The effectiveness of a training workshop to combat burnout in nurses was investigated in this study. An attempt also was made to determine whether or not benefits of that workshop would be maintained over a three month period.Burnout is a phenomenon which affects those in the helping professions. Much has been written of a descriptive nature but little has been done to empirically determine procedures which might reduce burnout in those who are already experiencing it.Ninety-five staff nurses, representing two hospitals, volunteered to participate in this study. One hospital was a neuropsychiatric facility and the other was a general medical hospital.The dependent variable for this study was a burnout score as determined by the Staff Burnout Scale for Health Professionals (SBS-HP). This is a 30 item self-assessment inventory, which addresses cognitive, emotional, behavioral, and physiological reactions.Subjects were randomly assigned to either a treatment condition or a control condition. The experimental group attended a 7 ½ hour workshop which utilized didactic presentations, group discussion and problem solving, audio-visual material, self-assessment, training in progressive relaxation, an introduction to cognitive restructuring, and the development of social support systems.The research design chosen was a one-way or single factor design utilizing a test and retest of the SBS-HP. The method of data analysis was a one-way multivariate analysis of variance with a step-down F test. The selected level of significance was .05.The null hypothesis was not rejected. There was no significant difference between the treatment group and the control group on the long-term posttest after covarying the short-term posttest scores. Also, there was no significant difference between the treatment group and the control group on the short-term posttest.

Made available in DSpace on 2014-06-11T19:28:59Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-04-02Bitstream added on 2014-06-13T20:58:53Z : No. of bitstreams: 1 moraes_app_me_bauru_prot.pdf: 1194953 bytes, checksum: 699451576632c3ffd7acc0acbfbd0d2d (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O trabalho em hospitais tem caracterísicas particulares e abrange várias situações-limite que acabam influenciando no bem-estar da própria equipe de saúde, podendo gerar stress e adoecimento. Dessa forma, a pesquisa teve como objetivo principal identificar e descrever situações estressoras e estratégias de enfrentamento relacionadas à atuação profissional e sua relação com sintomas físicos e psicológicos decorrentes do stress. Participaram da pesquisa sessenta profissionais que atuam na áera da saúde, sendo eles psicológicos, enfermeiros e assistentes sociais. A coleta de dados foi realizada em cinco hospitais gerais do interior do estado de São Paulo. Os instrumentos utilizados para a coleta de dados foram o ISSL, e a versão adaptada para o português do Inventário de Estratégias de Coping de Folkman e Lezarus. Os resultados obtidos apontaram a presença de stress em 51,6% dos profissionais da amostra e prevalência de sintomas psicológicos do stress (46,7%). A estratégia de enfrentamento mais utilizada pelos profissionais das três profissões foi a de resolução de problemas e as menos utilizadas a de confronto e afastamento. A maioria dos profissionais apontou com situação estressora no local de trabalho a Comunicação e Relacionamento entre a equipe e outros profissionais, seguida de Problemas institucionais. Portanto, além da necessidade de um treino de controle de stress, nota-se a importância de programas que visem desenvolver habilidades sociais relacionadas à comunicação e competências de relacionamento interpessoal. Enfrentar de maneira adequada situações estressoras poderá impedir com que esta perdure enquanto durar o trabalho / The work in hospitals has particular features and covers many extreme situations that influence the well-being of the care team, and may cause stress and illness. Thus, this research aimed to identify and describe stressful situations and coping strategies related to professional practice and its relationship to physical and psychological symptoms resulting from stress. The participants were sixty professionals working in health area, like psychologists, nurses and social workers. The data was collected in five general hispitals in the state of São Paulo. The instruments used for data collection were the ISSL and adapted to Portuguese version of the coping strategies inventory of folkman and Lazarus. The results indicated the presence of stress in 51,6% of the professionals of the sample and the prevalence of psychological symptoms of stress (46.7%). The coping strategy most used by professionals of the three professions was the problem-solving and the less used was confront. Most professionals mentioned as stressful at work Communication and Relationship between staff and other professionals, followed by Institutional Problems. Therefore, besides the need for a stress management training, we note the importance of programs designed to develop social skills related to communication and interpersonal relationship skills. Cope adequately with stressful situations may prevent that it remain for the duration of the work

