Enquiring Into Healthcare Practice

It will also look at the author and his colleague’s own experience of stress.
In chapter three the process of the literature search and the winnowing process will be presented. The author will examine in greater depth the issue of stress and burnout in forensic nursing. The process of the literature search will be analysed. Furthermore, the rationale for selecting the three articles for review in chapter four will be illustrated. Salkind (2003) support this by stating it is imperative that the writer justifies his choice of literature.
Chapter four will provide the most comprehensive chapter of the dissertation. It will examine the three articles identified in chapter three in finer detail. The three selected articles appraise the subject of stress and burnout in forensic nurses from different angles. Chalder and Nolan (2000) undertake a comparative study to compare stress among forensic and acute care mental health nurses. Kirby and Pollock (1995) explore the relationship between a medium secure environment and occupational stress in forensic psychiatric nurses. Finally, Happel et al (2003b) analyse stress and burnout in forensic psychiatric nursing in Australia. …
Clifford (1997) also goes on to state that critical analysis also helps to practice nurses think about how study findings can be used and, sometimes, actually to plan a utilization project
Chapter five will look at all the research from the literature review and discuss the three articles in the context of wider literature and issues. The author will discuss stress and burnout in forensic psychiatric nursing taking into account all literature available on the subject, and, its application to practice.
In chapter six recommendations will be identified for practice and how this can be disseminated to others.
The dissertation is completed with chapter seven-a conclusion. This will take the form of a personal reflective account of the author’s experience of undertaking this dissertation. To facilitate this process Boud et al’s (1985) model of reflection will be utilised.
For the purpose of this dissertation, the author feels it pertinent that the terms stress and burnout are examined. Edwards (1990) describes stress as a negative discrepancy between an individual’s perceived state and desired state, provided that the individual considers the presence of this discrepancy important. Dewe (1987) goes on to suggest that definitions of stress should reflect its relationship to adaptive factors. The individual’s ability to cope with external pressures is dependant upon a cognitive appraisal of the stressor and the coping strategies the person has available to them. Stress, therefore, is perceived in relation to the person’s previous experience, success or failures in dealing with similar situations. Notwithstanding that burnout was first described more than thirty years ago. According to Freudenberger (1974), it is a syndrome consisting of emotional exhaustion, depersonalisation, and reduced personal accomplishment.&nbsp. &nbsp.