1
|
Boamah SA, Olarte-Godoy J, Jack SM, Root F, Halladay JE. Past the tipping point: Understanding and addressing burnout among nursing students. NURSE EDUCATION TODAY 2024; 141:106319. [PMID: 39094221 DOI: 10.1016/j.nedt.2024.106319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 06/13/2024] [Accepted: 07/21/2024] [Indexed: 08/04/2024]
Abstract
Burnout is a widespread concern in healthcare, with nurses bearing a disproportionate burden among healthcare professionals. This epidemic of occupational stress has also affected nursing students, who face the external demands inherent in the profession. In this call-to-action paper, we conducted an extensive literature review exploring strategies aimed at mitigating burnout among nursing students, and offer recommendations for academic institutions, healthcare leaders, research funders, and political leaders, including both the civil service and elected leaders to support the advancement and sustainability of the nursing profession and its workforce.
Collapse
Affiliation(s)
- Sheila A Boamah
- School of Nursing, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, Canada.
| | - Jennifer Olarte-Godoy
- School of Nursing, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, Canada.
| | - Susan M Jack
- School of Nursing, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, Canada.
| | - Faith Root
- School of Nursing, Faculty of Health, York University, 198 York Blvd., HNES 320, North York, ON, Canada.
| | - Jillian E Halladay
- School of Nursing, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, Canada.
| |
Collapse
|
2
|
Abdullah Sharin I, Jinah N, Bakit P, Adnan IK, Zakaria NH, Mohmad S, Ahmad Subki SZ, Zakaria N, Lee KY. Psychoeducational Burnout Intervention for Nurses: Protocol for a Systematic Review. JMIR Res Protoc 2024; 13:e58692. [PMID: 39348680 DOI: 10.2196/58692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 06/18/2024] [Accepted: 07/16/2024] [Indexed: 10/02/2024] Open
Abstract
BACKGROUND Nurses face high levels of stress and emotional exhaustion due to heavy workloads and demanding work environments. Prolonged exposure to these stressors predisposes nurses to burnout, which can adversely affect patient care. Addressing burnout among nurses requires a multifaceted approach, involving both personal and organizational strategies. While organizational strategies target systemic workplace issues, personal interventions are often favored for their ease of implementation, immediate benefits, and empowerment of health care workers through stress management and resilience-building. Prioritizing evidence-based interventions to mitigate burnout among nurses is crucial for managing occupational stress and promoting well-being. Person-directed psychoeducation is an effective personal intervention strategy used to equip nurses with the appropriate knowledge and skills to handle stressors, thereby safeguarding their mental health and ensuring high-quality patient care. OBJECTIVE This protocol proposes a systematic review that aims to identify and assess the effectiveness of person-directed psychoeducational interventions for nurses. The review aims to pinpoint effective interventions that can be implemented to manage burnout and support the mental health of nurses. METHODS This systematic review will follow the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. In total of 5 electronic databases (PubMed-MEDLINE, EBSCOhost, Ovid MEDLINE, Scopus, and ScienceDirect) will be searched for studies published between January 1, 2014, and December 31, 2023. The search will encompass 3 main keywords: "nurses," "burnout intervention," and "burnout." Predefined eligibility criteria will guide the screening process. Data will be extracted to address the objectives of the review. The risk of bias for each study will be assessed using Joanna Briggs Institute Critical Appraisal Tools. RESULTS Preliminary searches have been initiated since February 2024, with the review expected to be completed by June 2024. The expected results will include a comprehensive list of psychoeducational interventions and their effectiveness in reducing burnout among nurses. The review will highlight interventions that demonstrate significant impact in published studies from various countries. CONCLUSIONS Given the rising prevalence of burnout among nurses and its detrimental effects on individuals and health care organizations, the findings from this systematic review are expected to inform health care policy and practice. By evaluating different interventions, it will provide insights into the most effective strategies, contributing to evidence-based practices that support nurses' mental health and well-being. The findings can support stakeholders in developing and implementing targeted strategies to combat nurse burnout, ultimately enhancing the quality of patient care and health care delivery. In addition, the findings will also offer valuable information for researchers, guiding future practice and research in this area. TRIAL REGISTRATION PROSPERO CRD42024505762; https://tinyurl.com/4p84dk3d. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/58692.
