Professional Stress and the Responses of Nurses Caring for Patients with Chronic Renal Failure

Leonard, Martha

doi:10.1007/978-1-4899-0357-0_4

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…Shinn et al, 1984], As regards negative aspects of the job and sources of strain, more than one-fourth of the nurses felt markedly strained, mainly by doubts about the principle of maximum therapy, the consumerism of some patients, and intrateam tensions. This is in accor dance with Leonard [1981] and Balck et al [1983], but puts more emphasis on conflicts with respect to maximum therapy.…”

Section: Discussionmentioning

confidence: 99%

“…According to Czaczkes and Kaplan De-Nour [1978] and Kaplan DcNour [1983], the main sources of stress are problems in the staff-patient interaction, emotional and physical setbacks, and doubts about the effectiveness of dialysis in improv ing or maintaining quality of life for the chronically ill patients. Leonard [1981] related the main sources of stress to the particular characteristics of the treatment and the needs of the patients and found four factors: (1) intensity of con tact (15 h a week); (2) dependency; (3) chronicity, and (4) consumerism. Balck et al [1983] identified the following stressful situ ations (in declining order): Death of a pa tient, intrateam tensions, deterioration of health, time pressure, problem talks with pa tients, drop of blood pressure during dialy sis, and noncompliant behavior.…”

Section: Introductionmentioning

confidence: 99%

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Job Strains and Job Satisfaction of Dialysis Nurses

Muthny¹

1989

Psychother Psychosom

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Results are reported from an investigation on job strains in dialysis nurses and needs for psychosocial staff training. 174 dialysis nurses in the Federal Republic of Germany answered the clinical questionnaire, which was distributed in cooperation with the German section of the EDTNA. Although the majority emphasized positive aspects of the job (particularly responsible work, contact to patients, and teamwork), more than one-fourth of the nurses reported marked psychosocial strains. Main sources of stress were doubts about the principle of maximum therapy, the consumerism of some patients, and intrateam tensions. Almost two-thirds confirmed the necessity of psychosocial staff training, favoring training units of 1–2 h once a month. In the staffs opinion psychosocial staff training should mainly include casework and cognitive as well as behavioral training for a better handling of patients and conflicts. Main topics suggested by the nurses for discussion were depression, coping with illness as well as handling of aggressive and pretentious patients. Finally, implications of the findings with respect to the goals and performance of psychosocial staff training are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Job Strains and Job Satisfaction of Dialysis Nurses

Muthny¹

1989

Psychother Psychosom

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The Use of Mediation to Manage Patient-StaffConflict in the Dialysis Clinic

Johnstone

Seamon

Halshaw

et al. 1997

Advances in Renal Replacement Therapy

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Quality of life in end‐stage renal disease: Influence of renal transplantation

Christensen,

Holman,

Turner

et al. 1989

Clinical Transplantation

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A sample (n = 73) of end‐stage renal disease (ESRD) patients were evaluated on objective (physical) and subjective (psychological) quality of life indices. A comparative assessment was made between three treatment groups: (1) patients with a functioning renal transplant; (2) failed (returned to hemodialysis) transplant patients; (3) untransplanted, in‐center hemodialysis patients. Results for physical well‐being indicated that patients maintaining a functioning graft; reported less restriction in mobility, exhibited less functional impairment, and had a higher rate of vocational rehabilitation than patients in the other two groups. No significant group differences were found on indices of ambulation or body care and movement. In terms of psychological well‐being, successfully transplanted patients reported less anxiety and a higher level of subjective well‐being than the two groups of patients receiving hemodialysis. Similarly, patients with a functioning graft had the lowest depression scores. However, the group of patients experiencing a failed transplant exhibited a significantly greater degree of depression than the untransplanted hemodialysis patients. Clinical implications of the results are discussed, and recommendations are made for future quality of life research in the ESRD population.

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Professional Stress and the Responses of Nurses Caring for Patients with Chronic Renal Failure

Cited by 5 publications

References 2 publications

Job Strains and Job Satisfaction of Dialysis Nurses

Job Strains and Job Satisfaction of Dialysis Nurses

The Use of Mediation to Manage Patient-StaffConflict in the Dialysis Clinic

Quality of life in end‐stage renal disease: Influence of renal transplantation

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