Effort-reward imbalance and burnout among German nurses in medical compared with psychiatric hospital settings.

Abstract:

:The aim of this study was to investigate whether nurses' efforts and rewards, as well as the effort-reward imbalance (ERI) and burnout, differ between subjects working in psychiatric vs. medical hospitals and between nurses under education and examined nurses respectively. Furthermore, the relationship between ERI and burnout was evaluated. Nursing is associated with high levels of emotional strain and heavy workloads. Burnout and a negative ERI can result in high absenteeism and turnover and have been identified as reasons why nurses leave their profession. In the last decade, working conditions of the nursing profession have changed in Germany, but somatic and psychiatric hospitals developed in different ways. This development may lead to different profiles. A sample of 389 nurses (78.8% female) in four German hospitals was investigated. A total of 147 nurses worked in psychiatric hospitals and 236 nurses worked in medical (somatic) hospitals. Fifty participants were still under education. The Effort-Reward Imbalance Inventory measures effort, reward and overcommitment at job and provides an imbalance score between effort and reward. The Maslach Burnout Inventory with the subscales, emotional exhaustion, lack of accomplishment and depersonalization, was also used. Nurses working in medical hospitals reported more burnout and had higher ERI scores. Subjects under education were comparable to examined nurses in terms of burnout but had lower ERI scores. Multiple regression analyses showed all ERI scales to be significant predictors for emotional exhaustion, while age, field of work and educational status further predict effort or ERI respectively. At present, the working situation of nurses in different settings appears to be characterized by a perceived imbalance of effort and reward and is associated with a high risk of developing burnout symptoms.

authors

Schulz M,Damkröger A,Heins C,Wehlitz L,Löhr M,Driessen M,Behrens J,Wingenfeld K

doi

10.1111/j.1365-2850.2008.01355.x

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

225-33

issue

3

eissn

1351-0126

issn

1365-2850

pii

JPM1355

journal_volume

16

pub_type

杂志文章
  • Parental conceptions of self-mutilation among Finnish adolescents.

    abstract::The purpose of this paper is to describe self-mutilation from the viewpoint of parents of self-mutilating Finnish adolescents. Four parents of self-mutilating adolescents were interviewed in depth. Qualitative content analysis was applied. Four main categories emerged: the phenomenon of self-mutilation, factors contri...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2007.01214.x

    authors: Rissanen ML,Kylmä JP,Laukkanen ER

    更新日期:2008-04-01 00:00:00

  • Factor analysis of the French version of the shorter 12-item Perception of Aggression Scale (POAS) and of a new modified version of the Overt Aggression Scale (MOAS).

    abstract::Psychiatric staff perceptions of aggression by psychiatric patients may affect the therapeutic relationship between care providers and patients in institutions. Attitudes to and the subjective experience of violence may also differ substantially between members of a single care team. This study seeks to validate the F...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2011.01870.x

    authors: De Benedictis L,Dumais A,Stafford MC,Côté G,Lesage A

    更新日期:2012-12-01 00:00:00

  • The dynamics between structure and flexibility in constant observation of psychiatric inpatients with suicidal ideation.

    abstract::The aim of the study is to describe how expert nurses perform constant observation of patients with suicidal ideation. A qualitative content analysis is used to analyse individual and focus group interviews of five nurses. One main finding is identified: organizing phases and transitional phases formed during constant...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2005.00854.x

    authors: Vråle GB,Steen E

    更新日期:2005-10-01 00:00:00

  • Patient dignity in psychiatric nursing practice.

    abstract::Professional nurses have an ethical responsibility to protect and preserve the patients' dignity. The aim of this study was to describe how nurses experienced incidents relating to patients' dignity in a psychiatric nursing practice. A hermeneutic approach was used and data were collected using the critical incident t...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2011.01837.x

    authors: Lindwall L,Boussaid L,Kulzer S,Wigerblad A

    更新日期:2012-09-01 00:00:00

  • The convenient myth of Thomas Szasz.

