Place Stressors Research Articles

HOW TO PREVENT BURNOUT IN CARDIOLOGY

Burnout, as defined by the Maslach Burnout Inventory Survey, describes threeaspects: firstly, emotional exhaustion from being overworked, secondly,depersonalization or desensitization - a lack of compassion for patients and peersand professional efficacy and thirdly, reduced sense of accomplishment. Burnoutis the result of chronic emotional and interpersonal work place stressors The 1,2word “burnout” was originally used by Herbert Freudenberger in 1974 todescribe a state of emotional fatigue that was becoming more prevalent duringthe free clinic movement, attributed to the mismatch of resources to the needs ofpatients. Among other factors exhaustion from increased workloads and 3extended work hours combined with the stress of cognitive decision-making inthe setting of emotionally-charged situations contribute to physician burnout. In response to Waldo's article, Martin Goldman advised that the way to prevent burnout was to rely on peers, co fellows andsenior fellows seeking their advice as to how to cope with stressful situations and avoid stress. Cardiology now offers manydiverse career paths and one should sagaciously choose the right field which may be preventive, interventional, translationalresearch, cardiac imaging or heart failure. The work should lead to fulfillment. Hospital should introduce mentorship program tohelp an individual sail through the tough years of life. Choosing the right program depending on the location, volume and type oftraining is important. Cardiology is undoubtedly the most exciting field of medicine as it is truly life saving and on the cutting edge of science. Theepidemic of burnout has to be watched out and all efforts from personal counseling to organizational changes have to be put inplace to prevent it. To our trainees, the message is to enjoy the period of training, it is the most exciting and rewarding time inanyone's professional career. Mid career professionals should continue to practice cardiology and enjoy the novelty and quickresults it offer in most cases. Late in career, as the focus shifts from intervention to prevention, cardiology still has a lot to offer tokeep a doctor engaged with patients

The Impact of Work Place Stressors on Work Quality of Nurses: Case Study of Private Medical Institutions in the (TRNC)

Various studies have been discussed in the past time to predispose the contact of work place stressors on work quality of nurse. Most of the studies focused on the work place stressors and their relationship between work related quality of life of nurses that how stressors can affect the work quality of nurses and what are the reasons or is there any negative or positive relation between stressors and work quality. This study seeks to analyze the impact of work place stressors among nurses in their work quality by acquiring a quantitative testing method of administering questionnaires to the nurses in the health work place in Northern Cyprus. If the stressors that alter the task quality of nurses are low in the work place, there can be a positive relation between them and can make nurses work more comfortable and relaxed. The main findings suggests that there is a symbolic negative relationship of job place stressors with work nature and aspect of nurses. The results discloses that the frequency of job place stressors have a eloquent contact on work quality of nurses and there is a statistically expressive negative linear contingency within job related element of life and Nurses stress. In health care organization, designing and creating work to be more important and meaningful in their performance and in the manner at which their contributions are acknowledged.

WORK-RELATED STRESS AND COPING AMONG MIDWIVES IN SLOVAKIA

Aim: The purpose of the study was to identify the most common workplace stressors and most frequently used coping strategies among Slovak midwives, as well as the relationships between work place stressors, coping strategies, and demographic characteristics. Design: Quantitative cross-sectional study. Methods: A cross-sectional study was conducted with the research sample, which consisted of 100 midwives (females, age 37.91 ± 11.03). The Brief COPE questionnaire and Expanded Nursing Stress Scale were used. Descriptive statistic, Kruskal-Wallis Test, Student's t-test, and Pearson's Correlation Analysis were employed. Results: Death and dying, conflicts with doctors, and workload were the most cited stressors. Active coping, acceptance, and using instrumental support were the most frequently used coping strategies. Midwives used both problem-focused and emotion-focused strategies when dealing with work-related stressors. Conclusion: Since emotion-focused strategies are considered maladaptive in the long term, intervention strategies and education programs helping midwives in the use of positive forms of adaptive problem-focused coping would be beneficial.

Case study: Leading change with reflective practice supervision in an early parenting context

In recognition of the emotional and stressful impact of working with young children and their families, an early parenting not-for-profit service in Western Australia sought to introduce reflective practice supervision (RPS) to support nurses in their practice. To present a case study of the development of a model of reflective practice supervision with findings following two years of implementation. A case study design using a mixed methods approach was used in the development of the model involving staff. An initial survey was used to raise awareness of supervision and identify specific needs before education was provided on the model for implementation. The evaluation framework included regular data collection and analysis as well as an on-line Experiences in reflective supervision questionnaire (ERSQ) located on the organisation's intranet via a link to independent University researchers. Interviews with staff were transcribed and thematic analysis undertaken to identify the themes of the participant perceptions of their experience to-date. The benefits and challenges experienced at different levels of the organisation are presented. Many nurses’ experiences of supervision had been punitive, management driven and solely clinically orientated. Some nurses had never experienced supervision. Overcoming these fears and introducing reflective practice supervision has been part of the implementation journey. Thematic data of practice issues and work place stressors has demonstrated a shift in how staff are being able to use reflective supervision to enhance their practice. This paper provides a stimulus for thoughtful reflection on the expectations that underpin ‘best practice' principles for RPS and how these might be introduced to support nurses working with families with young children.

