Factors related to staff stress in HIV/AIDS related palliative care

Size: px
Start display at page:

Download "Factors related to staff stress in HIV/AIDS related palliative care"

Transcription

1 Research Article Factors related to staff stress in HIV/AIDS related palliative care Prabha S. Chandra, K. R. Jairam, Anila Jacob Department of Psychiatry, NIMHANS, Bangalore, India Correspondence: Dr. Prabha Chandra National Institute of Mental Health and Neuro Sciences, Bangalore , India. prabhachandra@rediffmail.com Abstract Aims: Staff stress in HIV related palliative care has been identified as an important problem worldwide. This study aimed at estimating prevalence of staff stress and its correlates in a sample of palliative caregivers in HIV/AIDS in India. Materials and Methods: Fifty-two participants (29 female and 23 male) completed the Maslach Burnout Inventory (MBI), AIDS Contact Scale (ACS) and AIDS Stress Scale (ASS) and a semi-structured questionnaire. Results: The majority (92%) had average to high scores on at least one domain of MBI. High scores on the factors Emotional Exhaustion, Depersonalisation, and Personal Accomplishment were seen in 10%, 17% and 58% of the sample respectively. ASS score, severity of stress in dealing with persons living with AIDS and having considered leaving HIV related work were predictors of high Emotional Exhaustion scores. ASS score, ACS score and severity of stress with death of a person with AIDS were predictors of high Depersonalisation scores. Female gender was a predictor of a high Personal Accomplishment score. Conclusions: The study emphasises the need to address issues related to staff burnout in HIV palliative care. Key Words: HIV, palliative care, staff stress Introduction Palliative care in India involves mainly those affected by cancer and more recently HIV/AIDS. In the current Indian setting where HIV/AIDS is associated with extreme social stigma, patients will continue to reach health care facilities late for aggressive treatment of the illness. Even though there is a gradual decrease in new HIV infections in India, the epidemic is still spreading. The number of new infections in 2001 has been estimated to be 0.11 million. 1 With an expected rise in HIV prevalence to epidemic proportions in India, and the high cost of anti retroviral therapy, the number of people infected with HIV requiring palliative care will rise exponentially and draw on health care resources both in terms of infrastructure and personnel. 48 Hence, it is of utmost importance to utilize the resources available in palliative care by ensuring efficient functioning of the available palliative caregivers, alongside training of new hands. As in any care giving profession, in palliative care too, the psychological well being of the caregivers plays a major role in improving quality of care. This may be important as exhaustion syndrome is a potential risk for palliative care workers and families because of their special contact with suffering. 2 Burnout has been reported to be associated with sub optimal patient care practices. 3 It is therefore important to identify prevalence of stress and burnout among carers and identify factors that contribute to this stress in the palliative care settings and design suitable intervention programmes for those under stress.

2 Staff stress in HIV/AIDS related palliative care Most of the early literature on stress experienced by staff caring for dying focused on nurses experiences. 4 As research data on staff stress accumulated, other theoretical frameworks or models came to be discussed. The studies done vary in terms of the sample size and character and the tools used. McKusick & Horstman 5 studied the psychological experience of professionals working in AIDS. They found that respondents experienced more depression, anxiety, overwork and fear of death since starting to work with AIDS. While the number of years of working with AIDS did not correlate with psychological distress, the percentage of total work time spent in AIDS unit was related to depression, and they suggested that burnout is a function of the amount of concentrated exposure rather than of longitudinal contact with the disease. Ross & Seeger 6 found that 34% of health professionals reported stress and 43% reported overwork in their work with AIDS. The major stressors were youth of the people with AIDS, neurological aspects of the illness and death. Stress had the highest correlation for burnout, followed by needing more information about emotional needs of people with AIDS. Maj 7 highlighted the lack of data on the prevalence of the burnout syndrome in AIDS caregivers. One of the major limitations of the evidence available then was that it had been obtained exclusively in developed countries. In her review of literature on impact of working with people with HIV/AIDS, Barbour 8 postulated that stress in staff members may differ depending on their training, previous experience, personality, sexual identity and reason for working in the field. Kleiber et al 9 attempted to identify and characterize burnout in AIDS caregivers by comparing health workers in AIDS and non-aids fields. They found no effect of occupational group (medical vs psychosocial) on burnout, however those in AIDS health care were less burnt out than workers in cancer care or geriatrics. In contrast to Kleiber s results, Catalan 10 found that a majority of AIDS workers had some degree of stress detected by high scores on at least one MBI subscale. In their sample, AIDS workers were found to be five times more likely than oncology workers to score high on MBI with doctors scoring higher on depersonalization than nurses. More recently Hayter 11 studied burnout in HIV care nurses and found that 66% had moderate or high burnout on EE or PA of the MBI. Sherman 12 carried out a qualitative study among nurses working with AIDS patients and found that most nurses coped with physical and emotional risks and stress of AIDS caregiving by problem focused and emotion-focused coping. Understanding the evolution of staff stress is important in preventing and treating the same. One of the popular models used to study staff stress is the person environment model, which suggests that job satisfaction and occupational stress are the result of a dynamic interaction between the person holding a particular job and the environment in which he or she is employed. Most researchers have focused on identifying the correlates based on coping and support alongside demographic and work related variables. Attempting to identify predictors of retention among HIV health care professionals, Brown et al 13 studied health professionals in hemophilia treatment centers. The burnout as measured by MBI was found to be low, but over a four-year period, more than one third left their jobs. Less perceived stress with colleagues and being married were significant predictors of job retention. The various other factors described as related to stress and burnout include: age, 14,15,4,16,17 communication, role ambiguity, team problems, 4,18,19 poor adjustment related to work, social relations and leisure, 10,20 and staff support. 18,4 The palliative care field in India is fraught with problems of developing nations- limited access to palliative care, illiteracy, poverty, poor status of women, stigma against the disease and lack of an organized social security system. 21 To our knowledge there has been no study to date on staff stress in palliative care in India. Even though there have been numerous studies from the West, the distinct features of palliative care in India makes it difficult to draw conclusions in our context based on these studies. The current study was designed to identify the prevalence of stress among staff working in HIV related palliative care and to identify its correlates. Materials and Methods Semi structured questionnaires were given to 52 staff members in four palliative care centres in Bangalore, 49

