Prevalence of Burnout among Public Health Nurses in Charge of Mental Health Services and Emergency Care Systems in Japan
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概要
- 論文の詳細を見る
Objectives: The Community Health Act came into effect in 1997 in Japan. This act altered the work system for public health nurses (PHNs) in public health centers (PHCs) nationwide from region-specific to service-specific work. Such major changes to working environment in the new system seem to be exposing PHNs to various types of stress. The present study examined whether prevalence of burnout is higher among PHNs in charge of mental health services (psychiatric PHNs) than among PHNs in charge of other services (non-psychiatric PHNs), and whether attributes of emergency mental health care systems in communities are associated with increased prevalence of burnout. Methods: A questionnaire including the Pines burnout scale for measuring burnout was mailed to 525 psychiatric PHNs and 525 non-psychiatric PHNs. The 785 respondents included in the final analysis comprised 396 psychiatric PHNs and 389 non-psychiatric PHNs. Results: Prevalence of burnout was significantly higher for psychiatric PHNs (59.2%) than for non-psychiatric PHNs (51.5%). When prevalence of burnout in each group was analyzed in relation to question responses regarding emergency service and patient referral systems, prevalence of burnout for psychiatric PHNs displayed significant correlations to frequency of cases requiring overtime emergency services, difficulties referring patients, and a feeling of "restriction". Conclusions: Prevalence of burnout is high among psychiatric PHNs, and inadequate emergency mental health service systems contribute to burnout among these nurses. Countermeasures for preventing such burnout should be taken as soon as possible.
- 日本衛生学会の論文
著者
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Yoshida Takahiko
Department of Health Science, Asahikawa Medical Collage
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SUGIOKA Yoshihiko
Department of Environmental Health, School of Medicine, Tokai University
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Nakao Hiroyuki
Department of Emergency and Disaster Medicine, Kobe University Graduate School of Medicine
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Itoh Toshihiro
Department Of Health Science Asahikawa Medical College
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Nakao Hiroyuki
Department Of Emergency And Disaster Medicine Kobe University Graduate School Of Medicine
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Nakao Hiroyuki
Department Of Public Health School Of Medicine University Of Miyazaki
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IMAI Hirohisa
Department of Public Health, Miyazaki Medical College
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NAKAGI Yoshihiko
Department of Health Science, Asahikawa Medical College
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NIWATA Satoko
Department of Epidemiology, National Institute of Public Health
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Niwata Satoko
Department Of Epidemiology National Institute Of Public Health
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Imai Hirohisa
Department Of Epidemiology National Institute Of Public Health
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Yoshida Takahiko
Department Of Health Science Asahikawa Medical College
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Yoshida Takahiko
Department Of Environmental Health Division Of Community And Environmental Health Tokai University S
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Yoshida Takahiko
Department Of Health Science Asahikawa Medical College Midorigaoka
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Sugioka Yoshihiko
Department Of Health Science Asahikawa Medical College
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Sugioka Yoshihiko
Department Of Chemistry Faculty Of Science Toyama
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Nakao Hiroyuki
Department Of Anesthesiology Akashi Municipal Hospital
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Nakagi Yoshihiko
Department Of Health Science Asahikawa Medical College
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Sugioka Yoshihiko
Department of Basic Clinical Science and Public Health, Tokai University School of Medicine
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