Exploration of the relationship between stigma and burnout among Greek nurses in dementia care

Mantzorou, Marianna; Economou, Marina; Kalokerinou, Athena; Sourtzi, Panayota; Zyga, Sofia; Politis, Antonis; Koukia, Evmorfia

doi:10.1111/jonm.12964

Cited by 13 publications

(10 citation statements)

References 33 publications

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“…Burnout is frequent in a large extent of nursing home professionals. This research supports the importance of developing interventions focused on beliefs about older people, as they relate to the burnout of nursing home professionals (Mantzorou et al, 2020) which, in turn, negatively affects professionals' quality of life (Harrad and Sulla, 2018). It is also important to think about protecting professionals in the long term, for example, interventions to improve coping and stress management skills can help reduce factors that are associated with burnout, such as emotional demands or support from peers or supervisors (Andela et al, 2021), and even stereotypes toward older people.…”

Section: Discussionsupporting

confidence: 63%

“…However, this is the starting point for further research on these variables. Third, it is the size of the sample, as to whether it is truly representative of the population with 312 professionals, although it is a similar sample to that found in other studies (Zamora and Sánchez, 2008;Fernández Ballesteros et al, 2017;Iecovich and Avivi, 2017;Mantzorou et al, 2020;. And finally, as this is a cross-sectional study, it would be important to check what would happen to these variables over time.…”

Section: Discussionmentioning

confidence: 90%

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Burnout and Quality of Life in Professionals Working in Nursing Homes: The Moderating Effect of Stereotypes

et al. 2022

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ObjectiveThis study aimed to analyse how stereotypes towards older people moderate the relationship between burnout and quality of life (QoL) of professionals working in nursing homes.MethodA total of 312 professionals were asked to complete questionnaires of burnout Maslach Burnout Inventory quality of Life (QPL-35) and aging stereotypes (CENVE). The moderation effects were tested using linear regression models.ResultsA negative association was observed between burnout and QoL. It was also found a statistically significant moderator effect of the total score of stereotypes and the health stereotypes, besides a marginally statistically significant moderator effect for motivational stereotypes. The moderator effects were different for people with low and high negative stereotypes. QoL was more affected under conditions of high burnout, in which people with more negative stereotypes tended to present higher QoL than people with lower negative stereotypes.ConclusionHighly burned-out professionals in nursing homes may avoid their negative feelings projecting them to residents through stereotypes, as a way of coping with burnout and increasing their QoL. However, this mechanism is an “aggressive reaction” and may have negative effects for both the older adult and the professional. The comprehension of these variables is essential for developing adequate intervention programs.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 90%

Burnout and Quality of Life in Professionals Working in Nursing Homes: The Moderating Effect of Stereotypes

et al. 2022

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“…Nurses working during the COVID-19 pandemic were also definitely in the highest percentage, who struggled with the problems of emotional exhaustion—37.2% [ 22 ], 36.9% [ 25 ]. Such high values were also noted among nurses working in the geriatric ward—37.2% [ 2 ] and 29.2% [ 29 ]. On the other hand, mean values of depersonalization ranged from 0.76 ± 0.94 [ 23 ] to 9.0 ± 6.3 [ 18 ].…”

Section: Resultsmentioning

confidence: 83%

“…Various tools were used to assess the occurrence and characteristics of occupational burnout. The most frequently used scales were the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) [ 18 , 19 , 20 , 21 , 22 , 23 ] and the Maslach Burnout Inventory (MBI) [ 24 , 25 , 26 , 27 , 28 , 29 ]. The most common form of research was an Internet survey [ 2 , 17 , 18 , 19 , 25 , 26 , 30 , 31 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

Characteristics of Occupational Burnout among Nurses of Various Specialties and in the Time of the COVID-19 Pandemic—Review

Ślusarz

Cwiekala-Lewis

Wysokiński

et al. 2022

IJERPH

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Occupational burnout is particularly common among nurses due to their work being associated with stress, showing understanding, compassion, and commitment, along with the simultaneous need to maintain the necessary emotional distance. The aim of this review was to assess the occurrence and characterization of burnout among nurses working within neurology, geriatric care, intensive care units and with patients infected with the novel COVID-19 virus. PRISMA guidelines were used to conduct the review. The search for literature was limited to articles meeting the inclusion criteria and published from 2017 to 2022 in PubMed, Scopus, Science Direct, Google Scholar, and Wiley. A total of 768 articles from this category have been found. Ultimately, after in-depth analysis, 20 articles were included in the study. The group of respondents ranged from 49 to 3100 participants. According to the data, the percentages of nurses suffering from burnout in the presented research ranged from 14.3% to 84.7%, with the highest value of burnout among nurses who worked in the ICU during the COVID-19 pandemic. There are certain factors among nurses that significantly affect the occurrence of burnout. These include, among others, working time, age, exposure to infection and contact with infected patients, lack of training on COVID-19 prevention, providing care to an increased number of COVID-19 patients per shift, lack of personal protective equipment, lack of support of administration, lack of pay satisfaction, intrinsic motivation and turnover intention.

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“…It is also noteworthy that caring for people living with dementia at a severe stage of the disease is often challenging and represents a significant risk factor of burnout (Kandelman et al, 2018; Narme, 2018). Thus stigmatizing beliefs of the staff may be related to their level of burnout (Kane et al, 2020; Mantzorou et al, 2020). This association has not been found in our study, but it may depend on the type of beliefs that have been focused on.…”

Section: Discussionmentioning

confidence: 99%

The influence of Alzheimer’s disease stigma on pain assessment in older persons

et al. 2022

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Introduction Pain of nursing homes residents with Alzheimer’s disease remains under detected compared to their cognitively intact counterparts. Communication difficulties may partly explain this poor quality of care but the influence of stigmatization on pain assessment has never been explored. Research question The objective of this research was to analyze whether a diagnosis label of Alzheimer’s disease or the stage of the disease may bias pain assessment scores and empathic reactions of health care staff in nursing homes. Methods Two studies were conducted based on a similar experimental between-subjects design with a video showing an older adult woman experiencing undefined pain. Different labels and vignettes were manipulated to characterize the subject of the video. In the first study, 84 certified nursing assistants were asked to watch the video and then to assess the pain intensity and their empathic reaction. Participants were randomized in two conditions that varied the disease label (Alzheimer’s disease vs no diagnosis). In the second study, 67 certified nursing assistants were enrolled who did not participate in the first study. They watched the same video as in the first study and assessed the pain intensity and their empathic reaction. They were randomized in two conditions that varied the stage of the Alzheimer’s disease (mild stage vs severe stage). Results Alzheimer’s disease label had no influence on assessment scores. In contrast, the stage of the disease had a significant effect on the health care staff assessments with severe stage associated with lower pain intensity scores and empathic reactions. Conclusion These results confirm that the Alzheimer’s disease stigma is a real phenomenon that tends to be mainly elicited by the symptoms of the acute phase of the disease. These findings are crucial to better understand the stigma related to Alzheimer’s disease and to enhance the pain management of this frail population.

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Exploration of the relationship between stigma and burnout among Greek nurses in dementia care

Cited by 13 publications

References 33 publications

Burnout and Quality of Life in Professionals Working in Nursing Homes: The Moderating Effect of Stereotypes

Burnout and Quality of Life in Professionals Working in Nursing Homes: The Moderating Effect of Stereotypes

Characteristics of Occupational Burnout among Nurses of Various Specialties and in the Time of the COVID-19 Pandemic—Review

The influence of Alzheimer’s disease stigma on pain assessment in older persons

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