Stressors, moderators and stress outcomes: findings from the All-Wales Community Mental Health Nurse Study.
Stressors, moderators and stress outcomes: findings from the All-Wales Community Mental Health Nurse Study.
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DOI：
10.1046/j.1365-2850.2000.00359.x
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发表时间：
2000-12-01
影响因子：
2.7
通讯作者：
Hannigan, B
中科院分区：
文献类型：
--
作者：
Edwards, D;Burnard, P;Hannigan, B
全威尔士社区心理健康护士压力研究是迄今为止在英国进行的最大的研究，以调查CMHN劳动力之间的压力，倦怠和应对。本研究的目的是探讨压力源的种类、频率和严重程度，描述用于减少工作压力的应对策略，并确定压力结果。从威尔士各地的10个NHS信托基金会向614个CMHN发出了调查报告。有效率为49%（n = 301）。所用的措施包括Maslach人类服务调查，CPN压力问卷，心理护士应对问卷的方法，罗森伯格自尊量表和一般健康问卷GHQ-12。社区精神卫生护士表示，在漫长的等待名单中，试图保持良好的服务质量，资源匮乏，在办公室工作时有太多的干扰，特别是压力大的项目。CMHN使用最多的应对策略是拥有稳定的家庭生活，并期待在一天结束时回家，有外部兴趣和爱好，并与他们相处得很好的人交谈。40%的CMHN倾向于消极地看待自己，觉得别人不太尊重他们。GHQ-12测量表明，35%的CMHN已经超过了精神病病例的阈值。与心理健康工作者的标准样本相比，51%的CMHN经历了高水平的长期情绪衰竭。24%的人患有高水平的去人格化倦怠，与客户关系不好，而14%的人长期缺乏个人成就感。研究结果为我们提供了威尔士CMHN的压力和应对方式。解决这些因素可能有助于减少压力和倦怠的水平。
The All-Wales Community Mental Health Nurse Stress Study was the largest study undertaken in the UK to date to investigate stress, burnout and coping amongst the CMHN workforce. The aim of the study was to examine the variety, frequency and severity of stressors, to describe coping strategies used to reduce work-based stress, and to determine stress outcomes. Questionnaires were sent out to 614 CMHNs from ten NHS Trusts throughout Wales. The response rate was 49% (n = 301). The measures used included the Maslach Human Services Survey, the CPN Stress Questionnaire, the Psychnurse Methods of Coping Questionnaire, the Rosenberg Self-Esteem Scale and the General Health Questionnaire GHQ-12. Community mental health nurses indicated that trying to maintain a good quality service in the midst of long waiting lists, poor resources, and having too many interruptions while trying to work in the office were particularly stressful items. The coping strategies that CMHNs utilized the most were having a stable home life and looking forward to going home at the end of the day, having outside interests and hobbies and talking to people that they got on well with. Forty per cent of CMHNs tended to view themselves negatively, feeling that others did not hold much respect for them. The GHQ-12 measure indicated that 35% of CMHNs had crossed a threshold of psychiatric caseness. Measured against a normative sample of mental health workers, 51% of CMHNs were experiencing high levels of long-term emotional exhaustion. Twenty-four per cent were suffering from high levels of depersonalization burnout and were not relating well to clients, whilst 14% were experiencing severe long-term feelings of lack of personal accomplishment. The results from the study provided us with a picture of stress and coping in CMHNs in Wales. Addressing these factors may help to reduce levels of experienced stress and burnout.