    abstract::Thomas Szasz's original critique of the concept of 'mental illness' is almost 50 years old. Over that half century Szasz has maintained a consistent campaign against the 'Therapeutic State', challenging the paternalism of coercive psychiatry and defending liberty and autonomy. Despite his widespread celebrity Szasz co...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 传,评论,历史文章,杂志文章

    doi:10.1111/j.1365-2850.2008.01310.x

    authors: Buchanan-Barker P,Barker P

    更新日期:2009-02-01 00:00:00

  • Collecting subjective and rating scale data within a single case study design: cognitive behavioural therapy for a person experiencing psychosis.

    abstract::This paper reports on a case study for a person with a diagnosis of schizophrenia using cognitive behavioural therapy. A range of scales was used to detect treatment effect and outcome. No significant clinical changes were detected using the scales, which are routinely used with such interventions. Subjective data wer...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2009.01484.x

    authors: Carden J,Jones A

    更新日期:2009-11-01 00:00:00

  • Patient aggression in clinical psychiatry: perceptions of mental health nurses.

    abstract::Mental health nurses are faced with an increasing number of aggressive incidents during their daily practice. The coercive intervention of seclusion is often used to manage patient aggression in the Netherlands. However, GGZ Nederland, the Dutch association of service providers for mental health and addition care, has...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2008.01261.x

    authors: Jonker EJ,Goossens PJ,Steenhuis IH,Oud NE

    更新日期:2008-08-01 00:00:00

  • A service user-initiated project investigating the attitudes of mental health staff towards clients and services in an acute mental health unit.

    abstract::Mental Health Service Users (MHSU) are becoming increasingly recognized as very valuable contributors to the research process. The current study originated from the idea of a group of MHSU within a service user and carer research group. They wanted to investigate the attitudes of mental health staff towards clients in...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2012.01929.x

    authors: Tyson PJ

    更新日期:2013-04-01 00:00:00

  • Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region.

    abstract::Burnout negatively impacts the delivery of mental health services. Psychiatric nurses face stressors that are distinct from other nursing specialities. The research was conducted in Ireland and captured a relatively large sample of respondents. The results compared the stressors, coping strategies and burnout levels b...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12170

    authors: McTiernan K,McDonald N

    更新日期:2015-04-01 00:00:00

  • Negotiating the boundaries: the experience of the mental health nurse at the interface with the criminal justice system.

    abstract::Community mental health nurses working within the criminal justice system undertake an important function with regard to the strategic intent that wherever possible, mentally disordered persons should receive care and treatment from health and social services. Their precise role, and the particular function of court d...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2000.00294.x

    authors: Turnbull J,Beese J

    更新日期:2000-08-01 00:00:00

  • What can we expect of police in the face of deficient mental health systems? Qualitative insights from Chicago police officers.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: People with serious mental illnesses are overrepresented in the criminal justice system. Interventions such as Crisis Intervention Teams and Co-responder Teams may improve police officers' ability to provide effective response. There is still a gap in our knowledge of the nature of the s...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12691

    authors: Wood JD,Watson AC,Barber C

    更新日期:2021-02-01 00:00:00

  • Burnout within forensic psychiatric nursing: Its relationship with ward environment and effective clinical supervision?

    abstract::WHAT IS KNOWN ABOUT THIS SUBJECT?: Burnout is a prominent issue in psychiatric nursing and associated with significant adverse consequences for staff, service users and at an organizational level. Exploration of the extent and predictors of burnout in secure settings has received little research attention. It is not f...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12538

    authors: Berry S,Robertson N

    更新日期:2019-09-01 00:00:00

  • Experiencing stigma as a nurse with mental illness.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: Stigma involves connecting individuals with a particular label to negative characteristics; this is based not on the stigmatized condition itself, but cultural reactions to it. Stigma exists towards nurses with mental illness. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper offer...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12306

    authors: Peterson AL

    更新日期:2017-06-01 00:00:00

  • Aggressive behaviour in adolescent psychiatric settings: what are risk factors, possible interventions and implications for nursing practice? A literature review.

