Inpatient pediatric nursing staff experiences treating psychiatric patients: A mixed methods study

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-09-25 DOI:10.1111/jcap.12441

Katelyn DeAlmeida BSN, RN, Keli Blanco BSN, RN, Katherine Metz DNP, RN, CPNP-PC, CCRN, Nicole L. Bohr PhD, RN

{"title":"Inpatient pediatric nursing staff experiences treating psychiatric patients: A mixed methods study","authors":"Katelyn DeAlmeida BSN, RN, Keli Blanco BSN, RN, Katherine Metz DNP, RN, CPNP-PC, CCRN, Nicole L. Bohr PhD, RN","doi":"10.1111/jcap.12441","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Problem</h3>\n \n <p>A gap in the literature exists attempting to understand the impact that the influx of pediatric psychiatric patients has had on inpatient general medicine pediatric nursing staff.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A mixed-method research study was conducted among full- and part-time pediatric nurses and nursing assistants working on general pediatric units. Quantitative data was collected via an anonymous survey using the Professional Quality of Life Scale version 5 and Support Appraisal for Work Stressors scale. Surveys were followed by semistructured interviews.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Of the 158 staff eligible, 47 (29.7%) participated in the quantitative portion. [Correction added on 29 September 2023, after the first online publication: In the preceding sentence, the participation rate was revised from 23.5% to 29.7% in this version.] Significant differences were found between roles, with nurses experiencing lower levels of compassion satisfaction and higher levels of burnout. Role differences were seen in supervisor support and nonwork support, with nurses reporting less support from both. Supervisor support showed a significant correlational relationship with compassion satisfaction and burnout. Nonwork support showed similar correlations with compassion satisfaction and burnout. Themes that emerged from the interviews were Barriers to Care, Emotional Impact, and “Help Me Help You.”</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Nurses may be at greater risk for compassion fatigue due to perceived inadequate support from leadership, unclear role expectations, and lack of resources.</p>\n </section>\n </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 1","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child and Adolescent Psychiatric Nursing","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jcap.12441","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Problem

A gap in the literature exists attempting to understand the impact that the influx of pediatric psychiatric patients has had on inpatient general medicine pediatric nursing staff.

Methods

A mixed-method research study was conducted among full- and part-time pediatric nurses and nursing assistants working on general pediatric units. Quantitative data was collected via an anonymous survey using the Professional Quality of Life Scale version 5 and Support Appraisal for Work Stressors scale. Surveys were followed by semistructured interviews.

Findings

Of the 158 staff eligible, 47 (29.7%) participated in the quantitative portion. [Correction added on 29 September 2023, after the first online publication: In the preceding sentence, the participation rate was revised from 23.5% to 29.7% in this version.] Significant differences were found between roles, with nurses experiencing lower levels of compassion satisfaction and higher levels of burnout. Role differences were seen in supervisor support and nonwork support, with nurses reporting less support from both. Supervisor support showed a significant correlational relationship with compassion satisfaction and burnout. Nonwork support showed similar correlations with compassion satisfaction and burnout. Themes that emerged from the interviews were Barriers to Care, Emotional Impact, and “Help Me Help You.”

Conclusion

Nurses may be at greater risk for compassion fatigue due to perceived inadequate support from leadership, unclear role expectations, and lack of resources.

查看原文本刊更多论文

住院儿科护理人员治疗精神病患者的经验：一项混合方法研究。

问题：文献中存在空白，试图了解儿科精神病患者的涌入对住院的全科医学儿科护理人员的影响。方法：采用混合方法对在普通儿科工作的全职和兼职儿科护士和护理助理进行研究。定量数据是通过匿名调查收集的，使用职业生活质量量表第5版和工作压力者支持评估量表。调查之后是半结构化访谈。调查结果：在158名符合条件的工作人员中，47人（29.7%）参加了定量部分。【在第一次在线发布后，于2023年9月29日添加了更正：在前一句中，本版本的参与率从23.5%修订为29.7%。】发现不同角色之间存在显著差异，护士的同情满意度较低，倦怠程度较高。在主管支持和非工作支持方面存在角色差异，护士报告两者的支持较少。主管支持与同情满意度和倦怠呈显著相关。非工作支持与同情满意度和倦怠表现出相似的相关性。访谈中出现的主题是“护理障碍”、“情感影响”和“帮助我帮助你”。结论：由于领导层的支持不足、角色期望不明确和缺乏资源，护士可能更容易产生同情疲劳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Child and Adolescent Psychiatric Nursing NURSING-

CiteScore

2.90

自引率

6.70%

发文量

期刊介绍： Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.