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Abstract urses who work in psychiatric hospitals face additional strain by the very nature of psychiatric work and therefore may be more at risk than their colleagues in other areas of health care. This additional strain had been labeled by researchers as burnout. The nurses who work in psychiatric hospitals are particularly vulnerable, due a lack of community support, low staffing levels, stigma and client pressures including the risk of violence, caring for patients in inappropriate settings, with a reduced level of support and increased administrative pressures all leading to an increase in stress and burnout (Rudraprosad et al., 2012). The study aimed to assess the level of the burnout among nurses working in psychiatric hospital and identify the factors that contribute to the burnout among nurses working in psychiatric hospital. Subjects and methods: Research design: A descriptive design was used in carrying out this study. Sitting: This study was conducted in Abbasyia hospital for psychiatric and mental health in Salah Salem Street, Cairo affiliated to Ministry of health consists of: Adult inpatient unit, Pediatric clinic, Adolescent clinic, Francine psychiatric, Geriatric unit, Rehabilitation unit and Addiction unit. Sample size and characteristics The sample composed of (180 nurse’s work in psychiatric hospitals). The sample was selected under the following criteria: - Age range: from (25-55year). - Sex: both sexes. - Educational level: -nursing diploma. - Technical nursing institute. - Nursing bachelors. Tools of data collection: 1-Interviewing Questionnaire: An Arabic questionnaire was developed by the researcher, after reviewing the related literature. It includes the following: Socio demographic interviewing sheet; A- It included data related to subjects‘ characteristics. B- Factors that contribute to the burnout among the nurses in the study subjects. 2- The staff burnout scale for health professionals (SBSHP) (Jones, 1980) developed by: Fernando Mansilla.Its measuring instrument consists of a total 30 questions, with 10 questions to lie on the social desirability or the tendency of a person related (so-called lies items) Openness (the social acceptance) and 20 questions that cover four burnout factors. 3- General Health Questionnaire (GHQ-28): The GHQ (Hare et al., 1988)is a screening instrument to determine the presence of psychiatric morbidity. The findings of the present study could be summarized as follows: The mean age of nurses was (Mean ±SD± 34.633), the majority of the sample was males, the majority was married, and the majority had secondary nursing diploma, while the minority of them had a baccalaureate degree. In the light of the study findings, the study concluded that there were many factors among the nurses who work in psychiatric hospitals that contributed to burnout such as: personal and family, work environment, factors related to the relationship and communication at work, burden career or workload, dissatisfactions with their job and factors related to work management or administration. The majority of the nurses who work in psychiatric hospital had ―average‖ level of burnout, and the minority of them suffered from ―high‖ level of burnout.The general health status of the sample; more than half of the samples in terms of physical complaints and anxiety symptom had potential morbidity in their general health conditions. Also, slightly less than half of the samples had average range regarding social dysfunctions. The majority of the sample in terms of depression symptom was in the healthy range. Certain socio-demographic variables of the nurses were significantly associated with level of burnout (p< 0, 05). There was significant relationship between total burnout scores and total factors contributing burnout (p< 0, 05). Also there was high significant relation of total burnout level with total general health status among the studied sample (p<0, 001). The following recommendations inferred from the study: Hospitals are strongly advised to conduct regular training courses for the nurses who work in psychiatric hospitals in order to manage the art of stress management and develop healthy coping strategies to neutralize the negative impacts of workload. Arrangement of regular meeting in order to discuss work problems with supervisors.Maintain healthy work environment for the nurses who work in psychiatric hospitals to minimizing burnout and to ensure safety and high-quality patient care. Offer training programs that focus on effective communication between nurses and physicians. Adequate supervisory and organizational support, peer relationships and individual training courses are able to improve the quality of patient care and diminish the chances of post-traumatic stress disorder, job dissatisfaction and burnout. Counseling, enhancement of coping skills, meditation and health promotion may be effective modalities for intervention. Proper assignment to duties and shifting schedules. Improving and maximizing hospital resources are also promising possibilities. |