Orientador: Tania Gracy Martins do Valle / Banca: Maria Cristina de Oliveira Santos Myazaki / Banca: Carmen Maria Bueno Neme / Resumo: O trabalho em hospitais tem caracterísicas particulares e abrange várias situações-limite que acabam influenciando no bem-estar da própria equipe de saúde, podendo gerar stress e adoecimento. Dessa forma, a pesquisa teve como objetivo principal identificar e descrever situações estressoras e estratégias de enfrentamento relacionadas à atuação profissional e sua relação com sintomas físicos e psicológicos decorrentes do stress. Participaram da pesquisa sessenta profissionais que atuam na áera da saúde, sendo eles psicológicos, enfermeiros e assistentes sociais. A coleta de dados foi realizada em cinco hospitais gerais do interior do estado de São Paulo. Os instrumentos utilizados para a coleta de dados foram o ISSL, e a versão adaptada para o português do Inventário de Estratégias de Coping de Folkman e Lezarus. Os resultados obtidos apontaram a presença de stress em 51,6% dos profissionais da amostra e prevalência de sintomas psicológicos do stress (46,7%). A estratégia de enfrentamento mais utilizada pelos profissionais das três profissões foi a de resolução de problemas e as menos utilizadas a de confronto e afastamento. A maioria dos profissionais apontou com situação estressora no local de trabalho a "Comunicação e Relacionamento entre a equipe e outros profissionais", seguida de "Problemas institucionais". Portanto, além da necessidade de um treino de controle de stress, nota-se a importância de programas que visem desenvolver habilidades sociais relacionadas à comunicação e competências de relacionamento interpessoal. Enfrentar de maneira adequada situações estressoras poderá impedir com que esta perdure enquanto durar o trabalho / Abstract: The work in hospitals has particular features and covers many extreme situations that influence the well-being of the care team, and may cause stress and illness. Thus, this research aimed to identify and describe stressful situations and coping strategies related to professional practice and its relationship to physical and psychological symptoms resulting from stress. The participants were sixty professionals working in health area, like psychologists, nurses and social workers. The data was collected in five general hispitals in the state of São Paulo. The instruments used for data collection were the ISSL and adapted to Portuguese version of the coping strategies inventory of folkman and Lazarus. The results indicated the presence of stress in 51,6% of the professionals of the sample and the prevalence of psychological symptoms of stress (46.7%). The coping strategy most used by professionals of the three professions was the problem-solving and the less used was confront. Most professionals mentioned as stressful at work "Communication and Relationship between staff and other professionals," followed by "Institutional Problems". Therefore, besides the need for a stress management training, we note the importance of programs designed to develop social skills related to communication and interpersonal relationship skills. Cope adequately with stressful situations may prevent that it remain for the duration of the work / Mestre

Many midwives throughout the world experienced high stress levels when they deal with emergency childbirths. Midwifery professionals experience certain unique stressors, such as midwives being responsible for the care of women when they are giving birth. Complications of childbirth may occur during labour leading to the life of the baby and the mother being threatened. Situations such as this leave midwives experiencing high levels of stress for which they often do not have effective coping mechanisms. When the stress is not managed, it may lead to burnout. When burnout occurs the midwives present with physical and psychological symptoms of stress, grief for the loss and lack of motivation, which results in staff turnover and a fear of working in a maternity ward. Consequently, patient care may be compromised as some midwives became apathetic and develop unacceptable attitudes toward their patients. Such behavior led to poor work performances, maternity services that are not woman-friendly and women seeing the maternity ward as a place where they are treated in rude and unfriendly manner which increased the chances of adverse childbirth outcomes. The aim of the study was to explore and describe the experiences of midwives who have to cope with stress associated with emergency childbirths. This information was used to develop the guidelines to help midwives to cope with the high stress associated with emergency childbirths. The researcher used a phenomenological, qualitative approach. The study was explorative, as little was known on this topic in the Namibian context and it was also descriptive and contextual. Purposive and convenient sampling was used to select the research sample. The research population was all the midwives working in the maternity ward of a Namibian regional hospital, who met the inclusion criteria. Data gathering was done using semi-structured interviews. Once data saturation occurred, interviewing stopped. The interviews were audio-taped and transcribed verbatim. Tesch’s eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature control was done after data collection to support and strengthen the study’s findings. Trustworthiness, as suggested by using Lincoln & Guba’s model of trustworthiness, included truth-value/credibility, applicability/transferability, consistency/dependability and neutrality/conformability was implemented. Ethical principles of beneficence, non-maleficence, autonomy and justice were ensured by obtaining permission to conduct the research from relevant authorities and from University structures, obtaining consent from the participants before the interviews, voluntary participation and right to withdraw from the study, privacy, confidentiality and dissemination of the results. Three main themes and sub-themes were identified namely: Midwives experienced significant stressors associated with emergency childbirth situations. Midwives experienced mixed emotions about dealing with emergency childbirth situations Midwives shared their views regarding their support needs associated with emergency childbirth situations. Recommendations for nursing education, clinical midwifery and for further research were made. Four guidelines were developed based on the study findings as well as literature related to these findings, to help the midwives to cope with high stress levels associated with emergency childbirths.

This large scale study (869 participants from a mental health Trust) employed a questionnaire based on an interactional model of occupational stress to investigate (i) burnout in psychiatric nurses, (ii) occupational stress in medics and the professions allied to medicine, (iii) job satisfaction in health service management and support staff, and (iv) the moderating effect of social support in health service personnel. A range of analytic procedures were used including hierarchical regression analysis. Levels of burnout in nurses were low overall, although a significant proportion reported higher levels of emotional exhaustion. Among nurses, negative affectivity and predictability acted as common factors across the three constructs of the burnout syndrome. Medics and professions allied to medicine (P.AM. 's) reported similar levels of stressors to each other. Role ambiguity, role conflict and predictability, in combination with negative affectivity, accounted for most of the reported work related stressors of medics and P.AM. 's. Levels of job satisfaction in management and support staff was on a par with their peers elsewhere. Role ambiguity, role conflict, job future ambiguity, control and non-occupational concerns had an influence on job satisfaction among management and support staff. A significant proportion of nurses, medics and P.AM.'s reported low levels of work support. Those most at risk in this regard appeared to be highly educated, community based, non-shift workers. Higher levels of support were associated with increased job satisfaction and lower levels of both emotional exhaustion and psychological distress. The model adopted in the present study, although not necessarily applicable to all occupational groups, had utility in understanding the complex relationships between variables in this population from a mental health Trust. Despite common themes emerging across occupational groups, clear differences were also apparent, reinforcing the need for tailor-made interventions in occupational stress. The results also highlighted the necessity of including individual characteristics and nonoccupational stressors in any consideration of occupational stress. Further recommendations for each occupational group and the NHS in general are discussed.

A dissertation submitted to the Faculty of Arts, University of the Witwatersrand, in partial fulfilment of the requirements of the degree of Masters of Arts, Johannesburg, 1990. / The prevailing understanding of burnout is firmly entrenched in, and has been fundamentally influenced by, the three component definition of the burnout concept proposed by Maslach and Jackson (1981), as evidenced in its almost exclusive application in the burnout research and theoretical developments (Maslach & Jackson, 1986; Shirorn, 1989). Although the construct validity of the three factor burnout structure is well established, no research could be found which has investigated the discriminant validny of this construct. Thus the aim of tha present study was to determine how emotional exhaustion, depersonalisation, and low feelings of personal accomplishment may relate differentially to conceptually related variables. [Abbreviated Abstract. Open document to view full version] / MT2017

Personal wellness and burnout have been common themes in research studies regarding professional satisfaction and career success. Personality characteristics in relation to job and career success among professionals have also been included in countless studies. However, Bateman and Crant (1993) defined and began research on the specific construct of the proactive personality and how it related to personal achievement, satisfaction, and success among executives. This dissertation study is an extension of their research in that the relationship between proactive personality, job satisfaction and levels of burnout among Licensed Mental Health Counselors in Florida specifically, is being examined. While proactive personality positively and significantly related to job satisfaction and satisfaction with being a counselor among the participants in this study, it did not significantly relate to feelings of emotional exhaustion or feelings of depersonalization toward clients. When age, salary, years licensed, and proactive personality in relation to job satisfaction and levels of burnout were included in the statistical analysis, proactive personality and salary positively related to job satisfaction, personal accomplishment, and satisfaction with being a counselor, but the relationships were not significant. Hence, the results of this study provides useful information regarding proactive personality and how it relates to the overall job satisfaction, levels of burnout among clinicians, and to assist in the development of wellness programs, burnout prevention, and in the empowerment of mental health professionals in this demanding field. / by Pamela F. Spina. / Thesis (Ph.D.)--Florida Atlantic University, 2013. / Includes bibliography. / Mode of access: World Wide Web. / System requirements: Adobe Reader.

Thesis (Ph. D.)--Indiana University of Pennsylvania. / Includes bibliographical references.

published_or_final_version / Mental Health / Master / Master of Social Sciences

In partial fulfilment of the requirements for the degree Masters of Arts in Clinical Psychology, 2006. / The purpose of this research was to describe the experience of working with patients with HIV/AIDS, in particular performing caesarean sections, from a medical practitioner's perspective. A phenomenological study method was employed in which each participant used in the research was interviewed in a single session. The original sample consisted of 9 participants. They were selected by means of criterion sampling from the gynaecology and obstetrics department of different public hospitals in Johannesburg, Pretoria and Cape Town. Six protocols were selected for phenomenological explication based on the interviews with the 9 original participants. The sample consisted of 3 females and 3 males, from different cultural backgrounds, who regularly perform surgical gynaecological procedures on patients with HIV/AIDS. The results were presented in the form of an integrative text, which accounted for all of the individual variations of the experience of working with patients with HIV/AIDS. Out of this text the researcher explicated natural meaning units, specific to each participant, which were used in formulating a specific description of experiencing the performance of a caesarean section on a patient with HIV/AIDS. This study concluded with a discussion of the results, as well as a formulation of a general description of experiencing the performance of caesarean sections on patients with HIV/AIDS for all 6 participants. Overall, this research explicated unique descriptions of individual experiences, and contributes to a general understanding of the experience of performing a caesarean section on a patient with HIV/AIDS. Operational definitions • Phenomenology - A department of the inductive sciences concerned with the facts that form the basis of its system. • Caesarean section - A mode of childbirth in which a surgical incision is made through a pregnant woman's abdomen and uterus to deliver a baby. • Human Immunodeficiency Vinis- A retrovirus that attacks and severely damages the body's immune system and for which there is presently no cure. • Life-wortd- The space occupied by any one person in the external, physical world, as well as the internal lived-in world, consisting of emotions and cognitions.