Tununu Anathi F, Martin Penelope
School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town.
Curationis. 2020 Aug 4;43(1):e1-e7. doi: 10.4102/curationis.v43i1.2117.
Nurses are exposed to stress when working in the mental health care environment. This may be because of nurses being frontline health care providers. They develop close interpersonal relationships with mental health care users (MHCUs), which is inherent in the type of care that is provided. Mental health nursing may therefore be demanding and stressful, which could render mental health nurses susceptible to burnout.
To determine the prevalence of burnout among nurses working at a selected psychiatric hospital in the Western Cape.
A quantitative, descriptive, survey design, by using simple random sampling was used to select 198 nurses employed at a psychiatric hospital in the Western Cape, South Africa. Maslach Burnout Inventory-Human Services Survey measuring emotional exhaustion, depersonalisation and personal accomplishment was used to collect the data. Domain scores were calculated, and the influence of the demographic variables on the domains was tested with independent samples Kruskal-Wallis tests and Mann-Whitney U tests.
The study had a 100% response rate. Most of the respondents experienced low emotional exhaustion, low depersonalisation and high personal accomplishment. Enrolled nursing assistants reported significantly higher emotional exhaustion than did the advanced psychiatric nurses and professional registered nurses. Respondents with more than 5 years of experience scored significantly higher in depersonalisation. No respondents met the criteria for burnout on all three domains.
Maintaining a safe working environment with adequate nursing staff is recommended. Strategies to prevent burnout in the future include the provision of resources and the promotion of open communication between staff and management.
护士在精神卫生保健环境中工作时会面临压力。这可能是因为护士是一线医疗保健提供者。他们与精神卫生保健使用者(MHCUs)建立密切的人际关系,这是所提供护理类型所固有的。因此,精神科护理可能要求高且压力大,这可能使精神科护士容易出现职业倦怠。
确定西开普一所选定精神病医院工作的护士中职业倦怠的患病率。
采用定量、描述性调查设计,通过简单随机抽样选取了南非西开普一所精神病医院雇用的198名护士。使用马氏职业倦怠量表-人类服务调查来测量情感耗竭、去人格化和个人成就感,以收集数据。计算领域得分,并使用独立样本克鲁斯卡尔-沃利斯检验和曼-惠特尼U检验来测试人口统计学变量对各领域的影响。
该研究的回应率为100%。大多数受访者经历了低情感耗竭、低去人格化和高个人成就感。注册护理助理报告的情感耗竭明显高于高级精神科护士和专业注册护士。有超过5年工作经验的受访者在去人格化方面得分显著更高。没有受访者在所有三个领域都符合职业倦怠的标准。
建议维持一个有足够护理人员的安全工作环境。未来预防职业倦怠的策略包括提供资源以及促进员工与管理层之间的开放沟通。