3 Chandra PS, et al. and also to staff offering palliative care for the HIV infected in hospitals. The questionnaire (available from the author on request) comprised of items designed to assess (1) the clinical background, (2) their sociodemographic information and (3) issues related to work. The work related section of the questionnaire had items that assessed the following: Degree of satisfaction with patients, families, colleagues, institutional administration, society, including media and government Degree of satisfaction with opportunities for case supervision/ guidance, case discussion with peers and opportunities to improve knowledge and skills Degree of stress perceived dealing with various aspects of HIV/AIDS including stage of disease, age of patients, psychosocial and ethical issues Strategies used to cope with stress. The following structured tools were also used: AIDS Contact Scale 22 (ACS) The ACS is a 15 item self administered questionnaire concerning the number of AIDS patients seen, time spent with AIDS patients, the number of contacts with family and friends of patients and the frequency of a variety of specific physical contacts (touching, handling bedclothes, handling blood and other fluids and handling equipment contaminated by such fluids) and social contact (general conversation with patients, discussion of physical and emotional problems related to the disease). Each item is scored from 1 to 4, the total score being the mean of the item scores, with higher scores indicating a higher degree of contact with persons with AIDS. The scale has been seen to have internal consistency (α = 0.83). AIDS Stress Scale 23 (ASS) The ASS is an 8 item scale that was developed to assess the challenges posed to health care workers as a result of working with AIDS and persons with AIDS. Using a 4-point Liekert type scale, respondents indicate their degree of comfort with AIDS patients and with friends and family of persons with AIDS as well as the degree of risk they perceive as a result of their jobs. There are 5 yes-no questions assessing stress related to working with patients with AIDS, whether they feel their knowledge is sufficient to deal with physical and emotional needs of AIDS patients and 50 with the family and friends of AIDS patients. Each item is scored from 1 to 4 and the score for the scale is obtained by the mean of the item scores. The mean score is an indicator of AIDS stress, with higher scores indicating more stress. The reliability of the scale has been demonstrated with a Cronbach s α = Maslach Burnout Inventory 24 (MBI) The MBI is a 22 item scale that is recognized as a valid measure of burnout. The inventory is comprised of 3 subscales that assess 3 aspects of burnout, namely Emotional Exhaustion (EE), Depersonalization (DP) and Personal Accomplishment (PA). Higher scores on EE and DP indicate higher levels of burnout and higher scores on PA indicate lower levels of burnout. In addition to the raw scores, cutoffs have been suggested to classify the score as falling into low, average and high levels of burnout. Scores less than 19 on EE, 6 on DP and more than 39 on PA suggest low level of burnout. Scores of on EE, 6-9 on DP and on PA suggest average level of burnout. High level of burnout is indicated by a score more than 26 on EE, 9 on DP and less than 34 on PA. Data Analysis Data was entered into SPSS 7.5 for analysis purpose. An initial descriptive analysis was carried out to determine the sample characteristics. t tests, ANOVA and Pearson s bivariate correlation were carried out to determine correlates of burnout. The analysis was carried out using the raw scores on the MBI scales. For assessing prevalence of burnout, the cutoff suggested 24 was used to categorize the scores as indicating low, average or high level of burnout. Results The sample comprised of 52 subjects, 29 females and 23 males. The mean age of the sample was years (SD 9.64). Majority of the sample were doctors (46%), followed by counsellors (17%), nurses (14%), social workers (10%) and others (13%). 54% of the subjects had post graduate education. Thirty three subjects were married (64%) and 16 subjects (31%) had children. The majority (48%) of the subjects had been working in the field of palliative care for a period of 1-5 years. 64% of the participants were working full time in palliative care. Most of the participants started

4 Staff stress in HIV/AIDS related palliative care working in the field either as part of work assigned to them (49%) or as an area of professional interest (35%). Frequency of contact with HIV cases per week was less than 5 cases in 41%, up to 10 cases in 31% and more than 10 cases in 29%. The majority (55%) worked more than 5 days a week with HIV patients. ASS (AIDS Stress Scale) Scores The ASS scores ranged from 1.25 to 4.13 with a mean of 2.42 (0.73). Those who had children scored significantly lower (1.94 ± 0.53) than those without (2.61 ± 0.72); P= indicating lower degree of stress among those with children. Prevalence of burnout Over all, across the domains, 92% of the respondents were seen to have average to high levels of burnout in at least one of the 3 domains. 66% of the 44 participants who responded to all the items had high levels of burnout in at least one domain. Emotional Exhaustion: The mean score in this domain was (SD 10.71). 62% of the respondents (n=50) reported low levels, 28% average and 10% high levels of burnout in this domain. Depersonalization: The mean score of the respondents in this domain was 5.22 (SD 4.85). Of the total 46 participants who responded to all the items in the domain, 61% had low level, 22% had average level and 17% had high level of burnout in this domain. Personal Accomplishment: The mean score in this domain was (SD 8.28). 43 participants responded to all the items in this domain. Of them, 58% had a high level of burnout, 28% and 14% were seen to have average and low level of burnout respectively. Correlates of burnout Emotional Exhaustion (EE): There was no association of the scores in this domain with any of the sociodemographic variables considered. There was significant positive correlation between the ASS score and the EE scores (r = 0.418; P = 0.004). Those who reported using some strategy to deal with their stress were seen to score significantly lower than those who did not. Those who perceived higher severity of stress in dealing with ethical issues in persons living with AIDS, stigma attached to the work, and death of a young person with AIDS scored higher on EE as well. Also, higher scores on EE were associated with reporting having considered leaving AIDS related palliative care work. Depersonalization (DP): Those who did not have children were seen to score significantly higher (6.19 ± 4.94) in this domain compared to those with children (3 ± 3.96), (t (44)=-2.129; P= 0.039). There was also a significant positive correlation of DP scores with ASS scores (r = 0.541; P = 0.015) and ACS scores (r = 0.381; P = 0.038). Those who reported more severity of stress in dealing with death of a person with AIDS and stigma attached to the work scored significantly higher on DP as well. Those who had higher scores on DP also reported having considered leaving palliative care work more often. Personal Accomplishment: There was a significant gender difference in the scores on this domain with females scoring higher (33.92 ± 8.11) than males (27.22 ± 7); P = indicating a greater amount of burnout in this domain among males. A significant association was found between PA score and ASS score (r = , P = 0.037). Those who reported that they took short breaks from work to deal with stress were seen to have a significantly higher score (suggesting lower levels of burnout) than those who did not. A comparison of subjects in part time and full time work with HIV palliative care did not reveal any significant differences between the two groups (Table 1). When professions were compared on burnout scores, doctors showed less scores on all burnout domains compared to nurses and social workers (Table 2). To identify the predictors of the domains of MBI, regression analysis was carried out with the variables found to be significantly associated for each domain. ASS scores, as well as degree of stress perceived with dealing with person living with AIDS, not using some strategy to deal with stress and having considered leaving HIV related work were found to be the predictors for EE scores. For Depersonalization scores, scores on the ASS and ACS and severity of stress related to death of a person with AIDS were significant predictors. For PA, however only gender was a significant predictor; being female predictive of scoring high on PA. (Table 3). Discussion The findings of the current study that 92% of respond- 51

5 Chandra PS, et al. Table 1: Duration of work and burnout Your work with HIV persons n Mean Std. Deviation Std. Error Mean Emotional exhaustion score Part time Full time Depersonalisation score Part time Full time Personal accomplishment Part time Full time Table 2: Profession and burnout n Mean Std. Deviation Emotional exhaustion score Doctor Nurse Social worker, counsellor Others Total Depersonalisation score Doctor Nurse Social worker, counsellor Others Total Personal accomplishment Doctor Nurse Social worker, counsellor (3-6) Others Total Table 3: Regression analysis to determine predictor variables for MBI domains Domain Variable B t p Emotional exhaustion ASS Score Considered leaving HIV related work Strategy to deal with stress Perceived stress dealing with PLWA Depersonalization ASS Score ACS Score Stress dealing with death of person with AIDS Personal accomplishment Gender PLWA- People Living with AIDS ents had average to high levels of burnout and that 66% had high burnout in at least one domain are of some concern. This indicates that high levels of burnout are present in palliative caregivers of HIV/AIDS. Though we did not study a control group, the very fact that a majority of the sample had burnout is significant. We did not find any association of burnout with age, occupational role, or duration of work in the field of palliative care as reported in western studies. 4 Our findings also indicate that reason for working in the field was not significantly associated with MBI scores. We also did not find any significant difference in the MBI scores between different occupational groups though nurses scored the maximum on all burnout measures. This suggests the possibility that palliative care may mitigate the stress on any particular group of professionals due to the team approach to care rather than individual specialist approach followed generally in medicine. However, nurses continue to be at risk for high levels of stress. Our finding that higher scores on ASS were predic- 52

