Coffey M, Coleman M
School of Health Science, University of Wales Swansea, Swansea, UK.
J Adv Nurs. 2001 May;34(3):397-407. doi: 10.1046/j.1365-2648.2001.01770.x.
AIMS OF THE STUDY/PAPER: This paper reports the results of a survey of forensic community mental health nurses (FCMHNs) in England and Wales which aimed to ascertain the level of stress and burnout experienced by this group.
BACKGROUND/RATIONALE: Several studies have identified that mental health nursing is a stressful activity and the relationship between factors such as age, experience, support, caseload size and perceived stress have been explored. However, until recently, no studies have examined the situation of FCMHNs and this paper extends the analysis of studies completed by the main author, considering issues related to coping abilities and support systems.
DESIGN/METHODS: The survey involved respondents completing a demographic questionnaire and a range of standardized validated measures (Maslach Burnout Inventory, General Health Questionnaire and Community Psychiatric Nurse Stress Questionnaire). The population for the study was all identified FCMHNs attached to the 26 National Health Service (NHS) Medium Secure Units in England and Wales (n=104).
RESULTS/FINDINGS: A high response rate of 77% (n=80) was achieved. The results identified that a number of respondents were experiencing burnout. Statistically significant associations were found between caseload size and level of stress. The results also suggest that support from managers and colleagues were an important factor in ameliorating the experience of stress and show that individuals in this study experiencing high levels of stress adopted palliative behaviours such as use of alcohol.
The paper concludes by suggesting that such findings should be considered when delivering stress management programmes and reinforce the potential benefit of effective clinical supervision as a means of staff support.
研究/论文目的：本文报告了一项针对英格兰和威尔士法医社区心理健康护士（FCMHNs）的调查结果，该调查旨在确定该群体所经历的压力和倦怠程度。
背景/理论依据：多项研究已确定心理健康护理是一项压力较大的活动，并且已经探讨了年龄、经验、支持、工作量大小和感知压力等因素之间的关系。然而，直到最近，尚无研究考察法医社区心理健康护士的情况，本文扩展了主要作者完成的研究分析，考虑了与应对能力和支持系统相关的问题。
设计/方法：该调查要求受访者填写一份人口统计学问卷以及一系列标准化的有效测量工具（马氏倦怠量表、一般健康问卷和社区精神科护士压力问卷）。研究对象为英格兰和威尔士26个国民健康服务（NHS）中等安全级别的单位中所有确定的法医社区心理健康护士（n = 104）。
结果/发现：获得了77%（n = 80）的高回复率。结果表明，许多受访者正经历倦怠。在工作量大小和压力水平之间发现了具有统计学意义的关联。结果还表明，来自管理人员和同事的支持是减轻压力体验的一个重要因素，并且表明本研究中经历高压力水平的个体采取了诸如饮酒等缓解行为。
本文最后建议，在实施压力管理计划时应考虑这些发现，并强化有效临床督导作为员工支持手段的潜在益处。
