Nursing Aides' Attitudes to Elder Abuse in Nursing Homes: The Effect of Work Stressors and Burnout

Shinan-Altman, Shiri; Cohen, Miri

doi:10.1093/geront/gnp093

Cited by 84 publications

(96 citation statements)

References 44 publications

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“…Patients with these symptoms are often sent to long-term care facilities. Often, caregivers at these facilities, where the prevalence rate of BPSD is known to be higher, are not well prepared to manage BPSD and find the workload stressful [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

The Use of Aroma-acupoint Therapy and Aromatherapy to Treat Depression in Dementia Patients with Severe Cognitive Impairment

Yang¹,

Li²,

Wu³

et al. 2017

Med Aromat Plants

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Background: Depression, one of the most common behavioral and psychological symptoms of dementia in seniors, adversely affects life quality of both patients and caregivers. Because many antipsychotic drugs can cause severe side effects in patients with dementia, there is a need for effective noninvasive treatments for depression in these patients. This study compared the effect of aroma-acupoint therapy and aromatherapy on depression in DSM-IV diagnosed senior dementia patients with Mini-Mental State Examination (MMSE)-assessed severe cognitive impairment living in long-term care facilities.

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Section: Introductionmentioning

confidence: 99%

The Use of Aroma-acupoint Therapy and Aromatherapy to Treat Depression in Dementia Patients with Severe Cognitive Impairment

Yang¹,

Li²,

Wu³

et al. 2017

Med Aromat Plants

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“…Role ambiguity is the degree to which clear information does not relate to the expectation associated with a role (Kahn et al, 1964). Many studies show a positive relationship between role ambiguity and burnout (Collins, 2000;Kokkinos, 2007;Shinan-Altman & Cohen, 2010). The scientific results have indicated to date that role conflict is the most intense predictor of the emotional component of the syndrome (emotional exhaustion) (Jawahar, Stone & Kisamore, 2007;Lee & Ashforth, 1996;Piko, 2006;Posig & Kickul, 2003;Mohr & Puck, 2007), whereas role ambiguity is the most intense predictor of the cognitive component (low personal accomplishment) (Gil-Monte, 2005;Örtqvist & Wincent, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…The scientific results have indicated to date that role conflict is the most intense predictor of the emotional component of the syndrome (emotional exhaustion) (Jawahar, Stone & Kisamore, 2007;Lee & Ashforth, 1996;Piko, 2006;Posig & Kickul, 2003;Mohr & Puck, 2007), whereas role ambiguity is the most intense predictor of the cognitive component (low personal accomplishment) (Gil-Monte, 2005;Örtqvist & Wincent, 2006). These phenomena are included in different comprehensive models of the syndrome (Posig & Kickul, 2003;Shinan-Altman & Cohen, 2010;Radha, 2007), which indicate the importance of these stressors in the development of burnout.…”

Section: Introductionmentioning

confidence: 99%

Relationships between burnout and role ambiguity, role conflict and employee absenteeism among health workers

et al. 2014

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ResumenEl objetivo de esta investigación fue analizar la influencia de algunos factores de riesgo psicosociales en el desarrollo del burnout y analizar la influencia de este fenómeno en el absentismo laboral. La muestra la integraron 142 trabajadores de la salud. El análisis de los datos se efectuó considerando estadística descriptiva y modelos de regresión lineal múltiple. Los resultados confirman la influencia de la ambigüedad y del conflicto de rol sobre el Burnout [F (2.139) = 26.720; p < .001] y no se valida la influencia de éste sobre el absentismo laboral. No obstante, se evidencia una relación significativa y positiva entre la dimensión desgate psíquico y absentismo laboral (β = 0.197; p< .05). Se concluye que el conflicto de rol es el predictor más intenso del componente emocional del burnout (desgaste psíquico; β = 0.585; p < .001). Se evidencia que un esfuerzo emocional sostenido pudiese favorecer el absentismo laboral. Palabras clave: psicología de la salud, burnout, ambigüedad, conflicto de rol y absentismo laboral. AbstractThe aim of this research was to analyze the influence of some psychosocial risk factors in the development of burnout and to analyze the influence of this phenomenon on employee absenteeism. The study sample included 142 health care workers. The data analysis included descriptive statistics and multiple linear regression models. The results confirmed the influence of role ambiguity and role conflict on burnout [F (2.139) = 26.720; p < .001], but the influence of burnout on employee absenteeism was not confirmed. However, a significant and positive relationship has been shown between burnout and employee absenteeism (β = 0.197; p < .05). In conclusion, the findings of this study support the claims that role conflict is a more intense predictor of the emotional component of burnout (burnout; β = 0.585; p < .001). Additionally, there is evidence that prolonged emotional strain could encourage employee absenteeism.

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“…A number of factors may induce and aggravate stress in caregivers, including reduced work pleasure, long hours, inadequate salaries, high physical demands, increased workload due to understaffing, and deficient education and training (12,13). In a broader biopsychosocial perspective, scientists are paying more and more attention to the psychological profile and sensitivity of health professionals for the elderly -most notably in terms of using personal resources and coping strategies in order to improve their resistance to stress (14).…”

mentioning

confidence: 99%

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Neuberg

Železnik

Meštrović³

et al. 2017

Archives of Industrial Hygiene and Toxicology

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As this issuehas not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43.9 %, high DP by 22.2 %, and low PA by 39.8 % of the respondents. Their perception of elder abuse and neglect was investigated with two self-completion questionnaires. The answers suggest that elder mistreatment in Croatian nursing homes and extended care units is more common than expected: 55 % witnessed shouting at a resident in anger, 43 % insulting and swearing at a resident, 42 % force-feeding the resident, 39 % ignoring a resident when they called, and 38 % neglecting to turn or move a resident to prevent pressure sores. We also established associations between a number of questionnaire items on perceived abuse and neglect and the burnout syndrome dimensions and determined the items that predicted the type and level of burnout in our respondents. One way to avoid the pitfalls that lead to abuse and neglect is education in schools and at work. We believe our research could contribute to this end.

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Nursing Aides' Attitudes to Elder Abuse in Nursing Homes: The Effect of Work Stressors and Burnout

Abstract: As nursing aides' attitudes condoning elder abuse may influence their actual behaviors, training and supervision programs should be developed to reduce work stressors and burnout and to modify these attitudes.

Cited by 84 publications

References 44 publications

The Use of Aroma-acupoint Therapy and Aromatherapy to Treat Depression in Dementia Patients with Severe Cognitive Impairment

The Use of Aroma-acupoint Therapy and Aromatherapy to Treat Depression in Dementia Patients with Severe Cognitive Impairment

Relationships between burnout and role ambiguity, role conflict and employee absenteeism among health workers

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

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