Дисертації з теми "Burns nurses"

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1

Persson, Greta, and Johanna Lindén. "Paediatric Burns and its Related Infections : a Qualitative Study Emphasizing the Preventive Work Conducted by Nurses in Dar es Salaam." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255410.

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Introduction: Burn injuries are a major health problem and a leading problem of childhood mortality, particularly in developing countries. The most common complication of burn injuries is infections in the wound. Purpose: The purpose of the study was to investigate what advice is given to parents concerning precautions to avoid burns and related infections. Furthermore, the purpose is to investigate what nurses do to prevent infections in the wounds that might appear after burns at the ward. Method: A qualitative, explorative study was conducted. Semi- structured interviews were conducted among seven nurses, working at the burn unit in Dar es Salaam. A qualitative content analysis was used for data analysis. Result: Four categories of advice which nurses gave to parents were emerged from the data - Importance of family as well as community resources, Aseptic technique and regulation at the ward to prevent infections, Thoughtful counselling and Looking into a bright future - burns can be prevented. The advices given to parents from nurses are to pay attention to their child and to not leave the child alone. To prevent infections nurses work aseptic at the ward, and they give education to mothers and children about hygiene and nutrition. Conclusion: Nurses put a lot of effort in counselling in order to prevent future burns and their related complications. The limited economic resources of the families, is one of the main reasons to cause burns and at the same time affecting the care negatively. The nurses working at the burn unit emphasized the importance of education
Inledning: Brännskador är ett förödande hälsoproblem och en ledande orsak till barnadödlighet, framför allt i utvecklingsländer. Den vanligaste komplikationen tillbrännskador är sårinfektion. Syfte: Syftet var att undersöka vilka råd som ges till föräldrar för att undvika brännskador och relaterade infektioner. Vidare syftade studien till att undersöka vad sjuksköterskor gör för att förhindra att infektion uppstår i brännskadesåren. Metod: En kvalitativ, explorativ studie gjordes. Sju semi-strukturerade intervjuer utfördes med sjuksköterskor i Dar es Salaam. För att analysera data användes kvalitativ innehållsanalys. Resultat: Fyra kategorier som beskrev vilka råd sjuksköterskor gav till föräldrar togs fram vid dataanalysen: Betydelsen av familjens samt gemensamma resurser, Aseptisk teknik och riktlinjer på avdelningen för att förhindra infektion, Anpassad rådgivning och Framtiden är ljus – brännskador kan förebyggas. De råd som ges är att vara uppmärksamma på sina barn och att inte lämna barnen ensamma. För att förhindra infektioner arbetar sjuksköterskor aseptiskt. De ger även utbildning till föräldrar och barn angående nutrition och hygien. Slutsats: Sjuksköterskor lägger stor vikt vid rådgivning för att förhindra framtida brännskador och relaterade komplikationer. Familjernas begränsade ekonomiska resurser är en av de viktigaste orsakerna till att brännskador uppstår, dessa begränsade resurser påverkar dessutom kvaliteten på vården. Sjuksköterskorna framhöll hur viktigt det är med utbildning.
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2

KISHMAN, MARY CONNELLY. "THE LIVED EXPERIENCE OF ADOLESCENTS WITH BURN INJURIES." University of Cincinnati / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1085672288.

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3

Brosché, Tove, and Sandra Dahlén. "Livet efter en brännskada : - ett individperspektiv." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-4691.

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Individer som blivit brännskadade upplever både fysiska och psykiska hinder. En acceptans av den nya kroppen kan ta lång tid. Under rehabiliteringsprocessen på sjukhuset arbetar det multiprofessionella teamet med denna patientgrupp för att de ska kunna klara av vardagen. Sjuksköterskan bör ha god kunskap av att vårda brännskadade patienter. Syftet med litteraturstudien var att belysa hur individen upplever sin livssituation efter en brännskada för att sjuksköterskan ska få en ökad kunskap och därigenom kunna ge en god omvårdnad. Sjutton vetenskapliga artiklar bearbetades för att sedan sammanställas till ett resultat med olika teman. Resultatet visade fem teman; Upplevelsen av stöd, upplevelsen av att hantera brännskadan, upplevelsen av smärta och klåda, upplevelse av livskvaliteten efter brännskadan samt upplevelsen av vården. Brännskadade individer behöver stöd från om-vårdnadspersonal och närstående. Copingstrategier användes för att utstå både fysisk och psykisk smärta. Livskvaliteten kunde både försämras och förbättras efter en brännskada. Att vårda patienter med brännskador kräver goda kunskaper inom omvårdnad då den omfattar många delar. Mer forskning inom området behövs för att sprida kunskap. Även en stödgrupp för brännskadade patienter borde etableras för att kontakt mellan brännskadade individer ska upprättas.


Individuals who have endured burn injuries experience both physical and psychological barriers. Coming to terms with lasting effects of burn injuries on the body can take a long time. The rehabilitation process in the hospital is at a multi-professional level, drawing across a large cross section of specialist skills to enable patients to cope with everyday life. Nurses need to have a good knowledge base to care for burn injured patients. The purpose of this study was to highlight how individuals feel about their life after a burn injury, to help nurses get a better understanding of the subject and therefore provide good health care. Seventeen scientific articles were analysed and then complied into a conclusion with different themes. These themes were; the experience of support, the experience to cope with burns, the experience of pain and pruritus, experience of the quality of life and the experience of the health care. Burn injured patients need support from the nursing staff and relatives. Coping strategies were used to endure both physical and mental pain. The quality of life could be either worse or better after a burn injury. Caring for patients with burns requires a high level of knowledge in nursing, as it affects the many stages of recovery. More research in this area is needed to increase know-ledge. A support group for burn patients should also be established in order to support contacts between burn injured individuals.

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4

Sands, Jaynie E. "A reflective analysis of burn wound care: The Australian burns nurse' perspective." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/940.

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The purpose of this historiographical nursing study was to explore Australian Burn Wound Care from a nursing perspective, at two periods of time. It was the intention of the author to explore practices at the inception of specialised burns units, from the 1950's, presenting an historical perspective, and at the present time, May 1995. Eleven burns units across Australia participated in the study. There were 22 participants in the research sample. Each burns unit identified the first Charge Nurse (n =11) and the current Clinical Nurse Specialist (n =11), to be involved in the data collection process. The conceptual framework for this study incorporates the Reflective Cycle (Gibbs, 1988) succinctly incorporating the 'who', 'where', 'why', 'when' and 'what' aspects of the historical method of inquiry. An interview guide, used in conjunction with three photographs depicting burn wounds, provided interview structure for the data collection. A variety of historical data were gathered and analysed. These included scientific medical and nursing texts, foundation minutes, reports and conference papers of Australian and New Zealand Bums Association, to gain perspective of Australian Bum Wound Care. However, the data collated from 1950 to 1996 uncovered no written material on bum wound care. The information available was obtained exclusively from the indepth interviews. The data collated for the current perspective included hospital/ burns unit protocols and indepth interviews with key nursing personnel. A field trip facilitated the data collection, enabling semi-structured, audiotaped interviews in person and the opportunity to visit hospital libraries. The findings of the study have been organised to show bum wound care practices endorsed by Australian burns units, at the inception of specialised facilities, and at the present time.
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5

Myers, Trisha A. "Nurse practitioners in burn centers: an exploration of the developing role /." Click here to access thesis, 2006. http://www.georgiasouthern.edu/etd/archive/spring2006/trisha%5Fa%5Fmyers/myers%5Ftrisha%5Fa%5F200605%5Fmsn.pdf.

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Thesis (M.S.N.)--Georgia Southern University, 2006.
"A thesis submitted to the Graduate Faculty of Georgia Southern University in partial fulfillment of the requirements for the degree Master of Science" ETD. Includes bibliographical references (p. 54-58) and appendices.
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6

Olsson, Andrea. "Nurses' experience of caring for burn injured children in pain." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-144012.

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Abstract: Aim: To illuminate how nurses working with burn injured children describe their care for burn injured children in pain during dressing procedures and which conditions and obstacles nurses express they are working under in order to proceed with giving care. Method: Semi-structured qualitative interviews with eight nurses at a pediatric burn ward in Dar es Salaam. Interviews were recorded, transcribed and processed by manifest content analysis. Result: Three themes were derived and identified as, pain assessment, pain management and pain treatment. Nurses experienced the pain management as satisfactory and expressed pain assessment as indication to how the burn injured children behaved and were affected upon daily dressing of burn wounds. Results also showed from observations that there is no specific pain assessment tool being used at the ward, more than the nurse’s clinical eye and work experience at the dressing occasion. The main pain treatment used at the ward was Panadol and nurses described their fear of children becoming tolerant to opiates as reason why Panadol being used so extensively. Conclusion: This is a topic that shows that nurses in dealing with pediatric burn injured patients have good skills in pain management. However the routine use of pain treatment during dressings as an extensive standard treatment needs to be illuminated.
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7

Kramer, Loretta Rose, and Loretta Rose Kramer. "Compassion Fatigue Among Travel Nurses." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626351.

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Purpose: To describe an educational workshop delivered to travel nurses, with analysis of the shared discussion. Background: Travel nurses work beyond the realm of traditional nursing positions as they typically are contracted for short periods of time, fill positions created by nursing shortages, and are willing to work in various capacities. As currently conceptualized, compassion fatigue is comprised of compassion satisfaction, burnout, and secondary traumatic stress. Travel nurses are at risk for compassion fatigue as they often work on high acuity units such as emergency room and ICU. Additionally, travel nurses lack natural support systems as they often work far from usual supports such as family, which may increase the risk of compassion fatigue. Method: A two-part educational workshop was developed to reduce the risk of compassion fatigue among travel nurses (N=3). Workshops included education and skills training. Participants discussed their experiences, symptoms, and strategies they used to cope with the negative constructs of compassion fatigue. They journaled and make notations of personal and professional experiences including symptoms, triggers, and self-reflection of compassion fatigue and skills learned. Findings: Commonalities included symptoms of fatigue, isolation, disassociation, second-hand grief, physical pain, dysfunctional communication, and questioning role as a nurse. Triggers to compassion fatigue included limited resources, patient complexity, length of shift, patient influences such as gratitude for nursing service, and witnessing loss. Outcomes included self-medicating with alcohol, self-isolating, working extra shifts, and not debriefing with clinical professionals. Implications: Travel nurses experience symptoms of compassion fatigue including burnout and secondary traumatic stress that is consistent with other nursing professionals. The participants did not understand the phenomenon and had no knowledge of how to protect against compassion fatigue. Travel nurses would benefit from incorporating skills and strategies to address the phenomenon of compassion fatigue, burnout and secondary traumatic stress. The data from this educational intervention project magnify the knowledge currently known about the impact and experience of compassion fatigue in nursing populations, specifically travel nurse populations. It provides insight into the possible benefit of focus group discussions and self-care strategies in lessening the impact of compassion fatigue in travel nurse populations.
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8

Eager, Sandra Carmel. "Emergency nurses stress support and burnout /." View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20051125.150721/index.html.

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9

Brand, Támari. "An exploration of the relationship between burnout, occupational stress and emotional intelligence in the nursing industry /." Link to the online version, 2007. http://hdl.handle.net/10019/344.

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10

Teague, James B. "The relationship between various coping styles and burnout among nurses." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/833472.

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Stress is a construct that has received a great deal of attention in both the scientific and popular literature. particular type of job related stress experienced by human service professionals is burnout. If effective coping strategies to minimize or avoid burnout are present, one's job can remain interesting and challenging. However, if coping strategies are ineffective or absent, the consequences can negatively affect job performance and satisfaction. This study used the Maslach Burnout Inventory, the Coping Inventory for Stressful Situations, and a demographic questionnaire to assess perceived burnout, the relative utilization of three coping styles (Task, Emotion, and Avoidance), and general background information, respectively, among 163 nurses in a 600+ bed midwestern, urban hospital. Hierarchical multiple regression analysis was used to examine the relationship between these three coping styles and the perception of burnout. The results showed no significant differences in burnout for any of the demographic variables studied. However, there were significant differences in burnout among the 14 hospital units evaluated. In addition when specific demographic variables and unit of primary assignment were controlled statistically, those nurses who utilized more emotion oriented coping styles reported the highest amount of burnout. There were no unit by coping style interactions found. Finally, suggestions for future research and recommedations for trainers and employers of nurses are provided.
Department of Counseling Psychology and Guidance Services
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11

Kendrick, Selma Jo. "Job burnout in nurses and patient satisfaction with nursing care." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558081.

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12

Fusco, Phylann S. "Hardiness, Coping Style, and Burnout: Relationships in Female Hospital Nurses." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc278171/.

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This study investigated relationships among and between psychological hardiness, coping style, and burnout in 101 female hospital nurses. The third generation (50-item) hardiness scale, scored by the revised scoring procedure, was used to measure hardiness and its components. The Maslach Burnout Inventory was used as the measurement for burnout. Coping style was assessed by the COPE Inventory. The components of hardiness, commitment, control, and challenge, were hypothesized to be negative predictors of emotional exhaustion and depersonalization and positive predictors of personal accomplishment. In addition, hardiness and its components were postulated to be positively related to adaptive coping styles and negatively related to maladaptive coping styles. Emotional exhaustion and depersonalization were thought to be related positively to maladaptive coping styles and negatively related to adaptive coping styles. Personal accomplishment was thought to be positively related to adaptive coping style and negatively related to maladaptive coping style. Simple and multiple regressions were used.
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13

Beck, Ellen Dennison. "The revitalization of hospice nurses : implications for the structure of renewing experiences /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487265555440175.

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14

Dinwiddie, Jo R. "The relationship between hardiness and burnout in medical- surgical staff nurses." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845962.

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The purpose of the study was to examine the relationship between hardiness and burnout in medicalsurgical staff nurses at a midwestern hospital. The conceptual framework used in the study was hardiness, developed by Kobasa (1979).The population selected for the study was medicalsurgical staff nurses at a midwestern hospital. The convenience sample consisted of responding staff nurses (n=41). Subject confidentiality was maintained by indicating respondents by number instead of name.The research design for the study was a descriptive correlational design. The research question was analyzed using the Pearson Moment Correlation Co-efficient. Findings of the study indicated a negative, significant correlation between Emotional Exhaustion Burnout subscale and hardiness (p=.001). A positive significant correlation was supported-between the Personal Accomplishment Burnout subscale and hardiness (p=.000). The Depersonalization Burnout Subscale and the overall Burnout Score did not support significant correlations in sample subjects studied.Conclusions from the study were that nurses need opportunities for increasing personal development and decreasing exhaustion. The depersonalization of the environment did not seem to be a factor related to hardiness, and remains to be examined. The study was significant because it was determined that certain subscalBall State UniversityMuncie, IN 47306
School of Nursing
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15

Crewe, Crystal Denise. "The Watson Room: Managing Compassion Fatigue in Clinical Nurses on the Front Line." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2531.

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The concept of compassion fatigue (CF) emerged in the early 1990s in North America to explain a phenomenon observed in nurses employed in emergency departments. A precursor to burnout, CF is a well-known phenomenon associated with emotional exhaustion, depersonalization, and an inability to work effectively. In nurses, CF has been shown to reduce productivity, increase staff turnover and sick days, and lead to patient dissatisfaction and risks to patient safety. The aim of this study was to determine if the use of a Watson Room designated as a 'quiet zone' with warm colors on the wall, massage chair, and soothing sounds in the workplace environment, reduced CF in clinical nurses at the bedside in acute care settings. The data came from a survey of nurses (n = 19) working in a level 1 trauma center in an acute care setting. This quantitative study was conducted over a two week period. A single-group of nurses completed both a pre and post professional quality of life (ProQol) survey, a 30 item self-measurement of positive and negative aspects of caring. The ProQol operationalizes in three subcategories: compassion satisfaction (10 items), burnout (10 items), and CF (10 items). The ProQOL survey results showed statistically significant differences in the mean scores in all three categories. Paired samples t tests indicate the Watson Room proved to be successful in increasing compassion satisfaction (p = .009), decreasing burnout (p = .002), and decreasing secondary trauma/CF respectively (p = .02). This study shows the importance of nurses taking care of themselves while taking care of others. Understanding CF and devising and implementing interventions to address the subject are important for nurses and patients.
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16

Muller, Anna Petronella. "Burnout amongst primary health care nurses : a cross-sectional study." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86590.

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Thesis (MCurr)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: The imbalance between job demands and available resources could cause burnout which may impact quality patient care. A scientific investigation was conducted to evaluate burnout amongst primary health care (PHC) nurses. The objectives for the study were to identify the prevalence of burnout amongst PHC nurses and to explore the contributing factors to burnout in PHC settings. The Job Demands-Resources (JD-R) model (Bakker and Demerouti, 2007:309) was used as a conceptual framework for the study. A non-experimental, descriptive cross-sectional design with a quantitative approach was applied. The population and sample consisted of professional nurses (PN) and clinical nurse practitioners (CNP) (n=72) in the Eden District of the Western Cape. A self-report questionnaire was used to collect the data in an uncontrolled, natural environment. Analysis of the results exposed high levels of burnout amongst PHC nurses. Nurses in PHC facilities all had an equal chance to develop burnout, regardless of their level of experience. The occurrence of burnout is equal in community health centres and in community clinics, although a trend was observed that subjects in community clinics may experience more emotional exhaustion. Work pressure, workload or an increase in job demands, lack of organisational support and management problems were rated as the main factors contributing to burnout. Recommendations were made to improve the working environments of PHC nurses in order to increase motivational levels, job satisfaction and to foster work engagement, as well as to reduce levels of burnout. Opportunities for further research are recommended.
AFRIKAANSE OPSOMMING: Die wanbalans tussen beroepseise en beskikbare hulpbronne kan uitbranding veroorsaak en gevolglik kwaliteit patiëntsorg beïnvloed. ‘n Wetenskaplike studie is gedoen om uitbranding onder primêre gesondheidsorg (PGS) verpleegkundiges te evalueer. Die doelstellings van die studie was om die voorkoms van uitbranding onder PGS-verpleegkundiges te identifiseer, en om die bydraende faktore wat aanleiding gee tot uitbranding in PGS-instellings, te ondersoek. Die Beroepseise-Hulpbronne model (Bakker and Demerouti, 2007:309) is as ‘n konsepsuele raamwerk vir die studie gebruik. 'n Nie-eksperimentele, beskrywende dwarssnit studie met 'n kwantitatiewe benadering, is toegepas. Die populasie en die steekproef het bestaan uit professionele verpleegkundiges en kliniese verpleeg praktisyns (n=72) in die Eden Distrik van die Wes-Kaap. ‘n Self-rapport vraelys was gebruik om data in ‘n ongekontroleerde, natuurlike omgewing te versamel. Die analisering van resultate het hoë vlakke van uitbranding onder verpleegkundiges in PGS-dienste ontbloot. Verpleegkundiges in PGS-fasiliteite het almal 'n gelyke kans om uitbranding te ontwikkel, ongeag die vlak van ondervinding. Die voorkoms van uitbranding is dieselfde in gemeenskaps-gesondheidsentrums en gemeenskapsklinieke, alhoewel daar ‘n neiging sigbaar was dat personeel in gemeenskapsklinieke meer emosionele uitputting ervaar. Werkdruk, werklas of toename in beroepseise, die gebrek aan organisatoriese ondersteuning en bestuursprobleme is aangewys as die hoof redes wat aanleiding gee tot uitbranding. Voorstelle is gemaak om die werksomgewing van PGS-verpleegkundiges te verbeter en om motiveringsvlakke en werkstevredenheid te herstel. Dit sal werksverbintenis versterk en die voorkoms van uitbranding beperk. Geleenthede vir verdere navorsing is aanbeveel.
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17

Candley, Barbara Ann Frankowski Ralph. "The burnout syndrome among nurses in an urban acute care hospital /." See options below, 1991. http://proquest.umi.com/pqdweb?did=744632591&sid=1&Fmt=2&clientId=68716&RQT=309&VName=PQD.

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18

Holbrook, Susan. "Burnout in the critical care setting : level of expertise and social support." Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/834612.

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The purpose of this study was to examine burnout in the critical care nurse. One hundred-eighty eight nurses employed at Community Hospitals of Indiana were surveyed to determine the relationship between burnout, level of expertise and social support systems. Frequency and intensity of burnout was measured by the Maslach Burnout Inventory. Social support systems were measured by the Norbeck Social Support Questionnaire. Level of expertise was determined by question 1 of the demographic questionnaire length of time employed as a critical care nurse.Findings of this study revealed no significant differences in level of expertise related to intensity and frequency of burnout (F= .232). Results of ANOVA indicated the sampled nurses experienced a low to average degree of burnout for both frequency and intensity of burnout. Similarly using Pearson correlate there was no relationship between level of support systems and frequency also concluded that level of support systems did not and intensity of burnout (novice, p= -.23; competent, p= .11; expert, p= .07). Conclusions of this study indicated level of expertise was not a factor in determining intensity and frequency of burnout.It was burnout need to be readily available for all nurses in influence intensity and frequency of burnout in the novice, competent or expert critical care nurse.Implications indicate that preventative measures for critical care settings. Other implications were that nursing support systems may not be an effective strategy for burnout prevention and resources may need to focus on other strategies.
School of Nursing
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19

Steenkamp, Jeanette Gwendoline. "Investigating the psychological and social predictors of burnout among nurses." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86643.

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Thesis (MA)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Burnout levels have been found to be high among nurses in both public and private hospitals in South Africa. Burnout is defined within the human services as a syndrome of emotional exhaustion, depersonalisation, and reduced personal accomplishment that can occur among individuals who work with people in some capacity. High levels of burnout have been linked to nurses’ intention to leave the profession, which places additional strain on an already struggling public health system characterised by a shortage of nurses in South Africa. The primary aim of the present cross-sectional correlational study was to determine the proportion of the variance in burnout among nurses accounted for by the linear combination of certain demographic characteristics and occupational stress factors. Secondary aims were to determine the relationship between such factors and burnout levels and to determine the average level of burnout and occupational stress factors reported. A convenience sample of 110 nurses was recruited from a public hospital located in the Western Cape. An analytical survey design for the collection of quantitative data was used. The results of hierarchical multiple regression analyses indicated that workload, interpersonal conflict at work, job status, organisational constraints, and HIV/AIDS stigma by association significantly predicted burnout levels. The linear combination of these variables accounted for 38% of the variance in emotional exhaustion, 32% of the variance in depersonalisation, and 12% of the variance in personal accomplishment. Death and dying-related stress and age did not predict burnout levels. Age was also the only predictor variable not significantly associated with burnout levels. Although burnout levels were not found to be high on average, 34% of the sample reported high levels of emotional exhaustion. A high average level of workload was also reported. It is recommended that future research should focus on the development and evaluation of interventions to ameliorate burnout among South African nurses.
AFRIKAANSE OPSOMMING: Hoë vlakke van uitbranding is bevind onder verpleegkundiges in beide openbare en private hospitale in Suid-Afrika. Uitbranding word binne die menslike dienste gedefinieer as 'n sindroom van emosionele uitputting, depersonalisasie en verminderde persoonlike vervulling wat kan voorkom onder individue wat werk met mense in een of ander hoedanigheid. Hoë vlakke van uitbranding is gekoppel aan verpleegkundiges se voorneme om die professie te verlaat, wat bykomende druk plaas op 'n reeds sukkelende openbare gesondheidstelsel gekenmerk deur 'n tekort aan verpleegkundiges in Suid-Afrika. Die primêre doel van die huidige deursnee- korrelasionele studie was om te bepaal hoeveel van die variansie in uitbranding onder verpleegkundiges voorspel word deur die lineêre kombinasie van sekere demografiese eienskappe en beroepstresfaktore. Sekondêre doelwitte was om die verhouding tussen sodanige faktore en uitbrandingsvlakke te bepaal en om die gemiddelde vlak van uitbranding en beroepstresfaktore soos gerapporteer te bepaal. ’n Gerieflikheidsteekproef van 110 verpleegkundiges is gewerf uit 'n openbare hospitaal geleë in die Wes-Kaap. 'n Analitiese opname-ontwerp vir die insameling van kwantitatiewe data is gebruik. Die resultate van hiërargiese meervoudige regressie-ontledings het aangedui dat werkslading, interpersoonlike konflik by die werk, werkstatus, organisatoriese beperkinge , en MIV/VIGS stigma deur assosiasie uitbrandingsvlakke beduidend voorspel het. Die lineêre kombinasie van hierdie veranderlikes was verantwoordelik vir 38% van die variansie in emosionele uitputting, 32% van die variansie in depersonalisasie, en 12% van die variansie in persoonlike vervulling. Dood en sterfte-verwante stres en ouderdom het nie uitbrandingsvlakke voorspel nie. Ouderdom was ook die enigste veranderlike wat nie beduidend geassosieer was met uitbrandingsvlakke nie. Alhoewel dit bevind is dat gemiddelde vlakke van uitbranding nie hoog is nie, het 34% van die steekproef hoë vlakke van emosionele uitputting gerapporteer. 'n Hoë gemiddelde vlak van werkslading is ook aangemeld. Dit word aanbeveel dat toekomstige navorsing toegespits behoort te word op die ontwikkeling en evaluering van ingrypings om uitbranding onder Suid-Afrikaanse verpleegkundiges aan te spreek.
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20

Ditzel, Elizabeth Mary, and n/a. "A study of perceived occupational stress, burnout and sense of community among New Zealand nurses." University of Otago. Department of Management, 2008. http://adt.otago.ac.nz./public/adt-NZDU20080313.094654.

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This research shows that sense of community reduces the effect of job stress on burnout among a sample of 672 New Zealand nurses. Sense of community - a feeling that members matter to one another (and to the group) and a shared faith that members� needs will be met through their commitment to be together - consists of four elements: membership, integration and fulfilment of needs, influence and shared emotional connection. Results indicate that nurses have a moderate to high level of sense of community. Apart from the influence element, subscale reliabilities for the other three elements were acceptably high on the Nurse Sense of Community Index, an instrument that was developed for use in this study. In relation to occupational stress, the study results indicate that high workload, rather than any difference in the practice requirements of various types of nursing work is the most important factor contributing to nurses� job stress. Public hospital nurses experience significantly higher levels of perceived job stress than their private sector counterparts because high workloads and problems of recruiting and retaining nurses are more typical of the public sector. Nurses who work full-time experience more job stress than those who work part-time, and those in the 20 to 30 age group experience the highest frequency of perceived job stress. Burnout is a syndrome of high emotional exhaustion and high depersonalisation in the presence of a lack of personal accomplishment. Nurses who work full-time experience significantly higher levels of emotional exhaustion and depersonalisation than those who work part-time. Accident and emergency nurses have the highest level of burnout and intensive care unit nurses the lowest level of burnout among public hospital nurses. Overall, the majority of nurses experience a low to moderate degree of burnout. Yet, a substantial proposition of the sample population acknowledge experiencing some aspect of burnout, and as has been found by other nursing studies, a nurse�s age influences burnout levels, with younger nurses experiencing more burnout than older nurses. A clear relationship between an increased frequency of perceived job stress and burnout was identified. Results suggest that nurses with a high level of sense of community have lower frequencies of perceived job stress, experience lower burnout than those with low and moderate levels of sense of community. Findings demonstrate that burnout remains a serious issue for nurses the nursing profession and, as the demands on professional workers increase, the health care sector. The theoretical and practical implications of the study�s findings for management practice are postulated in the conclusion of this thesis.
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21

Brito, Maria Eliane Maciel de. "The influence of the familiar culture in the care of a child victim of burn." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2685.

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nÃo hÃ
The knowledge about the cultural and familiar view of accidents with burns in children allow to contribute the creation of strategies that value not only the cure of the sickness, yet conditions of prevention of new accidents with children, but also to promote conditions of dialogue between family and health professionals essential to humanization in Burn Specialized Centers. This study had as objective to understand as the beliefs, values and style of life of the families influence in the care of children victims of burns intern in a Burnt Treatment Center, in Fortaleza, CearÃ; and characterize families of burnt children intern from April to August of 2008. It is an ethnographic approach accomplish in a Hospital Institution of Urgency and Emergency, where there is a Burnt Treatment Center in the city of Fortaleza-Cearà from April to August of 2008, which has as key informers the families of burnt children. The whole collect and analysis process was based in ethnonursery proposed by Leininger (1991), to gather the data were made use of Observation-Participation-Reflection pattern (O.P.R.). In the data arrangement and analysis the Ethnonursery was the guide in the following stages: gathering information and documents; to cluster the storage data in the field day book; contextual or standard analysis and identification of main themes, discovery of research, theoretical formulations and warnings. From the ethnographic analysis sprout three cultural rules: 1) The child is very naughty, the families aim the curiosity of the children as the cause of the accident with burns, not knowing the stages of growing and development of the children, blame the infant for the burn. 2) She washed with water and brought to the hospital, the families think that to wash the burn with water is a way to render pleasant the pain of the burn and to forward the child to a hospital, to establish a way to offer a right care after the accident; 3) to watch more out for, it shows the significance to prevent other accidents with burns and to drive away children of the danger, as to take them away of the kitchen. It was perceived that mothers in spite of having their cultural knowledge, they learn a lot during the study, for as they have much uncertainty that day by day was enlightened and made them think about their behavior with their children. Therefore, we conclude that is essential the cultural approach of the professional to take care of children victims of burns and the Health Education must be available as strategies of welcome that consent the family and the child can feel safe
O conhecimento sobre a Ãtica cultural e familiar dos acidentes com queimaduras em crianÃas permite contribuir para a criaÃÃo de estratÃgias que valorizem nÃo apenas a cura da doenÃa, mas condiÃÃes de prevenÃÃo de novos acidentes com crianÃas, bem como promover o diÃlogo entre famÃlia e profissionais de saÃde essenciais para a humanizaÃÃo em Centros Especializados de Queimaduras. O presente estudo objetivou compreender como as crenÃas, valores e estilo de vida das famÃlias influenciam no cuidado de crianÃas vÃtimas de queimaduras internadas em um Centro de Tratamento de Queimados e caracterizar famÃlias de crianÃas queimadas internadas no perÃodo de abril a maio de 2008. à uma pesquisa etnogrÃfica realizada em uma InstituiÃÃo Hospitalar de UrgÃncia e EmergÃncia, na qual dispÃem de um Centro de Tratamento de Queimados em Fortaleza, CearÃ, no perÃodo de abril a agosto de 2008, que teve como informantes-chaves as famÃlias de crianÃas queimadas. Todo o processo de coleta e anÃlise foi embasado na Etnoenfermagem proposto por Leininger (1991), para a coleta de dados foi utilizado o modelo de ObservaÃÃo-participaÃÃo-reflexÃo (O.P.R.). Na ordenaÃÃo e anÃlise dos dados a Etnoenfermagem serviu como norteadora nas seguintes etapas: coleta de descritos e documentos; agrupar os dados armazenados no diÃrio de campo; anÃlise contextual ou padrÃo e identificaÃÃo de temas principais; descobertas de pesquisa; formulaÃÃes teÃricas e recomendaÃÃes. Das anÃlises etnogrÃficas surgiram trÃs domÃnios culturais: 1) A crianÃa à muito danada as famÃlias colocam a curiosidade das crianÃas como a causa do acidente com queimaduras, nÃo conhecendo as fases de crescimento e desenvolvimento dos filhos, culpam o infante pela queimadura; 2) Lavou com Ãgua e levou para o hospital as famÃlias consideram que lavar a queimadura m Ãgua à uma forma de amenizar a dor da queimadura e encaminhar o filho a uma instituiÃÃo hospitalar constitui uma forma de oferecer um cuidado correto apÃs o acidente; 3) Ter mais cuidado a importÃncia de prevenir outros acidentes com queimaduras e afastar as crianÃas dos fatores de risco, como: tirÃ-las da cozinha. Foi percebido que durante o estudo as mÃes, apesar de terem seus conhecimentos culturais, aprenderam muito, pois tinham muitas dÃvidas que gradativamente eram esclarecidas e faziam com que refletissem sobre seu comportamento com seus filhos. Portanto, considera-se imprescindÃvel a abordagem cultural do profissional para cuidar de crianÃas vÃtimas de queimaduras e que a EducaÃÃo em SaÃde deve ser utilizada como estratÃgia que permita que tanto a famÃlia, quanto a crianÃa possam se sentir segura
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22

Brand, Tamari. "An exploration of the relationship between burnout, occupational stress and emotional intelligence in the nursing industry." Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/2647.

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Thesis (MA (Industrial Psychology))--University of Stellenbosch, 2007.
The aim of this study was to explore the relationship between burnout, occupational stress and emotional intelligence (EI) in the nursing industry and to determine whether emotional intelligence is a moderator in the occupational stress and burnout relationship. The existence of these relationships was explored through a non-experimental controlled inquiry. The constructs were defined as follows: burnout, as a syndrome consisting of three components: Emotional Exhaustion, Depersonalisation and a Reduced sense of Personal Accomplishment (Maslach & Jackson, 1986); EI, as the capacity to effectively perceive, express, understand and manage emotions in a professional and effective manner at work (Palmer & Stough, 2001); and Occupational Stress, as an interaction of variables, which involve the relationship between a person and the environment, which is appraised by the individual as taxing or exceeding coping resources and threatening well-being (Schlebusch, 1998). A sample of 220 individuals was randomly selected from a specialist employment agency (in the medical industry) and consisted of two groups, overtime and contract staff, which included those that are contracted to a private hospital group through the employment agency or alternatively, individuals who are permanently employed by the hospital group, but work additional overtime through the agency (contract workers and overtime workers). Three levels were included (1) Registered Nurses, (2) Enrolled Nurses and (3) Auxiliary Nurses. The Maslach Burnout Inventory – Human Services Survey, the Sources of Work Stress Inventory and Swinburne University Emotional Intelligence Test were administered. A hundred and twenty two (122) respondents completed and returned the questionnaires...
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23

Rodrigues, Andrea Bezerra. "Burn out e estilos de coping em enfermeiros que assistem pacientes oncológicos." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-22032007-091733/.

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Esse estudo descritivo-exploratório e correlacional apropriou-se da abordagem quantitativa e teve como objetivo caracterizar e analisar o burn out de enfermeiros oncologistas , considerando suas relações com variáveis pessoais e ocupacionais. A população foi composta por 77 enfermeiros que atuavam em unidades de Oncologia clínica e cirúrgica de cinco hospitais do município de São Paulo. Foram utilizados, para a coleta de dados, três instrumentos: um inventário de dados demográficos e ocupacionais construído pela autora, o inventário de Burn out de Maslach e Jackson e o inventário de Coping de Folkman e Lazarus. Os resultados apontaram que 53,3% dos enfermeiros apresentavam algum sintoma de burn out, sendo 29,9% com alteração em uma das dimensões, 14,3% com alteração em duas dimensões e 9,1% com alteração nas três dimensões. Não foi verificada para a população estudada diferença estatisticamente significativa entre as variáveis demográficas e ocupacionais selecionadas com o burn out. Os principais estressores identificados pelos enfermeiros foram: o óbito, o relacionamento com a equipe médica e de enfermagem e as situações de emergência. Houve diferença, estatisticamente significativa, entre a dimensão incompetência profissional, o estressor óbito e a utilização do coping suporte social e fuga esquiva; e entre a dimensão desgaste emocional, relacionamento com equipe médica e de enfermagem e a utilização do coping fuga esquiva. Os enfermeiros utilizaram em maior proporção os estilos de coping resolução de problema e reavaliação positiva e, o estilo de coping menos utilizado, referiu-se à fuga esquiva
This descriptive exploratory and correlative study adopted the quantitative method and the aim was to characterize and analyse the burn out among oncology nurses regarding the relations with personal and occupational variables. The sample was represented by 77 nurses working in oncology clinical and surgical units in five hospitals in the city of São Paulo. Three tools were used for the data collect: a demographic and occupational inventory data made by the author, the Maslach and Jackson Burn out Inventory and the Folkman and Lazarus Coping Inventory. The results showed that 53,3% of the nurses demonstrated some kind of symptom of burn out, being 29,9% with alteration in one dimension, 14,3% with alteration in two dimensions and 9,1% with alteration in three dimensions. It wasn’t verified in this sample any important statistic difference between the demographic and occupational variables and burn out. The main stressors identified by the nurses were the death and dying, the conflict with doctors and the nursing team and the emergency situations. There was a statistic difference between personal accomplishment dimension and the stressor death and dying and the copings social support and escape. Also between the emotional exhaustion dimension and the stressor conflict with doctors and nursing team and the coping escape. The nurses used more frequently problem solving and positive reappraisal as coping styles, and the less used was the act of escaping
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24

Ruggerio, Christine Marie. "The relationship between stress and coping mechanisms among critical care nurses." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845963.

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The purpose of this study was to investigate the relationship among perceived stress, stressors, and coping mechanisms of nurses in the areas of the intensive care unit, coronary care unit, cardiac recovery unit, and the emergency room. It was proposed that nurses in these areas perceive environmental and job stressors for which they developed specific copingmechanisms. It was further proposed that a relationship exists between levels of stress and coping mechanisms used by nurses.All registered nurses (RN's) and licensed practical nurses (LPN's) in each of the above units at Ball Memorial Hospital who agreed to participate were included in the study. The nurses were surveyed by questionnaires which they completed during their leisure time and placed in a drop box on their unit. No names or signatures were asked for. Informed consent was implied by the completion and return of the questionnaire which included, the Nurse Stress Scale by Gray-Toft & Anderson (1981), a coping mechanism scale by Kelly & Cross (1985), and a demographic questionnaire. Demographic characteristics included age, gender, educational level, marital status, years of experience, and type of nurse (manager or staff and RN or LPN). No risks were foreseen to the participants. However, it is hoped that participants in the study were able to develop a greater awareness of job related stress and coping mechanisms employed.The design of the study was nonexperimental, descriptive, and correlational. The independent variable was work related stress and the dependent varible was coping mechanisms. Pearson's product moment correlation, t-test, and multivariate analysis of variance were used to analyze the data.The results indicated that there were sigificant relationships between five of the stress subscales, and selected coping mechanisms. Total stress was also found to have significant posititve correlations with four of the coping mechanisms. There were no significant differences between RNs and LPNs in general level of stress and in the seven subscales of stressors.
School of Nursing
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25

Joubert, Ronel. "Factors influencing the degree of burnout experienced by nurses working in neonatal intensive care units." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20217.

