Stress in nursing staff: a comparative analysis between intensive care units and general medicine units
Poster
Data di Pubblicazione:
2000
Citazione:
Stress in nursing staff: a comparative analysis between intensive care units and general medicine units / D. Chiumello, P. Caironi, P. Pelosi, S. Losappio, M. Malacrida, R. Tomamichel, L. Gattinoni. - In: CRITICAL CARE. - ISSN 1466-609X. - 2000:4(2000 Mar 21), pp. P232-P232. (Intervento presentato al 20. convegno International Symposium on Intensive Care and Emergency Medicine tenutosi a Brussels nel 2000) [10.1186/cc951].
Abstract:
It's a current belief that stress is an outstanding feature of intensive care units, in particular within nursing staff. The aim of this study was to compare some variables belonging to stress (i.e. anxiety, depression and `Burnout' syndrome) between nurses working in intensive care units (ICUs) and general medicine units (GMUs).
Materials and methods
We studied a population of 883 nurses working in ICUs, distributed in 79 Italian hospitals (70.1 % female) and 509 nurses working in GMUs, distributed in 35 Italian hospitals (80.2 % female). We asked them to fill in a form including: 1) general data and his/her work environment; 2) different evaluation standardized scales - the Hospital Anxiety and Depression Scale, divided into anxiety (HAD A) and depression (HAD D) status 0-7 `non cases', 8-10 `doubtful cases', 11-21 `cases'; the S.T.A.I. scale, divided into acute anxiety (Y-1) and chronic anxiety (Y-2) status; the Maslach Burnout Inventory-Human Services Survey (MBI.) divided into Emotional Exhaustion (EE), ≤ 18 `low', 19-26 `average', ≥ 27 `high', Depersonalization (DP) and Personal Accomplishment (PA). We also evaluated the different reasons of anxiety through individual questions (higher value, more anxiety): A1, a critically ill patient; A2, a young patient; A3, an old patient; A4, a suicidal patient; A5, a terminal patient; A6, presence of mechanical supports; A7, relationship with patients' relatives. The comparison between the two groups was performed by the Mann-Whitney Rank Sum test and z-test; statistical significance was accepted as P<0.05.
Results
The results, expressed as median value, with 25th and 75th percentile in brackets, are shown in Tables 1 and 2.
Table 1 also shows the proportions of nurses that had a highest value of HAD A and M.B.I. EE.
Conclusions
Pathologic anxiety and emotional exhaustion are more prevalent in nurses working in GMUs. Thus, contrary to a common belief, `stress' is a more distinctive peculiarity of general medicine units than intensive care units.
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
D. Chiumello, P. Caironi, P. Pelosi, S. Losappio, M. Malacrida, R. Tomamichel, L. Gattinoni
Link alla scheda completa: