocational training and the early working years. It should be possible to induce pattern changes from a health and personality promotion point of view by means of targeted intervention. And finally, we assumed that the profession and its related challenges and performance conditions are perceived as patterns.<br><br>In order to answer these questions, we will refer to results from various cross-section and panel studies performed in hospitals and nursing colleges in Vienna but also in German hospitals. The results obtained in other profession groups will be presented for comparison. Besides the AVEM, we applied additional questionnaires dealing with the following contents: work-related values, experiencing resources in the nursing profession, experiencing strain and objective professional features.<br><br>The results confirm the hypothesis in all essential points. Compared to other profession groups in Austria, the nursing profession shows clear restrictions when it comes to work engagement. With respect to the health risk patterns, the nursing profession takes a medial position. The pattern differentiation in the nursing population shows the strongest differences depending on the position: the higher the position, the larger the share of the health pattern and the lower the resignation tendency. Most risk patterns become evident among nursing staff with the lowest qualifications. Nursing students temporarily show strong occurrences of resignation and experience patterns as well as a continuous decline in engagement. This trend continues once the vocational training is completed. Only direct, intensive and person-oriented intervention turned out to be suitable in order to achieve pattern changes with respect to promoting health and personality. In the end it turned out that the profession and its related demands and performance conditions is perceived in a pattern-specific way, whereby especially persons with restricted engagement or a trend towards resignation rate essential work features that are said to promote health and personality as less important for themselves and attribute themselves more deficits in their behaviour towards patients.<br><br>The results indicate that above all restrained engagement must be critically examined in the nursing profession. The "burnout" problem, which is often seen as a central problem, is therefore relative. More favourable prerequisites for maintaining and promoting health are especially given wherever there is extended activity and action scope in the actual working environment together with more responsibility. These results coincide with the recognised work psychology models, which emphasise the effect of resources. The results obtained for nursing students indicate that part of the trainees lacks qualification. However, one also has to question the appropriateness of the demands made in nursing schools. With respect to changing the patterns in a way that suits health and motivation, the results showed that behaviour-related measures are not very successful if there are no condition-related interventions at the same time. Concerning the pattern-specific perception of the profession and its related demands and performance conditions, we conclusively have to ascertain that work psychology concepts, which generally attribute personality and health-promoting effects to high or complex demands and extensive degrees of liberty at work, require relativisation through a differential perspective. As a consequence of the encountered interaction of personality and work conditions, behaviour and condition prevention should be seen in an inseparable context.
370

Spillover of stress in a sample of married policemen.

O'Neill, Vivien Carol. January 1996 (has links)
The present study examined the relationships between the emotional effects of chronic stress at work (burnout) and the quality of family interactions. A systemic approach was adopted, leading to the use of the concept of spillover to describe the transmission of effects across the work-home interface. The relationship between burnout and family life was expected to be moderated by frequency of coping strategies and by size of social support network. Data was gathered from questionnaires distributed to married policemen and their wives in 13 stations and units in the Natal Midlands region of the SAPS. The fmal sample consisted of 84 policemen and 74 of their wives. The data was analyzed using Pearson product-moment correlation, stepwise multiple regression, non-parametric tests, and content analysis of the free comment part of the questionnaire. The results of the study showed this sample of policemen to be experiencing relatively high levels of burnout and this was manifest particularly in terms of a diminished sense of personal accomplishment and feelings of negative self-evaluation. Specific sources of discontent for the policemen were frustrations with an unresponsive police hierarchy, low wages, and disruption to family life caused by overtime and irregular hours. Further results showed that those policemen experiencing the highest frequencies of emotional exhaustion and depersonalisation were more likely to bring their work-related strain home with them in the form of upset and angry feelings, physical exhaustion, and complaints about problems at work. This process of Work-to-Home Spillover significantly predicted Quality of Family Life for the wives of such policemen. No moderator effects were shown for coping or social support, although those policemen with greater numbers of supporters were also more likely to experience a greater sense of personal accomplishment. These results were discussed in terms of the burnout and spillover literature, and were evaluated with due regard for the present socio-political context in South Africa. Recommendations were made pertaining to the provision of psychological services to SAPS members and their families, and to the need to eliminate the stigma attached to using such services. / Thesis (M.A.)-University of Natal, 1966.

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