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Burnout in mental health nurses: much ado about nothing? 精神科护士的职业倦怠:无事生非?
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<127::AID-SMI807>3.0.CO;2-3
J. Carson, S. Maal, S. Roche, L. Fagin, N. D. Villiers, P. O'malley, D. Brown, J. Leary, F. Holloway
{"title":"Burnout in mental health nurses: much ado about nothing?","authors":"J. Carson, S. Maal, S. Roche, L. Fagin, N. D. Villiers, P. O'malley, D. Brown, J. Leary, F. Holloway","doi":"10.1002/(SICI)1099-1700(199904)15:2<127::AID-SMI807>3.0.CO;2-3","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<127::AID-SMI807>3.0.CO;2-3","url":null,"abstract":"The syndrome of burnout has been the focus of much research in the caring professions. Maslach and Jackson operationally defined the syndrome as comprising high levels of emotional exhaustion, high depersonalization and a reduced sense of personal accomplishment. They argued that the syndrome could be reliably measured using the 22-item Maslach Burnout Inventory. The present authors gave this scale to 648 ward-based mental health nurses along with a range of other standardized scales. The total sample was then divided into a high burnout group (high scores on all three subscales, N=37 or 5.7 percent) and a low burnout group (low scores on all subscales, N=66 or 10.2 percent). The findings show that burnout is a much less significant problem for mental health nurses than other researchers have indicated. There was, however, clear evidence for the construct validity of the burnout concept. Future directions for burnout research with mental health nurses are outlined. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"21 6","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 43
The life and work of an eminent psychologist: autobiography of Richard S. Lazarus. Springer, New York, 1998. No. of pages: 312. ISBN 0‐8261‐1179‐3. Price: US$ 39.95 Hb. 著名心理学家的生活和工作:理查德·s·拉撒路自传。b施普林格,纽约,1998年。不。页数:312。ISBN 0还是8261还是1179 3。价格:39.95美元。
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<135::AID-SMI827>3.0.CO;2-6
L. Whatmore
{"title":"The life and work of an eminent psychologist: autobiography of Richard S. Lazarus. Springer, New York, 1998. No. of pages: 312. ISBN 0‐8261‐1179‐3. Price: US$ 39.95 Hb.","authors":"L. Whatmore","doi":"10.1002/(SICI)1099-1700(199904)15:2<135::AID-SMI827>3.0.CO;2-6","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<135::AID-SMI827>3.0.CO;2-6","url":null,"abstract":"","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"16 4","pages":"135-136"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Workload, stress and family life in British members of parliament and the psychological impact of reforms to their working hours 英国国会议员的工作量、压力和家庭生活,以及他们工作时间改革的心理影响
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<79::AID-SMI788>3.0.CO;2-S
A. Weinberg, C. Cooper, A. Weinberg
{"title":"Workload, stress and family life in British members of parliament and the psychological impact of reforms to their working hours","authors":"A. Weinberg, C. Cooper, A. Weinberg","doi":"10.1002/(SICI)1099-1700(199904)15:2<79::AID-SMI788>3.0.CO;2-S","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<79::AID-SMI788>3.0.CO;2-S","url":null,"abstract":"The Select Committee which reviewed the working hours of the House of Commons revealed that MPs were facing two major problems: first, they had not the time and/or resources to carry out their work as they would wish; and second, a disastrous price had been, and continued to be paid in terms of their private and family lives.1 Such problems serve to illustrate the limits in human ability to adapt to overload, which can result in impaired judgement and long-term mental drain.2 Furthermore, such findings assume greater significance when one is considering the occupational group which is responsible for the decisions which affect the daily lives of people living in the UK. Yet prior to this study, no psychological research had been carried out with national politicians.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"60 12","pages":"79-87"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Occupational stress, job satisfaction and well‐being in anaesthetists 麻醉师的职业压力、工作满意度和幸福感
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<115::AID-SMI797>3.0.CO;2-4
C. Cooper, S. Clarke, A. Rowbottom
{"title":"Occupational stress, job satisfaction and well‐being in anaesthetists","authors":"C. Cooper, S. Clarke, A. Rowbottom","doi":"10.1002/(SICI)1099-1700(199904)15:2<115::AID-SMI797>3.0.CO;2-4","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<115::AID-SMI797>3.0.CO;2-4","url":null,"abstract":"An understanding of the extent and aetiology of occupational stress within medical specialities is lacking, despite the extensive research into stress in health care organizations. This study examines the nature of stress experienced by anaesthetists and its effect on job satisfaction and individual well-being. The Occupational Stress Indicator (OSI) and additional anaesthetist-specific stress questions were distributed to 1000 members of the Association of Anaesthetists of Great Britain and Ireland, yielding 564 useable responses. Compared to other workers, anaesthetists reported high levels of stress comparable to other health care professionals. Four themes emerged: daily demands, communication within the hospital, maintaining standards of patient care, accountability. Multiple regression analyses found that organizational issues, especially communication within the hospital and perceived lack of control, were most important in determining job satisfaction and individual well-being. The implications and limitations of the study are discussed. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"26 6","pages":"115-126"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 68
