A Survey of Stress and Burnout in Forensic Mental Health Nursing.


Journal

Journal of forensic nursing
ISSN: 1939-3938
Titre abrégé: J Forensic Nurs
Pays: United States
ID NLM: 101234500

Informations de publication

Date de publication:
Historique:
pubmed: 25 1 2020
medline: 2 2 2021
entrez: 25 1 2020
Statut: ppublish

Résumé

Although it is known that forensic mental health nurses (FMHNs) work in a stressful environment, their experience of stress and burnout remains largely unexplored. The study aimed to measure levels of burnout and workplace stressors experienced by FMHNs. A survey of 205 FMHNs was undertaken. Respondents completed the Maslach Burnout Inventory and the Nursing Stress Scale. Fifty-seven FMHNs completed the survey, representing a response rate of 27.8%. Only five respondents (8.8%) experienced high levels of burnout across all three Maslach Burnout Inventory subscales. The most reported workplace stressors were related to "workload," "conflict with other nurses," and "conflict with physicians." A correlation between total Nursing Stress Scale score and both "emotional exhaustion" and "cynicism" were found (r = 0.45, p < 0.001, and r = 0.34, p < 0.011, respectively), indicating that FMHNs who reported higher workplace stress are at an increased risk of burnout. Most FMHNs in the current study experienced moderate levels of burnout, although they continued to feel self-assured in their practice and found their work rewarding. Consistent with other nursing populations, the FMHNs in this study reported feeling stressed by their workload and as the result of conflict with other nurses and physicians. Reduced well-being, associated with stress and burnout, may lead to increased absences from work and the delivery of poor-quality forensic mental health consumer care. The implementation of staff well-being strategies is recommended to address stress and burnout in FMHNs.

Sections du résumé

BACKGROUND BACKGROUND
Although it is known that forensic mental health nurses (FMHNs) work in a stressful environment, their experience of stress and burnout remains largely unexplored.
AIM OBJECTIVE
The study aimed to measure levels of burnout and workplace stressors experienced by FMHNs.
METHODS METHODS
A survey of 205 FMHNs was undertaken. Respondents completed the Maslach Burnout Inventory and the Nursing Stress Scale.
FINDINGS RESULTS
Fifty-seven FMHNs completed the survey, representing a response rate of 27.8%. Only five respondents (8.8%) experienced high levels of burnout across all three Maslach Burnout Inventory subscales. The most reported workplace stressors were related to "workload," "conflict with other nurses," and "conflict with physicians." A correlation between total Nursing Stress Scale score and both "emotional exhaustion" and "cynicism" were found (r = 0.45, p < 0.001, and r = 0.34, p < 0.011, respectively), indicating that FMHNs who reported higher workplace stress are at an increased risk of burnout.
CONCLUSION CONCLUSIONS
Most FMHNs in the current study experienced moderate levels of burnout, although they continued to feel self-assured in their practice and found their work rewarding. Consistent with other nursing populations, the FMHNs in this study reported feeling stressed by their workload and as the result of conflict with other nurses and physicians.
IMPLICATIONS FOR CLINICAL FORENSIC NURSING PRACTICE UNASSIGNED
Reduced well-being, associated with stress and burnout, may lead to increased absences from work and the delivery of poor-quality forensic mental health consumer care. The implementation of staff well-being strategies is recommended to address stress and burnout in FMHNs.

Identifiants

pubmed: 31977515
doi: 10.1097/JFN.0000000000000271
pii: 01263942-202009000-00007
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

