Examining Burnout in Direct Care Personnel in an Intermediate Care Facility for the Mentally Retarded
Review TypeNone: Degree-based Submission
Review StatusNot Applicable (See Review Type)
Repository Posting Date2019-06-17T16:05:51Z
Author(s)Townsend, Amanda A. T.
Author DetailsAmanda A. T. Townsend, DNP, APRN, FNP-C
Lead Author Sigma AffliationEpsilon Alpha
TypeDNP Capstone Project
Level of EvidenceCross-Sectional
Research ApproachQuantitative Research
The purpose of this descriptive, cross-sectional study was to examine burnout in direct care personnel in an Intermediate Care Facility for the Mentally Retarded (ICF/MR). Burnout exacts high personal costs from direct care personnel working in Intellectual Disabilities (ID) Services (Hastings, Horne & Mitchell, 2004). There are also organizational costs from employee turnover, decreases in productivity, and potential harm to clients. The conceptual framework guiding this descriptive correlational study was a middle range theory of caregiver stress based on Roy’s adaptation model (Tsai, 2003). The setting was an ICF/MR located in the Southeastern United States. Eligibility for participation was limited to direct care workers who were not nursing staff. Participants were required to be able to read and write English and be willing to complete a four part questionnaire (Demographic, Work Related, Maslach Burnout Inventory-Human Services Survey [MBI-HSS], Center for Epidemiological Studies Depression symptoms index [CESD-10]). A convenience sample of 56 direct care personnel from all three shifts on an ICF/MR in the Southeast participated in the study. The majority of the respondents were middle-aged, with a mean age of 43.76 years. The sample was comprised primarily of married, African-American, women who had completed high school. High levels of burnout were found on two of the three subscales of the MBIHSS: Emotional Exhaustion (M = 25.32) had a median of 26.50 and a SD of 14.33; and, Depersonalization (M = 9.05) had a median of 7.50 and a SD of 7.73, compared to other normative samples. High depressive symptom scores on the CESD-10 (M = 20.45), median of 20.00 and SD of 6.08, were also found in this sample. The survey participants expressed a desire for a worksite program to help manage caregiver work stress. In ICF/MR’s and other long-term care settings, direct care personnel play a key role in the health care delivery system. Advanced Practice Nurses (APRNs) are in positions of authority and have the professional preparation to assist organizations with strategies to improve the work environment and decrease the chance of burnout occurring in their care teams. Policy development and education are two ways APRNs can contribute professionally to the effort to decrease burnout and improve overall patient care.
DescriptionThe author retains copyright.
Degree GrantorCase Western Reserve University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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