Background: There is significant concern about nurse burnout in nursing homes. There
has been little research to investigate whether training in person-centred care and
supervision can reduce nursing home nurses’ burnout.
Aims: To adapt training to be suitable for nursing home nurses and evaluate the impact
of training and supervision on burnout and related outcomes.
Study Design: Focus groups with nursing home nurses were used to inform adaptation
of the training. Mixed methods were used to evaluate the impact of training and
supervision employing a convergent parallel design, including a Randomised
Controlled Trial with quantitative measures (primary outcome measure: the Maslach
Burnout Inventory) to assess effectiveness and exploration of subjective experience
using qualitative interviews. The findings of the RCT and qualitative interviews were
then compared to determine the convergences and divergences.
Findings: The training was adapted to include content on leadership and stress
management. Hypotheses that the interventions would reduce burnout and impact on
other quantitative outcomes were not supported. Qualitative interviews with nursing
home nurses about training indicated that the nurses reported reduced burnout,
enhanced self-efficacy, reduced isolation, better team working, more informed person centred dementia care and enhanced leadership. Nurses’ views on the impact of
supervision included a range of benefits. There was convergence between quantitative
measurement and subjective experience indicting significant levels of burnout, but
divergence in terms of the impact of training in person-centred care and supervision.
Conclusions: My study demonstrates that burnout is a significant issue for nursing
home nurses in the UK. There was divergence in my findings in terms of the impact of
training in person-centred care and supervision. The hypotheses about training and
supervision having positive impact on burn-out were rejected. However, the qualitative findings suggest that nursing home nurses experienced positive benefits from the
person-centred training and supervision, in particular on their sense of burnout, their
approach to care and leadership skills. Recommendations are made regarding
research, training and policy to address burnout in nursing home nurses. / Burdett Charitable Trust of Nursing
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/18413 |
| Date | January 2018 |
| Creators | Smythe, Analisa |
| Contributors | Oyebode, Jan, Downs, Murna G. |
| Publisher | University of Bradford, Faculty of Health Studies |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Thesis, doctoral, PhD |
| Rights | <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>. |
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