The effect of a meditation training in stress levels in secondary school teachers 冥想训练对中学教师压力水平的影响
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<69::AID-SMI787>3.0.CO;2-W
A. Winzelberg, Frederic Luskin
{"title":"The effect of a meditation training in stress levels in secondary school teachers","authors":"A. Winzelberg, Frederic Luskin","doi":"10.1002/(SICI)1099-1700(199904)15:2<69::AID-SMI787>3.0.CO;2-W","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<69::AID-SMI787>3.0.CO;2-W","url":null,"abstract":"Teachers experience a high level of stress and burnout. Meditation training, which has previously been found to help individuals manage stress, may be an ideal low-cost stress management technique for teachers. A pilot study was run to test the effectiveness of meditation training for student teachers. Subjects were recruited from a university teaching credential program and assigned to either a meditation training or control group. Subjects in the meditation training were taught the RISE response, which includes a simple meditation technique using sound as a focusing device and three corollary techniques. The program prescribed a formal meditation practice period while the three corollary practices were to be used at any time to remind subjects to focus attention. Subjects assigned to the meditation group attended four 45-minute meditation training sessions. The meditation group subjects were found to significantly reduce their stress symptoms in the post-test measurements when compared to the control group in the domains of emotional manifestations, gastronomic distress and behavioral manifestations. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"11 4","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 78
Daily hassles and chronic stressors: conceptual and measurement issues 日常烦恼和慢性压力源:概念和测量问题
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<89::AID-SMI789>3.0.CO;2-O
Susan E. Hahn, Carlla S. Smith
{"title":"Daily hassles and chronic stressors: conceptual and measurement issues","authors":"Susan E. Hahn, Carlla S. Smith","doi":"10.1002/(SICI)1099-1700(199904)15:2<89::AID-SMI789>3.0.CO;2-O","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<89::AID-SMI789>3.0.CO;2-O","url":null,"abstract":"Researchers have studied similar stressful events under different construct labels. This study examined three explanations for the overlap: definitional confusion, measurement problems associated with using normative measures to assess stressful events and poor measure development. Two types of stressors, hassles and chronic stressors, were used to examine the overlap issue. A literature review indicated that overlapping definitions of hassles and chronic stressors have been widely used by researchers. Items from traditional work and non-work hassles and chronic stressor measures were categorized by 323 hospital employees as either hassles or chronic stressors. Results revealed that items from traditional hassles measures were not consistently categorized by participants as hassles but were categorized by some as chronic stressors. A similar inconsistent categorization was found for chronic stressors. Results suggest that traditional normative measures of hassles and chronic stressors may be inadequate. Implications of these results for acute stressor measurement are discussed. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"48 1","pages":"89-101"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50683135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 56
Stress and coping in hospital doctors 医院医生的压力与应对
Stress medicine Pub Date : 1999-04-01 DOI: 10.1002/(SICI)1099-1700(199904)15:2<109::AID-SMI793>3.0.CO;2-5
A. Tattersall, P. Bennett, S. Pugh
{"title":"Stress and coping in hospital doctors","authors":"A. Tattersall, P. Bennett, S. Pugh","doi":"10.1002/(SICI)1099-1700(199904)15:2<109::AID-SMI793>3.0.CO;2-5","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199904)15:2<109::AID-SMI793>3.0.CO;2-5","url":null,"abstract":"To investigate the role of coping in the relationship between job stress and well-being in hospital doctors, a survey was conducted in a large teaching hospital. Questionnaires were completed by 170 hospital doctors (house officers to consultants) from a range of specialties. Psychological distress, as measured by the General Health Questionnaire and depression and anxiety scales, was associated with both particular work situations and specific coping strategies. Distress increased with greater job constraints, management issues and problems of diagnosis and treatment. Higher levels of distress were associated with coping strategies that involved emotional distancing from stressors in contrast to actively dealing with them. Clearly, while some stresses encountered by doctors are intrinsic to the job, others (such as hours worked) may be modified. Some doctors may reduce the stress associated with these factors by the use of appropriate coping strategies. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"30 6","pages":"109-113"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 71
Explaining gender differences in symptoms of subjective distress in young adolescents. 解释青少年主观痛苦症状的性别差异。
Stress medicine Pub Date : 1999-01-01 DOI: 10.1002/(SICI)1099-1700(199901)15:1<41::AID-SMI784>3.0.CO;2-3
