Acute mental health/psychiatric nursesʼ experiences of clinical supervision in promoting their wellbeing in their workplace: a systematic review.

Burnout negatively impacts the delivery of mental health services. Psychiatric nurses face stressors that are distinct from other nursing specialities. The research was conducted in Ireland and captured a relatively large sample of respondents. The results compared the stressors, coping strategies and burnout levels between hospital and community-based psychiatric nurses. Occupational stress can negatively impact on the well-being of psychiatric nurses, which in turn can lead to poor client care. There is a dearth of published research conducted in Ireland that examines stress within the discipline. A between-groups study, undertaken in February 2011, investigated stressors, burnout and coping strategies between hospital and community-based psychiatric nurses in a Dublin region. Sixty-nine participants (8 males and 61 females), aged between 18 to 60 years voluntarily completed the Mental Health Professional Stress Scale, the Maslach Burnout Inventory and the PsychNurse Methods of Coping Scale. The findings revealed that nurses were operating in a moderately stressful environment. Stressors focused on organizational issues as opposed to client issues. The main stressors identified were lack of resources, workload and organizational structures/processes. Both groups reported average levels of emotional exhaustion, low levels of depersonalization and average levels of personal accomplishment. A Mann-Whitney U-test and Independent Samples t-test found significant differences between hospital and community-based nurses regarding depersonalization and personal accomplishment, respectively. Hospital nurses reported higher depersonalization scores, and community nurses had a greater sense of personal accomplishment. The personal accomplishment scores of hospital nurses were below mental health professional norms. No significant differences emerged regarding coping strategies. Avoidant coping strategies were favoured by both groups. It is recommended that interventions aimed at increasing personal accomplishment be implemented for both groups of nurses. An investigation of perceived job control and the use of social support would also be insightful.

Section: Discussionmentioning

confidence: 97%

Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region

McTiernan

McDonald

2014

“…However, the support these participants had access to was only available on an informal basis. Research states that nurses need to be physiologically and emotionally balanced to care for other people and therefore require a focus on strategies that reduce stress and promote well-being (Addo, Stephen, & Kirkpatrick, 2012). Clinical supervision and additional training are significant in the development of this emotional and intellectual aptitude among nurses (Staniulienė, Chambers, & Kantaris, 2013).…”

Section: Discussionmentioning

confidence: 99%

Factors affecting mental health nurses working with clients with first‐episode psychosis: A qualitative study

Odeyemi

Morrissey

Donohue

2018

Introduction Although there is much research on mental health nurses working with individuals presenting with psychosis, there is a lack of knowledge about the factors that impact the experience of nurses in the presentation specifically of first-time psychosis. Aim This study aimed to explore the factors that impact on the experience of mental health nurses working with individuals and their families who present with a first-time psychosis. Method This qualitative study was conducted through individual semi-structured interviews with eight mental health nurses recruited from community mental health settings with a minimum of 2 years post-qualification experience. Data were then subjected to a thematic content analysis. Results This study identified the importance of therapeutic engagement, as well as the need to have clear pathways to care and building capacity through clinical supervision and training when working with this population. Implications for practice Mental Health nurses should engage with additional training, formalized clinical supervision and avail of peer support in order to improve confidence, skills and quality of care, leading to better therapeutic engagement. Pathways to care should be embedded within the wider community to ensure ease of access for individuals and their families. There should be more recognition of the social impact on the individual during untreated psychosis with regard to isolation and withdrawal as well as factors which also affect help-seeking behaviours.

“…To provide in a sustainable workforce, it is important for healthcare organization leaders to focus both on just allotment of personal and on implementing strategies that provide adequate support to nursing staff. Several psychological empowerment programmes for nurses were shown to be successful in improving nurses’ physical and mental health and quality of work life; improving patient satisfaction; and reducing associated costs of burnout (Addo, Stephen, & Kirkpatrick, ; Henry, ; McTiernan & McDonald, ; Nowrouzi et al., ). Future studies can be worthwhile to identify nursing staffs’ specific needs, e.g., their skills and confidence in providing physical care versus psychiatric care, their coping styles and their perceived facilitators or barriers in the organization of care for older patients with combined care needs to develop and implement a tailored intervention program for this group of nursing staff.…”

Section: Implications For Research and Practicementioning

confidence: 99%

Section: Implications For Research and Practicementioning

confidence: 99%

Well‐being of nursing staff on specialized units for older patients with combined care needs

Collet

Vugt

Schols

et al. 2018