The Role Of Counselling And Stress Reduction Techniques In Managing Burnout Among Nurses In Clinical Settings

Background

Stress has been viewed as stimuli with perceived interaction with subjects it encounters. Folkman, (2013), defines stress as that psychological aspect which correlates with the environment where an individual stays with limited resources and skills exceeding his/ her capabilities. Stress at times has been viewed personality trait, however it has been largely seen as occupational hazard, (Schmidt , Roesler, Kusseriw & Rau, 2014). It has significant impacts on the health of individuals. Work stress among nursing framework, has been shown to significant health hazard, (Stolte & Hidgetts, 2015). Job of a nurse has been largely associated with long working hours, inadequate staffing and often close relationships linked to jobs, (Polit, 2016). Stress factor has been conceptualized with burn out, which is largely viewed as a syndrome of emotional exhaustion, reduced depersonalization and inadequate personal accomplishments. Stress often results from this hard work, which conjoined itself with burn out, causing significant concerns on the health nurses in clinical practice.

Work stress has been associated with high absenteeism and high turnover among employees. The hospitals often face challenges of workforce staffing, which hinders its operations.  Stress management strategies have been effected through establishment of social support systems, (Brown, 2017). Co worker support has been found to have positive impact on reducing work place burn out among health care employees, (Abu, 2004). Social support from the work mates has been shown to have negative link with work stress levels, (Li et al., 2013). High social support is linked to low burn out and low stress levels among nurses in clinical settings.

Thus with these view there is need for investigation on the role played by counselling approaches and stress reduction techniques on managing work place burn outs. This study aims at evaluating how counselling and stress reduction approaches are able to positively manage nurses in managing burn outs in clinical set ups. 

Burnout and resilience among nurses practicing in high intensity settings

The article considers that stress levels of nurses often leads to moral distress and which has significant effects on the well being. The purpose of this research paper is aimed at creating support for healthy work environments and designing of 2 phase project which improves the nurses’ resilience with an aim of improving nurse retention and lowering turn over levels.

The design utilised in this paper involve a cross sectional survey done to identify nurses experiencing high stress symptoms. In this survey, factors such as burnout, moral distress and resilience were analysed. The statistical approach used was the determination of scale measures and variables related to burnout.

Articles review

It was found out that moral distress was a significant factor in the three variables used, its associations was however stronger between burn out and resilience. High levels of resilience protected the nurses from emotional exhaustion and improved personal accomplishment. Spiritual well being improved emotional exhaustion and depersonalization. Increased levels of resilience were associated with increased hope and reduced levels of stress.

Conclusions

The findings of this study forms the basis for phase study on helping nurses to cultivate strategies aimed at improving and renewing mindfulness practices and individual reliance plans.

Hence moral resilience among nurses aims at reducing and minimising burn out effects. Other factors such as spiritual matters have special place in managing nurses’ challenges.

Purpose

Burnout has been investigated to be having an impact on the delivery of mental health services. Often psychiatric nurses face stressors and are distinct from other nursing expertise. Occupational stress among nurse affects nursing practices which leads to poor client care.

To undertake this investigative study, between groups study was done to establish the coping strategies and burnout inventory among nurses in Dublin Region. A total of 69 participants were recruited for this study.

The findings of this study showed that nurses were practicing in average stress work environment. Stressors affecting the nurses were more inclined to organizational aspects rather to client care. Main stressors identified include lack of resources, work load and organizational process. Similarity among the groups included the emotional exhaustion and low levels of depersonalization. It was evident that nurses utilised avoidant strategies to cope up stress.

Conclusions

With this study interventions are aimed at improving personal accomplishments, which needs to be implemented in both categories of the groups. It recommends study on use of social support to cope up stress.

Thus it is evident that stressors among nurses are often associated with coping strategies and burnout levels among hospital and community set up clinical setting among nurses.

Purpose

The aim of this study was to assess the association between nurse practice variables on the reported quality of care in psychiatric hospital staff.  The study focused much on psychiatric nurses as they have been less studied.

Methods

The study undertook survey using structural equation model. The study sampled registered nurses, having a model in between practice environment and outcome variables while burnout being at interplay.

Results

The improved model use showed that job outcomes and nurses reported quality of care variance stood at 50% and 38 %. Work load was identified as a mediating factor for job outcomes and improved model that showed 60% variance.

