Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout

Kravits, Kate; McAllister-Black, Randi; Grant, Marcia; Kirk, Christina

doi:10.1016/j.apnr.2008.08.002

Cited by 144 publications

(132 citation statements)

References 18 publications

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“…D r a w -a -P e r s o nin-the-Rain Art Assessment (PIR). Desarrollado por Carney en 1992 Kravits et al (8) Se utiliza para aumentar la información obtenida de la MBI. El PIR revela la interacción entre la intensidad de los factores de estrés y la disposición de los recursos de afrontamiento y su potencial para ser eficaz.…”

Section: U E S T I O N a R I O General De Salud [General Health Queunclassified

“…Según el estudio de Kravits et al (8), el afrontamiento es un proceso para promover supervivencia frente a una amenaza. Las estrategias de afrontamiento son patrones de comportamiento influenciados por los rasgos de personalidad, patrones históricos de relaciones y los factores de estrés situacional.…”

Section: Intervencionesunclassified

“…El SB repercute sobre la sociedad en general y es considerado un problema social y de salud pública debido a que genera aumento de los costos económicos y sociales (5), afecta la moral, el bienestar psicológico, físico y mental de los trabajadores, la calidad y el tratamiento que se les proporciona a los pacientes, además del funcionamiento administrativo de los servicios sanitarios, con sus consecuentes implicaciones como ausentismo, rotación, disminución de la productividad y de la calidad (5)(6), aumento en los errores, lo cual repercute en la seguridad y salud del paciente (7) y bajos niveles de satisfacción del cliente (8).…”

Section: Introductionunclassified

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Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica

Vargas-Cruz

Niño-Cardozo

Acosta-Maldonado³

2017

rev. cienc. cuidad.

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RESUMENIntroducción: el síndrome de Burnout es la sensación de agotamiento y pérdida de interés por el trabajo que surge en profesionales que mantienen contacto diario con otras personas. Metodología: se realizó una revisión de artículos que reportan estrategias para modular el Burnout en profesionales de enfermería, en las siguientes bases de datos: Scielo, ProQuest, Sciencie Direct, Ovid Nursing, EBSCO, Medline, Pubmed y Wiley Online Library. Los descriptores en español, inglés y portugués utilizados fueron: Burnout, enfermeras, intervenciones. Se encontraron 1.833 artículos, de los cuales 17 cumplieron con los criterios de selección. Resultados: el efecto de las intervenciones pre y post para el Burnout fue medido con el Maslach Burnout Inventory y la Escala de Depresión y Ansiedad Hospitalaria, entre otros. Las intervenciones más reportadas fueron apoyo social, psico-educación, entrenamiento en la solución de problemas y en habilidades de comunicación. 16 artículos reportaron disminución o ausencia del Burnout después de las intervenciones, con cambios en las variables propuestas por Maslach y Jackson o en la sostenibilidad en el tiempo. Conclusión: se reportan estrategias para el Burnout sin distinción de las variables del mismo; sin embargo, se evidencian diferencias en los resultados frente a cambios positivos en cansancio emocional, en comparación con las otras variables.PALABRAS CLAVE: adaptación psicológica, agotamiento profesional, enfermeros, despersonalización INTRODUCCIÓNEl síndrome de Burnout (SB) se define como la sensación de agotamiento, decepción y pérdida de interés por la actividad laboral (1). Surge especialmente en aquellos que se dedican a profesiones de servicio, como consecuencia del contacto diario con otras personas en su trabajo (2), especialmente los profesionales de la salud y la educación, quienes son los colectivos del sector público más afectados por el SB (3), que lleva consigo problemas de salud mental (ansiedad, depresión, entre otros) (1).Según Quiceno et al. (4), "el SB es una respuesta al estrés laboral crónico, acompañado de una experiencia subjetiva de sentimientos, cogniciones y actitudes que provocan alteraciones psicofisiológicas en la persona y consecuencias negativas para las instituciones laborales". "No es un proceso asociado a la fatiga sino a la desmotivación emocional y cognitiva que sigue al abandono de intereses que, en un determinado momento, fueron importantes para el sujeto" (4).El SB repercute sobre la sociedad en general y es considerado un problema social y de salud pública debido a que genera aumento de los costos económicos y sociales (5), afecta la moral, el bienestar psicológico, físico y mental de los trabajadores, la calidad y el tratamiento que se les proporciona a los pacientes, además del funcionamiento administrativo de los servicios sanitarios, con sus consecuentes implicaciones como ausentismo, rotación, disminución de la productividad y de la calidad (5-6), aumento en los errores, lo cual repercute en la seguridad y salud del paciente (7) ...

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Section: U E S T I O N a R I O General De Salud [General Health Queunclassified

Section: Intervencionesunclassified

Section: Introductionunclassified

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Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica

Vargas-Cruz

Niño-Cardozo

Acosta-Maldonado³

2017

rev. cienc. cuidad.

