Burnout in neonatal intensive care unit nurses: relationships with moral distress, adult attachment insecurities, and proneness to guilt and shame

被引:22
作者
Barr, Peter [1 ]
机构
[1] Childrens Hosp Westmead, Dept Neonatol, Locked Bag 4001, Sydney, NSW 2145, Australia
关键词
attachment; burnout; guilt; moral distress; nurses; shame; COMPASSION FATIGUE; WORKING MODELS; EMOTIONS; HEALTH; FEELINGS; STYLES; SCALES;
D O I
10.1515/jpm-2019-0323
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Informed by the person-environment transactional model of stress, the purpose of the study was to explore the relationships of environment-related moral distress and person-related anxious and avoidant adult attachment insecurities, and personality proneness to guilt and shame with burnout in neonatal intensive care unit (NICU) nurses. Methods: This was a multicenter cross-sectional self-report questionnaire cohort study comprising 142 NICU nurses currently working on six Level 3-4 NICUs in New South Wales, Australia. Results: Burnout was reported by 37% of NICU nurses. Moral distress, anxious and avoidant attachment, and guilt- and shame-proneness had moderate-large zero-order correlations with burnout. Overall, these predictor variables explained 40% of the variance in burnout. Moral distress (beta=0.40, P <0.001), anxious attachment (beta = 0.18, P < 0.05) and shame-proneness (beta = 0.22, P < 0.01) were unique predictors of burnout. Shame-proneness partially mediated the effect of anxious attachment on burnout [indirect effect, B=0.12, confidence interval (CI) (0.051-0.201)]. Conclusion: The management of burnout in NICU nurses requires attention not only to environment-related moral distress but also to person-related anxious and avoidant adult attachment insecurities and personality proneness to guilt and shame.
引用
收藏
页码:416 / 422
页数:7
相关论文
共 41 条
[1]  
[Anonymous], 2012, HDB SELF IDENTITY
[2]  
[Anonymous], PASW STAT WIND
[3]  
Barr P., 2017, Traumatology, V23, P214, DOI [10.1037/trm0000115, DOI 10.1037/TRM0000115]
[4]   The five-factor model of personality, work stress and professional quality of life in neonatal intensive care unit nurses [J].
Barr, Peter .
JOURNAL OF ADVANCED NURSING, 2018, 74 (06) :1349-1358
[5]   Levels of neonatal care [J].
Blackmon, L ;
Batton, DG ;
Bell, EF ;
Denson, SE ;
Engle, WA ;
Kanto, WP ;
Martin, GI ;
Stark, AR .
PEDIATRICS, 2004, 114 (05) :1341-1347
[6]  
Bowlby J., 1988, SECURE BASE PARENT C, DOI DOI 10.5860/CHOICE.26-4750
[7]  
British association of perinatal medicine, 2014, OPT ARR NEON INT CAR
[8]  
Bybee J., 1998, GUILT CHILDREN, P269
[9]   ADULT ATTACHMENT, WORKING MODELS, AND RELATIONSHIP QUALITY IN DATING COUPLES [J].
COLLINS, NL ;
READ, SJ .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1990, 58 (04) :644-663
[10]   Working models of attachment: Implications for explanation, emotion, and behavior [J].
Collins, NL .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1996, 71 (04) :810-832