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The occupational stressors perceived by nurses working in wellness clinics in Nelson Mandela BaySaleni, Nosicelo Betty January 2009 (has links)
The literature has indicated that nurses perceive more occupational stressors than do other professional groups. HIV is a new stressor which has impacted on society, in particular on people caring for HIV/AIDS patients. The availability of antiretroviral treatment (ART) which is accessible at wellness clinics has improved the quality of life of people with HIV and greatly prolonged the lives of many infected people. Wellness clinics are out-patient clinics where HIV positive patients receive their ART. This study has explored and described the occupational stressors perceived by nurses working in wellness clinics in Nelson Mandela Bay. The study was conducted using a qualitative research approach. Convenience sampling was used consisting of voluntary registered female nurses. The data were collected by means of semi-structured interviews. The interviews were audio-recorded and transcribed verbatim. The data were analyzed using Tech’s method. The nurses who participated in this study reported their perceptions of occupational stressors in wellness clinics where they worked. The occupational stressors perceived by the nurses included the working environment, interpersonal relationships and the organizational structure. However, they also reported that they experienced satisfaction from their jobs despite the perceived stressors.
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The influence of verbal abuse on intention to leave an organization among registered nursesHilton, Paula Evangeline 01 January 1989 (has links)
No description available.
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Hardiness, Coping Style, and Burnout: Relationships in Female Hospital NursesFusco, Phylann S. 05 1900 (has links)
This study investigated relationships among and between psychological hardiness, coping style, and burnout in 101 female hospital nurses. The third generation (50-item) hardiness scale, scored by the revised scoring procedure, was used to measure hardiness and its components. The Maslach Burnout Inventory was used as the measurement for burnout. Coping style was assessed by the COPE Inventory. The components of hardiness, commitment, control, and challenge, were hypothesized to be negative predictors of emotional exhaustion and depersonalization and positive predictors of personal accomplishment. In addition, hardiness and its components were postulated to be positively related to adaptive coping styles and negatively related to maladaptive coping styles. Emotional exhaustion and depersonalization were thought to be related positively to maladaptive coping styles and negatively related to adaptive coping styles. Personal accomplishment was thought to be positively related to adaptive coping style and negatively related to maladaptive coping style. Simple and multiple regressions were used.
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Predicting Stress in Intensive Care NursesFreeman, Stephen J. (Stephen Joseph) 05 1900 (has links)
The problem of this study was to determine whether or not the variables locus of control, perceived anxiety, anxiety proneness, nursing experience and intensive care experience were better than chance predictors of job stress in intensive care nurses. The study was conducted using 200 volunteer nurses (RN's) who worked in the Intensive Care Units of two major hospitals in a large metropolitan area. All subjects were administered Spielberger's State-Trait Anxiety Inventory, Rotter Internal-External Locus of Control Scale and the Nursing Stress Scale as well as a demographic questionnaire. Multiple Regression Analysis was used to determine the predictive value of the characteristic variables to job stress and to determine the most efficient predictive model possible using these variables.
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The effects of absenteeism on nurses that remain at work at the Mankweng Hospital in the Capricorn District, Limpopo ProvinceMalatji, Mokgadi Magdeline January 2017 (has links)
Thesis (M.A. (Nursing Science)) -- University of Limpopo, 2017 / Absenteeism is a global problem in the working force and this is no exception in the nursing profession. A lot of attention has been drawn to factors that contribute to absenteeism however little attention has been placed on the effects of absenteeism on the remaining workers/nurses being left behind in the workplace by their colleagues. Nurses absent themselves leaving behind their colleagues to do their work. Nurses who are committed to their work often find themselves working under strenuous conditions due to inadequate staff. These may lead to poor patient care provision, nurses feeling overworked and sick due to the increased workload.
The purpose of this study was to investigate the effects of absenteeism on nurses that remained at work at Mankweng Hospital in the Capricorn District, Limpopo Province. A descriptive cross sectional quantitative research design was conducted to determine if there were any effects of absenteeism on nurses remaining at work. Data collection was done using structured questionnaires. The respondents (n=107), consisted of different categories of registered nurses (professional nurses (n=43), auxillary nurses (n=40) and staff nurses (n=24)) who participated in this study.
