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What stresses remote area nurses? Current knowledge and future action

Lenthall, S, Wakerman, J, Opie, T, Dollard, M, Dunn, Sandra, Knight, S, Macleod, M and Watson, C (2009). What stresses remote area nurses? Current knowledge and future action. Australian Journal of Rural Health,17(4):208-213.

Document type: Journal Article

IRMA ID 79764168xPUB21
Title What stresses remote area nurses? Current knowledge and future action
Author Lenthall, S
Wakerman, J
Opie, T
Dollard, M
Dunn, Sandra
Knight, S
Macleod, M
Watson, C
Journal Name Australian Journal of Rural Health
Publication Date 2009
Volume Number 17
Issue Number 4
ISSN 1440-1584   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-68149156089
Start Page 208
End Page 213
Total Pages 6
Place of Publication Australia
Publisher Wiley-Blackwell Publishing Asia
HERDC Category C1 - Journal Article (DEST)
Abstract Objective: Review and synthesise the literature identifying the stresses experienced by remote area nurses (RANs). Identify interventions implemented to address identified stresses. Explore the use of the job demands-resources (JD-R) model. Methods: A comprehensive literature review was conducted using the meta-databases Ovid and Informit. Setting: Remote Australian primary health care centres. Results: The reported demands experienced by RANs can be grouped into four themes: (i) the remote context; (ii) workload and extended scope of practice; (iii) poor management; and (iv) violence in the workplace and community. In this high-demand, low-resource context, the JD-R model of occupational stress is particularly pertinent to examining occupational stress among RANs. The demands on RANs, such as the isolated geographical context, are immutable. However, there are key areas where resources can be enhanced to better meet the high level of need. These are: (i) adequate and appropriate education, training and orientation; (ii) appropriate funding of remote health services; and (iii) improved management practices and systems. Conclusion: There is a lack of empirical evidence relating to stresses experienced by RANs. The literature identifies some of the stresses experienced by RANs as unique to the remote context, while some are related to high demands coupled with a deficit of appropriate resources. Use of models, such as the JD-R model of occupational stress, might assist in identifying key areas where resources can be enhanced to better meet the high level of need and reduce RANs' levels of stress.
DOI http://dx.doi.org/10.1111/j.1440-1584.2009.01073.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Mon, 01 Mar 2010, 23:46:50 CST by Sarena Wegener