Social and Behavioral Sciences Commons^™

The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery

Antioch University Dissertations & Theses

Nurses are the most likely group of healthcare workers to develop burnout. Previous research identified supervisory support, job control, and decision-making ability in the workplace as protective factors against burnout. There was a gap in the literature regarding the relationship between burnout in nurses and their experience of support, control, and decision-making during the COVID-19 pandemic. Reducing and preventing burnout in nurses is important due to the nursing shortage and concerns of attrition rates. This quantitative study examined the relationship of emotional support, instrumental support, job control, and decision-making opportunities in the workplace to burnout in hospital-based nurses. Measures used …

Self-Care For Hospice And Palliative Nurses And How Drama Therapy Could Help: A Literature Review, Heidi Jackson

Expressive Therapies Capstone Theses

Nurses experience a higher-than-average risk of suicidal ideation and are less likely to seek help than the general population. In addition, nurses have a higher rate of interpersonal violence, hypertension, diabetes, musculoskeletal injury, and obesity. Many nurses experience burnout, compassion fatigue, and vicarious trauma. Because of the required exposure to grief, death, and compassion inherently needed in the profession, hospice and palliative care (HPC) nurses are uniquely positioned for special vulnerability to these issues. This literature review aims to examine the use of drama therapy, and how its techniques could be used to support self-care with HPC nurses. Literature was …

Critical Care Nurse Burnout, Moral Distress, And Mental Health During The Covid-19 Pandemic: A United States Survey, Jill L. Guttormson, Kelly Calkins, Natalie S. Mcandrew, Jacklynn M. Fitzgerald, Holly Lynn Losurdo, Danielle Loonsfoot

Psychology Faculty Research and Publications

Background

The COVID-19 pandemic has and will continue to have a tremendous influence on intensive care unit (ICU) nurses’ mental health.

Objectives

The purpose of this study was to describe the impact of COVID-19 on nurse moral distress, burnout, and mental health.

Methods

Between October 2020 and January 2021 this descriptive study recruited a national sample of nurses who worked in the ICU during the COVID-19 pandemic through American Association of Critical Care Nurses newsletters and social media.

Results

A total of 488 survey responses were received from critical care nurses working in the U.S. during the COVID pandemic. Over …

Changes In Cognitive Control Following A Novel Resilience-Focused Nursing Educational Program: An Exploratory Study, Shannon Dames, Wendy Young, Olave Krigolson, Kelly Zhang, Lincoln Stoller, Robyn Bartle

Quality Advancement in Nursing Education - Avancées en formation infirmière

Patient care is currently challenged by various factors including stress and nurse fatigue that can negatively impact nurses’ health and patient safety. Emotional exhaustion and burnout among nurses are at an all-time high. Canadian nurses are reporting clinical rates of depression, anxiety, and panic at disproportionately higher rates than other public safety personnel. Innovative educational programs are desperately needed to mitigate stress and relieve distress, which will ultimately promote a healthier and more productive workforce. Little is known about the effectiveness of research informed cognitive control education within a community of practice (COP) to help nurses and nursing students process …

Moving On After Critical Incidents In Health Care: A Qualitative Study Of The Perspectives And Experiences Of Second Victims, Melanie Buhlmann, Beverley Ewens, Amineh Rashidi

Research outputs 2022 to 2026

Aims To gain a deeper understanding of nurses and midwives' experiences following involvement in a critical incident in a non-critical care area and to explore how they have 'moved-on' from the event. Design An interpretive descriptive design guided inductive inquiry to interpret the meaning of moving-on. Methods Purposive sampling recruited 10 nurses and midwives. Data collection comprised semi-structured interviews, memos and field notes. Data were concurrently collected and analysed during 2016–2017 with NVivo 11. The thematic analysis enabled a coherent analytical framework evolving emerging themes and transformation of the data into credible interpretive description findings, adhering to the COREQ reporting …

Examining The Effect Of Substance Use Training On Registered Nurses’ Competency And Self-Efficacy, Myrtle Harrison Greene