The findings indicated that most nurses (76, 6%) are demotivated and they struggle with completion of duties when their colleagues are absent. Patient care that nurses provided when their colleagues were absent was of poor quality as set standards and principles were not adhered to. Individualised patient care was not being implemented due to absenteeism. This simply implies that routine work is being done to cover basic duties. Most nurses (74, 8%) believed that favoritism and lack of appreciation of nurse’s skills and capabilities are being displayed by managers and that this contributes to absenteeism. Nurses who are loyal sacrifice their time and work overtime for absent colleagues and this led to fatigue and stress.
From the study findings it is recommended that nurses be trained frequently to upgrade their studies to motivate them to work. Government can provide this training to improve their skills as this will motivate nurses to work harder and be committed to their work. Trainings can be offered after a stipulated period. For example after every five years a nurse can be provided with a new skill. Team building events must be encouraged for the whole hospital to motivate staff.
In conclusion the study revealed that absenteeism poses detrimental effects on nurses, the hospital and patients. More and more nurses end up changing work place due to these effects.
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A study of occupational stress and smoking among hospital nursesGunther, Angela Price 31 January 2009 (has links)
Three-hundred and thirty-three surveys were distributed to male and female nurses employed at the Veterans Administration Medical Center in Salem, Virginia. The survey was designed to determine if nurses who smoke perceive more stress from their jobs. Of the 124 nurses who responded to the survey, there were no significant differences in ratings of perceived stress between nurses who reported that they were current smokers and those who reported that they were non-smokers. Overall, the mean rating of perceived stress for both smokers and non-smokers were rated low to average on a six-point Likert-type Scale.
Although the relationship between the smoking and perceived stress items on the survey did not reach statistical significance, over fifty percent of the respondents reported that they would be interested in participating in a stress management program; and a higher percentage of smokers reported an interest in stress management than non-smokers. No significant differences were found in the coping methods between smokers and non-smokers in reporting how they would cope with two specific stressful work situations. The results of this study indicate that, for this particular population, those who smoke do not perceive significantly higher levels of stress from their jobs than non-smokers. / Master of Science
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An investigation into the factors that nurses working in critical care units perceive as leading to burnoutMbuthia, Nickcy Nyaruai 01 February 2010 (has links)
Burnout is reflected in pathological emotional depletion and maladaptive detachment that is a secondary result of exposure prolonged occupational stress. It is comprised of three dimensions, namely, emotional exhaustion, depersonalization and reduced personal accomplishment. It is becoming increasingly recognized as one of the most serious occupational hazards for nurses who work in critical care units. The objectives of this study are to assess the prevalence of burnout among a sample of nurses who worked in the critical care units in a particular hospital in Kenya, to analyze factors that contributed to the development of burnout and to identify measures for the mitigation of burnout.
For this study, the researcher utilized a mixed methods research design in two phases. Phase one assessed the prevalence of burnout in nurses working in the critical care units by making use of the Maslach Burnout Inventory – Human Services Survey. Focus groups discussions were then held in Phase two to investigate the factors that the nurses perceived as the main causes of burnout and to solicit their ideas about it could be mitigated. Convenience sampling and purposive sampling were used in the two phases of the study respectively. / Health Studies / M.A. (Health Studies)
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The impact of overcrowding on registered nurses in the paediatric emergency department at a tertiary hospitalMeissenheimer, Corina 02 1900 (has links)
The purpose of this qualitative study was to explore and describe the extent to
which registered nurses’ practice was affected by emergency department
overcrowding. Participants were recruited from a tertiary hospital by using the
purpose sampling method. Data collection was done using a semi-structured
interview guide. Individual interviews were conducted with eight registered nurses
working in the paediatric emergency department. Data analysis was conducted
using thematic content analysis and Yin’s (2003:178) five-phase cycle. The study
findings revealed that the lack of professional nurse leadership and the difficult
existing relationship with the physicians were obstacles that had to be obviated if
the paediatric ED were to function optimally and best practice were to be
achieved. It was revealed that a problematic issue in the setting was that the
most critical decisions on allocating where patients should be treated were made
by physicians who have more authority than nurses. It was recommended that
the ED need to be clearly defined in the policies as an outpatient, emergency
care or as an episodic patient care area as “Admission” can mean admission to
the ED or admission as an inpatient/boarded patient. / Health Studies / M.A. (Health Studies)
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Factors influencing the degree of burnout experienced by nurses working in neonatal intensive care unitsJoubert, Ronel 03 1900 (has links)
Thesis (MCur)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Burnout is one of the challenges that nurses are faced with in their stressful and rapidly
changing work environment. The vulnerability of nurses to burnout remains a major concern
which affects both the individual and institution.
Knowledge about burnout and associated risk factors which influence the development of
burnout is vital for early recognition and intervention.
The research question which guided this study was: “What are the factors influencing the
degree of burnout experienced by nurses working in neonatal intensive care units?”
The objectives included determining which physical, psychological, social and occupational
factors influenced the degree of burnout experienced by nurses.
A descriptive, explorative research design with a quantitative approach was applied. The
target population consisted of (n=105) permanent nursing staff members working in the
neonatal units of two different hospitals. A convenience sampling method was used.
Participants (n=102) who gave voluntary consent to participate was included in the study.
Validity and reliability was supported through the use of a validated questionnaire, Maslach
Burnout Inventory – General Survey including a section based on demographical information
and a section based on physical, psychosocial, social and occupational factors. Validity of
the questionnaire was supported by the use of a research methodologist, nurse expert and a
statistician in the particular field. A pilot study was done to test the feasibility of the study
and to test the questionnaire for any errors and ambiguities.
Ethics approval was obtained from Stellenbosch University and permission from the Heads
of the hospitals where the study was conducted. The data was analyzed with the assistance
of a statistician and these are presented in histograms, tables and frequencies. The
relationship between response variables and nominal input variables was analysed using
analysis of variance (ANOVA). Various statistical tests were applied to determine statistical
associations between variables such as the Spearman test, using a 95% confidence interval.
Results have shown that participants experienced an average level of emotional exhaustion,
a high level of professional efficacy and a low level of cynicism. Further analyses have shown that there is a statistical significant difference between
emotional exhaustion and the rank of the participant (p=<0.01), highest qualification (p=0.05)
and a high workload (p=0.01). Furthermore a statistical significant difference was found
between professional efficacy and rank of participants (p=<0.01). In addition a statistical
significant difference was found between cynicism and the number of years participants
were in the profession (p=0.05).
Multiple factors were determined in this study that influences the degree of burnout nurses
experience. The majority of participants (n=56/55%) experienced decreased job satisfaction
and accomplishment, (n=52/51%) of participants experienced that their workload is too much
for them and (n=63/62%) participants received no recognition for their work.
Recommendations are based on preventative measures, because preventing burnout is
easier and more cost-effective than resolving burnout once it has occurred.
In conclusion, the prevention strategies, early recognition of work stress and appropriate
interventions are crucial in addressing the problem of burnout. / AFRIKAANSE OPSOMMING: Uitbranding is een van die uitdagings waarmee verpleegsters te kampe het in hulle
stresvolle en vinnig veranderende werkomgewing. Die kwesbaarheid van verpleegsters vir
uitbranding bly ’n kritieke bekommernis wat beide die individu en die inrigting affekteer.
Kennis omtrent uitbranding en verwante risiko faktore wat die ontwikkeling van uitbranding
beïnvloed, is deurslaggewend vir vroeë opsporing en intervensie.
Die navorsingsvraag wat hierdie studie gelei het, is: “Wat is die faktore wat die mate van
uitbranding beïnvloed wat deur verpleegsters ondervind word wat in neonatale intensiewe
sorgeenhede werk?”
Die doelwitte wat ingesluit is, is om te bepaal watter fisiese, sielkundige, maatskaplike en
beroepsfaktore die mate van uitbranding wat deur verpleegsters ervaar word, beïnvloed.
’n Beskrywende, ondersoekende navorsingsontwerp met ’n kwantitatiewe benadering is
toegepas. Die teikengroep het bestaan uit (n=105) permanente verpleegpersoneel wat in die
neonatale eenhede van twee verskillende hospitale werk. ’n Gerieflikheidsteekproef metode
is gebruik. Deelnemers (n=102) wat vrywillige toestemming gegee het om deel te neem, is
ingesluit in die navorsingstudie.
Geldigheid en betroubaarheid is ondersteun deur die gebruik van ’n geldige vraelys van
“Maslach Burnout Inventory – General Survey”, asook ’n afdeling gebaseer op demografiese
inligting en ’n afdeling gebaseer op fisiese, sielkundige, maatskaplike en beroepsfaktore.
Geldigheid van die vraelys is ondersteun deur ’n navorsingsmetodoloog, ’n verpleegspesialis
en ’n statistikus op die navorsingsgebied. ’n Loodsondersoek is gedoen om die haalbaarheid
van die studie te toets en om die vraelys te toets vir enige foute en dubbelsinnighede.