    abstract::This study was aimed to identify the risk factors of aggressive behaviour in adolescents (1318 years), and to describe available intervention strategies. The findings are evaluated on the basis of their implications for nursing practice. Aggressive behaviour in adolescent psychiatric settings is a neglected research a...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2850.2009.01454.x

    authors: Hage S,Van Meijel B,Fluttert F,Berden GF

    更新日期:2009-09-01 00:00:00

  • Illicit drug users in Northern Ireland: perceptions and experiences of health and social care professionals.

    abstract::Over the 30 years of conflict, Northern Ireland escaped the worst excesses of illegal drug trafficking and usage. This was in large part due to the 'policing' of local community crime by paramilitaries. However, since the first 'cease-fire' in 1994 the province has witnessed a dramatic and unprecedented rise in the av...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2006.01015.x

    authors: McLaughlin D,McKenna H,Leslie J,Moore K,Robinson J

    更新日期:2006-12-01 00:00:00

  • Pharmacological management of akathisia in combination with psychological interventions by a mental health nurse consultant.

    abstract::The article describes the management of akathisia by a mental health nurse (MHN) prescriber, working in partnership with the patient. A single-case design was used to evaluate this. It highlights three features: first, MHN can safely prescribe psychiatric medication in combination with concordance therapy. Second, the...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2006.00908.x

    authors: Jones M,Bennett J,Gray R,Arya P,Lucas B

    更新日期:2006-02-01 00:00:00

  • A review of violence and personal injury legal cases in psychiatric and mental health nursing to identify a practical framework for risk assessment.

    abstract::Legal cases were analyzed that involved violence resulting in staff injury, patient assaults on staff, accidents involving the elderly, and patient self harm or injury where there was also an alleged breech in the duty of care. The study resulted in recommendations for: improved systems of work, including a practical ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2850.2000.00265.x

    authors: Lemmer B

    更新日期:2000-01-01 00:00:00

  • Exploring core relationships between insight and communication and social skills in mentally disordered offenders.

    abstract::This paper reports collective data analysis for the Behavioural Status Index insight and communication and social skills subscales. This is an instrument designed specifically for health care practitioners to measure behavioural and social functioning among mental health clients, in particular those in forensic care. ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2003.00651.x

    authors: Woods P,Reed V,Collins M

    更新日期:2003-10-01 00:00:00

  • Writing the reflexive self: an autoethnography of alcoholism and the impact of psychotherapy culture.

    abstract::Experimental ethnography enables the use of fictionalized accounts that celebrate partial truths and challenge realist and positivist ethnographic authority. Literary devices drawn from fiction arguably allow social researchers to better portray real events. Fiction, which should not be regarded as synonymous with fal...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2010.01566.x

    authors: Grant A

    更新日期:2010-09-01 00:00:00

  • Exploring nursing staff views of responsive behaviours of people with dementia in long-stay facilities.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: Caring for people with dementia and responsive behaviours is challenging; however, little is known of nurses' experiences of responsive behaviours. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: To demonstrate understanding nurses need to be aware of their own actions, thoughts, attitu...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12436

    authors: Clifford C,Doody O

    更新日期:2018-02-01 00:00:00

  • Expressed emotion and burnout: the experience of staff caring for men with learning disability and psychosis in a medium secure setting.

    abstract::This study examines the level of expressed emotion (EE) and burnout in staff caring for people with learning disabilities on a medium secure unit. The study aims to develop a baseline measure of EE and burnout in staff on the unit to be used for future service evaluation and to underpin interventions in the developing...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2007.01073.x

    authors: Dennis AM,Leach C

    更新日期:2007-05-01 00:00:00

  • Psychiatric nurses' perspectives of spirituality and spiritual needs during an amalgamation.

