Fostering Psychosocial Wellness in Oncology Nurses: Addressing Burnout and Social Support in the Workplace

Medland, Jacqueline; Howard-Ruben, Josie; Whitaker, Elizabeth D.

doi:10.1188/04.onf.47-54

Cited by 166 publications

(170 citation statements)

References 18 publications

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“…Reports underline the importance of achieving the skills to cope and solve problems, expression of the emotions, and the positive relation maintenance and support groups (16), and the communication skills training, multiple self-care interventions, cognitive-behavioral interventions, relaxation techniques and the group approaches in preventing development of burnout in oncology healthcare workers (33)(34)(35).…”

Section: The Coping With Stress Training Programmentioning

confidence: 99%

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The Effect of a New Coping Intervention on Stress and Burnout in Turkish Oncology Nurses

Onan¹,

Işıl²,

Barlas³

2013

MUSBED

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Türk onkoloji hemşirelerinde yeni bir başa çıkma girişiminin stres ve tükenmişlik üzerine etkisi Amaç: Bu çalışmanın amacı stresle başa çıkma eğitiminin onkoloji birimlerinde çalışan hemşirelerin stres belirtileri, başa çıkma tarzları ve tükenmişlik durumlarına etkisini değerlendirmektir. Yöntem: Öntest-sontest modelli yarı deneysel olan bu araştırma 2008-2009 yılları arasında gerçekleştirildi. Araştırmanın evrenini üç farklı onkoloji biriminde çalışan toplam 71 hemşire oluşturdu. Bu birimlerin seçilme nedenleri İstanbul'da yer alması, klinik hizmet vermesi, grup eğitimine katılımın olabilmesi için en az 10 hemşirenin çalışıyor olmasıdır. Araştırmanın örneklemi %95 güven düzeyi ve %80 güçlülük değeri temel alınarak yaklaşık 30 kişi olarak belirlendi ve çalışma bu birimlerde çalışan 30 hemşire ile gerçekleştirildi. Araştırmaya katılacak hemşireler için randomizasyon yapılamadı, örneklemi belirlemede klinik iş akışını aksatmama, eğitime katılımın gönüllülüğü ve sürekliliği esas alındı. Öncelikle bir kaç stresle başa çıkma yönteminin birleştirildiği yeni bir eğitim programı hazırlandı ve uygulandı. Veriler eğitim öncesi, sonrası ve bir ay sonrasında Bilgi Formu, Stres Belirtileri Ölçeği, Stresle Başetme Tarzları Ölçeği ve Maslach Tükenmişlik Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesinde yüzdelik ve frekans, Frieadman testi, Bonferroni düzeltmesi ve Wilcoxon sıralı işaretler testi kullanıldı. Bulgular: Uygulanan stresle başa çıkma eğitim programı öncesi, sonrası ve bir ay sonrası yapılan değerlendirmelerde başa çıkma tarzlarında anlamlı bir sonuç bulunamamışken; stres belirtileri toplam puan (Fr-χ 2 17.88; p=0.000), bilişsel duyuşsal (Fr-χ 2 15.10; p=0.001), fizyolojik belirtiler (Fr-χ 2 8.35; p=0.015) alt boyutlarında, emosyonel tükenme alt boyutunda (Fr-χ 2 9.04; p=0.011) istatistiksel olarak anlamlı sonuçlar bulunmuştur. Sonuç: Başetme eğitim programı onkoloji hemşirelerinin stres ve tükenmişlik durumları üzerinde anlamlı pozitif bir etki sağlamıştır. Anahtar sözcükler: Onkoloji hemşiresi, stres, tükenmişlik, başa çıkma eğitimi ABS TRACTThe effect of a new coping intervention on stress and burnout in Turkish oncology nurses Objective: The aim of this study was to evaluate the effect on coping with stress training on oncology nurses regarding their stress symptoms, ways of coping with stress and burnout situations. Method: This study used a quasi-experimental research design with pre-post intervention assessments and was carried out between the years 2008-2009. Its population consisted of 71 nurses who were working in three oncology units which were located in Istanbul, provided clinical services, and employed at least 10 nurses. The sample was determined as about 30 people based on potency value of 80% at 95% confidence level. It wasn't determined via randomization to avoid any delay in the clinic work flow. It was conducted on 30 nurses who were working at these units, were willing to participate and had an appropriate working schedule at the time of the training. A new training program combined wi...

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Section: The Coping With Stress Training Programmentioning

confidence: 99%

“…Burnout syndrome is based on three aspects: emotional exhaustion, depersonalization and lack of personal accomplishment. This syndrome particularly occurs as a result of the relations experienced in cases where the service provided to the oncology patients, who require intensive service, is not adequate (15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

The Effect of a New Coping Intervention on Stress and Burnout in Turkish Oncology Nurses

Onan¹,

Işıl²,

Barlas³

2013

MUSBED

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“…Lack of communication skills can diminish patient disclosure, increase patient anxiety, and decrease satisfaction with care. Communication difficulties are also a recognized stress and emotional burnout factor among healthcare professionals (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…Work-related stress may cause an array of problems having behavioral, physical and mental consequences (6). The nature of cancer disease, the difficulty of terminal care and briefing a patient about a disease and its course while managing the treatment with severe side effects as well as dealing with critical decision making, the patients' problems of denial, and situations generating from relationships such as failure in therapeutic communication, ethical issues and group conflicts can cause stress in oncology units (7)(8)(9). According to the studies conducted with the oncology nurses, the workload, working with terminally ill patients, role conflict and communication problems were shown to be the most important stressors (10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

