Work stress among community psychiatric nurses

This article examines the findings of a research study on the levels and sources of stress among 60 community psychiatric nurses (CPNs) from six health authorities in the midlands area. This three-way comparative study explores the stress levels experienced by CPNs working with primary clients. The hypothesis that higher levels of stress is experienced by CPNs working with the severely mentally ill is supported. The stress levels experienced did appear to vary with the type of clients catered for. Using a questionnaire designed to measure individual variables, CPNs working with the severely mentally ill reported higher caseloads, less training, lack of respect and understanding of their role by others and the need for more supervision and support. Forty per cent of CPNs were found to be stressed according to the General Health Questionnaire (GHQ 28). While there is debate about where CPNs should focus their interventions and which clients should be prioritized, it appears that working with the severely mentally ill is less attractive and more stressful to CPNs. The results and suggestions for further research are highlighted in this article.