Etiese goedkeuring is verkry van die Universiteit van Stellenbosch en goedkeuring van die
Hoofde van die hospitale waar die studie uitgevoer is. Die data is geanaliseer met die hulp
van ’n statistikus en is aangebied in histogramtafels en frekwensies. Die verwantskap tussen
responsveranderlikes en nominale insetveranderlikes is geanaliseer deur gebruik te maak
van die analise van variansie (ANOVA). Verskeie statistiese toetse is toegepas om statistiese assosiasies tussen veranderlikes te bepaal, soos deur van die Spearmantoets
gebruik te maak, met ’n 95% betroubaarheidsinterval.
Resultate het bewys dat deelnemers ’n gemiddelde vlak van emosionele uitputting, ’n hoë
vlak van professionele effektiwiteit en ’n lae vlak van sinisme ervaar.
Verdere analise het bewys dat daar ’n statistiese beduidende verskil tussen emosionele
uitputting en die rang van die deelnemers (p=<0.01) is, hoogste kwalifikasie (p=0.05) en ’n
hoë werklading (p=0.01). Verder is ’n statistiese beduidende verskil gevind tussen
professionele effektiwiteit en rang van deelnemers (p=<0.01). Saam hiermee is ’n statistiese
beduidende verskil gevind tussen siniesheid en die aantal jare wat deelnemers in die
beroep is (p=0.05).
Voorts, is veelvuldige faktore bepaal in hierdie studie wat die mate van uitbranding
beïnvloed wat verpleegsters ervaar. Die meeste van die deelnemers (n=56/55%) het ’n
afname in werksbevrediging en -verrigting ervaar, (n=52/51%) deelnemers het ervaar dat hul
werklading te veel is vir hulle en (n=63/62%) deelnemers het geen erkenning vir hulle werk
ontvang nie.
Aanbevelings is gebaseer op voorkomende maatreëls, want om uitbranding te voorkom, is
makliker en meer koste-effektief as om uitbranding te probeer oplos as dit alreeds begin het.
Ten slotte, die voorkomende strategieë, vroeë identifisering van werkstres en geskikte
intervensies is deurslaggewend om die probleem van uitbranding aan te spreek.
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Job satisfaction and stress of nurses and their association with turnover intention rate in an acute Hong Kong public hospital, Pamela Youde Nethersole Eastern HospitalLam, Leung-chun, 林良春 January 2013 (has links)
Aim. To identify the factors of job satisfaction and stress of nurses and their association with turnover intention rate in an acute hospital in Hong Kong.
Background. Heavy workload, shortage of manpower and high turnover rate of nurse are the major problems in Hong Kong particularly in public hospitals even after measures have been taken to tackle them in recent years. Many studies in western countries showed that workload, turnover rate, stress, satisfaction level and turnover intention of nurse were associated. However there are few studies in Asian countries. This information is needed to provide policymakers evidence to formulate particular policy to deal with these problems.
Design. This is a cross sectional study. Survey data were collected from nurses in the medical ward, operation theatre and intensive care unit of Pamela Youde Nethersole Eastern Hospital in Hong Kong.
Methods. A snowball convenience sampling method was used to collect samples from the selected departments. My colleagues in the select departments referred participants to me. Packet of questionnaire was distributed to the participants and the questionnaire was self - administered .The survey questionnaires, including the Expanded Nursing Stress Scale (ENSS), Job Satisfaction Scale (JSS) and Anticipated Turnover Scale (ATS), were used to collect data from the sampled subjects.
Results. Mean scores of ENSS, JSS and ATS of the respondents were 140.77 out of 228, 114.12 out of 216 and 49.48 out of 84 respectively. These indicated that respondents had high stress and high intention to leave level but mild satisfaction level. It also revealed that there was inverse relationship between stress and satisfaction level (r = -0.23, 95% CI: -0.46 to -0.02) and between satisfaction level and intention to leave level (-0.41, 95% CI: -0.62 to -0.19).
Conclusion. There is some evidence of high stress level and intention to leave in nurses working in public hospital while their satisfaction level is in a moderate level. Stress level, satisfaction level and intention to leave level in nurses are associated. The management should adopt an evidence – based approach in improving the work environment for nurses. Even though the generalization of this study is weak, it is useful for the hospital to deal with the human resource problems of nurses. / published_or_final_version / Public Health / Master / Master of Public Health
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