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Burnout in secure forensic mental health services for young people: a mixed methods approach

Burnout in secure forensic mental health services for young people: a mixed methods approach
Burnout in secure forensic mental health services for young people: a mixed methods approach
Occupational burnout is highly prevalent in mental health services and has a deleterious effect upon the psychological wellbeing of staff. Few studies have explored burnout in inpatient settings; those that have do not address the possible systemic impact. This study aimed to explore burnout and emotional reactions to behaviour that challenges in a secure forensic mental health service for young people; a specialised environment in which severe and frequent incidences of aggression and violence occur.

Following a systematic review of burnout literature pertaining to inpatient mental health services, an empirical study was conducted using a convergent parallel mixed method design. Forty three staff members were recruited to the quantitative strand and ten were recruited to the qualitative strand. Emotional Reactions to Challenging Behaviour Scale (ERCBS) and Maslach Burnout Inventory (MBI) instruments were used.

A significant moderate positive correlation was found between emotional exhaustion and negative emotional reactions to behaviour that challenges. This relationship was mediated by general self-efficacy, which buffered the effect of emotional exhaustion on negative responses to behaviour that challenges; responses found to be detrimental to the relational environment. ‘Young People Blame Themselves’ was explored as a relational barrier and maintaining factor in occupational burnout. In ‘You Want Someone You Recognise’ and ‘We Lack That Consistency’ a high ratio of agency staff and a lack of operational consistency were identified as occupational stressors.

Emotional exhaustion is associated with negative emotional reaction to challenging behaviour. Interventions should be targeted towards developing staff self-efficacy, through the use of reflective practice and ecological changes that enhance team-working and feelings of safety on the ward. When on the ward, staff should be mindful of young people’s predisposition towards attribution bias. Future studies need to give greater consideration to systemic outcomes associated with burnout.
Burdock, Matthew
4dc233c7-687e-4cd3-891f-fa91670e779e
Burdock, Matthew
4dc233c7-687e-4cd3-891f-fa91670e779e
Maguire, Nicholas
ebc88e0a-3c1e-4b3a-88ac-e1dad740011b
Preston, Jackie
d0541ec3-3b65-43c7-86ec-a16db8933a3e

Burdock, Matthew (2016) Burnout in secure forensic mental health services for young people: a mixed methods approach. University of Southampton, School of Psychology, Doctoral Thesis, 170pp.

Record type: Thesis (Doctoral)

Abstract

Occupational burnout is highly prevalent in mental health services and has a deleterious effect upon the psychological wellbeing of staff. Few studies have explored burnout in inpatient settings; those that have do not address the possible systemic impact. This study aimed to explore burnout and emotional reactions to behaviour that challenges in a secure forensic mental health service for young people; a specialised environment in which severe and frequent incidences of aggression and violence occur.

Following a systematic review of burnout literature pertaining to inpatient mental health services, an empirical study was conducted using a convergent parallel mixed method design. Forty three staff members were recruited to the quantitative strand and ten were recruited to the qualitative strand. Emotional Reactions to Challenging Behaviour Scale (ERCBS) and Maslach Burnout Inventory (MBI) instruments were used.

A significant moderate positive correlation was found between emotional exhaustion and negative emotional reactions to behaviour that challenges. This relationship was mediated by general self-efficacy, which buffered the effect of emotional exhaustion on negative responses to behaviour that challenges; responses found to be detrimental to the relational environment. ‘Young People Blame Themselves’ was explored as a relational barrier and maintaining factor in occupational burnout. In ‘You Want Someone You Recognise’ and ‘We Lack That Consistency’ a high ratio of agency staff and a lack of operational consistency were identified as occupational stressors.

Emotional exhaustion is associated with negative emotional reaction to challenging behaviour. Interventions should be targeted towards developing staff self-efficacy, through the use of reflective practice and ecological changes that enhance team-working and feelings of safety on the ward. When on the ward, staff should be mindful of young people’s predisposition towards attribution bias. Future studies need to give greater consideration to systemic outcomes associated with burnout.

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Final Research Thesis for the degree of Doctor of Clinical Psychology -Final Version - Matthew Burdock 25725734.pdf - Other
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More information

Published date: June 2016
Organisations: University of Southampton, Psychology

Identifiers

Local EPrints ID: 402565
URI: https://eprints.soton.ac.uk/id/eprint/402565
PURE UUID: 578292ff-9770-4e9d-80d7-e19071d4639d
ORCID for Nicholas Maguire: ORCID iD orcid.org/0000-0003-4295-8068

Catalogue record

Date deposited: 01 Dec 2016 16:48
Last modified: 06 Jun 2018 12:51

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Contributors

Author: Matthew Burdock
Thesis advisor: Nicholas Maguire ORCID iD
Thesis advisor: Jackie Preston

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