Burnout is a bio-psychosocial response related to chronic stress in the work environment (Hertel, 2009). In nursing, burnout can affect the work environment, coworker relationships, and patient care. It can lead to patient dissatisfaction, nurse dissatisfaction and even patient harm. With the nursing shortage predicted to increase to over 1,000,000 by the year 2012, it is of vital importance that methods to reduce and prevent burnout be researched and implemented in order to retain nurses and ensure the delivery of safe and effective care. The purpose of this literature review was to determine what knowledge base already existed about the effects of burnout on patient care and how to reduce the incidence of burnout among nurses. The writing of this review is an effort to encourage nurses and nursing managers to identify early signs of burnout and implement the supported interventions as a way to retain nurses and encourage patient safety. An integrative review of research was performed using Cumulative Index of Nursing and Allied Health (CINAHL) Plus with Full-Text, MEDLINE, PubMed, Academic Search Premiere and Cochrane Database of Systematic Reviews. Search terms included 'nurs*' and 'burnout'. This review included literature available in English and research conducted between 1998 and 2010. Factors that contribute to burnout such as personality traits, support systems, job demands, management and coping techniques and resources were examined.

The purpose of the study was to gain a greater understanding of how the amount of stress and workload that exists in Swedish social services affect the clients. The study was based on interviews with socialworkers responsible for childcustody enquiries. I chose to interview socialworkers in two different cities that resembled eachother. One of the interviews was individual and two was in focusgroups. The socialworkers were interviewed with a semi structured interview manual. The results showed that one of the cities social services, the socialworkers had a more difficult worksituation than the other city. The reason to why one city was more well functioning than the other depended on how the organization had handled the past years amount of workload. Both differences and similaritis was found. In the city that had a more difficult work situation the socialworkers had to prioritize with their time more and their clients were more affected than in the other city. Prioritizing time is something that was found in both cities but the city with more difficult worksituation had to prioritize more with their time and that lead to less time with their clients. It also lead to lower quality enquiries.

Thesis (MEdPsych (Educational Psychology))--Stellenbosch University, 2008. / During the previous political dispensation, the educators in the Western Cape were captured in a process of ideological influencing. This crisis became evident in the 1976 and 1985 uproars. Although the educators attempted to act in the best interest of the learners, they were in many cases blamed by the ruling government as being liberalists. The subsequent experience of fear and anxiety endangered the emotional well-being of many educators. The election of the first democratic government in 1994 held promises of a better work environment for educators. Far-reaching transformations in education policies and the implementation of new curricula presented educators with new challenges. Disciplinary problems, multicultural classrooms, teaching in a language other than the home language, and the inclusive handling of various external as well as internal barriers to learning, became stressors that educators in the Western Cape were subjected to. The aim of this study was to investigate the influence of stressors on the emotional wellbeing of educators in high schools in the Western Cape. I aimed to determine how educators in high schools perceived their own emotional well-being. Furthermore, I explored possible reasons for this and how their emotional well-being had influenced other dimensions of their wellness. I finally focused on educators’ recommendations to improve their emotional well-being. A qualitative research design, which was guided by an interpretive paradigm, was employed. During data analysis I operated in a critical paradigm. The data was collected by means of a literature review, interviews, reflective diaries, observations, documentation and artefacts. The research findings indicated that educators generally are experiencing low levels of emotional well-being. In extreme cases it is associated with emotional illnesses such as depression and burnout. It seems as if the low levels of emotional well-being experienced by educators have a negative influence on their social and physical wellbeing. Possible reasons that can explain the low levels indicate the impact of various role players, namely the type of school, an additional work load, the head master, the school management team, colleagues, learners, parents, the Western Cape Education Department, and educators’ families and friends. In spite of the experienced low levels educators were still at times committed to their occupation. Recommendations on improving emotional well-being were associated with factors in the workplace itself.