The Relations Between Perceived Stress, Communication Skills and Psychological Symptoms in Oncology Nurses

Onan¹,

Barlas²,

Karaca³

et al. 2015

MUSBED

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Onkoloji hemşirelerinde algılanan stres, iletişim becerileri ve psikolojik semptomlar arasındaki ilişkiler Amaç: Bu çalışmanın amacı onkoloji hemşirelerinde algılanan stres, iletişim becerileri ve psikolojik semptomlar arasındaki ilişkiyi incelemektir. Yöntem: Çalışma İstanbul'da onkoloji birimlerinde çalışan 102 hemşireyle gerçekleştirilmiştir. Veriler Bilgi Formu, Algılanan Stres Ölçeği (ASÖ), İletişim Becerilerini Değerlendirme Ölçeği (İBDÖ) ve Kısa Semptom Envanteri (KSE) kullanılarak toplanmış ve tanımlayıcı istatistiksel analiz ve sperman korelasyon analizi kullanılarak değerlendirilmiştir. Bulgular: Hemşirelerin ASÖ puan ortalaması 16.85 (SD=6.08), İBDÖ puan ortalaması 73.34 (SD=23.28) ve KSE puan ortalaması 32.68 (SD=33.13) bulunmuştur. Hemşirelerin %84.3'ü öfkeli ve ajite hastalarla iletişimde güçlük yaşadıklarını ifade etmiştir. ASÖ ile İBDÖ arasında (r=-0.28; p<0.01) ve ASÖ ile KSE toplam puan (r=0.50; p<0.01) ve alt boyutları arasında pozitif bir korelasyon saptanmıştır. Sonuç: Onkoloji birimlerinde çalışan hemşirelerin iletişim becerilerini güçlendirmek ve algıladıkları stres düzeylerine yönelik girişimde bulunmak hem hemşirelerin kendi psikolojik sağlıklarına hem de hasta ve ailelerle yaşadıkları iletişim güçlüklerini azaltmaya ve dolayısıyla sunulan hizmetin kalitesine olumlu katkıda bulunabilir. Anahtar sözcükler: onkoloji hemşiresi, iletişim, algılanan stres, psikolojik semptom ABS TRACT The relations between perceived stress, communication skills and psychological symptoms in oncology nursesObjective: This study aims to determine the correlation between perceived stress, communication skills and psychological symptoms in oncology nurses. Methods: The study was conducted in collaboration with 102 nurses working in oncology departments of hospitals in Istanbul. The data was collected through Questionnaire Form, Perceived Stress Scale (PSS), Communication Skills Assessment Scale (CSAS) and Brief Symptom Inventory (BSS). Descriptive statistical analysis and spearman correlation analysis were used to evaluate the data. Results: Nurses received 16.85 (SD=6.08) points from PSS, 73.34 (SD=23.28) points from CSAS, and lastly 32.68 (SD=33.13) points from BSI. 84.3% of the nurses reported experiencing communication problems with angry and agitated patients. There was a negative correlation between PSS and CSAS (r=-0.28; p<0.01). A positive correlation was found between PSS and BSI total scores (r=0.50; p<0.01) and all the other sub-dimensions. Conclusion: Improving communication skills of oncology nurses and the interventions for their perceived stress levels may have effects as promoting their own psychological health as well as decreasing communicational difficulties with the patients and their families; and thus, it may affect the quality of care.

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“…[26] In such situations, RNs may become more task-oriented and less relationship-oriented. [27] In some cases, the RN experiencing these symptoms over time may choose to leave the nursing profession completely. While all health care providers are at risk for CF, nurse leaders need to understand and recognize that RNs are particularly vulnerable.…”

Section: Compassion Fatigue and Compassion Satisfactionmentioning

confidence: 99%

Change your life through journaling--The benefits of journaling for registered nurses

Dimitroff

Sliwoski²,

O'Brien³

et al. 2016

JNEP

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Objective: The objective of this study was to determine the effect journaling had on the degree of compassion satisfaction (CS), burnout (BO), and trauma/compassion fatigue (TCF) present in registered nurses (RNs). A secondary objective of this study was to gain knowledge about participants' experiences with journaling. Methods: This study was a pre-test, post-test quasi-experimental design with a qualitative component. A total of 66 registered nurses were recruited to participate in a journaling class. Each RN completed the Professional Quality of Life Scale Survey Revision IV (ProQOL R-IV) three times. In addition to the surveys, participants were asked to answer two open-ended questions. Results: CS, BO, and TCF all improved after taking the course. The overall change from Pre-survey to Post II-survey was statistically significant for compassion satisfaction (p = .008); burnout (p = .0001); and, trauma compassion fatigue (p = .0001). During constant-comparative analysis three themes were identified as: 1) journaling allowed me to unleash my inner most feelings, 2) journaling helped me to articulate and understand my feelings concretely, and 3) journaling helped me make more reasonable decisions. Conclusions: This study provides valuable information about journaling having a positive effect over time on the ability of registered nurses to handle stress, increase CS, and decrease BO and TCF symptoms. While this information adds to the limited literature, further research needs to be conducted with a larger sample.

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Fostering Psychosocial Wellness in Oncology Nurses: Addressing Burnout and Social Support in the Workplace

Cited by 166 publications

References 18 publications

The Effect of a New Coping Intervention on Stress and Burnout in Turkish Oncology Nurses

The Effect of a New Coping Intervention on Stress and Burnout in Turkish Oncology Nurses

The Relations Between Perceived Stress, Communication Skills and Psychological Symptoms in Oncology Nurses

Change your life through journaling--The benefits of journaling for registered nurses

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