Emotional exhaustion and defense mechanisms in intensive therapy unit nurses.

Regan, Anna and Howard, Ruth A and Oyebode, Jan R (2009) Emotional exhaustion and defense mechanisms in intensive therapy unit nurses. The Journal of nervous and mental disease, 197 (5). pp. 330-6. ISSN 1539-736X.

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Abstract

Contrary to its original conceptualization, research has found that emotional demands do not lead to burnout in nurses. According to psychoanalytic theory, unconscious defense mechanisms may protect nurses from conscious awareness of work-related anxiety. This prevents self-report and may explain research findings. The maturity of defense style influences how anxiety is managed. Immature defenses prevent the conscious processing necessary for resolution of anxiety. Therefore, it is hypothesized that the use of immature defenses will lead to emotional exhaustion. This cross-sectional study used questionnaires to explore the defense mechanisms of 87 Intensive Therapy Unit nurses. Although the sample endorsed a predominantly mature defense style, the use of immature defenses predicted emotional exhaustion. Also, lower levels of reported stress associated with emotional demands predicted emotional exhaustion. Although this strongly implies the mediating role of immature defense mechanisms, the results were not statistically significant.

Item Type:	Article
Subjects:	WB Practice of medicine > WB400 Intensive care WM Psychiatry. Mental health
Divisions:	Planned IP Care > Respiratory Medicine
Related URLs:	http://www.ncbi.nlm.nih.gov/pubmed/?term...
Depositing User:	Preeti Puligari
Date Deposited:	29 Aug 2014 08:52
Last Modified:	29 Aug 2014 08:52
URI:	http://www.repository.heartofengland.nhs.uk/id/eprint/625

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