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Thesis (MCur)--Stellenbosch University, 2012.
ENGLISH ABSTRACT: Burnout is one of the challenges that nurses are faced with in their stressful and rapidly changing work environment. The vulnerability of nurses to burnout remains a major concern which affects both the individual and institution. Knowledge about burnout and associated risk factors which influence the development of burnout is vital for early recognition and intervention. The research question which guided this study was: “What are the factors influencing the degree of burnout experienced by nurses working in neonatal intensive care units?” The objectives included determining which physical, psychological, social and occupational factors influenced the degree of burnout experienced by nurses. A descriptive, explorative research design with a quantitative approach was applied. The target population consisted of (n=105) permanent nursing staff members working in the neonatal units of two different hospitals. A convenience sampling method was used. Participants (n=102) who gave voluntary consent to participate was included in the study. Validity and reliability was supported through the use of a validated questionnaire, Maslach Burnout Inventory – General Survey including a section based on demographical information and a section based on physical, psychosocial, social and occupational factors. Validity of the questionnaire was supported by the use of a research methodologist, nurse expert and a statistician in the particular field. A pilot study was done to test the feasibility of the study and to test the questionnaire for any errors and ambiguities. Ethics approval was obtained from Stellenbosch University and permission from the Heads of the hospitals where the study was conducted. The data was analyzed with the assistance of a statistician and these are presented in histograms, tables and frequencies. The relationship between response variables and nominal input variables was analysed using analysis of variance (ANOVA). Various statistical tests were applied to determine statistical associations between variables such as the Spearman test, using a 95% confidence interval. Results have shown that participants experienced an average level of emotional exhaustion, a high level of professional efficacy and a low level of cynicism. Further analyses have shown that there is a statistical significant difference between emotional exhaustion and the rank of the participant (p=<0.01), highest qualification (p=0.05) and a high workload (p=0.01). Furthermore a statistical significant difference was found between professional efficacy and rank of participants (p=<0.01). In addition a statistical significant difference was found between cynicism and the number of years participants were in the profession (p=0.05). Multiple factors were determined in this study that influences the degree of burnout nurses experience. The majority of participants (n=56/55%) experienced decreased job satisfaction and accomplishment, (n=52/51%) of participants experienced that their workload is too much for them and (n=63/62%) participants received no recognition for their work. Recommendations are based on preventative measures, because preventing burnout is easier and more cost-effective than resolving burnout once it has occurred. In conclusion, the prevention strategies, early recognition of work stress and appropriate interventions are crucial in addressing the problem of burnout.
AFRIKAANSE OPSOMMING: Uitbranding is een van die uitdagings waarmee verpleegsters te kampe het in hulle stresvolle en vinnig veranderende werkomgewing. Die kwesbaarheid van verpleegsters vir uitbranding bly ’n kritieke bekommernis wat beide die individu en die inrigting affekteer. Kennis omtrent uitbranding en verwante risiko faktore wat die ontwikkeling van uitbranding beïnvloed, is deurslaggewend vir vroeë opsporing en intervensie. Die navorsingsvraag wat hierdie studie gelei het, is: “Wat is die faktore wat die mate van uitbranding beïnvloed wat deur verpleegsters ondervind word wat in neonatale intensiewe sorgeenhede werk?” Die doelwitte wat ingesluit is, is om te bepaal watter fisiese, sielkundige, maatskaplike en beroepsfaktore die mate van uitbranding wat deur verpleegsters ervaar word, beïnvloed. ’n Beskrywende, ondersoekende navorsingsontwerp met ’n kwantitatiewe benadering is toegepas. Die teikengroep het bestaan uit (n=105) permanente verpleegpersoneel wat in die neonatale eenhede van twee verskillende hospitale werk. ’n Gerieflikheidsteekproef metode is gebruik. Deelnemers (n=102) wat vrywillige toestemming gegee het om deel te neem, is ingesluit in die navorsingstudie. Geldigheid en betroubaarheid is ondersteun deur die gebruik van ’n geldige vraelys van “Maslach Burnout Inventory – General Survey”, asook ’n afdeling gebaseer op demografiese inligting en ’n afdeling gebaseer op fisiese, sielkundige, maatskaplike en beroepsfaktore. Geldigheid van die vraelys is ondersteun deur ’n navorsingsmetodoloog, ’n verpleegspesialis en ’n statistikus op die navorsingsgebied. ’n Loodsondersoek is gedoen om die haalbaarheid van die studie te toets en om die vraelys te toets vir enige foute en dubbelsinnighede. Etiese goedkeuring is verkry van die Universiteit van Stellenbosch en goedkeuring van die Hoofde van die hospitale waar die studie uitgevoer is. Die data is geanaliseer met die hulp van ’n statistikus en is aangebied in histogramtafels en frekwensies. Die verwantskap tussen responsveranderlikes en nominale insetveranderlikes is geanaliseer deur gebruik te maak van die analise van variansie (ANOVA). Verskeie statistiese toetse is toegepas om statistiese assosiasies tussen veranderlikes te bepaal, soos deur van die Spearmantoets gebruik te maak, met ’n 95% betroubaarheidsinterval. Resultate het bewys dat deelnemers ’n gemiddelde vlak van emosionele uitputting, ’n hoë vlak van professionele effektiwiteit en ’n lae vlak van sinisme ervaar. Verdere analise het bewys dat daar ’n statistiese beduidende verskil tussen emosionele uitputting en die rang van die deelnemers (p=<0.01) is, hoogste kwalifikasie (p=0.05) en ’n hoë werklading (p=0.01). Verder is ’n statistiese beduidende verskil gevind tussen professionele effektiwiteit en rang van deelnemers (p=<0.01). Saam hiermee is ’n statistiese beduidende verskil gevind tussen siniesheid en die aantal jare wat deelnemers in die beroep is (p=0.05). Voorts, is veelvuldige faktore bepaal in hierdie studie wat die mate van uitbranding beïnvloed wat verpleegsters ervaar. Die meeste van die deelnemers (n=56/55%) het ’n afname in werksbevrediging en -verrigting ervaar, (n=52/51%) deelnemers het ervaar dat hul werklading te veel is vir hulle en (n=63/62%) deelnemers het geen erkenning vir hulle werk ontvang nie. Aanbevelings is gebaseer op voorkomende maatreëls, want om uitbranding te voorkom, is makliker en meer koste-effektief as om uitbranding te probeer oplos as dit alreeds begin het. Ten slotte, die voorkomende strategieë, vroeë identifisering van werkstres en geskikte intervensies is deurslaggewend om die probleem van uitbranding aan te spreek.
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26

Smith, Susan Lee. "Lived Experience of the Advanced Practice Provider on the Burn Surgery Service." Diss., NSUWorks, 2017. https://nsuworks.nova.edu/hpd_hs_stuetd/7.

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The purpose of this qualitative dissertation study was to examine the lived experience and meaning making of challenges, benefits, satisfaction, and professional sustainability for the advanced practice provider in the burn surgery specialty service. The problem addressed was the knowledge gap resulting from a lack of literature describing aspects of the advanced practice provider role in the burn specialty. An interpretive phenomenological analysis, informed by the philosophy of Dr. Martin Heidegger, was undertaken. Participants were solicited from the American Burn Association Advanced Practice Provider (APP) special interest group site. The results provided a thick description of the lived experience of the Burn APP offering, illuminating commonalities and distinctions to promote role gratification and fulfillment leading to professional success and prolonged engagement. Keywords: advanced practice provider, nurse practitioner, physician assistant, interpretive phenomenology, hermeneutics.
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27

Barsky, Jeannette Lois, and University of Lethbridge Faculty of Arts and Science. "Women's health, occupational, and life experiences : a life-cycle perspective." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Arts and Science, 1999, 1999. http://hdl.handle.net/10133/99.

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Almost 40% of the Canadian workforce shows signs of progressive burnout. For a variety of reasons, stress within the workplace appears to be increasing. The popular press and academic journals suggest that chronic job stres, burnout, will be most significant workplace issue in the new millennium. Although both men and women suffer from stress and burnout, it appears that women are at a greater risk than men. Unfortunately, research on the relationship between women's stress and their heatlh has not kept pace with the popularization of the problem. We could understand this relationship better if we had more information about women, their health history (including phases of development over the life span), and occupational history. Relatedly, as the baby-boomer generation ages to mid-life, there appears to be a sea change on the horizon: one in which women are demanding answers and knowledge about the process of menopause and its effect on their lives, inside and outside the home. To fill this void, the proposed research will address the life change of women, and specifically, how their stages of development and occupational and health histories relate to the experience of burnout.
xv, 126 leaves ; 29 cm.
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28

Ljungberg, Jessica, and Nassima Sangin. "Patienters upplevelser av det dagliga livet efter en brännskada." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-7873.

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Анотація:
Syfte: Syftet med studien är att belysa patienters upplevelser av det dagliga livet efter en brännskada. Bakgrund: Brännskador är ett trauma för både kropp och själ och är både ett fysiskt och psykiskt lidande. Patienterna lider av bland annat sömnsvårigheter, depression, ångest och klåda. En stor del av omvårdnaden är rehabilitering som hjälper patienten att återgå till vardagen. Hendersons omvårdnadsteori syftar till att sjuksköterskan ska hjälpa patienter att återfå oberoendet gällande sina grundläggande behov och kommer att användas vid tolkning av resultatet. Metod: Litteraturstudie utförd på ett systematiskt sätt, baserad på fem kvalitativa och sju kvantitativa vetenskapliga artiklar publicerade mellan åren 1995-2010. Resultat: Brännskador innebär både fysiska och psykiska förändringar i det dagliga livet. Resultatet är baserat på fyra kategorier; fysiska och psykiska begränsningar, vård och rehabilitering, det sociala livet och livskvalitet. Patienter upplevde bristande självförtroende, negativ påverkan på relationer, funktionshinder samt arbete och karriär, vilket kunde leda till depression och ångest. Diskussion: Rehabiliteringen var betydelsefull för patienternas tillfrisknande då det var viktigt att sjuksköterskan och anhöriga anpassade sig efter deras behov och få förståelse för den enskilda individen. Det kan vara en god idé att använda sig av Hendersons modell för att brännskadevården ska bli bättre och patienter ska klara av sin vardag på bästa sätt.
Purpose: The purpose of the study is to highlight the daily life experience of patients after burn injury. Background: There is a physical and mental experience associated with burn injuries affecting both body and soul for patients which can be defined as trauma. The outcome of burn injuries can cause the patient to suffer from depression, anxiety and itching. Henderson’s care theory aims to support nurses to help patients to recover through rehabilitation so he/she can gain independency and return back to daily life. Henderson’s theory will be used to interpret the result. Method: Literature study used in a systematic way is based on five qualitative and seven quantitative articles published between 1995-2010. Result: Burn injuries have an effect on the physical and mental change in patients daily life. Result is based on four different categories: physical and mental limitations, care and rehabilitation, ability to socialize and quality of life. Patients experienced insufficient self-confidence, functional disability and negative affect on relationships and carrier which can be a driver for depression and anxiety. Discussion: Rehabilitation is crucial for the patient to recover and it is important that the nurse and relatives adapted according to the patients need. It is also important that understanding for the individual is set in mind to support the patient. It’s a good idea to use Henderson’s model to improve the care of patients after burn injury so they can manage their daily life in the best possible way.
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Dahling, Jason J. "SUPPRESSING POSITIVE EMOTIONAL DISPLAYS AT WORK: AN ANALYSIS OF THE INDIVIDUAL AND ORGANIZATIONAL CONSEQUENCES AMONG NURSES." Akron, OH : University of Akron, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=akron1195068338.

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Анотація:
Dissertation (Ph. D.)--University of Akron, Dept. of Psychology, 2007.
"December, 2007." Title from electronic dissertation title page (viewed 03/21/2008) Advisor, James M. Diefendorff; Committee members, Robert G. Lord, Rebecca J. Erickson, Rosalie J. Hall, Aaron M. Schmidt; Department Chair, Paul E. Levy; Dean of the College, Ronald F. Levant; Dean of the Graduate School, George R. Newkome. Includes bibliographical references.
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30

Broqvist, Johannes, and Dan Gustafsson. "Den utsatta sjuksköterskan : Att vårda den brännskadade." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-25343.

