Burnout of caregivers: a comparison between partners of psychiatric patients and nurses.
ABSTRACT Care of a person with mental illness involves multiple burdens, possibly leading to burnout. This study compares partners of persons with schizophrenia and depression with nursing staff based on dimensions of burnout. Nursing staff and partners of patients with schizophrenia or depression were consecutively recruited from psychiatric hospitals and interviewed with the Maslach Burnout Inventory. No significant differences were found in the three dimensions of burnout (emotional exhaustion, depersonalization, and personal accomplishment) for the two groups of caregivers. About one fourth of the respondents in both groups showed a high degree of burnout. Professional and nonprofessional caregivers face a similar degree of burden and need support to perform their caretaking tasks.
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ABSTRACT: Dementia is a progressive syndrome causing cognitive decline and functional impairment. The economic burden of dementia is greater than that of stroke, heart disease and cancer combined: however, resources allocated to dementia care continue to be substantially lower than each of these individual disease groups. The World Health Organisation observes a growing gap between budget allocation and associated burden of mental health disorders, particularly in higher income countries. Ireland is currently estimated to provide half the OECD average level of dementia care. The aim of this thesis is to investigate the determinants of dementia care as they pertain to perception of care, value of informal care and the level of formal service utilisation. Through analysis of two datasets, the following three pieces of new evidence are obtained: 1. Perceptions of care in Ireland are determined by externalities such as socioeconomic status, and evidence suggests that access is unequal. This presents the risk of worsening symptoms and the transference of the burden of care to informal carers (e.g. friends or family). 2. Informal carers in Ireland report providing greater than 10 hours of care in 85% of cases, and this analysis finds daily care increases further with dementia progression. Estimated daily per day spend on informal dementia care is valued at the market rates and costs are found to range from €240 in early stage dementia to €570 in late stages. 3. Depression occurring in dementia substantially influences health services utilisation. Specifically, depression reduces the likelihood of accessing appropriate services but once services are accessed, increases the quantity of services required by 39%. In light of the evidence presented, this thesis draws the conclusion that greater policy focus is required to ensure ‘equal access for equal needs’, to ensure adequate community support services are available and that complicated psychiatric symptoms of dementia are appropriately detected and managed.10/2011, Degree: PhD, Supervisor: Stephen Kinsella
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ABSTRACT: This paper values the informal costs of dementia care in Ireland based on recently agreed national costing framework. Drawing on a survey of 270 Irish dementia caregivers, the hours of informal care per day are estimated using variables of individual characteristics, functional limitations and behavioural problems. This estimation finds that an interlinked workcohabitation effect significantly predicts the total informal care available and suggests that increasing burden on carers may alter overall welfare. Given conflict in carers’ personal priorities, this paper calculates the market value of formal services to inform equitable distribution of dementia care required. By associating “proxy-good’ market values to dementia symptoms requiring specific types of care, the per diem costs of care are estimated to range from €240.96 (early-stage) to €570.04 (late-stage). As burnout is a major risk factor in prolonged care, this paper indicates the formal value of the output of care from a public health service perspective. Policy initiatives to improve technical and allocative efficiency of formal dementia services are required to reduce reliance on informal care.The Economic and social review 08/2011; 42(4):479–503. · 0.44 Impact Factor
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ABSTRACT: Nursing is a dynamic and supportive job, with the main role of taking care of patients. Maintaining appropriate communication of the nurse with the patients is particularly known as the main core of care in mental health. However, in spite of the importance of providing communication, one of the main sources of stress in nurses of psychiatry wards is communication with the patients. Some important reasons for inappropriate relationship between the nurse and patient can be lack of necessary skills to communicate with patients because of insufficient training. Although training communication skills is an important part of the education of medical and paramedical students, in recent studies it has been demonstrated that the communication skills learned in theoretical courses would not necessarily be transferred to clinical settings, and proving training in clinical settings is a must. The present study was carried out to determine the effect of training communication skills using psychoeducation method on the stress level of nurses of psychiatry wards in 2010. This is a quasi-experimental study. The participants were 45 nurses; 23 and 22 in the experiment and control groups, respectively, working in psychiatry wards of Noor and Farabi hospitals, Isfahan, Iran. The sampling was carried out by the census method, and then the participants were randomly assigned to the two groups of experiment and control, using random number table. The two groups filled out the demographic data form and also the questionnaire on nurses' occupational stress, designed by the researcher. The questionnaire was filled out three times; before, immediately after, and one month after the training. Training of communication skills was carried out using group psychoeducation method, in six sessions, each lasted for 1.5 hours. The training sessions of the experiment group were held in Farabi Hospital. The findings indicated that before the intervention, the members of the two groups had a high level of occupational stress. Immediately after the training, the stress level of the experiment group decreased significantly, and the decrease was sustained for the following one month. Training communicative skills using group psychoeducation method can decrease the occupational stress of psychiatry ward nurses.Iranian journal of nursing and midwifery research 12/2010; 15(Suppl 1):395-400.