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Articles 1 - 15 of 15
Full-Text Articles in Medicine and Health Sciences
Debriefing In The Emergency Department, Alyssa Johnson
Debriefing In The Emergency Department, Alyssa Johnson
Master's Projects and Capstones
Emergency Department (ED) staff are repeatedly exposed to high stress situations and as a result suffer from compassion fatigue, secondary traumatic stress, symptoms of post-traumatic stress disorder, burnout and high turnover rates. Staff turnover is costly to the health system in the form of training new staff and potential poor patient outcomes due to under staffing or inexperience of staff. Based on a survey about debriefing, Level 1 Adult and Pediatric Emergency Department staff reported 81% felt there was inadequate support for critically stressful events that occur. Debriefing was identified by 75% of the staff as an option for support. …
A Qualitative Study Of Rural Nurse Practitioners' In Medically Underserved Clinics, Jama J. Bogart
A Qualitative Study Of Rural Nurse Practitioners' In Medically Underserved Clinics, Jama J. Bogart
Doctor of Nursing Practice Scholarly Project
Retention of nurse practitioners is a serious problem in rural medically underserved areas. This study focused on the underserved areas in southeast Kansas, southwest Missouri, and northern Oklahoma. Approximately, three million persons reside in rural medically-underserved areas of the study area. Seventy-three percent of these adults have at least two or more complex chronic medical conditions and there are only 526 nurse practitioners to care for them. Rural providers face many challenges in caring for these individuals and experience anxiety and stress while caring for them. The purpose of this research study was to explore, analyze, and describe the phenomena …
Providing Care For Many In The Context Of Few Resources: Secondary Traumatic Stress, Burnout And Moral Distress Experienced By Healthcare Providers In Rural Uganda, Lauren Michelle Dewey
Providing Care For Many In The Context Of Few Resources: Secondary Traumatic Stress, Burnout And Moral Distress Experienced By Healthcare Providers In Rural Uganda, Lauren Michelle Dewey
Dissertations, Theses, and Capstone Projects
In the context of the global nursing shortage, and particularly in low-resource settings, nurses are at an increased risk for work-related stress problems like secondary traumatic stress (STS), burnout, and moral distress. These three work-related mental health consequences, sometimes associated with absenteeism and intent to leave the profession, could potentially contribute further to the shortage of nurses. This two-part study is a longitudinal examination of the work-related mental health consequences experienced by healthcare providers in rural Uganda. In Study 1, participants (n=208; 159 students and 49 experienced health workers) completed self-report, psychosocial measures at baseline and 134 of the students …
The United States Medical Licensing Exam (Usmle) And Medical Student Wellness: An Ethnographic Qualitative Study At Cooper Medical School Of Rowan University, Patricia Davis Vanston
The United States Medical Licensing Exam (Usmle) And Medical Student Wellness: An Ethnographic Qualitative Study At Cooper Medical School Of Rowan University, Patricia Davis Vanston
Theses and Dissertations
Research indicates that medical students experience unusually high levels of stress, anxiety, depression, and loss of empathy while in medical school. As the number of medical students rises and residency positions remain stagnant, the USMLE receives greater emphasis as a barometer to determine residency placement and future career paths thereby increasing levels of stress among students. Stress is associated with diminished self-care, potentially leading to a negative impact on well-being. This ethnographic, qualitative study sought to examine the extent to which the anticipation of, preparation for, and implications of the USMLE contribute to medical student stress, wellness, and self-care. Through …
Early Sport Specialization: Overuse Injury And Burnout, Jessica J. Mcclelland
Early Sport Specialization: Overuse Injury And Burnout, Jessica J. Mcclelland
Masters Theses/Capstone Projects
There are an increasing number of opportunities for today’s youth to participate in year-round sport organizations that promote early sport specialization before the age of fifteen. Early sport specialization is linked to a higher rate of overuse injury of frequently used muscle groups. The physical, mental, and psychological demands of early sport specialization increase likelihood of burnout and cessation of sport participation. Early sport generalization allows physiological and psychological rest and recovery in youth athletes that lead to decreased injury rates and less burnout with more individuals continuing to participate in competitive sports throughout the collegiate years. The purpose of …
Implementation Of A Nursing Workload Tool To Reduce Nurse Burnout, Nicole K. Greives
Implementation Of A Nursing Workload Tool To Reduce Nurse Burnout, Nicole K. Greives
Evidence-Based Practice Project Reports
Nursing burnout and workload is a complicated issue with far-reaching effects. Nursing burnout and inappropriate nursing workload have been linked to increased risk of urinary tract infection, respiratory infections, decreased patient satisfaction, decreased quality and safety of care, and increased mortality. The purpose of the project was to decrease nursing burnout on a Medical Progressive Care Unit (MPCU) by moving patients with high workloads and medical instability to a higher level of care. Within this project, Rosabeth Kanter’s Theory of Structural Power was used for the theoretical framework, and the Stetler Model guided the implementation. The intervention consisted of a …
The Influence Of Areas Of Worklife And Compassion Satisfaction On Burnout Of Mental Health Nurses, Michelle Corinne Fredette-Carragher
The Influence Of Areas Of Worklife And Compassion Satisfaction On Burnout Of Mental Health Nurses, Michelle Corinne Fredette-Carragher
Electronic Thesis and Dissertation Repository
The prevalence of burnout among nurses is linked to sub-optimal wellbeing and is reflected in higher than average rates of illness and absenteeism (Canadian Institute for Health Information, [CIHI], 2007). Additionally, there are consequences for clients including increased staff related errors and poor patient satisfaction. An improved person-job match in the six areas of worklife and higher compassion satisfaction may result in a workforce that is more engaged and able to achieve positive client outcomes. This study explores the relationship between person-job match and both compassion satisfaction and the emotional exhaustion component of burnout of mental health nurses through a …
Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?, Joanne Booth Newton
Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?, Joanne Booth Newton
Graduate Dissertations and Theses
As frontline providers of care, flight nurses are continuously exposed to traumatic patient care events; they are, accordingly, highly vulnerable to the injurious effects of compassion fatigue. Flight nursing is an exclusive nursing specialty in which highly trained registered nurses provide comprehensive pre-hospital, emergency, and critical care to patients with urgent or life-threatening conditions aboard helicopter or fixed wing aircraft or, when necessary due to unfavorable weather conditions, by ground ambulance. The purpose of this study was to explore the lived experiences of five flight nurses; to better understand the factors they perceived to be contributors or barriers to compassion …
What Works For Successful In-Home Family Therapists Working At Community-Based Agencies, Aleyah R. Yasin
What Works For Successful In-Home Family Therapists Working At Community-Based Agencies, Aleyah R. Yasin
Department of Family Therapy Dissertations and Applied Clinical Projects
Resiliency is an important characteristic of successful therapists (Aponte, 1991; Aponte & Carlsen, 2009; Aponte & Winter, 2000; Clark, 2009; Hamel & Laraway, 2004; Kuiper, 2012; Protinsky & Coward, 2001; Rosenburg & Pace, 2006; Wolgien & Coady, 1997), especially those in entry-level positions that tend to involve high stress and turnover (Acker, 2004; Clark, 2009; Davis, 2013; Greenson, Guo, Barth, Harley, & Sission, 2009; Grosch & Olsen, 1994; Gupta, Peterson, Lysaght, & Zweck, 2012; Horan, 2002; Maslach & Leiter, 1997; Negash & Sahin, 2011; Rosenburg &Pace, 2006; Skovolt &Trotter Mathison, 2011). This study explored the perspectives of six therapists providing …
Relationship Among Motivation, Emotion Regulation, And Psychological Well-Being Of Sophomore And Senior Level Nursing Students, Aryene Delgado, Douglas Garner, Nicole Langhals
Relationship Among Motivation, Emotion Regulation, And Psychological Well-Being Of Sophomore And Senior Level Nursing Students, Aryene Delgado, Douglas Garner, Nicole Langhals
Williams Honors College, Honors Research Projects
