Predictors of depressive symptoms among psychiatric nurses who suffered from workplace violence

Hsieh, Hsiu-Fen; Wang, Hsiu‐Hung; Shen, Shu-Hua; Li, Yuchi

doi:10.1111/jan.13451

Cited by 37 publications

(27 citation statements)

References 40 publications

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“…Resilience is an important factor associated with psychological health in abused PW nurses [36], and resilience can further reduce depressive symptoms [37]. Our results showed that both the BT and SDBT interventions can significantly strengthen abused PW nurses' resilience, as compared to controls, and such results were also found in similar previous studies [22,33].…”

Section: Discussionsupporting

confidence: 87%

“…Depressive symptoms are not uncommon in psychiatric workers [32], and these depressive symptoms are more common among those PW nurses who encounter violence versus those who do not [33]. Abused PW nurses require effective interventions for improving depressive symptoms, and we found that both the BT and SDBT groups had a greater reduction of depressive symptoms than did the control group, with significant difference.…”

Section: Discussionmentioning

confidence: 61%

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The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

Hsieh

Huang

Liu

et al. 2020

IJERPH

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Psychiatric ward (PW) nurses are at a higher risk to encounter workplace violence than are other healthcare providers, and many interventions have been developed to improve their mental health. We compared the effectiveness of biofeedback training (BT) and smartphone-delivered BT (SDBT) interventions on occupational stress, depressive symptoms, resilience, heart rate variability, and respiration rate in a sample of abused PW nurses. This was a quasi-experimental study. Structured questionnaires were administered before and six weeks after the intervention. Data were collected from April 2017 to October 2017. A total of 159 abused PW nurses were randomly assigned to BT, SDBT, and control groups, and 135 of them completed all processes of our protocol, with the study consisting of 119 females (88.1%) and 16 males (11.9%) and their age range being from 22 to 59 with the mean age of 35.61 and a standard deviation of 8.16. Compared to the controls, both the BT and the SDBT intervention groups experienced significant improvements in depressive symptoms, resilience, and respiration rate; and the SDBT group experienced significant reductions in occupational stress. Considering the cost, accessibility, restrictions time and space, SDBT be used as an effective intervention in people with resilience or occupational stress.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 61%

The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

Hsieh

Huang

Liu

et al. 2020

IJERPH

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“…A minimum of 88 respondents was required to achieve a medium effect size with a power of 0.80 at a 5% level of significance (number of predictors = 9). The utilised inputs were similar to those used by previous research on this field .…”

Section: Methodsmentioning

confidence: 99%

The effect of humour on nursing professionals’ psychological well‐being goes beyond the influence of empathy: a cross‐sectional study

Navarro‐Carrillo

Torres‐Marín

Corbacho‐Lobato

et al. 2019

Scandinavian Caring Sciences

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Scand J Caring Sci; 2020; 34: 474-483 The effect of humour on nursing professionals' psychological well-being goes beyond the influence of empathy: a cross-sectional study Background: Prior research has underlined the meaningful function of humour in nursing settings. Nonetheless, most of the empirical evidence on humour and nursing derives from approaches that mainly considered the potential beneficial effects of humour, neglecting potential detrimental effects of the dark side of humour. Moreover, little is known about whether the specific repercussions of humour on healthcare professionals' well-being would go beyond empathy-a construct robustly related to psychological well-being. Aims: To examine whether distinctive humour styles (affiliative, self-enhancing, aggressive and self-defeating) are differentially associated with the psychological well-being of nursing professionals. Importantly, we also analysed whether these potential humour effects go over and above the influence of empathy-related traits (perspective-taking and personal distress). Method: A cross-sectional, descriptive correlational design was used. A convenience sample of 104 nursing professionals with a minimum work experience of one year was recruited. Results: Our results revealed that a greater inclination to affiliative and self-enhancing humour styles was strongly related to higher scores on happiness, sociability, hope and life satisfaction among nursing professionals. Concerning maladaptive humour styles, aggressive humour was related to low life satisfaction and high nursing stress. By contrast, self-defeating humour-a theoretically detrimental humour style-was related to higher scores on health among these professionals. These effects emerged even after controlling for the influence of demographics (i.e., gender, age and years of experience), perspective-taking and personal distress. Conclusions: Our results suggest that adaptive humour styles may promote positive indicators of well-being, but they might not protect against negative indicators. Moreover, differential effects of maladaptive humour styles emerged. Whereas aggressive humoristic expressions can be interpreted as a sign of a poor psychological functioning, self-defeating humour may boost positive psychological outcomes among nursing professionals. These data can help to design more efficient humour-based intervention programmes aimed at minimising potential negative consequences of nursing activity.

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“…In a recent study, for example, over a 12‐month period 76% of mental health nurses reported depressive symptoms (Hsieh et al . ) and up to 10% of mental health nurses report post‐traumatic stress disorder (Jacobowitz ). The emotional labour of dealing with challenging interpersonal situations with consumers, families, and colleagues can also lead to emotional dissonance (Delgado et al .…”

Section: Introductionmentioning

confidence: 99%

“…The cumulative effects of workplace violence and workload demands can contribute to chronic stress and mental distress (Lanctôt & Guay 2014), and lower mental health. In a recent study, for example, over a 12-month period 76% of mental health nurses reported depressive symptoms (Hsieh et al 2017) and up to 10% of mental health nurses report post-traumatic stress disorder (Jacobowitz 2013). The emotional labour of dealing with challenging interpersonal situations with consumers, families, and colleagues can also lead to emotional dissonance (Delgado et al 2017;Edward et al 2017) and substantial levels of burnout (up to 67%; Morse et al 2012).…”

Section: Introductionmentioning

confidence: 99%

On PAR: A feasibility study of the Promoting Adult Resilience programme with mental health nurses

Foster

Shochet

Wurfl

et al. 2018

Int J Mental Health Nurs

113

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Mental health settings are recognized as complex, unpredictable environments, and challenging interpersonal situations are common for nurses in acute adult mental health services. Occupational stressors include verbal aggression and physical assault and are correlated with poor physical and mental health outcomes for nurses. There is a clear need for proactive approaches that address the negative impacts of stressors on the mental health nursing workforce. Resilience interventions are a preventive approach to strengthening skills for addressing workplace stress, improving health and well-being, and preventing adverse outcomes associated with occupational stressors. The aim of this study was to evaluate the feasibility of a workplace resilience education programme for nurses in high-acuity adult mental health settings. The outcomes were measured using a single-group pretest post-test design with follow-up at 3 months postintervention. The feasibility and acceptability of the programme were identified with descriptors of mental health, well-being, resilience, facilitator fidelity checklists, and participant satisfaction questionnaires. The programme was found to be feasible for nurses working in high-acuity inpatient settings. There were significant changes to mental health, well-being, and workplace resilience. The programme was delivered with fidelity by facilitators and accepted with high levels of satisfaction by participants. The study findings indicated that nurses can benefit from resilience education that equips them with cognitive, emotion regulation, and relational skills, in conjunction with available external supports and resources, to address workplace challenges. There is a need for comprehensive organizational approaches that include individual, work unit, and organizational-level strategies to support staff well-being.

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Predictors of depressive symptoms among psychiatric nurses who suffered from workplace violence

Abstract: Family support plays the most important role among assaulted psychiatric ward nurses as a protective factor against developing depressive symptoms in this study.

Cited by 37 publications

References 40 publications

The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

The effect of humour on nursing professionals’ psychological well‐being goes beyond the influence of empathy: a cross‐sectional study

On PAR: A feasibility study of the Promoting Adult Resilience programme with mental health nurses

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