6 Staff stress in HIV/AIDS related palliative care tive of emotional exhaustion and depersonalization underline the possibility that AIDS related work is inherently stressful. We found that severity of stress in dealing with persons living with AIDS (that would indicate a continued interaction with the patient) was predictive of higher EE, and that severity of stress in dealing with death of a person with AIDS (which would indicate a loss of relationship for the caregiver) was predictive of DP scores. Whether it is the inherent stress due to AIDS care, as measured by ASS, that translates as higher degree of burnout on the MBI requires further exploration. Also, the intensity and frequency of contact with AIDS patients denoted by ACS score was seen to be predictive of depersonalization. This definitely raises the question as to whether there are unique features in AIDS care that induce stress in a caregiver. This also allows scope for designing interventions aimed at relieving stress in these situations. Our finding that subjects who used some strategy to deal with stress scored lower on EE domain indicate that interventions aimed at promoting stress reduction method may decrease staff stress in AIDS palliative care. It is of interest to note that MBI scores in our study are different from that reported in previous studies. Our subjects scored less on EE compared to other samples. 11,13 However it is of interest to note that the scores on PA in our sample was also lower than in these studies indicating poor personal accomplishment. It seems that compared to Western studies, though the degree of emotional exhaustion was found to be less, feelings of self worth in work as measured by PA scale in MBI were less. Low PA maybe due to inadequate resources and inability to meet the physical and financial needs of people living with HIV AIDS which might result in lower self worth. We found that higher scores on EE and DP were associated with reporting having considered leaving the work. This underscores the importance and usefulness of using the MBI in this work setting to identify those staff who are likely to leave AIDS related palliative care. We also found that those who had children reported lower levels of depersonalization. Similar results have been reported by Beck Friis, 25 who found that being married and having children was associated with better job satisfaction. Our finding that being female was associated with higher personal accomplishment scores has not been reported before. Some variables such as age, duration of work, occupational group, frequency of contact with patients and reason for starting to work in the field of HIV/AIDS, which were found relevant in western literature did not seem to have any association with the MBI scores in the current study. The difference in sample characteristics between this study and others may have contributed to the variation in results. The limitations of the current study include a small sample size and lack of a control group. Also we did not attempt to identify possible personal variables such as personality traits, ways of coping, available social supports and current and past stressful life events that could contribute to stress. It would be useful for future studies to address burnout issues in people in full time HIV palliative care and also compare the profile of burnout between cancer and HIV related palliative care. The strengths of this study include the use of a standardized tool (MBI) with established reliability and validity. We included different occupational sub groups to facilitate comparison with most palliative care centers in India, which also use interdisciplinary teams to provide care. The importance of the current study lies in the fact that this is the first attempt to identify and explore staff stress in palliative care set up related to HIV in India. The findings of our study suggest that staff stress in palliative care is an issue that needs to be addressed by professionals in the field. It is important that research on staff stress and burnout in the Indian context be fuelled to provide data on this potentially vexing problem that may slow the growth of palliative care in India. We propose that further studies need to be carried out with larger samples and across settings (HIV/AIDS and cancer). Studies would have to look at all the variables including socio-demographic, personal and environmental to yield a comprehensive picture of the issue of staff stress. More studies are required from developing countries to facilitate a thorough understanding of staff stress in palliative care. P Chandra, Additional Professor K R Jairam, Research Officer A Jacob, Senior Resident NIMHANS, Bangalore, India 53

7 Chandra PS, et al. References 1. NACO. In; Astudillo W, Mendinueta C. Exhaustion syndrome in palliative care. Support Care Cancer 1996;4: Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002;136: Vachon ML. Staff stress in hospice/palliative care: A review. Palliat Med 1995;9: McKusick L, Horstman W, editors. The impact of AIDS on physician. Los Angeles: University of California Press; Ross M, Seeger V. Determinants of reported burnout in health care professionals associated with the care of patients with AIDS. AIDS 1988;2: Maj M. Psychological problems of families and health workers dealing with people infected with human immunodeficiency virus 1. Acta Psychiatr Scand 1991;83: Barbour RS. The impact of working with people with HIV/ AIDS: A review of the literature. Soc Sci Med 1994;39: Kleiber D, Enzmann D, Gusy B, editors. Stress and Burnout in AIDS Health Care: Are There Special Characteristics? London: Harwood Academic Publishers; Catalan J, Burgess A, Pergami A, Hulme N, Gazzard B, Phillips R. The psychological impact on staff of caring for people with serious diseases: The case of HIV infection and oncology. J Psychosom Res 1996;40: Hayter M. Burnout and AIDS care-related factors in HIV community clinical nurse specialists in the North of England. J Adv Nurs 1999;29: Sherman DW. Experiences of AIDS-dedicated nurses in alleviating the stress of AIDS caregiving. J Adv Nurs 2000;31: Brown LK, Schultz JR, Forsberg AD, King G, Kocik SM, Butler RB. Predictors of retention among HIV/hemophilia health care professionals. Gen Hosp Psychiatry 2002;24: Krikorian DA, Moser DH. Satisfactions and stresses experienced by professional nurses in hospice programs. Am J Hosp Care 1985;2: Masterson-Allen S, Mor V, Laliberte L, Monteiro L. Staff burnout in a hospice setting. Hosp J 1985;1: Raphael B. Psychological distress among volunteer AIDS cousellors. Med J Aust 1990;152: Bennett L, Michie P, Kippax S. Quantitative analysis of burnout and its associated factors in AIDS nursing. AIDS Care 1991;3: Cooper C, Mitchell S. Nursing the critically ill and dying. Hum Rel 1990;43: Bene B, MJ F. Death anxiety and job stress in hospice and medical-surgical nurses. Hosp J 1991;7: Klonoff E, Ewers D. Care of AIDS patients as a source of stress to nursing staff. AIDS Educ Prev 1990;2: Rajagopal MR. Involvement of the community in palliative care delivery. Indian J Palliat Care 2001;7: Pleck J, editor. AIDS-Contact Scale. 2 nd Ed. California: Sage Publications; Pleck J, editor. AIDS-Stress Scale. 2 nd Ed. California: Sage Publications; Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3 rd Ed. Palo Alto, California: Consulting Psychologists Press, Inc; Beck-Friis B, Strang P, Sjoden P. Caring for severely ill cancer patients: A comparison of working conditions in hospital-based home care and in hospital. Support Care Cancer 1993;1:

Burnout among UPM Teachers of Postgraduate Studies. Naemeh Nahavandi

Burnout among UPM Teachers of Postgraduate Studies. Naemeh Nahavandi Burnout among UPM Teachers of Postgraduate Studies Naemeh Nahavandi Introduction The concept of burnout has become an issue for a long time. At first it was introduced in health care professions; however,

More information

ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT?

ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT? ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT? Burnout happens to highly motivated and committed professionals the type of people who choose to go into hospice and palliative care. Eric Widera,

More information

Eliminating Perceived Stigma and Burnout among Nurses Treating HIV/AIDS Patients Implementing Integrated Intervention

Eliminating Perceived Stigma and Burnout among Nurses Treating HIV/AIDS Patients Implementing Integrated Intervention The International Journal of Indian Psychology ISSN 2348-5396 (e) ISSN: 2349-3429 (p) Volume 3, Issue 3, No. 7, DIP: 18.01.127/20160303 ISBN: 978-1-365-11998-9 http://www.ijip.in April - June, 2016 Eliminating

More information

T211 Early Career Burnout in Physician Assistants: A National Survey. Amanda Chapman, MMS, PA-C

T211 Early Career Burnout in Physician Assistants: A National Survey. Amanda Chapman, MMS, PA-C T211 Early Career Burnout in Physician Assistants: A National Survey Amanda Chapman, MMS, PA-C achapm@midwestern.edu Introduction Burnout Syndrome: Prolonged response to chronic emotional and interpersonal

More information

Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie

Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie Burnout in Palliative Care Palliative Regional Rounds January 16, 2015 Craig Goldie Overview of discussion Define burnout and compassion fatigue Review prevalence of burnout in palliative care Complete

More information

Coping, mindfulness, stress and burnout among forensic health care professionals

Coping, mindfulness, stress and burnout among forensic health care professionals Coping, mindfulness, stress and burnout among forensic health care professionals Dr Sarah Angela Kriakous, Clinical Psychologist Dr Katie Ann Elliott, Consultant Clinical Psychologist Dr Robin Owen, Clinical

More information

Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK

Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK Ahola et al (2009), described a positive experience of the work environment being related to work engagement and professional commitment,

More information

Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital

Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital International Journal of Neurosurgery 2018; 2(1): 8-12 http://www.sciencepublishinggroup.com/j/ijn doi: 10.11648/j.ijn.20180201.12 Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive

More information

Burnout Among Health Care Professionals

Burnout Among Health Care Professionals Burnout Among Health Care Professionals NAM Action Collaborative on Clinician Well-being and Resilience Research, Data, and Metrics Taskforce Lotte Dyrbye, MD, MHPE, FACP Professor of Medicine & Medical

More information

Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment

Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment Tova Hendel, PhD, RN Head, Department of Nursing Ashkelon Academic College Israel Learning Objectives

More information

Burnout among Hematology/Oncology Nurse Practitioners

Burnout among Hematology/Oncology Nurse Practitioners Burnout among Hematology/Oncology Nurse Practitioners Laura Bourdeanu, PhD, RN, ANP Barbara B. Pieper, PhD, RN Patricia Cannistraci, DNS, RN,CNE Stacey Faber, PhD Linlin Chen, PhD STTI 43rd Biennial Convention

More information

Nurses' Burnout Effects on Pre-operative Nursing Care for Patients at Cardiac Catheterization Centers in Middle Euphrates Governorates

Nurses' Burnout Effects on Pre-operative Nursing Care for Patients at Cardiac Catheterization Centers in Middle Euphrates Governorates International Journal of Scientific and Research Publications, Volume 6, Issue 7, July 2016 208 Nurses' Burnout Effects on Pre-operative Nursing Care for Patients at Cardiac Catheterization Centers in

More information

Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study.

Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study. d AUSTRALIAN CATHOLIC UNIVERSITY Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study. Sue Webster sue.webster@acu.edu.au 1 Background

More information

Differences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses

Differences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses , pp.191-195 http://dx.doi.org/10.14257/astl.2015.88.40 Differences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses Jung Im Choi 1, Myung Suk Koh 2 1 Sahmyook

More information

Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar

Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar Mohamed Salem (1) Muna Taher (2) Hamda Alsaadi (3) Abdulla Alnema (2) Samya Al-Abdulla (2) (1) Dr Mohamed Salem, Former

More information

The attitude of nurses towards inpatient aggression in psychiatric care Jansen, Gradus

The attitude of nurses towards inpatient aggression in psychiatric care Jansen, Gradus University of Groningen The attitude of nurses towards inpatient aggression in psychiatric care Jansen, Gradus IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you

More information

Running Head: READINESS FOR DISCHARGE

Running Head: READINESS FOR DISCHARGE Running Head: READINESS FOR DISCHARGE Readiness for Discharge Quantitative Review Melissa Benderman, Cynthia DeBoer, Patricia Kraemer, Barbara Van Der Male, & Angela VanMaanen. Ferris State University

More information

Influence of Professional Self-Concept and Professional Autonomy on Nursing Performance of Clinic Nurses

Influence of Professional Self-Concept and Professional Autonomy on Nursing Performance of Clinic Nurses , pp.297-310 http://dx.doi.org/10.14257/ijbsbt.2015.7.5.27 Influence of Professional Self-Concept and Professional Autonomy on Nursing Performance of Clinic Nurses Hee Kyoung Lee 1 and Hye Jin Yang 2*

More information

Disclosures. From Burnout to Resilience: Building Capacity to Thrive at Work. Arif Kamal MD, MBA,

Disclosures. From Burnout to Resilience: Building Capacity to Thrive at Work. Arif Kamal MD, MBA, From Burnout to Resilience: Building Capacity to Thrive at Work Arif Kamal MD, MBA, MHS @arifkamalmd www.resilientclinician.org Disclosures 1 Objectives Learners will be able to describe the current prevalence

More information

FACTORS ASSOCIATED WITH ORGANIZATIONAL STRESS AMONG INTENSIVE CARE UNIT HEALTHCARE WORKERS, IN SOMALIA HOSPITAL

FACTORS ASSOCIATED WITH ORGANIZATIONAL STRESS AMONG INTENSIVE CARE UNIT HEALTHCARE WORKERS, IN SOMALIA HOSPITAL ORIGINAL ARTICLE FACTORS ASSOCIATED WITH ORGANIZATIONAL STRESS AMONG INTENSIVE CARE UNIT HEALTHCARE WORKERS, IN SOMALIA HOSPITAL J Hussein, I Aniza, J Ahmad Taufik Department of Community Health, UKM Medical

More information

A Study on Emotional Intelligence of Staff Nurses Working In Villupuram District

A Study on Emotional Intelligence of Staff Nurses Working In Villupuram District IOSR Journal Of Humanities And Social Science (IOSR-JHSS) Volume, Issue 3, Ver. IV (Mar. 0) PP 3-39 e-issn: 79-0837, p-issn: 79-08. www.iosrjournals.org A Study on Emotional Intelligence of Staff Nurses

More information

Work-Related Factors Influencing Burnout Syndrome in Nurses

Work-Related Factors Influencing Burnout Syndrome in Nurses Original Articles 25 Work-Related Factors Influencing Burnout Syndrome in Nurses L. Dimunova (Lucia Dimunova) 1, M. Sovariova Soosova (Maria Sovariova Soosova) 1, F. Mohnyanszki (Ferdinand Mohnyanszki)

More information

Nursing Students Knowledge on Sports Brain Injury Prevention

Nursing Students Knowledge on Sports Brain Injury Prevention Cloud Publications International Journal of Advanced Nursing Science and Practice 2015, Volume 2, Issue 1, pp. 36-40 Med-208 ISSN: 2320 0278 Case Study Open Access Nursing Students Knowledge on Sports

More information

Burnout in ICU caregivers: A multicenter study of factors associated to centers

Burnout in ICU caregivers: A multicenter study of factors associated to centers Burnout in ICU caregivers: A multicenter study of factors associated to centers Paolo Merlani, Mélanie Verdon, Adrian Businger, Guido Domenighetti, Hans Pargger, Bara Ricou and the STRESI+ group Online

More information

Downloaded from ijn.iums.ac.ir at 20:15 IRDT on Wednesday May 9th 2018 MBI.

