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Effective communication in mental health nurses: Did social support save the psychiatric nurse?

Institute of Psychiatry, and The Maudsley NHS Trust, London

Joanne Cavagin, BSc

Royal Holloway and Bedford College, University of London

Jane Bunclark, RGN, RMN

The Bethlem Royal Hospital, Beckenham

Sukwinder Maal, BSc

Hunterscombe Manor Hospital, Taplow, Bucks

Kevin Gournay, RN, MPhil, PhD, CPsychol, AFBPsS, FRCN

Institute of Psychiatry, London

Elizabeth Kuipers, BSc, MSc, PhD, FBPsS

Institute of Psychiatry, London

Frank Holloway, MA, MB, FRCPsych

The Maudsley NHS Trust, London

Maria West, BSc

Institute of Psychiatry, London

A randomised controlled trial was conducted to test the effectiveness of a social support-based intervention against a feedback-only condition. Fifty-three mental health nurses were randomly allocated and assessed on a range of measures of the stress process. Stressors were measured by the DCL Stress scale, mediating variables by the Rosenberg Self-Esteem scale, the Pearlin Mastery scale and the Significant Others scale and stress outcomes by the General Health Questionnaire and the Maslach Burnout Inventory. Following a successful pilot of the social support package, it was hypothesised that the social support intervention would be more effective in reducing stress and burnout in mental health nurses. Participants in both groups were assessed prior to randomisation, post-treatment and at six months follow-up. Attrition rates were similar in both conditions, at around 30%. The social support groups were run for five consecutive weeks for two hours. In all, three separate groups were conducted by two facilitators. The members of the feedback-only group received detailed written feedback on their stress questionnaires, as well as a small stress management booklet developed by two of the authors. Results of the study show no benefits for participants of the social support groups on the study's dependent variables and indeed there was a trend for the feedback-only group to do slightly better on some of the measures. The reasons for this negative outcome are discussed and suggestions are made for future studies. Methodological difficulties are pointed out with studies that attempt to reduce staff stress.

Key Words: Social support • Staff stress • Burnout • Mental health nurses • Randomised controlled trial

Nursing Times Research, Vol. 4, No. 1, 31-42 (1999)
DOI: 10.1177/136140969900400105


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