Exploration of the relationship between stigma and burnout among Greek nurses in dementia care.

To investigate possible correlations between stigma and burnout of nurses and non-graduate professional caregivers of elderly with dementia in nursing homes. Research on dementia stigma in healthcare professionals as well as its relationship with their wellbeing is seriously lacking. This cross-sectional study involved a convenience sample of 171 nurses and other professional caregivers in 16 Greek elderly care units who responded to Maslah Burnout Inventory (ΜΒΙ) as well as the Family Stigma in Alzheimer's Disease Scale (FS-ADS). In order to find adjusted associations between independent variables and the stigma and burnout of professional caregivers, multiple linear regression analysis was used. Cognitive, emotional and behavioral attributions of the three dimensions of stigma were found to be independent predictive factors of burnout's dimensions which indicates that stigma nurses deposit on patients, contributes towards their burnout. Educational preparation of geriatric nurses should provide them with the option of seeing dementia as a normal stage of life since reducing stigma can contribute towards preventing and managing professional burnout. In order to reduce burnout, nurse managers should design lifelong learning programs on the basis of changing the stigmatizing negative cognitive and emotional attitudes of professionals towards dementia.

[1]  S. Zyga,et al.  Psychometric Properties of the Family Stigma in Alzheimer's Disease Scale in Greek Professional Caregivers , 2020, Journal of Nursing Measurement.

[2]  K. Buckwalter,et al.  Stigma in Dementia: It's Time to Talk about It: There's Much You Can Do to Address Stigmatizing Attitudes, Beliefs, and Behaviors , 2019 .

[3]  D. Black,et al.  Psychiatry Update 2019: Solving Clinical Challenges, Improving Patient Care: March 21-23, 2018: Chicago Marriott Downtown Magnificent Mile , 2018 .

[4]  M. Kelly,et al.  Assessing implicit and explicit dementia stigma in young adults and care-workers , 2018, Dementia.

[5]  M. Downs,et al.  General practitioners’ perceptions of the stigma of dementia and the role of reciprocity , 2017, Dementia.

[6]  M. Sajatovic,et al.  A Systematic Review of Dementia-related Stigma Research: Can We Move the Stigma Dial? , 2017, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[7]  A. Gruneir,et al.  Influence of organizational context on nursing home staff burnout: A cross-sectional survey of care aides in Western Canada. , 2017, International journal of nursing studies.

[8]  Miri Cohen,et al.  The connection between illness representations of Alzheimer's disease and burnout among social workers and nurses in nursing homes and hospitals: a mixed-methods investigation , 2016, Aging & mental health.

[9]  H. Wishart,et al.  Caregiver Stigma and Burden in Memory Disorders: An Evaluation of the Effects of Caregiver Type and Gender , 2016, Current gerontology and geriatrics research.

[10]  R. Cheston,et al.  Attachment and coping of dementia care staff: The role of staff attachment style, geriatric nursing self-efficacy, and approaches to dementia in burnout , 2014, Dementia.

[11]  J. Clément,et al.  Describing perceived stigma against Alzheimer's disease in a general population in France: the STIG‐MA survey , 2013, International journal of geriatric psychiatry.

[12]  E. Engelhardt,et al.  Burnout in familial caregivers of patients with dementia. , 2012, Revista brasileira de psiquiatria.

[13]  J. de Jonge,et al.  The moderating role of decision authority and coworker- and supervisor support on the impact of job demands in nursing homes: a cross-sectional study. , 2012, International journal of nursing studies.

[14]  D. Jolley,et al.  Dementia: stigma and its effects , 2012 .

[15]  J. Heinik,et al.  Family stigma and caregiver burden in Alzheimer's disease. , 2012, The Gerontologist.

[16]  L. Venturato,et al.  Care staff attitudes and experiences of working with older people with dementia , 2011, Australasian journal on ageing.

[17]  J. Heinik,et al.  Development and Validity of the Family Stigma in Alzheimer's Disease Scale (FS-ADS) , 2011, Alzheimer disease and associated disorders.

[18]  S. Andrieu,et al.  Eolving attitudes to Alzheimer’s disease among the general public and caregivers in Europe: Findings from the IMPACT survey , 2010, The journal of nutrition, health & aging.

[19]  A. Milne The ‘D’ word: Reflections on the relationship between stigma, discrimination and dementia , 2010, Journal of mental health.

[20]  I. Stewart,et al.  The Implicit Relational Assessment Procedure (IRAP ) and the Malleability of Ageist Attitudes , 2009 .

[21]  H. van den Bussche,et al.  [Stigma and taboo in dementia care - does continuing education for GPs and nurses contribute to destigmatisation]. , 2009, Zeitschrift fur Gerontologie und Geriatrie.

[22]  W. Holzemer,et al.  HIV Stigma and Nurse Job Satisfaction in Five African Countries , 2009, The Journal of the Association of Nurses in AIDS Care : JANAC.

[23]  M. Stead,et al.  ‘We're still the same people’: developing a mass media campaign to raise awareness and challenge the stigma of dementia , 2007 .

[24]  Patrick W. Corrigan,et al.  Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma , 2005, European Psychiatry.

[25]  H. Wong,et al.  The impact of neuropsychiatric symptoms of dementia on distress in family and professional caregivers in Singapore , 2005, International Psychogeriatrics.

[26]  R. Woods,et al.  Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma , 2005, International journal of geriatric psychiatry.

[27]  S. Watts,et al.  Staff responses to challenging behaviour shown by people with dementia: An application of an attributional-emotional model of helping behaviour , 2005, Aging & mental health.

[28]  S. Iliffe,et al.  Understanding obstacles to the recognition of and response to dementia in different European countries: A modified focus group approach using multinational, multi-disciplinary expert groups , 2005, Aging & mental health.

[29]  G. Livingston,et al.  The effect of education on knowledge and management of elder abuse: a randomized controlled trial. , 2002, Age and ageing.

[30]  I. Hallberg,et al.  Actions seen as demanding in patients with severe dementia during one year of intervention. Comparison with controls. , 2001, International journal of nursing studies.

[31]  T. Kitwood,et al.  The experience of dementia , 1997 .

[32]  S. Jackson,et al.  The Measurement of experienced burnout , 1981 .

[33]  D. Barnes-Holmes,et al.  Implicit attitudes towards children with autism versus normally developing children as predictors of professional burnout and psychopathology. , 2013, Research in developmental disabilities.

[34]  A. Zimber [Workload and stress in caring for the elderly: status of research and research agenda]. , 1998, Zeitschrift fur Gerontologie und Geriatrie.