Downloaded from ijn.iums.ac.ir at 20:15 IRDT on Wednesday May 9th 2018 MBI. :..... : :. ( ) Spilberger (MBI) Maslach ( ) MBI..... :. % ( % %) : %) ( % %).(P

More information

Burnout has been described as a "disease of

Burnout has been described as a disease of Burnout in Occupational Therapists Joan C. Rogers, Susan C. Dodson Key Words: burnout, professional. job satisfaction. stress. tests, Maslach Burnout Inventory Burnout is a job-related condition involvingfeelings

More information

Assessing the utility of the Oldenburg Burnout Inventory for staff working in a Psychiatric Intensive Care Unit. A Pilot Study

Assessing the utility of the Oldenburg Burnout Inventory for staff working in a Psychiatric Intensive Care Unit. A Pilot Study About the Authors Assessing the utility of the Oldenburg Burnout Inventory for staff working in a Psychiatric Intensive Care Unit. A Pilot Study Authors: Dr Ahmed Saeed Yahya, Dr Margaret Phillips, Dr

More information

Comparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing

Comparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing American Journal of Nursing Science 2017; 6(5): 396-400 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20170605.14 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Comparing Job Expectations

More information

Nurses perception of smart IV pump technology characteristics and quality of working life

Nurses perception of smart IV pump technology characteristics and quality of working life Nurses perception of smart IV pump technology characteristics and quality of working life T.B. Wetterneck a, P. Carayon b,c, A. Schoofs Hundt b, S. Kraus d a Department of Medicine, University of Wisconsin

More information

A Study on AQ (Adversity Quotient), Job Satisfaction and Turnover Intention According to Work Units of Clinical Nursing Staffs in Korea

A Study on AQ (Adversity Quotient), Job Satisfaction and Turnover Intention According to Work Units of Clinical Nursing Staffs in Korea Indian Journal of Science and Technology, Vol 8(S8), 74-78, April 2015 ISSN (Print) : 0974-6846 ISSN (Online) : 0974-5645 DOI: 10.17485/ijst/2015/v8iS8/71503 A Study on AQ (Adversity Quotient), Job Satisfaction

More information

Interpersonal Conflict, Social Support, and Burnout among Home Care Workers in Japan

Interpersonal Conflict, Social Support, and Burnout among Home Care Workers in Japan J Occup Health 2003; 45: 313 320 Journal of Occupational Health Interpersonal Conflict, Social Support, and Burnout among Home Care Workers in Japan Kyoko FUJIWARA 1, Eri TSUKISHIMA 1, Akizumi TSUTSUMI

More information

A Study on the Job Stress and Mental Health of Caregivers

A Study on the Job Stress and Mental Health of Caregivers , pp.226-230 http://dx.doi.org/10.14257/astl.2016.128.44 A Study on the Job Stress and Mental Health of Caregivers Joo Hee Han 1 and Eun Kwang Yoo 2 1 Department of Nursing, Hanyang University Hanyang

More information

How Do You Measure Resident Wellness TSVETI MARKOVA, MD, FAAFP R. BRENT STANSFIELD, PHD

How Do You Measure Resident Wellness TSVETI MARKOVA, MD, FAAFP R. BRENT STANSFIELD, PHD How Do You Measure Resident Wellness TSVETI MARKOVA, MD, FAAFP R. BRENT STANSFIELD, PHD Objectives Background on measuring resident wellness and un-wellness Our institutional results from measuring burnout

More information

Impact on Self-Efficacy, Self-Direcrted Learning, Clinical Competence on Satisfaction of Clinical Practice among Nursing Students

Impact on Self-Efficacy, Self-Direcrted Learning, Clinical Competence on Satisfaction of Clinical Practice among Nursing Students Vol.132 (Healthcare and Nursing 2016), pp.124-129 http://dx.doi.org/10.14257/astl.2016. Impact on Self-Efficacy, Self-Direcrted Learning, Clinical Competence on Satisfaction of Clinical Practice among

More information

Burden and Coping Methods among Care Givers of Patients with Chronic Mental Illness (Schizophrenia & Bpad)

Burden and Coping Methods among Care Givers of Patients with Chronic Mental Illness (Schizophrenia & Bpad) IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 5 Ver. IV (Sep. - Oct. 2016), PP 43-47 www.iosrjournals.org Burden and Coping Methods among Care

More information

International Journal of Health Sciences and Research ISSN:

International Journal of Health Sciences and Research   ISSN: International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Self Instructional Module (SIM) on Current Trends of Vaccination in Terms

More information

Critical Review: What effect do group intervention programs have on the quality of life of caregivers of survivors of stroke?

Critical Review: What effect do group intervention programs have on the quality of life of caregivers of survivors of stroke? Critical Review: What effect do group intervention programs have on the quality of life of caregivers of survivors of stroke? Stephanie Yallin M.Cl.Sc (SLP) Candidate University of Western Ontario: School

More information

PSIWORLD Mara Briaª*, Florina Spânuª, Adriana B banª, Cezarin Todea b

PSIWORLD Mara Briaª*, Florina Spânuª, Adriana B banª, Cezarin Todea b Available online at www.sciencedirect.com ScienceDirect Procedia - Social and Behavioral Scien ce s 127 ( 2014 ) 36 40 PSIWORLD 2013 Burnout and occupational factors among Romanian healthcare professionals

More information

Relationship among Nurses Role Overload, Burnout and Managerial Coping Strategies at Intensive Care Units

Relationship among Nurses Role Overload, Burnout and Managerial Coping Strategies at Intensive Care Units IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 1 Ver. VI (Jan. - Feb. 2016), PP 27-33 www.iosrjournals.org Relationship among Nurses Role Overload,

More information

Syndrome Burnout. Syndrome Burnout Download or Read Online ebook syndrome burnout in PDF Format From The Best User Guide Database

Syndrome Burnout. Syndrome Burnout Download or Read Online ebook syndrome burnout in PDF Format From The Best User Guide Database Syndrome Free PDF ebook Download: Syndrome Download or Read Online ebook syndrome burnout in PDF Format From The Best User Guide Database Dec 3, 2013 - can also lead to a common syndrome among. ICU clinicians:

More information

The Effects of Cultural Competence on Nurses Burnout

The Effects of Cultural Competence on Nurses Burnout , pp.300-304 http://dx.doi.org/10.14257/astl.2014.47.68 The Effects of Cultural Competence on Nurses Burnout So-Yun, Choi 1, Kyung-Sook, Kim 2 Department of Social Welfare, Namseoul University, Department

More information

Gender Differences in Job Stress and Stress Coping Strategies among Korean Nurses

Gender Differences in Job Stress and Stress Coping Strategies among Korean Nurses , pp. 143-148 http://dx.doi.org/10.14257/ijbsbt.2016.8.3.15 Gender Differences in Job Stress and Stress Coping Strategies among Korean Joohyun Lee* 1 and Yoon Hee Cho 2 1 College of Nursing, Eulji Univesity

More information

Turkish Nurses Attitudes towards Patients with Cancer

Turkish Nurses Attitudes towards Patients with Cancer International Journal of Nursing Science 2016, 6(1): 1-6 DOI: 10.5923/j.nursing.20160601.01 Turkish Nurses Attitudes towards Patients with Cancer Ozden Dedeli 1,*, Ummu Kacer Daban 2, Sezgi Cinar Pakyuz