161-168

Références

Brown D., Igoumenou A., Mortlock A., Gupta N., Das M. (2017). Work-related stress in forensic mental health professionals: A systematic review. The Journal of Forensic Practice, 19(3), 227–238. doi:10.1108/JFP-05-2016-0024
doi: 10.1108/JFP-05-2016-0024
Chalder G., Nolan P. (2000). A comparative study of stress among forensic and acute mental health nurses. The British Journal of Forensic Practice, 2(3), 24–29. doi:10.1108/14636646200000021
doi: 10.1108/14636646200000021
Chang E. M., Bidewell J. W., Huntington A. D., Daly J., Johnson A., Wilson H., Lambert C. E. (2007). A survey of role stress, coping and health in Australian and New Zealand hospital nurses. International Journal of Nursing Studies, 44(8), 1354–1362. https://doi.org/10.1016/j.ijnurstu.2006.06.003
doi: 10.1016/j.ijnurstu.2006.06.003
Coffey M. (1999). Stress and burnout in forensic community mental health nurses: An investigation of its causes and effects. Journal of Psychiatric and Mental Health Nursing, 6(6), 433–443. doi:10.1046/j.1365-2850.1999.00243.x
doi: 10.1046/j.1365-2850.1999.00243.x
Coffey M., Coleman M. (2001). The relationship between support and stress in forensic community mental health nursing. Journal of Advanced Nursing, 34(3), 397–407. doi:10.1046/j.1365-2648.2001.01770.x
doi: 10.1046/j.1365-2648.2001.01770.x
Davis M. H., Capobianco S., Kraus L. A. (2010). Gender differences in responding to conflict in the workplace: Evidence from a large sample of working adults. Sex Roles, 63(7), 500–514. doi:10.1007/s11199-010-9828-9
doi: 10.1007/s11199-010-9828-9
de Looff P., Didden R., Embregts P., Nijman H. (2019). Burnout symptoms in forensic mental health nurses: Results from a longitudinal study. International Journal of Mental Health Nursing, 28(1), 306–317. doi:10.1111/inm.12536
doi: 10.1111/inm.12536
Dickinson T., Wright K. (2008). Stress and burnout in forensic mental health nursing: A literature review. British Journal of Nursing, 17(2), 82–87.
Farrell G., Bobrowski C., Bobrowski P. (2006). Scoping workplace aggression in nursing: Findings from an Australian study. Journal of Advanced Nursing, 55(6), 778–787.
Galdikien N., Asikainen P., Balčiunas S., Suominen T. (2014). Do nurses feel stressed? A perspective from primary health care. Nursing & Health Sciences, 16(3), 327–334. doi:10.1111/nhs.12108
doi: 10.1111/nhs.12108
Gray-Toft P., Anderson J. (1981). The Nursing Stress Scale: Development of an instrument. Journal of Behavioural Assessment, 3(1), 11–23.
Happell B., Martin T., Pinikahana J. (2003). Burnout and job satisfaction: A comparative study of psychiatric nurses from forensic and a mainstream mental health service. International Journal of Mental Health Nursing, 12(1), 39–47. doi:10.1046/j.1440-0979.2003.00267.x
doi: 10.1046/j.1440-0979.2003.00267.x
Happell B., Pinikahana J., Martin T. (2003). Stress and burnout in forensic psychiatric nursing. Stress and Health, 19(2), 63–68.
Hayes B., Douglas C., Bonner A. (2015). Work environment, job satisfaction, stress and burnout among haemodialysis nurses. Journal of Nursing Management, 23(5), 588–598. doi:10.1111/jonm.12184
doi: 10.1111/jonm.12184
Healy C. M., McKay M. F. (2000). Nursing stress: The effects of coping strategies and job satisfaction in a sample of Australian nurses. Journal of Advanced Nursing, 31(3), 681–688. doi:10.1046/j.1365-2648.2000.01323.x
doi: 10.1046/j.1365-2648.2000.01323.x
Jacob J. D., Gagnon M., Holmes D. (2009). Nursing so-called monsters: On the importance of abjection and fear in forensic psychiatric nursing. Journal of Forensic Nursing, 5(3), 153–161. doi:10.1111/j.1939-3938.2009.01048.x
doi: 10.1111/j.1939-3938.2009.01048.x
Jenkins R., Elliott P. (2004). Stressors, burnout and social support: Nurses in acute mental health settings. Journal of Advanced Nursing, 48(6), 622–631. doi:10.1111/j.1365-2648.2004.03240.x
doi: 10.1111/j.1365-2648.2004.03240.x
Johnson H., Worthington R., Gredecki N., Wilks-Riley F. R. (2016). The impact of forensic work on home life: The role of emotional labour, segmentation/integration and social support. The Journal of Forensic Practice, 18(1), 52–63. doi:10.1108/JFP-05-2015-0029
doi: 10.1108/JFP-05-2015-0029
Kelly E. L., Subica A. M., Fulginiti A., Brekke J. S., Novaco R. W. (2015). A cross-sectional survey of factors related to inpatient assault of staff in a forensic psychiatric hospital. Journal of Advanced Nursing, 71(5), 1110–1122. doi:10.1111/jan.12609
doi: 10.1111/jan.12609
Kilfedder C., Power K. G., Wells T. (2001). Burnout in psychiatric nursing. Journal of Advanced Nursing, 34(3), 383–396.
Martin T. (2001). Something special: Forensic psychiatric nursing. Journal of Psychiatric and Mental Health Nursing, 8, 25–32.
Martin T., Maguire T., Quinn C., Ryan J., Bawden L., Summers M. (2013). Standards of practice for forensic mental health nurses—Identifying contemporary practice. Journal of Forensic Nursing, 9(3), 171–178.
Maslach C., Schaufeli W., Leiter M. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.
Mason T. (2002). Forensic psychiatric nursing: A literature review and thematic analysis of role tensions. Journal of Psychiatric and Mental Health Nursing, 9, 511–520.
Mason T., Lovell A., Coyle D. (2008). Forensic psychiatric nursing: Skills and competencies: I role dimensions. Journal of Psychiatric and Mental Health Nursing, 15, 118–130.
Oddie S., Ousley L. (2007). Assessing burn-out and occupational stressors in a medium secure service. The British Journal of Forensic Practice, 9(2), 32–48. doi:10.1108/14636646200700011
doi: 10.1108/14636646200700011
Opie T., Lenthall S., Wakerman J., Dollard M., MacLeod M., Knight S., Dunn S. (2011). Occupational stress in the Australian nursing workforce: A comparison between hospital-based nurses and nurses working in very remote communities. Australian Journal of Advanced Nursing, 28(4), 36–43.
Scanlan J. N., Still M. (2019). Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC Health Services Research, 19(1), 62. doi:10.1186/s12913-018-3841-z
doi: 10.1186/s12913-018-3841-z
Schaufeli W., Leiter M., Maslach C., Jackson S. (1996). Maslach Burnout Inventory–General Survey (MBI-GS). In Maslach C., Jackson S., Leiter M. (Eds.), MBI manual (3rd ed.). Pala Alto, CA: Consulting Psychologists.
Timmons D. (2010). Forensic psychiatric nursing: A description of the role of the psychiatric nurse in a high secure psychiatric facility in Ireland. Journal of Psychiatric and Mental Health Nursing, 17, 636–646.
Tyler P., Cushway D. (1995). Stress in nurses: The effects of coping and social support. Stress Medicine, 11(1), 243–251. doi:10.1002/smi.2460110140
doi: 10.1002/smi.2460110140
Wheeler D., Vassar M., Worley J., Barnes L. (2011). A reliability generalization meta-analysis of coefficient alpha for the Maslach Burnout Inventory. Educational and Psychological Measurement, 71(1), 231–244.

Auteurs

Claire Newman (C)

Author Affiliations: Organisational Development Unit, Justice Health and Forensic Mental Health Network.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH