Κατεύθυνση Σχεδιασμός και Διοίκηση Υπηρεσιών ΥγείαςLibrary of the School of Health Sciences
Κυριάκος Σουλιώτης, Αναπληρωτής Καθηγητής, Τμήμα Κοινωνικής και Εκπαιδευτικής Πολιτικής, Πανεπιστήμιο Πελοποννήσου
Ιωάννης Τούντας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μαρία Καντζανού, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Ψυχολογικό φορτίο και μηχανισμοί άμυνας των νοσηλευτών που εργάζονται σε νεογνικές ΜΕΝ και ΜΑΦ σε τριτοβάθμια παιδιατρικά νοσοκομεία
Psychological load and defense mechanisms of nurses working in Intensive Care Units and Increased Care Units in pediatric hospitals
BACKGROUND: Intensive Care Units are increased workload environments for nurses, who play a fundamental role within the health care team. IC Nurses have more obligations than nurses working in other wards; they are often faced with situations in which they have to make quick decisions in the event of patients requiring First Aid or emergency response.
AIM/METHODS: The purpose of this research is to evaluate the burnout's degree of the Neonatal Nurses of the two pediatric hospitals of Athens, AGIA SOPHIA and PANAGIOTIS & AGLAIA KYRIAKOU, who they share with the premature babies and the neonates their battle for life and their march/path towards death. Moreover, we evaluate the defense mechanisms that they develop in order to have a peaceful and normal life. A questionnaire was distributed to 107 neonatal nurses. The data got analyzed by the use of the quantitative method.
Results: The professional fatigue rate is 90,2% and the stress rate is 86,3%. Furthermore the neonatal nurses' physical tiredness 90,2%, comes from the multiannual shifts, the difficulty of the communication among levels and the serious lack of stuff. The nurses who often meet family and friends had less negative reactions due to their job. The neonatal nurses' emotional load is particularly high 64%, because of the department's diversity and the age of the patients. The personal accomplishment factor of the neonatal nurses is moderate to high 94,2%. Finally, the nurses who use more the defense mechanisms, had less negative reactions due to their job.
CONCLUSION: The psychological and physical burden of the neonatal nurses are indisputable. The burnout syndrome combined with the lack of sleep, the increased professional and family responsibilities, the exhausting shifts and the competition creates a precarious work environment that reduces the nurse’s performance. They are overmastered by stress. In order to counterbalance this situation they develop one or more Defense Mechanisms.
Main subject category:
Psychological charge, Burnout syndrome, Job satisfaction, Neonatal Intensive Care Unit, Neonatal nurses, Prematurity, Communication, Empathy, EQ, Defense Mechanisms
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