Nursing education and professional work involve stressful circumstances that may lead to attrition, which can further contribute to the projected nursing shortage. This study examines the relationships between motivation, emotional regulation, psychological well-being and academic performance in baccalaureate sophomore and senior level nursing students at a Midwest urban university in the United States. The non-experimental, correlational study is guided by Deci and Ryan’s self-determination theory and uses an online survey data collection and convenience sampling. Measures include: motivation, emotional regulation, psychological well-being (burnout; inauthenticity), and academic performance (GPA), and will be measured using Deci and Ryan’s scale, the Emotion Regulation …
Emotional Intelligence, Job Satisfaction, And Burnout For Dietitians, Cara Perdue
Emotional Intelligence, Job Satisfaction, And Burnout For Dietitians, Cara Perdue
Walden Dissertations and Doctoral Studies
There are low retention rates of dietitians and this impacts quality of care. Emotional intelligence (EI) may be the missing component to improve retention, due to EI increasing job satisfaction and decreasing burnout for other health providers. The purpose of this study was to examine the relationship between EI, job satisfaction, and burnout for dietitians. The theoretical framework utilized was the 4-branch model of EI. Method of inquiry was convenience, quantitative non-experimental design. Registered dietitians (N = 84,173) living in the United States were contacted via e-mail. Approximately 9.5% of dietitians (n = 8,038) completed the Wong and Law EI …
Predictive Factors Of Compassion Fatigue Among Firefighters, Teresa Michelle Robinson
Predictive Factors Of Compassion Fatigue Among Firefighters, Teresa Michelle Robinson
Walden Dissertations and Doctoral Studies
Few existing studies have examined compassion fatigue among emergency responders even though firefighters and emergency medical service (EMS) professionals have repetitive direct exposure to traumatic events. This study focused on identifying predictor variables for the development of compassion fatigue in firefighters. Karasek's demand-control model, a commonly used work stress model, was the study's theoretical framework as it focuses on specific construct interactions that predict employee well-being. Accordingly, this correlational study examined the predictive nature of EMS license level, years of service, and personality type on the development of compassion fatigue in career firefighters. Data collection occurred with surveys incorporating the …
Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones
Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones
Walden Dissertations and Doctoral Studies
Nursing education courses and professional development (PD) do not include coping and resilience training for registered nurses (RNs) who work in emergency departments (EDs). Exposure to traumatic events, death, and dying may lead to health issues, substance abuse, stress symptoms, nursing staff turnover, and compassion fatigue among ED RNs. Without training, the pattern of adverse outcomes may continue. The purpose of this study was to explore ED RNs' experiences with occupational traumatic stress (OTS), and their recommendations for change to nursing PD programs, using a qualitative bounded intrinsic case study. The conceptual framework for this study included social learning and …
Compassion Fatigue In Emergency Department Nurses, Dionne Hutson Hendy
Compassion Fatigue In Emergency Department Nurses, Dionne Hutson Hendy
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a …
Clinician Mindfulness Practice And The Implications For Burnout Mitigation: Mindfulness As A Values Component Of Self-Care, Stephanie Wachter
Clinician Mindfulness Practice And The Implications For Burnout Mitigation: Mindfulness As A Values Component Of Self-Care, Stephanie Wachter
Counselor Education Theses
Over 40 years after Freudenberger (1975) introduced the term, burnout remains a critical concern among mental health clinicians. Many researchers in recent decades have focused their attention upon burnout prevention, exploring the practices of clinicians, and proposing the possible factors at-play in counselor, therapist, and social workers’ resiliency in the face of vicarious trauma, and other burnout factors. Mindfulness is a growing area of interest in this course of study, with yoga, meditation, and visualizations as some of the exercises associated with the practice and its apparent benefits. This qualitative study examined mindfulness as a component of mental health clinician …