More information

PREVALENCE AND LEVELS OF BURNOUT AMONG NURSES IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN

PREVALENCE AND LEVELS OF BURNOUT AMONG NURSES IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN Zaidah Binti Mustaffa 1 & Chan Siok Gim 2* 1 Kolej Kejururawatan Kubang Kerian, Kelantan 2 Open University Malaysia, Kelantan *Corresponding Author

More information

The Effects of Workplace Bullying on the Productivity of Novice Nurses

The Effects of Workplace Bullying on the Productivity of Novice Nurses This research study was supported by the National Institute for Occupational Safety and Health Pilot Research Project Training Program of the University of Cincinnati Education and Research Center Grant

More information

Measuring self-efficacy for caregiving of caregivers of patients with palliative care need: Validation of the Caregiver Inventory

Measuring self-efficacy for caregiving of caregivers of patients with palliative care need: Validation of the Caregiver Inventory Measuring self-efficacy for caregiving of caregivers of patients with palliative care need: Validation of the Caregiver Inventory Doris YP LEUNG, PhD, Assistant Professor, The Nethersole School of Nursing,

More information

A descriptive study to assess the burden among family care givers of mentally ill clients

A descriptive study to assess the burden among family care givers of mentally ill clients IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 3, Issue 3 Ver. IV (May-Jun. 2014), PP 61-67 A descriptive study to assess the burden among family care

More information

Adjustment, perceived safety and mental wellbeing among professional college students

Adjustment, perceived safety and mental wellbeing among professional college students Original article Valsaraj, B. P. et al: Adjustment, perceived safety, and mental wellbeing Adjustment, perceived safety and mental wellbeing among professional college students Blessy Prabha Valsaraj*,

More information

The significance of staffing and work environment for quality of care and. the recruitment and retention of care workers. Perspectives from the Swiss

The significance of staffing and work environment for quality of care and. the recruitment and retention of care workers. Perspectives from the Swiss The significance of staffing and work environment for quality of care and the recruitment and retention of care workers. Perspectives from the Swiss Nursing Homes Human Resources Project (SHURP) Inauguraldissertation

More information

Opinion of B.Sc. Nursing Students & Their Teachers about Psychiatric Disorders & Psychiatric Nursing

Opinion of B.Sc. Nursing Students & Their Teachers about Psychiatric Disorders & Psychiatric Nursing Cloud Publications International Journal of Advanced Nursing Science and Practice 2012, Volume 1, Issue 1, pp. 14-19, Article ID Med-17 ISSN 2320-0278 Research Article Open Access Opinion of B.Sc. Nursing

More information

Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions

Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions January 5, 2017 Presenter: Colin P. West, MD, PhD Professor of Medicine, Medical Education, and Biostatistics Division

More information

Assessment of Nurses' Knowledge Concerning Discharge Planning For Patients' With Open Heart Surgery in Cardiac Centre at Baghdad City

Assessment of Nurses' Knowledge Concerning Discharge Planning For Patients' With Open Heart Surgery in Cardiac Centre at Baghdad City International Journal of Scientific and Research Publications, Volume 6, Issue 10, October 2016 162 Assessment of Nurses' Knowledge Concerning Discharge Planning For Patients' With Open Heart Surgery in

More information

Original Article Rural generalist nurses perceptions of the effectiveness of their therapeutic interventions for patients with mental illness

Original Article Rural generalist nurses perceptions of the effectiveness of their therapeutic interventions for patients with mental illness Blackwell Science, LtdOxford, UKAJRAustralian Journal of Rural Health1038-52822005 National Rural Health Alliance Inc. August 2005134205213Original ArticleRURAL NURSES and CARING FOR MENTALLY ILL CLIENTSC.

More information

Carers Checklist. An outcome measure for people with dementia and their carers. Claire Hodgson Irene Higginson Peter Jefferys

Carers Checklist. An outcome measure for people with dementia and their carers. Claire Hodgson Irene Higginson Peter Jefferys Carers Checklist An outcome measure for people with dementia and their carers Claire Hodgson Irene Higginson Peter Jefferys Contents CARERS CHECKLIST - USER GUIDE 1 OUTCOME ASSESSMENT 1.1 Measuring outcomes

More information

Problem Statement. Problem Statement. Palliative Sedation: a definition. Research Question. Purpose 4/23/14

Problem Statement. Problem Statement. Palliative Sedation: a definition. Research Question. Purpose 4/23/14 Problem Statement A Grounded Theory Exploration of the Psychosocial Process and Dynamic Reality Encountered by Registered Nurses Who Administer Palliative Sedation to Relieve Suffering at End of Life LISA

More information

University of Groningen

University of Groningen University of Groningen Burnout and engagement among resident doctors in the Netherlands Prins, J.T.; Hoekstra-Weebers, J.E.H.M.; Gazendam-Donofrio, S.M.; Dillingh, G.S.; Bakker, A.B.; Huisman, Jakobus;

More information

Nursing Turnover as Related to Patient Mortality

Nursing Turnover as Related to Patient Mortality Southern Adventist Univeristy KnowledgeExchange@Southern Graduate Research Projects Nursing 5-2010 Nursing Turnover as Related to Patient Mortality Melinda Helton Zoila Leon Rhonda Simmons Follow this

More information

NURSING SPECIAL REPORT

NURSING SPECIAL REPORT 2017 Press Ganey Nursing Special Report The Influence of Nurse Manager Leadership on Patient and Nurse Outcomes and the Mediating Effects of the Nurse Work Environment Nurse managers exert substantial

More information

UNDERSTANDING DETERMINANTS OF OUTCOMES IN COMPLEX CONTINUING CARE

UNDERSTANDING DETERMINANTS OF OUTCOMES IN COMPLEX CONTINUING CARE UNDERSTANDING DETERMINANTS OF OUTCOMES IN COMPLEX CONTINUING CARE FINAL REPORT DECEMBER 2008 CO PRINCIPAL INVESTIGATORS 1, 5, 6 Ann E. Tourangeau RN PhD Katherine McGilton RN PhD 2, 6 CO INVESTIGATORS

More information

Impact of Exposure to Verbal Abuse on Nursing Students Emotional Labor and Clinical Practice Stress During Clinical Training

Impact of Exposure to Verbal Abuse on Nursing Students Emotional Labor and Clinical Practice Stress During Clinical Training , pp.255-264 http://dx.doi.org/10.14257/ijbsbt.2015.7.4.25 Impact of Exposure to Verbal Abuse on Nursing Students Emotional Labor and Clinical Practice Stress During Clinical Training Hae Young Woo Lecturer,

More information

Prevalence of burnout and its correlates among female primary school teachers in the southern province of Sri Lanka

Prevalence of burnout and its correlates among female primary school teachers in the southern province of Sri Lanka European Journal of Preventive Medicine 2015; 3(2-1): 9-14 Published online January 19, 2015 (http://www.sciencepublishinggroup.com/j/ejpm) doi: 10.11648/j.ejpm.s.2015030201.13 ISSN: 2330-8222 (Print);

More information

Head Nurse Management Style and Staff Nurse Burnout in Central Hospitals, Lao People s Democratic Republic

Head Nurse Management Style and Staff Nurse Burnout in Central Hospitals, Lao People s Democratic Republic Head Nurse Management Style and Staff Nurse Burnout in Central Hospitals, Lao People s Democratic Republic Mrs. Lamngeun Silavong Master Nursing Administration, Nursing In Patient Division of Mahosot Hospital

