Ebook Perceived Stressors, Coping Strategies, and Burnout Pertaining to Psychiatric Nurses Working on Locked Psychiatric Units

Submitted by puput on Fri, 02/12/2010 - 04:16

There is a nationwide epidemic among nurses who leave their profession because they report feelings of exhaustion and say they are unable to deliver quality care to patients. Burnout is the term often used, and the concept of burnout has attracted considerable attention in the field of nursing. Maslach, one of the first researchers to begin investigating burnout, described it as “a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who work with people in some capacity” (Maslach, Jackson, & Leiter, 1996, p. 4). Individuals working in the human service professions are particularly at risk for developing burnout as a result of an emotionally draining occupation (Maslach, 1982).

The nursing profession is a highly stressful occupation (AbuAlRub, 2004; Balevre, 2001; Foxall, Zimmerman, Standley, & Captain, 1990; Hall, 2004; Hillhouse & Alder, 1997; McAbee, 1991; Robinson, Clements, & Land, 2003; Tyler & Ellison, 1994), and when an individual experiences stress over an extended period of time in combination with ineffective coping, it can also lead to burnout (Maslach & Leiter, 1997). Work-related stress is a widespread problem (Stanks, 2005) and has been shown to be costly to both individuals and organizations. Related personal dysfunctions include physical exhaustion, insomnia, substance abuse, and interpersonal problems (Baba, Galperin, & Lituchy, 1999; Farrington, 1995).

Greater organizational expenditures are attributed to increased absenteeism, tardiness, staff turnover, low morale, decreased productivity, job dissatisfaction, and court-ordered compensation (Firth & Britton, 1989; Wheeler & Riding, 1994). Moreover, studies have demonstrated that burnout can jeopardize the professional’s ability to provide high-quality care to patients (Coffee, 1999; Fagin et al., 1996; Jenkins & Elliott, 2004; Kilfedder, Power, & Wells, 2001).

Contents

Dedication
Acknowledgements
Abstract
List of Tables
Chapter I: Introduction

    Occupational Stressors for Psychiatric Nurses
    Purpose of the Study
    Problem Statement

Chapter II: Literature Review

    Stress, Coping, and Burnout Pertaining to Community Mental Health Nurses
    Stress, Coping, and Burnout Pertaining to Forensic Psychiatric Nurses
    Stress, Coping, and Burnout Pertaining to Nurses Working in Mental Health Units
    Stress, Coping, and Burnout Pertaining to Psychiatric Nurses Working in a Variety of Settings
    Stress, Coping, and Burnout Pertaining to Psychiatric Nursing Students
    Development of Instruments to Measure Stress in Psychiatric Nurses
    Development of an Instrument to Measure Coping in Psychiatric Nurses
    Summary of Literature Review

Chapter III: Conceptual Framework

    Stress
    Coping
    Burnout
    Model Developed by Researcher
    Definition of Terms

Chapter IV: Methodology

    Research Design
    Sample
    Human Subjects Protection
    Measurement Methods
    Data Collection

Chapter V: Results

    Data Analysis
    Demographic Data
    Research Question #1
    Research Question #2
    Research Question #3
    Research Question #4
    Levels of Burnout

Chapter VI: Discussion
Chapter VII: Conclusion

    Limitations of the Study
    Plans for Dissemination
    Implications for Clinical Practice
    Recommendations for Future Research

References
Appendices

    Appendix A: College of Health and Human Services Human Subject Review Committee Approval Letter
    Appendix B: Implied Informed Consent to Participate in a Research Study
    Appendix C: Devilliers, Carson, and Leary (DCL) Stress Scale
    Appendix D: Permission Letter for Use of the DCL Stress Scale and PNMCQ
    Appendix E: The PsychNurse Methods of Coping Questionnaire (PNMCQ
    Appendix F: Maslach Burnout Inventory Human Services Survey (MBI-HSS)
    Appendix G: Permission Letter for Use of the MBI-HSS Instrument
    Appendix H: Demographic Data Sheet

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