Walden Dissertations and Doctoral Studies

Substance abuse and addiction among nurses remains a problem and can have lasting and sometimes fatal effects on patients. The purpose of this quantitative, quasi-experimental study is to examine the effect of substance use training on RNs’ post training competency about substance use impairment and level of self-efficacy to deal with impaired colleagues. Bandura’s self-efficacy theory (SET) which originated from Bandura’s social cognitive theory provided the theoretical foundation. Data were collected from a convenience sample of 118 registered nurses using the Perceived Competency with Impaired Nurses survey, the Methods for Dealing with Nurse Impairment Questionnaire (MDNIQ) and a demographic questionnaire. …

Nurses’ Social Distancing Behaviors Toward Patients With Borderline Personality Disorder, Nicole York

Walden Dissertations and Doctoral Studies

Nurses often fear interacting with patients diagnosed with borderline personality disorder (BPD) and use self-preservation distancing strategies that can exacerbate the BPD patient’s fear of abandonment, paranoia, self-harm, and relational conflict. Prior research identified individual predictors of nurses’ social distancing. This study used multivariable and multivariate correlational profiles of fear of violence and BPD bias that influence distance, reassessing, and constructive coping. Guided by social cognitive and appraisal transaction theories, data were collected from 113 nurses in a northwestern U.S. state on measures of interpersonal stress coping, attitudinal dispositions, perceived prevention of violence, perceived likelihood of future violence, and perceived …

Generational Cohort Differences In Types Of Organizational Commitment, April Lavette Jones

April Jones

In hospitals in the United States, the ratio of nurses to patients is declining, resulting in an increase in work demands for nurses. Consequently, organizations face challenges with nurses' organizational commitment. Studies have revealed generational differences, as determined by birth year, in employee levels of organizational commitment in a number of organizational settings. However, there is a gap in the literature regarding the impact of generational cohorts on the organizational commitment of nurses. The purpose of this quantitative, nonexperimental, cross-sectional design was to address whether generational cohorts of nurses differed in their levels of organizational commitment, and to investigate whether …

Relational Thriving In Context: Examining The Roles Of Gratitude, Affectionate Touch, And Positive Affective Variability In Health And Well-Being, Alicia Rochelle Starkey

Dissertations and Theses

Social connection is important to one's health and longevity. However, not only do people need others to survive, we need others to thrive. Researchers call for deeper examination of the functions and processes through which our social partners help us to prosper and thrive, such as through increased physical health and well-being. Over three studies, I examined phenomena theorized to contribute to long-term thriving including positive emotions (i.e., gratitude and positive affect fluctuation), responsive support, affectionate touch, and physical health (i.e., sleep) within the context of nursing work (Study 1) and military relationships (Study 2 & 3). Study 1 provides …

Moving On After Critical Incidents In Health Care. Second Victims: A Qualitative Study Of The Experiences Of Nurses And Midwives, Melanie Buhlmann

Theses: Doctorates and Masters

Aims: The aims of this study were to gain a deeper understanding of the experiences of nurses and midwives who have been involved in a critical incident in a non-critical care area and to explore how they have ‘moved-on’ from the event.

Background: It is irrefutable that health care is intrinsically risk-laden and perceived to be personally and professionally demanding for those who are employed within it. The term ‘second victim’ has been assigned to health care professionals who experienced emotional distress as a result of their involvement in critical incidents. Despite the recognition that critical incidents contribute to workrelated …

Nurses' Reactions To Patient Weight: Effects On Clinical Decisions, Heidi M. Pfeiffer

Theses and Dissertations

In previous research, a variety of health care providers have expressed some degree of negative attitudes toward caring for obese patients. However, little is known about whether these negative attitudes lead to differential care. This study focused on the clinical decision-making of nurses, who are under-represented in this type of research despite their central and sustained role in patients’ care experiences. In an anonymous online survey, 256 nurses responded to clinical vignettes about a hypothetical patient depicted in a photograph. The patient’s appearance was altered to appear normal-weight or obese, for each of two different models per sex, utilizing a …

Occupational Stressors And Health Outcomes For Nurses Working In Correctional Or Non-Correctional Settings, Alyssa R. Zabin

University Scholar Projects

Due to the nature of their work, nurses often face unique occupational stressors and health outcomes. It is important to understand the source of this occupational stress and its affect on health, so that improvements can be made. This study sought to examine occupational stress and health outcomes for both correctional and non-correctional nurses across the continental United States. A survey regarding occupational stressors, community characteristics, individual beliefs, and health outcomes was completed by the nurses (N=459). Predictors including demographic factors, work related stressors, community/network factors, individual beliefs, and health conditions were investigated using linear and Poisson regression …

The Impact Of Nursing A Significant Other In The Course Of Employment, Tania Arnold

Theses: Doctorates and Masters

This thesis describes the experiences of nurses and midwives working in metropolitan hospitals who cared for a significant other in their role of employment.

The absence of research directly related to this topic guided the exploration of individuals’ experiences to establish base line knowledge relating to this phenomenon.

This study used descriptive research to provide information relating to the personal and professional effects on nurses who were required to, chose to or had no choice but to care for a significant other in their role of employment. An on-line survey gathered demographic, Likert scale responses to evaluate impact on care, …

Do I Have Enough Money? An Examination Of The Roles Of Income And Income Perceptions On Nursing Turnover Intentions, Janelle Cheung

All Theses

Economic stress is an understudied, but potentially critical, concern that deserves more attention in the literature because it has important implications for employees and organizations. The present study sought to bring researchers and practitioners' attention to this area of research by examining the impact of income and income perceptions on turnover intentions. Very few published studies have investigated the mechanisms underlying the relationship between income and turnover intentions. As a novel contribution, the present study examined how perceived adequacy of current and future income each and simultaneously mediated the relationship between income and turnover intentions. Further, the study tested whether …

Generational Cohort Differences In Types Of Organizational Commitment, April Lavette Jones

Walden Dissertations and Doctoral Studies

In hospitals in the United States, the ratio of nurses to patients is declining, resulting in an increase in work demands for nurses. Consequently, organizations face challenges with nurses' organizational commitment. Studies have revealed generational differences, as determined by birth year, in employee levels of organizational commitment in a number of organizational settings. However, there is a gap in the literature regarding the impact of generational cohorts on the organizational commitment of nurses. The purpose of this quantitative, nonexperimental, cross-sectional design was to address whether generational cohorts of nurses differed in their levels of organizational commitment, and to investigate whether …

Hiv/Aids Care, Coping Strategies And Work Environmental Stress Among Nurses In Botswana, Thabo T. Fako, Debra Rose Wilson, James G. Linn, Ntonghanwah Forcheh

Walden Faculty and Staff Publications

Since 2006 there has been universal acceptance in both developing and industrialized societies that HIV treatment and related services, including more effective programs, be available to all citizens. However, as a result of the worldwide recession and shifting health priorities, progress toward these goals has stalled. While the epidemic continues to grow (approximately 34 million globally, with 2.7 million new cases in 2010), fewer resources are dedicated to treatment and prevention than previously, and clinical staffs, especially nurses are challenged by more patient care responsibilities. This paper focuses on the relationships of HIV/AIDS care, coping strategies and work environmental stress …

Testing Work Characteristics As Mediating Factors In The Relationships Among Nurse Leadership, Burnout, And Engagement, Heather Kaye Smith

Masters Theses and Doctoral Dissertations

Nurse staff burnout is a critical element of the quality of worklife for nurses, due to burnout’s positive relationship with turnover/turnover intentions. This study attempted to bridge the gap between two areas of related research: transformational leadership and burnout/engagement, using work characteristics (i.e., areas of worklife: AWL) as mediators of the relationship between leadership and burnout/engagement. A sample (N = 142) of practicing nursing students and full-time working nurses who were recruited from a university, hospital, and social network connections completed a questionnaire that gathered their perceptions of nurse leadership, AWL, and burnout/engagement. Results suggested that transformational leadership is strongly …

Role Of Cognitive Distortions And Dysfunctional Attitudes In Nurses Experiencing Burnout, Cynthia A. Diefenbeck

PCOM Psychology Dissertations

As a means of gathering more data to support the utility of cognitive-behavioral therapy with individuals experiencing burnout, this current study is designed to identify whether or not distorted thinking and dysfunctional attitudes are present in registered nurses who are experiencing burnout and whether or not they differ in registered nurses not experiencing burnout. A mail survey to a random sample of certified critical care registered nurses working in hospital settings was conducted. Participants provided basic demographic data and completed the Maslach Burnout Inventory, the Inventory of Cognitive Distortions, and the Dysfunctional Attitudes Scale. In addition, participants completed measures of …

Home Health Nurses: Are They Satisfied With Their Work Environment, Said Abu Salem

Nursing Theses & Dissertations

Objectives. This study addressed the questions, (1) To what degree are home health nurses satisfied in their job? (2) What variable ranks as the most important for home health nurses' satisfaction? and, (3) Is there a difference between job satisfaction of full time employment, part time, and per diem home health nurses?

Methods. The data were collected from six home health agencies in the Hampton Roads Area resulting in a sample of (N = 72). The McCloskey and Mueller Satisfaction Scale developed in 1990 (MMSS) was used to measure home health nurses' satisfaction.

Results. The home health …

Nurse Manager Role Stress, Rosemarie Mohn

Nursing Theses & Dissertations

The purpose of this study was to examine the influence of decision-making style, and right and left brain function on nurse manager role stress. Data were collected from 48 nurse managers employed at four acute care facilities along the Atlantic seaboard. A nonexperimental correlation descriptive design was utilized to determine if any positive or negative correlation existed between study variables and levels of stress. Findings suggested that nurse managers experienced moderate amounts of role stress, including role conflict and role ambiguity. One significant statistical correlation existed between role ambiguity and the decision making dimension of intuition. Recommendations for future research …

A Comparative Analysis Of Nurse Leaders' Degree Of Transformational Leadership And Staff Nurse Job Satisfaction, Kathie Sawyer Weatherly

Nursing Theses & Dissertations

The intensified pressure for change in nursing organizations has presented nurse leaders with opportunities to transform bureaucratic settings into professional practice environments. Transformational leadership has been identified as supporting the changing values of staff nurses and promoting job satisfaction. The purpose of this study was to explore nurse leaders' degree of transformational leadership and the relationship between transformational leadership and staff nurse job satisfaction. Quantitative analysis, using an independent t-test, indicated a significant difference between nurse leaders' and staff nurses' perception of the nurse leaders' degree of transformational leadership. Pearson correlation analysis indicated a significant relationship between transformational leadership and …

The Relationship Between Occupational Choice And Perceptions Of Professional Nursing Functions And Characteristics, Ellis Quinn Youngkin

Theses and Dissertations in Urban Services - Urban Management

This study identifies the occupational interests and predominant vocational personality types of freshmen students (undeclared majors, nursing majors, and non-nursing majors), explores perceptions about selected professional nursing functions and characteristics among the students, and examines perceptual differences between groups (majors).

A non-experimental ex post facto design is used to analyze data from 312 students in a large urban university. Descriptive and inferential statistics are applied in data analysis. The following findings support the hypotheses: (1) Nursing continues to attract the traditional student who has Holland's Social vocational personality type as measured by the Self-Directed Search, although many Social types are …

The Influence Of Nursing Experience And Education On Nurses Inferences Of Patients' Suffering, Patricia A. Coots

Nursing Theses & Dissertations

A primary dimension of nursing is caring tor patients who suffer. This study examined the inferences made about patients' suffering oy 65 registered nurses employed in acute care health facilities. Utilizing The standard Measure of Inferences of Suffering Questionnaire. the purpose of the study was to explore the influence of nursing education and experience on the degree of pain and psychological distress inferred by the nurses. Analysis of Covariance was used to test for group differences on the basis of nursing education when number of months of nursing experience was controlled. Although nursing education did not influence nurses' inferences of …

Types Of Behavior During Labor And Delivery And Scores On The Minnesota Multiphasic Personality Inventory, Bette Gloria Winthers

University of the Pacific Theses and Dissertations

Purpose of the Study

The thesis of this study is that personality characteristics can be shown as factors in the variation of behavior which occurs during labor and childbirth. It is felt that if personality traits can be measured by a standard device they will correlate with various types of behavior expressed during labor. The Minnesota Multiphasic Personality Inventory is one instrument which tests all of the more important phases of personality. This test was chosen as the device to be used in this study to determine the personality traits of the women involved. Therefore, the purpose of this study …