More information

Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service

Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Hospital Pharmacy Volume 36, Number 11, pp 1164 1169 2001 Facts and Comparisons PEER-REVIEWED ARTICLE Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Jon C. Schommer,

More information

The original publication is available at at:

The original publication is available at  at: The original publication is available at www.springerlink.com at: http://www.springerlink.com/content/100428/ Editorial for Intensive Care Medicine: BURNOUT IN THE ICU: POTENTIAL CONSEQUENCES FOR STAFF

More information

Communication Skills and Quality of Life A Study on Help Desk Employees

Communication Skills and Quality of Life A Study on Help Desk Employees Indian Journal of Psychological Science, ISSN-0976 9218 January-2014 Communication Skills and Quality of Life A Study on Help Desk Employees Swaha Bhattacharya Abstract The help desk employees of a hospital

More information

Predictors of Moral Distress among Jordanian Critical Care Nurses

Predictors of Moral Distress among Jordanian Critical Care Nurses International Journal of Nursing Science 2013, 3(2): 45-50 DOI: 10.5923/j.nursing.20130302.03 Predictors of Moral Distress among Jordanian Critical Care Nurses Rabia Allari 1,*, Fathieh Abu-Moghli 2 1

More information

BURNOUT AMONG NURSES IN CLINICAL TRAINING CENTRE, SELANGOR

BURNOUT AMONG NURSES IN CLINICAL TRAINING CENTRE, SELANGOR , SELANGOR 1* 1 2 2 Fatimah Sham, Siti Munirah Abdul Wahab, Nur 'Adliah Orwah, Eezalela Ab Rahim, 2 Nur Aimi Kamarul Aizan 1 Nursing Lecturer, Faculty of Health Sciences, Universiti Teknologi MARA (UiTM),

More information

CHAPTER 5 AN ANALYSIS OF SERVICE QUALITY IN HOSPITALS

CHAPTER 5 AN ANALYSIS OF SERVICE QUALITY IN HOSPITALS CHAPTER 5 AN ANALYSIS OF SERVICE QUALITY IN HOSPITALS Fifth chapter forms the crux of the study. It presents analysis of data and findings by using SERVQUAL scale, statistical tests and graphs, for the

More information

A systematic review of stress in staff caring for people with dementia living in 24-hour care settings

A systematic review of stress in staff caring for people with dementia living in 24-hour care settings REVIEW International Psychogeriatrics (2011), 23:1, 4 9 C International Psychogeriatric Association 2010 doi:10.1017/s1041610210000542 A systematic review of stress in staff caring for people with dementia

More information

Examination of Professional Commitment and Stress Management among Nurses from Different Generations

Examination of Professional Commitment and Stress Management among Nurses from Different Generations International Journal of Caring Sciences January April 2017 Volume 10 Issue 1 Page 456 Original Article Examination of Professional Commitment and Stress Management among Nurses from Different Generations

More information

Reghuram R. & Jesveena Mathias 1. Lecturer, Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 2

Reghuram R. & Jesveena Mathias 1. Lecturer, Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 2 Original Article Abstract : A STUDY ON OCCURRENCE OF SOCIAL ANXIETY AMONG NURSING STUDENTS AND ITS CORRELATION WITH PROFESSIONAL ADJUSTMENT IN SELECTED NURSING INSTITUTIONS AT MANGALORE 1 Reghuram R. &

More information

Impact of hospital nursing care on 30-day mortality for acute medical patients

Impact of hospital nursing care on 30-day mortality for acute medical patients JAN ORIGINAL RESEARCH Impact of hospital nursing care on 30-day mortality for acute medical patients Ann E. Tourangeau 1, Diane M. Doran 2, Linda McGillis Hall 3, Linda O Brien Pallas 4, Dorothy Pringle

More information

Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005

Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005 Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005 Compassion fatigue (CF), is a secondary traumatic stress

More information

Agung Waluyo Fakultas Ilmu Keperawatan Universitas Indonesia

Agung Waluyo Fakultas Ilmu Keperawatan Universitas Indonesia Agung Waluyo Fakultas Ilmu Keperawatan Universitas Indonesia In only six years, total HIV and AIDS cases increased six-fold. From 4,159 in 2003, to 26,632 by, 2009 The total number of PLWH in Indonesia

More information

An Assessment Of The Quality Of Life Of HIV/AIDS Patients And Their Families In Ghana During the Scale Up of Delivery of Antiretroviral Treatment

An Assessment Of The Quality Of Life Of HIV/AIDS Patients And Their Families In Ghana During the Scale Up of Delivery of Antiretroviral Treatment An Assessment Of The Quality Of Life Of HIV/AIDS Patients And Their Families In Ghana During the Scale Up of Delivery of Antiretroviral Treatment J.Amponsah 2, C. Machingauta 3, B. Ocran 2, S. A. Addo

More information

OVERCOMING RESISTANCE TO RESILIENCY PROGRAMS: ONE STEP AT A TIME!

OVERCOMING RESISTANCE TO RESILIENCY PROGRAMS: ONE STEP AT A TIME! OVERCOMING RESISTANCE TO RESILIENCY PROGRAMS: ONE STEP AT A TIME! CENTILE International Conference Washington DC, October 24, 2107 Emily Ratner, MD Director, Integrative Medicine Initiatives, MedStar Institute

More information

Final Report. The National AMHP Survey 2012: Stress and the statutory role: is there a difference between professional groups?

Final Report. The National AMHP Survey 2012: Stress and the statutory role: is there a difference between professional groups? The National AMHP Survey 2012: Final Report Stress and the statutory role: is there a difference between professional groups? Janine Hudson Dr Martin Webber Background The introduction of the Approved

More information

Outline 4/18/2018. Disclosure. Poll Everywhere Instructions. Journey to a Resilient and Thriving Pharmacy Workforce

Outline 4/18/2018. Disclosure. Poll Everywhere Instructions. Journey to a Resilient and Thriving Pharmacy Workforce Disclosure Journey to a Resilient and Thriving Pharmacy Workforce All planners, presenters, and reviewers of this content report no financial relationships relevant to this activity. Jennifer M. Schultz,

More information

IMPACT OF DEMOGRAPHIC AND WORK VARIABLES ON WORK LIFE BALANCE-A STUDY CONDUCTED FOR NURSES IN BANGALORE

IMPACT OF DEMOGRAPHIC AND WORK VARIABLES ON WORK LIFE BALANCE-A STUDY CONDUCTED FOR NURSES IN BANGALORE IMPACT OF DEMOGRAPHIC AND WORK VARIABLES ON WORK LIFE BALANCE-A STUDY CONDUCTED FOR NURSES IN BANGALORE Puja Roshani, Assistant Professor and Ph.D. scholar, Jain University, Bangalore, India Dr. Chaya

More information

Knowledge, Attitude and Practice towards Standard Isolation Precautions among Iranian Medical Students

Knowledge, Attitude and Practice towards Standard Isolation Precautions among Iranian Medical Students Knowledge, Attitude and Practice towards Standard Isolation Precautions among Iranian Medical Students Ameneh Barikani, MD Community medicine specialist Assistant professor of Qazvin University of Medical

More information

Physician Burnout: What Is It and What Causes It?