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Анотація:
Bakgrund. En brännskadad patient genomlever ett stort lidande med en lång läkningsprocess och har ett omfattande behov av omvårdnad. Sjuksköterskans roll är därmed viktig för patientens rehabilitering och läkande. Syfte. Belysa upplevelsen kring omvårdnad av brännskadade patienter inom slutenvården ur ett sjuksköterskeperspektiv. Metod. Studien genomfördes som en systematisk litteraturstudie där resultatet utgjordes av 10 kvalitativa vetenskapliga artiklar. Resultatet. Fem teman som belyser sjuksköterskans upplevelser framkom i resultatet; att känna sårbarhet, att ge patienten stöd, kommunikationen en del av stödet, att få stöd i yrkesrollen och arbetsmiljöns påverkan. Konklusion. Sjuksköterskor upplever en emotionell och psykisk utsatthet i vården av brännskadade och behöver stöd från flera håll för att behålla sin självständighet, samt kunna se till patientens behov av vård. Implikation. Vi anser att resultatet kan appliceras på sjuksköterskor i Sverige då vi belyser sjuksköterskors upplevelser. Ytterligare forskning rekommenderas då forskningen kring sjuksköteskors upplevelser med brännskadade patienter är begränsad.
Background. A burn patient experiences a considerable suffering with a long healing process, as well as an extensive need for nursing care. The nurse's role is  thus important for the patient's rehabilitation and healing. Aim. Highlighting the experience surrounding the care of burn patients in inpatient care from a nursing perspective. Method. The study was conducted as a systematic literature review where the results consisted of 10 qualitative research articles. Result. Five themes that highlights the nurse's experiences showed in the result; feeling vulnerability, providing patient support, communication part of the support, gaining support in the professional role and work environment impact. Conclusion. Nurses are experiencing an emotional and psychological vulnerability in the care of burn victims and need the support of several areas to retain their independence, and to ensure the patient's care. Implication. We believe that the results can be applied to nurses in Sweden since we highlight nurses' experiences. Further research is recommended when the research on nurses' experiences with burn patients is limited.
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31

Brorsson, Linda, and Maria Nordgren. "Upplevelse av livet efter en brännskada : En allmän litteraturstudie." Thesis, Kristianstad University College, School of Health and Society, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6253.

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Анотація:

Syfte: Syftet med litteraturstudien var att beskriva brännskadade personers upplevelser av livet efter en brännskada. Bakgrund: En brännskada är ett trauma för både kropp och själ och ett stort lidande för den drabbade. Fysiska förändringar och psykologisk kris gör vägen tillbaka svår. Genom medicinskt kunnande och genom att vara ett medmänskligt stöd har sjuksköterskan en viktig roll under både den fysiska och psykiska läkningsprocessen. Metod: Studien är en allmän litteraturstudie baserad på fem kvalitativa vetenskapliga artiklar samt en självbiografi, publicerade mellan år 2003-2008. Analysen innebar att meningsbärande enheter togs ut och sammanfördes till tre huvudkategorier med tillhörande underkategorier. Resultat: De brännskadade upplevde att livet efter brännskadan innebar stort lidande och gjorde att de inte längre kunde vara självständiga. De upplevde bristande tillit till sin egen kropp vilket ledde till ett försämrat självförtroende. För att kunna gå vidare i livet var det viktigt att finna vägar för att acceptera och hantera det som hänt. Efter hand kunde livet ses positivt och värderas högre. Flera olika faktorer hade stor betydelse för att de skulle kunna känna trygghet i sitt förändrade liv. Slutsats: För att sjuksköterskan ska finnas där som stöd för den brännskadade behövs djupare kunskap inom området, vilket gör att ytterligare forskning är betydelsefull. Kunskapen skulle kunna spridas vidare genom att brännskadade föreläser om sina upplevelser och att de som är insatta i ämnet handleder personal inom hälso- och sjukvård utifrån casemetodik.


Aim: The purpose was to describe how people with burn injuries experience their life after a burn injury. Background: A burn injury is a trauma for both body and soul and a big suffering for the person who is affected. Physical changes and psychological crisis makes it hard to recover. By medical knowledge and through human support nurses have an important role during the physical and psychological healing process. Method: This study is a literature overview, based on five qualitative scientific articles and one biography, published between the years 2003-2008. In the analysis meaning units were identified and brought together into main categories and sub categories. Result: People with burn injuries experiences that life after the injuries meant a great deal of suffering as well as a loss of independence. They experienced lacking trust in their own body, which lead to impaired self-confidence. To be able to move on in life, they had to find ways to accept and deal with what had happened. Several different factors were of importance to make them feel safety in their changed life. Conclusions: For the nurse to be able to be there for people with burn injuries, more knowledge of the subject is needed, which makes further research important. The knowledge could spread by the burn injured holding lectures about his or hers experiences, and by the well-informed tutoring health care staff and students using case methodology.

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32

Stynsberg, Inés, and Matilda Frostgård. "Livet förändras efter en brännsskada : Allmän litteraturstudie." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-8523.

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Анотація:
Bakgrund: Livet förändras för individer som drabbats av en brännskada. Många får beståendeärr och funktionsnedsättning som innebär stora sociala, fysiska och psykiska utmaningar sompåverkar deras liv. Brännskada är ett trauma som uppstår när huden kommer i kontakt medvärme. Huden fungerar som skydd för inre organ, reglerar kroppstemperatur ochvätskemängd, fungerar som känsel och kontaktyta samt infektionsbarriär.Syfte: Syftet var att belysa individers upplevelser av livet efter en brännskada.Metod: En allmän litteraturstudie genomfördes baserad på kvalitativa och kvantitativavetenskapliga artiklar.Resultat: Resultatet visade att individer som drabbats av en brännskada upplevde sin kroppsom främmande och kände sig begränsad i vardagen på grund av funktionsnedsättning ochsynliga ärr. Stödet från närstående var ovärderligt för dessa personer och det hjälpte demgenom den långa rehabiliteringen. Upplevelsen av meningsfullhet var mycket viktigt och detfann individerna genom att ha ett meningsfullt arbete och bli accepterade av samhället.Konklusion: Det sociala nätverket har stor betydelse för individens förmåga att hanteraföljderna efter en brännskada och påverkar även individens psykiska tillstånd. Därför är det avvikt att involvera hela familjen i omvårdnaden.
Background: Life changes for individuals affected by a burn. Many suffer permanent scarsand disabilities with high levels of social, physical and mental challenges that affect theirlives. Burn injury is a trauma that occurs when skin comes into contact with heat. The skinserves as protection for internal organs, regulates body temperature and fluid volume, acts asa touch and contact area and infection barrier.Purpose: The aim was to highlight individual’s experiences of life after a burn injury.Method: A general literature review was conducted based on qualitative and quantitativescientific articles.Results: The results showed that individuals who suffered a burn injury experienced his/herbody as foreign and felt restricted in everyday life because of disabilities, and visible scars.The support from relatives was invaluable for these individuals and it helped them through thelong rehabilitation. The experience of meaningfulness was very important and the individual’sfound it by having meaningful work and be accepted by society.Conclusion: The social network is of great importance for the individual’s ability to deal withthe consequences after a burn injury and also affects the individual’s mental state. Therefore,it is important to involve the whole family in nursing.
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33

Fakhardzinava, Katsiaryna, and Åsa Olsson. "Sjuksköterskors uppfattningar om psykosocial arbetsmiljö : Vilka faktorer ligger till grund för bra eller dålig arbetsmiljö?" Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-9584.

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Анотація:
Background: We are facing a global lack of working nurses since nurses end their carrier earlier than their planned retirement. The psychosocial work environment is a big problem in the nursing field and affects the nurses´ health status, suffering and stress level. Aim: The aim with this study was to describe nurses´ perceptions of factors that affects their psychosocial working environment. Method: A literature overview Results: The collegial relationships, the workplace manager, the structure of the working hours and the organization and staffing makes the ground for however the nurses will appreciate and stay at their workplace, or if they are going to dislike the work and leave either the workplace or the nursing-field entirely. Conclusion: Adequate staffing, good relations with the co-workers, a manager that sees and appreciates the nurses is work environmental factors that increase the chances that the nurses is going to appreciate their work, and remain at their workplace. To achieve a good work environment there should be enough time for the nurses´ to take good care of the patients and colleagues. There should also be a supporting management at the work place and a good cooperation in the working team. A mean manager, understaffing, bad relationships with colleagues, and a lack of trust and independence increases the risk that the nurses will leave both the workplace and the entire nursing field.
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34

Spies, Jennifer. "The relationship between occupational stressors, occupational stress and burnout among trauma unit nursing staff." Diss., Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-03162005-152554.

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35

Persod, Chloe. "Le Féminin-Psychique à l’œuvre dans le Syndrome d’Épuisement Professionnel - SEP - des aides-soignantes en Établissement d’Hébergement pour Personnes Âgées Dépendantes – EHPAD." Thesis, Lyon 2, 2014. http://www.theses.fr/2014LYO20080.

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Анотація:
Mon poste de psychologue clinicienne au sein d’une maison de retraite m’a sensibilisée à la souffrance psychique des aides-soignantes. A partir de l’écoute des aides-soignantes dans le cadre de ma mission de support technique à l’équipe, émerge la plainte récurrente d’un déficit égotiste de désinvestissement émotionnel et affectif et la non reconnaissance de la pénibilité de leur tâche, qui me conduit à poser l’hypothèse d’un burn out. La recherche porte donc sur le Syndrome d’Épuisement Professionnel. Elle étudie les relations complexes entre le personnel médico-social aides-soignantes et la cadre de santé, et entre la personne âgée et sa fille. Un questionnaire clinique a fait ressortir l’ampleur du ressenti subjectif d’être épuisé. L’échelle standardisée MSP de Louise Lemyre, celle du ressenti subjectif d’être stressé. Le stress étant convoqué dans la position conceptuelle théorique retenue du Syndrome d’Épuisement Professionnel.L’analyse de ces deux ressentis a révélé les rapports complexes entre soignante–soignée et la cadre et entre fille–mère et grand-mère. C’est ainsi que l’enjeu narcissique du personnel fait ressurgir les origines archaïques de la sexualité infantile dans le lien intime au corps. En même temps, à cause d’une féminisation généralisée de la profession, la spécificité de la fonction du Féminin Psychique s’impose.Cette recherche souhaite apporter, grâce à ce Féminin Psychique, un éclairage autre sur la position intermédiaire de la Cadre. Le statut de bonne ou mauvaise mère que les aides-soignantes lui reconnaissent, aggrave ou diminue le Syndrome d’Épuisement Professionnel et le stress. Enfin, cette recherche insiste une nouvelle fois sur la nécessité impérieuse de la formation permanente institutionnelle et du travail d’élaboration psychique de ces personnels et ce, à périodicités constantes
As a psychologist in an EHPAD (a regulated home for dependent seniors), I became very much aware of the auxiliary nurses’ psychological sufferings. Listening to them during my team-supporting mission, I heard a recurring complaint emerge, that of an egotistical deficit of emotional and affective disinvestment and of a lack of recognition of the painfulness of their task. This has led me to hypothesize professional exhaustion. The research in this thesis therefore focuses on the burn out syndrome. It studies the complex relations between the auxiliary nurses as medico-social staff and the health manager in charge as well as between the elderly person and his/her daughter.A clinical questionnaire highlighted the depth of the subjective feeling of exhaustion while Louise Lemyre’s standardized scale highlighted the depth of the subjective feeling of stress, an operational notion in the theoretical concept of burn out.The analysis of both feelings revealed the complex relations between patient-auxiliary nurse and manager as well as between daughter-mother and grandmother. The narcissism at stake with the staff reactivates the archaic origins if child sexuality in the nursing place. A t the same time, because of the general feminization of the profession, the specificity of the feminine psyche is of foremost importance.Thanks to this notion, the research paper aims to shed a different light on the intermediary position of the manager. The status of good or bad mother figure that auxiliary nurses grant her worsens or lessens the burn out and stress.Last, this research paper further insists on the absolute necessity of permanent institutional training and of psychic elaborative work for the staff at regular intervals
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36

Kamalizeni, Dorothy. "The lived experiences of nurses caring for burn victims at a burns unit of a public sector academic hospital in Johannesburg." Thesis, 2016. http://hdl.handle.net/10539/19483.