Burnout and resilience among nurses practicing in high intensity settings

Conclusion

Psychiatric hospitals was closely associated with perceptions of work load and burn out and job satisfaction, turnover effects and nurse identified quality of care. the desirable mechanisms showed that variables across the settings needs attention from managers and researchers.

Hence nursing practice often have key variables which influence nursing performance, which include burn out , nursing intervention and job satisfaction . This parameters have an influence on the performance of nurses.

Purpose

Burnout has been identified as the negative factor on an individual well being. It has significant impacts on the quality of work offered, employee retention and client satisfaction. It has been closely been identified with occupational stress and is experienced from genetic counselling and burn out is limited. The study sought to determine the relationship between occupational stress and burn out in genetic counsellors.

Methods

The study utilised online survey among members of three genetic counsellor professional organizations. Measurement tools involved the use Maslach Burnout Inventory and the Occupational Stress inventory.

Results

Among the respondents, 40% had considered either to leave the job or left due to burn out. Regression analysis from the study identified that 59% of variation was associated with exhaustion, 58% cynicism and 43 % on professional efficacy.

Conclusions

High number of genetic counsellors encountered burnout which is correlated with certain aspects of occupational stress.

It is essential to note that burn out has significant harm on the service type to be provided amongst nurses. There is established relationship on occupational stress and burn out.

Purpose

Novice practitioners often face various challenges and stressors factors. As observed junior doctors experienced burn outs which entail emotional distress, depersonalization and decreased personal accomplishments. The aim of this research paper is aimed at examining prevalence of burnout in a cohort of junior doctors and impacts of debriefing sessions on reduction of burnout effects.

Methods

The study conducted prospective randomised controlled study on a sample of post graduate doctors. Data tools involved the use of questionnaire, the Maslach Burn out questionnaire to find out the prevalence of burn out. The study utilise both quantitative and qualitative study analysis.

Results

 The results showed that at base line 68% of the respondents showed burn out effect. It was significantly observed among women. 89 5 of the respondents recommended debriefing strategy among the junior doctors.

Conclusions

Burn out was prevalent among postgraduate doctors, and it plays significant emotional and social support thought he debriefing sessions. The study further recommends study on determination of debriefing in reducing burnout incidence among junior doctors.

Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in Dubai Region

Thus it is evident that debriefing sessions can be liken to a counselling technique which is brief in nature, showing reduced levels of burn out among doctors. It plays crucial role in supporting medical staff such as doctors.

The literature review relied heavily on components as to pertaining burnout. Specific terms or approaches related to counselling were utilised. Variables associated to stress management and counselling approaches were evidently used. These include debriefing sessions, moral resilience among nurses, support mechanisms and the approached which managers in health care settings need to focus with an aim of reducing burn out among nurses.

Burn out effects across the literature search was heavily discussed. This shows that it is a significant factor in the nursing practicing in health care. There is no in-depth study of burnout is relevant in order to improve client care in clinical settings.

From the literature review above, it is evident that burn out component affects cross section of the medical team. Nurses as health practitioners have been shown to portray significant levels of stress, which often affects their working spite and morale. It cuts across nurses from the various clinical settings and its effects on their functionality is often encounter. Burn out correlation with staff turnover is a risk avenue which strains the nursing fraternity capacity to deliver quality service.

Coping strategies have been identified to aid these factors. From the literature search, it is evident that debriefing strategies have been found to have an impact on the social and emotional support for medical staff. Debriefing sessions can be narrowed down to counselling technique approaches and other strategies have been associated with reducing burn out among nurses.

With the literature review found, there is need for further studies to be undertaken on how effective strategies of stress reduction and counselling improves work performance on nursing staff in hospital set ups. Further research to clarify how to en-cultivate strategies and practices for mindfulness and resilience avenues for nurses. Debriefings was found out to be an avenue for counselling support for nurses, however there is need for further studies to assess how it reduces burnout incidences among nurses in clinical care set ups. 

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References

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Folkman, S. (2013). Stress: appraisal and coping. In Encyclopedia of behavioral medicine (pp. 1913-1915). Springer New York.

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Johnstone, B., Kaiser, A., Injeyan, M. C., Sappleton, K., Chitayat, D., Stephens, D., & Shuman, C. (2016). The relationship between burnout and occupational stress in genetic counselors. Journal of genetic counseling, 25(4), 731-741.

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