Xiaoru Liu, H. B. Kaplan
{"title":"Explaining gender differences in symptoms of subjective distress in young adolescents.","authors":"Xiaoru Liu, H. B. Kaplan","doi":"10.1002/(SICI)1099-1700(199901)15:1<41::AID-SMI784>3.0.CO;2-3","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199901)15:1<41::AID-SMI784>3.0.CO;2-3","url":null,"abstract":"Gender differences in symptoms of subjective distress and four hypothesized mediating mechanisms were examined in a random sample of young adolescents who were initially studied as seventh graders in the early 1970s (mostly aged 12 and 13) and followed up in the eighth and ninth grades respectively. The results based on structural equations modeling (LISREL) provided support for the hypothesis that adolescent girls experienced greater levels of subjective distress than adolescent boys. The higher level of subjective distress in adolescent girls is partially accounted for by the greater likelihood of girls experiencing fluctuation in self-images, being sensitive to peer reaction and using more avoidance defense mechanisms. Parental restriction reported at an earlier point in time does not directly affect subsequent subjective distress independent of the other mediating factors.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"24 6","pages":"41-51"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50681907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 27
The effect of age on gender differences in the psychological distress ratings of immigrants 年龄对移民心理困扰评分性别差异的影响
Stress medicine Pub Date : 1999-01-01 DOI: 10.1002/(SICI)1099-1700(199901)15:1<17::AID-SMI781>3.0.CO;2-Y
M. Ritsner, A. Ponizovsky, Y. Ginath
{"title":"The effect of age on gender differences in the psychological distress ratings of immigrants","authors":"M. Ritsner, A. Ponizovsky, Y. Ginath","doi":"10.1002/(SICI)1099-1700(199901)15:1<17::AID-SMI781>3.0.CO;2-Y","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199901)15:1<17::AID-SMI781>3.0.CO;2-Y","url":null,"abstract":"Gender differences in psychological distress were examined to test the effect of age and other sociodemographic variables on a well-known phenomenon of higher ratings of psychological symptoms in women. Levels and symptoms of psychological distress were assessed using the 24-item self-administered scale of the Talbieh Brief Distress Inventory (TBDI) in a representative community sample of 1953 adult Russian-born Jewish immigrants to Israel. Univariate and multivariate analyses were conducted to assess the effects of sociodemographic variables on gender differences in psychological distress and symptomatology. Substantial gender differences were found in the overall level of psychological distress, with greater distress reported by females than by males. The phenomenon of gender difference depended largely on age, with greater differences found in middle-aged immigrants. Expression of most symptoms (except paranoid ideation) was greater among females than males, but these differences disappeared differentially with age for different symptoms: gender differences in hostility disappeared after 40 years of age, in obsessiveness and sensitivity after 50 and in depression after 60. Gender differences in anxiety remained consistent over age. Multivariate analysis confirmed these findings and, in addition, showed that gender interacted with length of immigration factor within the fourth decade and with family composition factor within the sixth decade of the lifespan. These findings support our contention that gender difference in the expression of most distress symptoms is an age-dependent phenomenon. The possible determinants of the gender differences in psychological distress are discussed.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"33 5","pages":"17-25"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Stress, coping, burnout and job satisfaction in British nurses: findings from the Clinical Supervision Evaluation Project 英国护士的压力、应对、倦怠和工作满意度:来自临床监督评估项目的调查结果
Stress medicine Pub Date : 1999-01-01 DOI: 10.1002/(SICI)1099-1700(199901)15:1<27::AID-SMI782>3.0.CO;2-U
T. Butterworth, J. Carson, J. Jeacock, E. White, A. Clements
{"title":"Stress, coping, burnout and job satisfaction in British nurses: findings from the Clinical Supervision Evaluation Project","authors":"T. Butterworth, J. Carson, J. Jeacock, E. White, A. Clements","doi":"10.1002/(SICI)1099-1700(199901)15:1<27::AID-SMI782>3.0.CO;2-U","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1700(199901)15:1<27::AID-SMI782>3.0.CO;2-U","url":null,"abstract":"The Clinical Supervision Evaluation Project is a study of the effectiveness of clinical supervision in nurses. As part of this evaluation, we administered the General Health Questionnaire (GHQ-28), Maslach Burnout Inventory, Cooper's Coping Skills Scale, Minnesota Job Satisfaction Scale and a demographic checklist to 586 nurses in 23 centres. Some 18 centres were chosen from England and five from Scotland. Results show that occupational stress levels are rising in nursing. While there is now a greater focus on community nursing, this would appear to be more stressful, though also more satisfying than working in hospital settings. Nurses appear to perceive stressors differently according to their grade. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":82818,"journal":{"name":"Stress medicine","volume":"30 5","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50682307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 95
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