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A research report submitted to the Faculty of Health Sciences, University of Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Science in Nursing Johannesburg, 2015.
This study was intended to investigate the lived experiences of nurses caring for patients with burn injuries. A qualitative, phenomenological descriptive design based on Husserl`s (1962) philosophy, was used to achieve the study`s objectives. Registered nurse participants (n=13) were recruited from the adult and children`s burns units of a public sector academic hospital in Johannesburg. Data was collected using in-depth interviews with the participants, which provided them with an opportunity to express their experiences and opinions regarding caring for patients with burn injuries. The collected data was analysed using a descriptive methodology utilising Colaizzi`s (1978) data analysis approach. There was a general expression amongst the participants that caring for patients with burn injuries induced both physical and emotional discomfort, however good patient outcome was a source of gratification. The source of stress included labour intensity, unsightly nature of wounds and limitations in the provision for burns care with emphasis on shortage of nursing staff and lack of organisational support. There were apparently strong expressions that on-job training without recognisable certification made the nurses and others doubt their capabilities in burns nursing practice. The desire was for speciality training relating to burns care, with accompanying recognisable certification. Despite the prevailing challenges, the participants exhibited caring behaviour characterised by commitment to duty, passion for the job and compassion for the patients, which all enhanced professional boundaries and accountability. The findings of the study further reflected that the participants acknowledged management and other sources of vi external support. However, there was evidence that participants engaged in establishing their own mechanisms of coping with the prevailing challenges related to their job through self-motivation, resilience, team work and team support. It was apparent the participants demonstrated self-determination, perseverance and suppressed their stressful feelings to continue with the nature of their work. The findings of this study suggest that a supportive work environment coupled with competency and empowerment among the nurses are critical for the wellbeing of the patients and nursing staff in passing swiftly through the burns caring process. As the field of burns care is just developing, especially in the Low and Middle Income Settings, a lot of research is needed to determine the clinical, educational and management gaps in burns care with focus on nursing perspectives. Replica studies can therefore be conducted in other burns care settings to compliment the findings of the current study.
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37

Kornhaber, Rachel Anne. "The lived experience of nursing severe burns injury patients: a phenomenological inquiry." Thesis, 2009. http://hdl.handle.net/2440/56331.

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Анотація:
Little nursing research has focused on nurses’ experiences of nursing severe burns injury patients. This study has provided a gateway to explore, describe and document the experience of nursing severe burns injury patients. This thereby adds to the existing body of nursing knowledge upon which the nursing care of patients with severe burns injury can be made in an informative manner with confidence. This descriptive phenomenological study describes the lived experiences of seven full time registered nurses that care for patients who have sustained a severe burns injury. The descriptive phenomenology of Husserl and the methodological interpretations of Colaizzi underpin this study. Purposeful sampling was utilised to select participants who work in a severe burns injury unit in New South Wales, Australia. The use of in-depth interviews was used to generate data about the participants’ personal and professional experiences’ of nursing severe burns injury patients. The interviews were transcribed verbatim, analysed and described using a descriptive phenomenological methodology. Twenty eight cluster themes emerged from the participants’ experiences which were further merged into nine emergent themes that depicted the experiences of nurses caring for severe burns injury patients which formed the basis of the findings reported. Participants described burns nursing as both physically and emotionally demanding yet rewarding. It was shown that burns nurses have a resilient nature with the ability to cope with the challenges of burns nursing. Participant nurses described how they emotionally detached and became hardened to the devastation of a severe burns injury. The unique bond that formed between burns nurses and their patients’ demonstrated a relationship embedded in trust and understanding that allowed the nurse to continue caring for burns patients for extended periods. Commitment and dedication were found to be fundamental elements for nursing burns patients. Participant nurses were found to feel emotionally exhausted, powerless and burnt out; however, feelings of accomplishment and motivation outweighed these negative emotions. Support and unity was identified as fundamental to burns nursing, without the support of the burns team nurse participants believed that they would not be able to care for patients with severe burns injury. The findings of this study have provided an insight into the experience of nursing severe burns injury patients. It is hoped that the findings of this study will contribute to the care of burns patients and the well being of the burns nurses who care for these patients. The paucity of available literature in the area of burns nursing concludes that more research is required into the impact of nursing severe burns injury patients.
Thesis (M.Nurs.Sc.)- University of Adelaide, School of Population Health and Clinical Practice, 2009
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38

Andrews, Ethel Althea. "The management of burn wounds by nurses." Thesis, 2015. http://hdl.handle.net/10539/18702.

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Анотація:
A thesis submitted to the Faculty of Health Sciences, University of the Witwatersrand, in fulfilment of the requirements for the degree of Doctor of Philosophy Johannesburg, 2015
A standardised approach to wound care is vital if a positive outcome is expected. The positive outcomes of standardisation and evidence based wound care protocols have been well documented, yet nurses in South Africa do not have a standard that informs burn wound management. The purpose of this study is to describe the best available evidence for management of burn wounds and to explore nurses’ current practices in a single burns unit with the aim of developing guidelines to inform nursing practices. A QUAN (quantitative dominant) QUAN+ QUAL (quantitative and quantitative concurrently), a non- experimental explanatory sequential descriptive design was used. The process was divided into three phases: Phase One involved the search for quality evidence through an integrative review. The main review question was: “What new knowledge or information related to non-surgical management of burn wounds has emerged in the literature between 2000 and 2014?” Eleven sub questions were used to guide the literature search according to the themes of the nursing process of: Assessment, Diagnosis, Intervention, Outcome and Evaluation. The review process included a problem identification stage, literature search stage, data evaluation stage, data analysis stage and presentation stage. The included literature was based on a hierarchy of evidence. The search strategy included: multiple electronic databases, hand searching, reference lists of relevant articles, comments of experts, textbook chapters compiled by experts and guidelines. The final sample consisted of n= 354 studies. A qualitative descriptive approach was used to synthesise the research findings. Phase Two involved the study of current practice through structured observation and semi-structured interviews. The purpose of Phase Two was to obtain first-hand information in a naturally occurring situation to identify the strengths, weaknesses and gaps in current practices. Purposive sampling was undertaken and included all nurses providing care to patients with superficial to partial thickness burn wounds. A total of n= 303 dressings were observed and eight interviews were conducted. Phase Three was the verification of findings from Phases One and Two by experts in the field using the AGREE II instrument. Conclusions drawn from observations and interviews were integrated and synthesised with the conclusions from the integrative review. These conclusions were used to develop guidelines for the management of burn wounds by nurses.
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39

Hicks, Mary Colleen Frank Deborah A. "Student nurses responses to assisting hurricane victims." Diss., 2005. http://etd.lib.fsu.edu/theses/available/etd-11092005-181014.

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Анотація:
Thesis (M.S.)--Florida State University, 2005.
Advisor: Deborah Frank, Florida State University, School of Nursing. Title and description from dissertation home page (viewed Jan. 30, 2006). Document formatted into pages; contains vii, 45 pages. Includes bibliographical references.
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40

Jeffrey, Susan M. "Symptoms of stress, coping patterns, and burnout in professional nurses a research report submitted in partial fulfillment ... Master of Sciednce (Medical-Surgical Nursing) /." 1991. http://catalog.hathitrust.org/api/volumes/oclc/68796233.html.

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41

Abendroth, Maryann Flannery Jeanne. "Predicting the risk of compassion fatigue an empirical study of hospice nurses /." Diss., 2005. http://etd.lib.fsu.edu/theses/available/etd-04062005-150536.

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Анотація:
Thesis (M. S.)--Florida State University, 2005.
Advisor: Dr. Jeanne Flannery, Florida State University, School of Nursing. Title and description from dissertation home page (viewed June 17, 2005). Document formatted into pages; contains xii, 145 pages. Includes bibliographical references.
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42

Mason, Henry David. "Heal thyself nurse : the development of a logotherapy-based psycho-educational stress-management programme for student nurses." Thesis, 2014. http://hdl.handle.net/10500/14508.

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Анотація:
Limited research has investigated the stress-related experiences of South African nursing students. Moreover, there is a scarcity of empirical studies that have reported on the development and evaluation of psycho-educational stress-management programmes that focus on both pathogenic, as well as positive and meaning-related factors among nursing students. The aim of this investigation was to study compassion fatigue, burnout, compassion satisfaction and meaning in life among a sample of nursing students with the aim of developing, and then empirically evaluating, a psycho-educational stress-management programme. The psycho-educational stress-management programme was articulated from a logotherapy-based perspective. A research design, consisting of three interdependent phases, was used to pursue the aim of the study. The aim of phase 1 was to describe the (1) prevalence of, and (2) correlations between, the deleterious and positive and meaningful effects of caring and among a sample of 80 nursing students (Mage = 22.40 years, SD = 11.1, female = 91.25%). The results indicated that participants may benefit from a logotherapy-based psycho-educational stress-management programme. The purpose of phase 2 of the study was to develop a logotherapy-based psycho-educational stress-management programme for nursing students. The goal of the logotherapy-based psycho-educational stress-management programme was to assist participants to develop the skills, knowledge and abilities that may be required to address deleterious challenges, and enhance positive and meaning-related opportunities. In phase 3 the logotherapy-based psycho-educational stress-management programme was presented to a sample of 42 first year nursing students (Mage = 20.21, SD = 1.57, female = 79.31%). A convergent parallel mixed methods research design was used to evaluate the efficacy of the logotherapy-based psycho-educational stress-management programme. Quantitative results indicated (1) a reduction in compassion fatigue and burnout, and (2) an increase in compassion satisfaction and meaning in life, scores over the course of the programme. Qualitative analysis supported the quantitative results. It was subsequently concluded that the logotherapy-based psycho-educational stress-management programme was effective in assisting participants to address the deleterious , as well embrace the positive and meaning-related effects of caring. However, ongoing support may be required to fully assist nursing students to address stressful challenges.
Psychology
D. Litt. et Phil. (Psychology)
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43

Carolina, Dorothy Smith. "Correlates of job-related burnout in nurse managers working in hospitals." 2010. http://hdl.rutgers.edu/1782.2/rucore10002600001.ETD.000052182.

