Abstract
Purpose
The purpose of this study was to describe work stress and job satisfaction of community mental health nurses working in community mental health centers.
Methods
Data were collected using open-ended questions from 37 mental health nurses working in the 16 centers. Qualitative descriptive methods and qualitative content analysis were used.
Results
For work stress there were 148 statements and job satisfaction, 107. Work stress had 5 domains (work environment, policy, work load, operations, compensation and welfare), 14 categories (bureaucratic and unsafe environment, communication, social awareness, lack of support, absurd evaluation, inconsistent policy, excessive work, unrealistic service range, inefficient business means, unreasonable system and budget, job insecurity, low compensation) and 26 subcategories. Job satisfaction had 5 domains (business, client, organization, social awareness and compensation), 8 categories (performance, recognition for the job importance and expertise, business potential, client recovery, team work, improve social awareness, direct compensation), and 14 subcategories.
Conclusion
Results of this study suggest the following: a) further research on identifying sources affecting and improving retention of mental health nurses, b) implementing positive factors and supporting identification of sources of work stress as central to development of strategies to encourage nurses' morale and improve personnel policies.
References
1. Alimo-Metcalfe B, Alban-Metcalfe J, Bradley M, Mariathasan J, Samele C. The impact of engaging leadership on performance, attitudes to work and wellbeing at work: A longitudinal study. J Health Organ Manag. 2008; 22:586–598.
2. Bae JI, Son KH. The experiences of the psychiatric nurse: A grounded theory approach. J Korean Acad Psychiatr Ment Health Nurs. 2000; 9:441–453.
3. Bong YS, So HS, You HS. A study on the relationship between job stress, self-efficacy and job satisfaction in nurses. J Korean Acad Nurs Adm. 2009; 15:425–433.
4. Burnard P, Edwards D, Fothergill A, Hannigan B, Coyle D. Community mental health nurses in wales: Self-reported stressors and coping strategies. J Psychiatr Ment Health Nurs. 2000; 7:523–528.
5. Cho HM. Burnout and coping skills of nurses in the mental health facilities. Seoul: Ewha Womans University;2007. Unpublished master's thesis.
6. Coffey M, Coleman M. The relationship between support and stress in forensic community mental health nursing. J Adv Nurs. 2001; 34:397–407.
7. Crawford MJ, Adedeji T, Price K, Rutter D. Job satisfaction and burnout among staff working in community-based personality disorder services. Int J Soc Psychiatry. 2010; 56:196–206.
8. Creswell JW. Qualitative inquiry and research design. 5th ed. Thousand Oaks, CA: SAGE Publication;1998.
9. Dallender J, Nolan P. Mental health work observed: A comparison of the perception of psychiatrists and mental health nurses. J Psychiatr Ment Health Nurs. 2002; 9:131–137.
10. Decker FH. Occupational and non-occupational factors in job satisfaction and psychological distress among nurses. Res Nurs Health. 1997; 20:453–464.
11. Edwards D, Burnard P, Coyle D, Fothergill A, Hannigan B. Stress and burnout in community mental health nursing: A review of the literature. J Psychiatr Ment Health Nurs. 2000; 7:7–14.
12. Edwards D, Burnard P, Coyle D, Fothergill A, Hannigan B. A stepwise multivariate analysis of factors that contribute to stress for mental health nurses working in the community. J Adv Nurs. 2001; 36:805–813.
13. Edwards D, Hannigan B, Fothergill A, Burnard P. Stress management for mental health professionals: A review of effective techniques. Stress Health. 2002; 18:203–215.
14. Hannigan B, Edwards D, Coyle C, Fothergill A, Burnard P. Burnout in community mental health nurses: Findings from the all-wales stress study. J Psychiatr Ment Health Nurs. 2000; 7:127–134.
15. Happell B. Putting all the pieces together: exploring workforce issues in mental health nursing. Contemp Nurse. 2008; 29:43–52.
16. Hong SM, Kim HJ, Lee GY, Lee JG, Choi YK. Development for the Mental Health Performance Indicators in Gyeonggi-do. Suwon: Gyeonggi Welfare Foundation;2009.
17. Lee JG, Kong JH, Lee GW, Chang HS, Lee BW. The current state of burnout and coping strategies among mental health staffs. Bull Yong-In Psychiatr Inst. 2001; 8:25–43.
18. Lee RT, Ashforth BE. A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol. 1996; 81:123–133.
19. Lee SH. The relationships between job stress, self-efficacy and job burnout of mental health nurses working in mental health centers. Busan: Kyungsung University;2013. Unpublished master's thesis.
20. National Mental Health Commission. Annual Report 2005. Seoul: Author;2005.
21. National Mental Health Commission. 10 Year plan for the national mental health policy. Seoul: Author;2008.
22. Onyett S. Revisiting job satisfaction and burnout in community mental health teams. J Ment Health. 2011; 20:198–209.
23. Ozcelik H, Langton N, Aldrich H. Doing well and doing good. The relationship between leadership practices that facilitate a positive emotional climate and organizational performance. J Manag Psychol. 2008; 23:186–203.
24. Priebe S, Fakhoury WK, Hoffmann K, Powell R. Morale and job perception of community mental health professionals in Berlin and London. Soc Psychiatry Psychiatr Epidemiol. 2005; 40:223–232.
25. Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G. Perceived source of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. J Psychosom Res. 1997; 43:51–59.
26. Reid Y, Johnson S, Morant N, Kuipers E, Szmukler G, Thornicroft G, et al. Explanation for stress and satisfaction in mental health professionals: A qualitative study. Soc Psychiatry Psychiatr Epidemiol. 1999; 34:301–308.
27. Wilson B, Crowe M. Maintaining equilibrium: A theory of job satisfaction for community mental health nurses. J Psychiatr Ment Health Nurs. 2008; 15:816–822.
28. Woods L, Priest H, Roberts P. An overview of three different approaches to the interpretation of qualitative data. Part 2: Practical illustrations. Nurse Res. 2002; 10(1):43–51.
29. Yang S, Lee GJ, Yu SJ. A comparative study on work satisfaction of PMHNPs in the hospital and community. J Korean Acad Psychiatr Ment Health Nurs. 2004; 13:487–495.
30. Yoon MS, Lee SY. A study on the mental health policy and directions for the advancement of mental health in Korea. Soc Welf Policy. 2008; 35:329–354.