    abstract::The purpose of this study was to explore the meaning of spirituality and how the spiritual needs of psychiatric nurses could be supported at work during a hospital amalgamation. Forty-six nurses completed the General Information Questionnaire and described the meaning of spirituality and how their spiritual needs coul...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2006.00969.x

    authors: Ray SL,McGee D

    更新日期:2006-06-01 00:00:00

  • Burnout in psychiatric nursing: a meta-analysis of related variables.

    abstract::The purpose of this study was to describe the relative strengths of a number of variables on burnout among psychiatric nurses. A meta-analysis of correlations revealed that burnout was negatively associated with job satisfaction, staff support and involvement with the organization and positively associated with role c...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,meta分析

    doi:10.1046/j.1365-2850.1997.00057.x

    authors: Melchior ME,Bours GJ,Schmitz P,Wittich Y

    更新日期:1997-06-01 00:00:00

  • Professionals' views on mental health service users' education: challenges and support.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: Mental health service users (MHSUs) may experience disruptions in their education. However, education has been shown to have a positive influence on their recovery, potentially offering them broader employment opportunities. The literature suggests that providing support for MHSUs in the...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12355

    authors: Nieminen I,Kaunonen M

    更新日期:2017-02-01 00:00:00

  • An evaluation of the difficulties and attitudes mental health professionals experience with people with personality disorders.

    abstract:INTRODUCTION:Working with people with a personality disorder (PD) can arouse strong feelings, and cause difficulties as well as different attitudes among mental health workers (MHWs). While attitudes towards people with PD and the difficulties experienced by MHWs have been previously investigated, the reciprocal relati...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12257

    authors: Eren N,Şahin S

    更新日期:2016-02-01 00:00:00

  • Psychodrama: an innovative way of improving self-awareness of nurses.

    abstract::The aim of this educational session was to form a group interaction model for improving the self-awareness of nurses via psychodrama. The structured group interaction session was conducted three times, with three separate groups, during the 'Intensive Care Nursing' training programme at a teaching hospital in Ankara. ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2011.01704.x

    authors: Oflaz F,Meriç M,Yuksel Ç,Ozcan CT

    更新日期:2011-09-01 00:00:00

  • Burnout symptoms in forensic psychiatric nurses and their associations with personality, emotional intelligence and client aggression: A cross-sectional study.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: Client aggression in forensic psychiatry is associated with burnout symptoms in nursing staff. It is unclear what mechanisms contribute to this relationship. The type and severity of aggression might be of importance in the association between client aggression and burnout symptoms, but ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12496

    authors: de Looff P,Nijman H,Didden R,Embregts P

    更新日期:2018-10-01 00:00:00

  • CARE: a framework for mental health practice.

    abstract::Much has been written about care and its centrality to nursing practice. Yet nursing theories and frameworks surrounding care have either been esoteric or prescriptive and are seen as irrelevant to practice. This paper problematizes the notion of care with a view to developing a clearer, flexible framework for mental ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2003.00551.x

    authors: McAllister M,Walsh K

    更新日期:2003-02-01 00:00:00

  • Translation and validation of a Chinese version of the Warwick-Edinburgh Mental Well-being Scale with undergraduate nursing trainees.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: Warwick-Edinburgh Mental Well-being Scale (WEMWBS) which is a measurement of mental health and well-being, was translated into Chinese to assess the reliability and validity in a sample of undergraduate nursing trainees in Wenzhou. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Currently, ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12344

    authors: Dong A,Chen X,Zhu L,Shi L,Cai Y,Shi B,Shao L,Guo W

    更新日期:2016-11-01 00:00:00

  • Finding time for patients: an exploration of nurses' time allocation in an acute psychiatric setting.

    abstract::This article explores the proportion of work time psychiatric nurses spend in potentially psychotherapeutic one-to-one communication with patients. Twenty staff nurses from three acute admission wards in a psychiatric hospital in Northern Ireland were observed. The time spent in a selection of routine activities was r...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2000.00291.x

    authors: Whittington D,McLaughlin C

    更新日期:2000-06-01 00:00:00