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44

Uwimana, Marie Chantal. "Exploring the factors contributing to stress and coping strategies of nurses at University Teaching Hospital of Butare (UTHB) in Rwanda." Thesis, 2011. http://hdl.handle.net/10413/4693.

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Анотація:
Stress among nurses is still perceived as a challenge experienced by the nursing profession. Several studies have shown the negative impact of stress on both nurses and patients. However, little is known about the factors influencing stress among nurses in Rwanda. Aim: The overall aim of the study was to explore the factors contributing to nurses’ stress and related coping strategies used by nurses in the University Teaching Hospital of Butare (UTHB), Rwanda. Methods: The researcher used a non-experimental, descriptive study to explore the factors contributing to nurses’ stress and related coping strategies used by nurses in the University Teaching Hospital of Butare, Rwanda. This study was informed by a stress and coping theoretical framework. A questionnaire was used to collect the demographic characteristics of participants, while nurses’ stressors were assessed using the questionnaire of nurse’s stressors previously developed by Bianchi. The ways of coping were evaluated using the ways of coping elaborated by Folkman & Lazarus. A convenient sampling of 85 registered nurses, working at UTHB, participated in this study. Permission to conduct the study was requested and obtained from the University of KwaZulu-Natal Ethics Committee, the Kigali Health Institute -Institutional Review Board and the management of UTHB. The data was analysed using the Statistical Package for Social Sciences (SPSS), version 15, and was summarized using descriptive statistics. The results were presented in tables and graphs. Results: The findings of the study revealed that registered nurses at UTHB face a variety of stressors such as shortages of staff and materials, facing death and dying, dissatisfaction with the work environment, work overload and time spent on bureaucratic activities. It was shown that consequences of stress vis-à-vis registered nurses could be low quality of care, job dissatisfaction and burnout syndrome. Among the major strategies of coping with stress, registered nurses have indicated problem solving, social support and accepting responsibility. This study indicates that stress can be prevented and managed by using vi nursing strategies such as team work, effective communication improving work conditions and fostering the managerial nursing strategies in working unit. Conclusion: Drawing from these findings, it can be inferred that nurses’ stressors need to be addressed in order to create a working environment conducive to high quality of care and also to enhance nursing staff morale, satisfaction, motivation and retention.
Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2011.
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45

Chase, Michelle M. Faria Sandra. "Emergency Department nurses' lived experience with compassion fatique." Diss., 2005. http://etd.lib.fsu.edu/theses/available/etd-11082005-154529.

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Thesis (M.S.)--Florida State University, 2005.
Advisor: Sandra Faria, Florida State University, School of Nursing. Title and description from dissertation home page (viewed Feb.1, 2006). Document formatted into pages; contains x, 133 pages. Includes bibliographical references.
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46

Neethling, Magdalene. "Aspekte van verpleegbestuur in die veroorsaking van uitbranding by verpleegkundiges in intensiewesorgeenhede in 'n hospitaal." Thesis, 2014. http://hdl.handle.net/10210/9660.

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M.Cur. (Nursing Management)
The largest and most expensive asset of any health care institution is its human resources. Mol [1984 : 1J quite correctly says that no organization can reach its full potential when these resources are not utilized effectively. The researcher has noticed certain behavior patterns amongst the nursing staff in intensive care units. These behaviour patterns include an increase in staff turnover and absenteeism. The question that arose was whether it could be ascribed to professional burnout and whether nursing managers could be contributing to the cause thereof. Th. burnout syndrome is a slowly developing psychologically destructive process, which is in relation to the effect the work environment· has on the individual. The consequences of professional burnout has many negative effects on the nurse, ·the patient, the profession and the health care delivery system. The concept of professional burnout is described with reference from the literature and by means·of a survey the following was determined, that:- all nurses working in intensive care units in the hospital were the research was conducted, had experienced symptoms of professional burnout; the majority of these nurses perceive their work situation as severely stressful; and - nursing managers are overwhelmingly applying the autocratic leadership style. Some of the important conclusions culminating from this study are that:- all these nurses experience one or other degree of professional burnout as a result of experiences resulting from unresolved stress in the work environment; and the nursing manager possibly uses ineffective management strategies due to a lack of management training, thus contributing to professional burnout.
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47

Abraham, Cilgy M. "Predictors and Outcomes of Nurse Practitioner Burnout in Primary Care Practices." Thesis, 2020. https://doi.org/10.7916/d8-4t3y-x514.

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Burnout among primary care providers, which include physicians, nurse practitioners, and physician assistants, can negatively impact patients, providers, and organizations. Researchers have reported that up to 37% of primary care physicians experience burnout, yet the prevalence, predictors, and outcomes associated with primary care nurse practitioner burnout remains unknown. Since 69% of nurse practitioners provide primary care to patients, this dissertation investigates the predictors and outcomes associated with primary care nurse practitioner burnout. A history of burnout as well as the importance of investigating burnout among primary care nurse practitioners are discussed in the first chapter. A systematic review of the predictors and outcomes of primary care provider burnout is discussed in the second chapter. The third chapter describes a cross-sectional study conducted among 396 primary care nurse practitioners from New Jersey and Pennsylvania, which investigated whether the practice environment is associated with nurse practitioner burnout. The fourth chapter describes a cross-sectional study investigating whether the use of multifunctional electronic health records is associated with primary care nurse practitioner burnout. The fifth chapter includes another cross-sectional study examining the relationship between primary care nurse practitioner burnout and quality of care, and if the practice environment moderates the relationship between burnout and quality of care. Finally, the sixth concluding chapter summarizes the findings from chapters two to five and provides recommendations for future research, practice, and policy.
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48

Mbuthia, Nickcy Nyaruai. "An investigation into the factors that nurses working in critical care units perceive as leading to burnout." Diss., 2009. http://hdl.handle.net/10500/3065.

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Burnout is reflected in pathological emotional depletion and maladaptive detachment that is a secondary result of exposure prolonged occupational stress. It is comprised of three dimensions, namely, emotional exhaustion, depersonalization and reduced personal accomplishment. It is becoming increasingly recognized as one of the most serious occupational hazards for nurses who work in critical care units. The objectives of this study are to assess the prevalence of burnout among a sample of nurses who worked in the critical care units in a particular hospital in Kenya, to analyze factors that contributed to the development of burnout and to identify measures for the mitigation of burnout. For this study, the researcher utilized a mixed methods research design in two phases. Phase one assessed the prevalence of burnout in nurses working in the critical care units by making use of the Maslach Burnout Inventory – Human Services Survey. Focus groups discussions were then held in Phase two to investigate the factors that the nurses perceived as the main causes of burnout and to solicit their ideas about it could be mitigated. Convenience sampling and purposive sampling were used in the two phases of the study respectively.
Health Studies
M.A. (Health Studies)
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49

Harry, Sasha. "Predictors of Burnout for Frontline Nurses in the COVID-19 Pandemic: Well-Being, Satisfaction With Life, Social Support, Fear, Work Setting Factors, Psychological Impacts, and Self-Efficacy for Nursing Tasks." Thesis, 2021. https://doi.org/10.7916/d8-e37g-3k91.

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The online convenience sample of 249 nurses all treated COVID-19 patients in the past year—with 45.0% in the emergency department and 36.9% in intensive care. Nurses were 68.7% female with a mean age of 32.17 years, as well as mostly white (69.1%). Some 28.5% had COVID-19, with 16.1% testing positive more than once in the past year. Using paired t-tests comparing scores for before versus during the pandemic, their physical health status and mental/emotional status were each significantly worse during the pandemic, their level of self-efficacy for performing nursing tasks was significantly worse during the pandemic, and their fear level was significantly higher during the pandemic. Nurses negotiated the pandemic with just moderate social support, while having moderate work setting concerns (e.g., safety), and rating the work climate as “to some extent” less favorable than before the pandemic. Nurses suffered moderate burnout using the Oldenburg Burnout Inventory—while females suffered higher burnout than males (p = .000) and non-whites higher burnout than whites. Past month mean Perceived Stress Scale scores were moderate. Nurses used alcohol/drugs closest to 30% of the time to cope with stress, while 35.7% increased use during the pandemic. They reported moderate mental distress over the past year, while 61.0% reported insomnia, 57.4% anxiety, 39.0% depression, 35.7% trauma, and 27.3% received counseling. Nurses reported moderate well-being over the past two weeks, and moderately high satisfaction with life. Backward stepwise regression found higher burnout significantly predicted by: fewer years working in nursing; higher Body Mass Index; more concerns at work (e.g., safety); higher past month perceived stress; higher past year mental distress; and, lower past two weeks’ well-being—with 52.2% of the variance predicted. Qualitative data reinforce important recommendations.
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50

Jánová, Simona. "Syndrom vyhoření u sester v intenzivní péči." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-296812.

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Burnout by nurses in intensive care Abstract: Objective of this thesis was to determine incidence of the risk of burnout by nurses in intensive care in the Motol University Hospital in Prague, compare to risk of burnout among nurses in intensive care for childern and adults and by age, sex, marital status, education, length of experience in health care and on the current department, satisfaction and performance in the workplace. The research method for data collection were two anonymous questionnaires: one prepared by author of the thesis and a standardized questionnaire by dr. Pines to determine the risk of burnout. It was found that more than hlaf of nurses in FN Motol had low risk of burnout and has not demonstrated that nurses have on children's or adult wards increased risk. Results confirmed that discontent and the increasing intensity of stress in the workplace is proportional to the risk of burnout. This research confirmed that although most nurses achieved good results has been shown a high percentage of nurses with alarmig score and even burnout. Therefore we should not ignore this issure, but rather to warn him and avoid unpleasant consequences through educational seminars, pleasant working environment and do not overload nurses. Keywords: burn-out, stress, nurses, intensive care, mental hygiene
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