Is Homesickness a Mini-Grief? Development of a Dual Process Model

Homesickness (HS) is associated with mental and physical health problems and is thus of clinical concern. In some highly influential theoretical models and widely used questionnaires, HS spans home-related losses and new-locality adjustments. A differentiated approach is needed: Evidence suggests that distinct manifestations are associated with these two domains. Collapsing home- and new-place-related phenomena has impeded understanding of separation-from-home-specific aspects. Thus, we propose a dual process model of coping with HS (DPM-HS). According to this framework, HS is fundamentally a separation phenomenon, a “mini-grief,” involving different (though possibly mutually exacerbating) stressors from new place ones. It follows that HS should be narrowly defined; separate examination of home–new place stressors, correlates, and consequences is mandatory; regulatory cognitive-emotional processes and incremental effects due to new place stressors need charting. Following DPM-HS principles, HS prevention and treatment should not only focus on distraction and adjustment, but also pay attention to missing home aspects and emotion-regulation strategies.

Compassion fatigue among pediatric healthcare providers.

Compassion fatigue is a term used to describe the unique stressors affecting people in caregiving professions. For nurses and other direct care providers, the impact of compassion fatigue may result in stress-related symptoms, job dissatisfaction, decreased productivity, decreased patient satisfaction scores, safety issues, and job turnover. Those who care for seriously ill children and their families are at increased risk for compassion fatigue. Constant exposure to children who are suffering, in combination with work place stressors and personal issues, may contribute to the development of compassion fatigue. The Professional Quality of Life Scale Version 5 was used to determine the risk for compassion fatigue among 296 direct care providers at St. Louis Children's Hospital. Compassion satisfaction, burnout, and secondary traumatic stress scores did not differ by age, work category, level of education, or work experience. There were, however, significant differences in scores as a function of nursing unit. Nurses who work in the pediatric intensive care unit reported lower compassion satisfaction scores, and higher burnout and secondary traumatic stress scores. Results demonstrated the risk for compassion fatigue and provided data necessary to support development of a compassion fatigue program for direct care providers.

Anaesthesiology as a Career Vis-?-Vis Professional Satisfaction in Developing Countries

Background: The specialty of anaesthesiology has undergone considerable development over the last 30 years. Once a technical specialty confined primarily to the operating room, the scope of anesthetic involvement in hospital practice has expanded considerably. Clinically, Anaesthesiologists are experts in fields as diverse as intensive care, obstetrics, trauma, cardiopulmonary and airway management, perioperative patient care, sedation for computer tomography or magnetic resonance imaging, both acute and chronic pain management. In addition, many are involved in areas such as research, administration and teaching, both at undergraduate and postgraduate level. Consequently it is estimated that in the UK Anaesthesiologists are involved in the care of about two-thirds of all patients admitted to hospital. Yet all of these accomplishments have not necessarily resulted in improved recognition of the anaesthesiologist’s vital role. However, there is no published data on factors that prompt medical students to opt for the specialty. The objectives of this study are to report the reasons for selection of anaesthesiology as a career vis-a-vis other specialties and to assess overall job satisfaction among those who have chosen to pursue anaesthesiology as a career. It is hoped that this study might serve as a modest beginning to the assessment of future work force requirements, and hence contribute to planning for residency training programs. It will also contribute to a better understanding of the working conditions of anesthesiologists so that job place stressors can be identified and minimized, and the appeal of this specialty enhanced. Methods: A questionnaire surveys were used to find out the career choice of the interns and the various practicing anaesthesiologists and their experience in this field. Results: Overall, 78%-149 (i.e.58% in grade 4 and 20% in grade 5) in our study of anaesthesiologists were satisfied bytheir professional work. Yet, we believe these numbers may be increased by improving on factors, identified in the present study, that contribute to job satisfaction like Increasing intellectual stimulation, allowing better quality of care, conditions of work, career, promotion prospects, and improving interaction with patients. Anaesthesia has become increasingly popular as a career choice in the developing countries. Trainees and consultants’ numbers are increased. 11% wanted to choose anaesthesiology as a career because of increasing value of anaesthesiologists and not much initial cost required in setup.