Physician Burnout: What Is It and What Causes It? Physician Burnout: What Is It and What Causes It? By Michael Baron, MD, MPH, FASAM Editor's Note: This is part two in a four-part series on physician burnout. Part one was published in the January 2018

More information

EPSRC Care Life Cycle, Social Sciences, University of Southampton, SO17 1BJ, UK b

EPSRC Care Life Cycle, Social Sciences, University of Southampton, SO17 1BJ, UK b Characteristics of and living arrangements amongst informal carers in England and Wales at the 2011 and 2001 Censuses: stability, change and transition James Robards a*, Maria Evandrou abc, Jane Falkingham

More information

Academic-Related Stress and Responses of Nursing College Students in Baghdad University

Academic-Related Stress and Responses of Nursing College Students in Baghdad University IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 2 Ver. I (Mar. - Apr. 2016), PP 63-69 www.iosrjournals.org Academic-Related Stress and Responses

More information

Background. Stroke patients constituted 17% of in-patients in Geriatric Ward in OLMH in 2010

Background. Stroke patients constituted 17% of in-patients in Geriatric Ward in OLMH in 2010 Background Stroke patients constituted 17% of in-patients in Geriatric Ward in OLMH in 2010 Overwhelmed with the unexpected demand in daily caring issues with limited support (Cecil, Parahoo, Thompson,

More information

Liberating Restricted Visiting Policy in Greek Intensive Care Units: Is it that complicated?

Liberating Restricted Visiting Policy in Greek Intensive Care Units: Is it that complicated? Athanasiou A. RN, MSc 1 Papathanassoglou EDE. RN, MSc, PhD 2 Lemonidou C. RN, MSc, PhD 3 Patiraki E. RN, MSc, PhD 3 Giannakopoulou Μ. RN, PhD 3 1. ICU, 401 General Military Hospital of Athens 2. Cyprus

More information

Wellness: an Opportunity or an Oxymoron for Medical Educators?

Wellness: an Opportunity or an Oxymoron for Medical Educators? Wellness: an Opportunity or an Oxymoron for Medical Educators? APPD LEAD Conference Richard P. Shugerman, MD Rebecca R. Swan, MD Goal for this session: For leaders in education to recognize the importance

More information

02/07/2013. Purpose of the Study. Employee Well-Being & Retention

02/07/2013. Purpose of the Study. Employee Well-Being & Retention A Time -lagged Analysis of the Effect of Authentic Leadership on Workplace Bullying, Burnout and Occupational Turnover Intentions Heather K Spence Laschinger, RN, PhD, FAAN, FCAHS The University of Western

More information

International J. of Healthcare and Biomedical Research, Volume: 03, Issue: 02, January 2015, Pages 50-59

International J. of Healthcare and Biomedical Research, Volume: 03, Issue: 02, January 2015, Pages 50-59 Original article An Epidemiological Study of Tuberculosis Patient with Special Reference to Cost Incurred By Patient for the Treatment in an Urban Slum of Mumbai, Maharashtra Dnyaneshwar M. Gajbhare 1,

More information

SATISFACTION LEVEL OF PATIENTS IN OUT- PATIENT DEPARTMENT AT A GENERAL HOSPITAL, HARYANA

SATISFACTION LEVEL OF PATIENTS IN OUT- PATIENT DEPARTMENT AT A GENERAL HOSPITAL, HARYANA INTERNATIONAL JOURNAL OF MANAGEMENT (IJM) ISSN 0976-6502 (Print) ISSN 0976-6510 (Online) Volume 6, Issue 1, January (2015), pp. 670-678 IAEME: http://www.iaeme.com/ijm.asp Journal Impact Factor (2014):

More information

A comparison of two measures of hospital foodservice satisfaction

A comparison of two measures of hospital foodservice satisfaction Australian Health Review [Vol 26 No 1] 2003 A comparison of two measures of hospital foodservice satisfaction OLIVIA WRIGHT, SANDRA CAPRA AND JUDITH ALIAKBARI Olivia Wright is a PhD Scholar in Nutrition

More information

Patient Safety Assessment in Slovak Hospitals

Patient Safety Assessment in Slovak Hospitals 1236 Patient Safety Assessment in Slovak Hospitals Veronika Mikušová 1, Viera Rusnáková 2, Katarína Naďová 3, Jana Boroňová 1,4, Melánie Beťková 4 1 Faculty of Health Care and Social Work, Trnava University,

More information

Physician Health and Well-being

Physician Health and Well-being Physician Health and Well-being Reducing the Cost and Impact of Burnout and Promoting Wellbeing SDSMA Annual Leadership Conference June 2, 2017 Laurie C. Drill-Mellum, MD, MPH Chief Medical Officer Self-disclosure

More information

Long-Stay Alternate Level of Care in Ontario Mental Health Beds

Long-Stay Alternate Level of Care in Ontario Mental Health Beds Health System Reconfiguration Long-Stay Alternate Level of Care in Ontario Mental Health Beds PREPARED BY: Jerrica Little, BA John P. Hirdes, PhD FCAHS School of Public Health and Health Systems University

More information

Text-based Document. The Relationship Among Change Fatigue, Resilience, and Job Satisfaction of Hospital Staff Nurses. Authors Brown, Robin J.

Text-based Document. The Relationship Among Change Fatigue, Resilience, and Job Satisfaction of Hospital Staff Nurses. Authors Brown, Robin J. The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based

More information

Perceptions of the role of the hospital palliative care team

Perceptions of the role of the hospital palliative care team NTResearch Perceptions of the role of the hospital palliative care team Authors Catherine Oakley, BSc, RGN, is Macmillan lead cancer nurse, St George s Hospital NHS Trust, London; Kim Pennington, BSc,

More information

Emotion Labour, Emotion Work and. Occupational Strain in Nurses

Emotion Labour, Emotion Work and. Occupational Strain in Nurses Emotion Labour, Emotion Work and Occupational Strain in Nurses Sandra Louise Pisaniello B.Sc. Hons (Psychology) Submitted for the award of Doctor of Philosophy in the School of Psychology University of

More information

Comparative Study of Occupational Stress among Health Care Professionals in Government and Corporate Hospitals

Comparative Study of Occupational Stress among Health Care Professionals in Government and Corporate Hospitals Volume-5, Issue-3, June-2015 International Journal of Engineering and Management Research Page Number: 242-247 Comparative Study of Occupational Stress among Health Care Professionals in Government and

More information

Nursing Care of the End-Of-Life Patient Twenty Five Years after Passage of the Patient Self- Determination Act

Nursing Care of the End-Of-Life Patient Twenty Five Years after Passage of the Patient Self- Determination Act Western Kentucky University TopSCHOLAR Nursing Faculty Publications School of Nursing 2016 Nursing Care of the End-Of-Life Patient Twenty Five Years after Passage of the Patient Self- Determination Act

More information

14 Effort, reward and effort-reward-imbalance in the nursing profession in Europe

14 Effort, reward and effort-reward-imbalance in the nursing profession in Europe 14 Effort, reward and effort-reward-imbalance in the nursing profession in Europe Hans-Martin Hasselhorn, Maria Widerszal-Bazyl, Pjotr Radkiewicz and the NEXT-Study Group Introduction There is evidence

More information

Shalmon SC 1 (Department of Nursing, BLDEA s Shri BM Patil institute of Nursing science, Bijapur/ Rajiv Gandhi university of Health sciences, India)

Shalmon SC 1 (Department of Nursing, BLDEA s Shri BM Patil institute of Nursing science, Bijapur/ Rajiv Gandhi university of Health sciences, India) IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 3, Issue 1 Ver. III (Jan. 2014), PP 08-12 A study to identify the discomforts as verbalized by patients

More information