title: Does training in psychosocial interventions reduce burnout rates in forensic nurses?
abstract: BACKGROUND
  Mental Health Nurses working in secure environments with patients suffering from serious mental illness have been shown to be at risk of clinical burnout syndrome, this can have adverse effects both on the nurses' health and the standards of care that they deliver.
  
  
  OBJECTIVE
  To evaluate the effect of Psychosocial Intervention Training (PSI) on the knowledge, attitudes and levels of clinical burnout in a group of forensic mental health nurses.
  
  
  METHODS
  Baseline assessments of knowledge, attitude and burnout were completed by asking a group of 33 nurses working in a medium secure psychiatric unit to complete questionnaires. Twenty of the nurses volunteered to be included in a PSI training course and were randomly allocated either to receive the training or to a waiting list control group. The duration of the training was 6 months and on completion subjects in the experimental and control group completed the questionnaires again.
  
  
  RESULTS
  Staff in the experimental group showed significant improvements in their knowledge and attitudes about serious mental illness and a significant decrease in burnout rates, whilst staff in the control group showed a small but nonsignificant improvement in knowledge and attitudes, and increase in burnout.
  
  
  CONCLUSIONS
  The findings suggest that providing forensic mental health nurses with a better understanding of serious mental illness and training them in a broader range of interventions, helps them to be more positive in their attitudes towards the clients that they work with and experience less negative effects of stress resulting from their caring role. The implications of this study for clinical practice and future research will be discussed.
authors.affiliation: Scott Clinic, St Helens, Merseyside, UK. paulalorr@yahoo.com
authors.forename: Paula
authors.initials: P
authors.lastname: Ewers
authors.forename: Tim
authors.initials: T
authors.lastname: Bradshaw
authors.forename: John
authors.initials: J
authors.lastname: McGovern
authors.forename: Bob
authors.initials: B
authors.lastname: Ewers
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000145:classification / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology*; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004521:Educational Measurement; D004645:Empathy; D005260:Female; D005554:Forensic Medicine; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008297:Male; D001523:Mental Disorders / Q000451:nursing*; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D015402:Nursing Education Research; D009740:Nursing Staff / Q000193:education* / Q000523:psychology*; D016272:Occupational Health; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000193:education* / Q000379:methods*; D012307:Risk Factors; D011795:Surveys and Questionnaires