Evaluation of work place stress in health university workers: A study from rural India

Background:Healthcare providers being over-worked and under staffed are prone to poor mental health. Unhealthy work place compounds it further.Aims:This study was aimed at to assess the mental health status of a medical university employee with special reference to work place stressors.Settings and design:A cross-sectional study was designed and carried out at a Rural Health University.Materials and Methods:Both the General Health Questionnaire (GHQ)-12 and Holmes–Rahe Scale were used to evaluate 406 participants.Statistical analysis:Multivariate analysis, correlation, and ANOVA by SPSS 11.0.Results:The minimum age of the participant was 19 years and the maximum 64 years, with an average age at 35.09 years. On the GHQ scale 239(58.9%) recorded psychiatric morbidity out of which 201(49.5%) had moderate and 38(9.3%) severe morbidity. Doctors were the highest stressed group (P ≤ 0.04). Prominent work environmental stressors were poor departmental reorganization, lack of cohesiveness in department, difficult superiors and juniors (P ≤ 0.001, Pearson correlation). Stressors associated with work organization and work nature were: noninvolvement in departmental decision making and lack of proper feedback; along with; work load, lack of clarity in job, and a erratic work schedule (P ≤ 0.001 on Pearson correlation). Harassment, favoritism, discrimination, and lack of self-expression (P ≤ 0.003) were other factors responsible for work dissatisfaction.Conclusions:A high stress level was detected in the study population. The principal stressors were work environment related. Poor work culture was found to lead to job dissatisfaction among majority.

Psychological Well-Being of the Dual Career Women as Function of Work Place Stressors.

The study focused on workplace factors precipitating stress among dual career women. The subjects were 869 educated working mothers aged between 20 and 60 years and who have a minimum of Nigeria certificate in education (NCE). Research questions and null hypotheses formulated were directed towards issues investigated. The Ex-post-facto research type was employed. The Perceived Stress Questionnaire (PSQ) constructed by the researcher was used to obtain information from the subjects. Data collected were subjected to Pearson product moment correlation, Analysis of variance and t-test analysis. The result showed that educated working mothers experience stress in their place of work. There is a significance relationship between job demand, remuneration at work, social relationship at work, attitude to work and stress experienced by the working mothers. A knowledge of the stress factors may enable the dual career women cope positively thereby minimizing the negative effect of stress on their health. Keywords: Dual career women; work place; stressors; psychological well-being The Nigerian Journal Of Guidance And Counselling Vol. 12 (1) 2007 pp. 108-116

Identifying sources and effects of carer fatigue and burnout for mental health nurses: a qualitative approach.

This project aimed to: identify work-related problems to assist mental health nurses to locate the sources and effects of carer fatigue and burnout, set up a dialogue between the participants and the identified sources of stress in the workplace to address the identified problems, and make recommendations to a local Area Health Service to prevent and manage stressors in the practice of mental health nursing. In total, 20 experienced registered nurses working as mental health nurses were enlisted through a snowballing method of recruitment, and convenience sampling was used to intentionally target those research participants who were interested in identifying sources of carer fatigue and burnout in their work. Data collection was via semistructured interviews which used questions reflecting the first stage of White and Epston's (1990) method of narrative therapy, in which relative influence questioning is used to externalize the problem. The research questions related to the effect of burnout in mental health nursing across various interfaces, through the dominant story of emotional stress and fatigue. The sources of work-related problems for mental health nurses that contribute towards their experiences of carer fatigue and burnout were: employment insecurity and casualization of the work-force; issues with management and the system; difficulties with the nature of the work, inadequate resources and services, problems with doctors, aggressive and criminal consumers, undervaluing consumers and nurses, physical and emotional constraints of the work setting, and nurse-nurse relationships and horizontal violence. The effects of stress were shown in dealing with and reacting to work place stressors.

Therapists' Approaches to the Normative Challenges of Dual-Earner Couples

The majority of American couples with minor children are dual-earners, and research indicates that, in general, the members of these families are thriving. Yet, outdated societal ideologies and practices place stressors on these families. Dual-earner couples, particularly working mothers, may experience guilt and/or concern about their family arrangement. Additionally, these couples may experience tensions in renegotiating gender expectations. A national, random sample of clinical members of AAMFT was surveyed to find out how family therapists are responding to the normative challenges of dual-earner couples in therapy. Results suggest that many therapists are unaware of the related empirical literature regarding the benefits and challenges of dual-earner families. Further, many therapists remain unaware of how the societal context often promotes guilt and inequity among today's couples. Implications for family therapists are discussed, including the need for therapists to become more familiar with recent research about dual-earner families, equality in intimate partnerships, and child care.

A Content Analysis of Articles Pertaining to Therapeutic Considerations for Dual-Income Couples (1979-1999)

The majority of American couples with minor children are dual-earners, and research indicates that, in general, the members of these families are thriving. Yet, outdated societal ideologies and practices place stressors on these families, giving rise to a need for effective treatment approaches for these stressors. A content analysis of seven major family therapy journals over approximately twenty years (1979-1999) was conducted on the applied articles related to dual-income couples. Only nine articles provided an applied focus on the topic. The article describes the content of these articles, specifically the descriptors of dual-income couples, their common problems, the benefits of the dual-income family arrangement, and suggested interventions. Many of the articles portrayed descriptions of these families that are inconsistent with empirical research; however, their emphasis on the importance of equitable division of labor and freedom from restrictive gender expectations is consistent with this research.