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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