From burnout to resilience in nursing - Identification of a vulnerable personality profile

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1 From burnout to resilience in nursing - Identification of a vulnerable personality profile Nina Geuens, MScN Professor Erik Franck Centre of Expertise: Psychological Wellbeing in Patient Care

2 Introduction

3 From burnout to resilience in nursing - Identification of a vulnerable personality profile Nina Geuens, MScN Professor Erik Franck Centre of Expertise: Psychological Wellbeing in Patient Care

4 Introduction Research questions Method Results Conclusion and Implications for practice

5 Introduction International research influence of organisational and job related factors on burnout in nursing Within unit all nurses exposed to same stressors Not all will develop symptoms of stress or burnout Individual factors? Vulnerability?

6 Introduction STESSORS X VULNERABILITY = BURNOUT Organisational factors Job related factors Individual factors Personality - Big Five - Type D Interpersonal behaviour Emotional exhaustion Depersonalization Low personal accomplishment

7 Introduction Big five Neuroticism Openness Extraversion Agreeableness Conscientiousness Type D personality Negative affect Social inhibition

8 Introduction Leary s circumplex model

9 Introduction Research questions Method Results Conclusion and Implications for practice

10 Research questions What is the prevalence of stress and burnout in a sample of Flemish nurses working within different departments of a general hospital? Is a certain personality and behavioural profile associated with more or less stress and burnout in a sample of Flemish nurses working within different departments of a general hospital?

11 Introduction Research questions Method Results Conclusion and Implications for practice

12 Method Cross-sectional Questionnaire Job related and organisational questionnaires Self composed questions RNWI Individual factors NEO-FFI Type D NIHS Outcome UBOS PSS

13 Method 12 Flemish general hospitals participated At random selection of units per group Medical-technical units Emergency Surgery Intensive Care units Nursing units Psychiatric units Paediatric units Geriatric units 250 questionnaires handed out At random selection nurses per unit

14 Introduction Research questions Method Results Conclusion and Implications for practice

15 Results 222 questionnaires received = 89% response Equally divided over unit groups 4-5 units per group nurses per group

16 Results Table 1: Description of the population

17 Results Figure 1: Prevalence of interpersonal behaviour styles

18

19 Results Figure 2: Prevalence of interpersonal behaviour styles per unit group

20 N=222

21 Results Table 3: Prevalence of personality traits per unit group

22 Results Table 4: Prevalence of stress and burnout

23 Results Table 5: Prevalence of stress and burnout per unit group

24 Results Table 6: Relation between personality, stress and burnout

25 Results

26 Results Figure 3: Relation between interpersonal behaviour, stress and burnout

27

28 Results Table 7: Linear regression analysis for the development of burnout

29 Results Table 8: Logistic regression analysis for the development of burnout

30 Introduction Research questions Method Results Conclusion and Implications for practice

31 Nurses with burnout behaved more submissive Nurses with Type D personality are 9 times more likely to develop burnout Type D personality on its own explains 23% of the variance in burnout Average of 10% burnout ranging from 3% in psychiatrics up to 20% in geriatrics 36% Type D Highest in geriatrics (47%)

32 Implications for practice Draws an outline of how prevention should be set up: Personalised due to existence of vulnerable nurses Aimed at less submissive behaviour through empowerment Special attention to high risk units such as geriatrics The expertise centre is working on an individualised, stepped care programme aimed specifically at nurses to increase the resilience for stress and burnout

33

34 Thank you

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