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“…One study from five different countries found that the incidence of burnout in nurses was 32% to 54% (7). The rate of severe burnout is even higher among nurses working in critical care settings (2,8,9).…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Job Burnout Among Critical Care Nurses With Fixed and Rotating Shift Schedules

Shamali¹,

Shahriari²,

Babaii³

et al. 2015

Nurs Midwifery Stud

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Background: Nurses, as health care providers, are insurmountably obliged to the practice of shift work. Literature has reported shift working as one of the inducing factors of burnout. Despite numerous studies in this area, there are inconsistencies on the relationship between shift working and burnout among nurses, especially in those who work in critical care settings. Objectives: The aim of this study was to compare the occupational burnout in critical care nurses with and without fixed shift schedules. Patients and Methods:In this comparative study, 130 nurses with rotating shift schedule and 130 nurses with fixed shift schedule from six university hospitals were selected using stratified random sampling. Maslach burnout inventory was used for data collection. Independent samples t-test, chi-square and one-way ANOVA tests were used to analyze the data. Results: Most of the participants were females (62.7%), aged between 22 -29 years (38.5%), married (59.2%), and had a bachelor degree (86.9%). The mean score of emotional exhaustion was significantly higher in nurses with fixed shift schedules (P < 0.001). However, no significant difference was found between the mean scores of the two groups in the personal accomplishment and depersonalization subscales (P > 0.05). Moreover, no significant difference was found in burnout mean scores between nurses with fixed morning and fixed night shifts (P > 0.05). The means of the emotional exhaustion subscale were significantly different in nurses with different characteristics (P < 0.05) except the gender and working unit. Conclusions: As a result of this study, it was found that critical care nurses with fixed shift schedules display more burnout in emotional exhaustion dimension, compared to those working with rotating shift schedules.

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“…In the same context, Kravits, McAllister-Black, Grant, and Kirk [24] classified the effects of stress into four categories which are affective, cognitive, physical and behavioral. Those reflecting the affective responses may include anxiety, tension, anger, depression and apathy experienced by the individual.…”

Section: Introduction Work Stressmentioning

confidence: 99%

Work Stress, Coping Strategies and Levels of Depression among Nurses Working in Mental Health Hospital in Port-Said City

Hasan¹

2017

Int Arch Nurs Health Care

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dle this stressor. While, Kim and Lee [5] described occupational stress as any force moves a psychological or physical factor beyond its range of ability, thus it results with the strain.In addition to the general stressors being reported by general nurses, working area as closed unitsare additional source of stress beside to high patient-acuity levels. Specifically, the characteristics of patients in these units can be extremely aggressive, violent, and unpredictable and danger to themselves or others [6]. Therefore, psychiatric nurses tend to have difficulty in obtaining positive outcomes from their work; this, in turn, may influence the sense of reward they experience. Moreover, one of the basic psychiatric nurses' roles is to protect patients and others from danger with limited action can be taken against patients [7]. As a result, they face a complex ethical dilemmas and confrontational attitudes toward psychiatric nursing. This finding asserted in the study of Fagin, et al. [8] who concluded that the levels of stress experienced by are enormous high. Another study conducted by Bannai and Tamakoshi [9] studied the frequency and impact of patients' suicide on American psychiatrists' personal and professional lives. The result showed that stress levels were the main the direct reason to experience post-traumatic stress symptoms among psychiatrists. Blonna [10] found that effective utilizing of coping mechanism interferes with the experienced level of stress. This means that a stress level can be reduced Coping strategies AbstractPsychiatric nurses experience wide range of stressful events, evolving from the care of violent, aggressive patients, recurrent relapse episodes and poor prognosis of mental disorders; it affects several dimensions of nurses' life, physical and mental health. The aim of the study was to assess work stress, coping strategies and level of depression among psychiatric nurses. A descriptive correlation design was conducted on psychiatric nurses working in the mental health setting. Data were collected from 250 nurses working at mental health hospital in Port-Said city using self-report questionnaire and demographic characteristics. The results revealed that psychiatric nurses had moderate levels of work stress and depression, as well as exhibiting different coping strategies. In addition, there were statistically significant differences found in the experienced stress and depression level alongside utilized coping strategy in relation to nurse's demographic characteristics. Stress and depression are prevalent among psychiatric nurses in their work, thus, implementing programs aim at teaching psychiatric nurses how to deal with work stressors and raise their abilities regarding coping strategies and problem solving are recommended.

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Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout

Cited by 144 publications

References 18 publications

Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica

Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica

Comparative Study of Job Burnout Among Critical Care Nurses With Fixed and Rotating Shift Schedules

Work Stress, Coping Strategies and Levels of Depression among Nurses Working in Mental Health Hospital in Port-Said City

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