Collapse
Affiliation(s)
- Ili Abdullah Sharin
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Norehan Jinah
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Pangie Bakit
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Izzuan Khirman Adnan
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Nor Haniza Zakaria
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Shazwani Mohmad
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Siti Zubaidah Ahmad Subki
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Nursyahda Zakaria
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Kun Yun Lee
- Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia
| |
Collapse
|
3
|
Park JH, Lee NJ, Lee H, Park G. Determinants of clinical nurses' patient safety competence: a systematic review protocol. BMJ Open 2024; 14:e080038. [PMID: 39174057 PMCID: PMC11340706 DOI: 10.1136/bmjopen-2023-080038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 07/25/2024] [Indexed: 08/24/2024] Open
Abstract
INTRODUCTION Patient safety has become a fundamental element of healthcare quality. However, despite the ongoing efforts of various organisations, patient safety issues remain a problem in the healthcare system. Given the crucial role of nurses in the healthcare process, improving patient safety competence among clinical nurses is important. In order to promote patient safety competence, it is essential to identify and strengthen the relevant factors. This protocol is for a systematic review aiming to examine and categorise the factors influencing patient safety competence among clinical nurses. METHODS AND ANALYSIS This review protocol is based on the Joanna Briggs Institute (JBI) Methodology for Systematic Reviews of Effectiveness and Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Four electronic databases, including Ovid-MEDLINE, CINAHL, Cochrane Library and EMBASE, will be used for the systematic review. After consulting with a medical librarian, we designed our search terms to include subject heading terms and related terms in the titles and abstracts. Databases from January 2012 to August 2023 will be searched.Two reviewers will independently conduct the search and extract data including the author(s), country, study design, sample size, clinical setting, clinical experience, tool used to measure patient safety competence and factors affecting patient safety competence. The quality of the included studies will be assessed using the JBI critical appraisal tool. Because heterogeneity of the results is anticipated, the data will be narratively synthesised and divided into two categories: individual and organisational factors. ETHICS AND DISSEMINATION Ethical review is not relevant to this study. The findings will be presented at professional conferences and published in peer-reviewed journals. PROSPERO REGISTRATION NUMBER CRD42023422486.
Collapse
Affiliation(s)
- Jong-Hyuk Park
- Seoul National University College of Nursing, Seoul, Republic of Korea
| | - Nam-Ju Lee
- Seoul National University College of Nursing, Seoul, Republic of Korea
- Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea
| | - Hanseulgi Lee
- Seoul National University College of Nursing, Seoul, Republic of Korea
| | - Gihwan Park
- Seoul National University College of Nursing, Seoul, Republic of Korea
| |
Collapse
|
4
|
Cooper AS. High-Level Burnout in Physicians and Nurses Working in Adult Intensive Care Units. Crit Care Nurse 2024; 44:70-71. [PMID: 39084663 DOI: 10.4037/ccn2024113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2024]
Affiliation(s)
- Adam S Cooper
- Adam S. Cooper is the Director of Nursing Continuous Improvement and Affiliate Nursing Quality and Director of the UCSF JBI Centre for Evidence Implementation, UCSF Health, San Francisco, California. He is also a member of the Cochrane Nursing Care Field
| |
Collapse
|
5
|
Hurtado DA, Boyd J, Madjlesi R, Greenspan SA, Ezekiel-Herrera D, Potgieter G, Hammer LB, Everson T, Lenhart A. The Work-life Check-ins randomized controlled trial: A leader-based adaptive, semi-structured burnout intervention in primary care clinics. Contemp Clin Trials 2024; 143:107609. [PMID: 38878996 DOI: 10.1016/j.cct.2024.107609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 05/16/2024] [Accepted: 06/12/2024] [Indexed: 06/20/2024]
Abstract
BACKGROUND Burnout in primary care undermines worker well-being and patient care. Many factors contribute to burnout, including high workloads, emotional stress, and unsupportive supervisors. Formative evidence suggests that burnout might be reduced if clinic leaders hold quarterly and brief (∼30 min) one-on-one check-ins with team members to acknowledge and address work-life stressors (e.g., schedules, workflow breakdowns, time off requests). This paper describes the intervention protocol for a randomized controlled trial (RCT) designed to evaluate the effectiveness and process of the check-ins in reducing burnout among primary care professionals. METHODS Two-arm RCT conducted at 12 primary care clinics of a healthcare system in the Pacific Northwest. Six clinics received an adaptive design, semi-structured intervention, including predefined training modules with evidence-based tactics to reduce burnout through the check-ins, followed by clinic-specific feedback sessions prior to offering and conducting quarterly leader-employee check-ins. Six clinics were randomized as waitlist controls. Burnout was measured using the Maslach Burnout Inventory (MBI) at baseline and at the 12-month follow-up. Secondary outcomes include organizational constraints, psychological safety, and supervisor support. Multilevel modeling and qualitative methods were applied to evaluate the effects and process of the intervention. CONCLUSION By focusing on modifiable work-life factors such as stressors and supervisor support, the check-ins intervention aims to reduce burnout rates among primary care professionals. Findings from this trial will shed light on the conditions upon which check-ins might reduce burnout. Results will also inform policies and interventions aimed at improving mental health and well-being in primary care settings. CLINICALTRIALS gov: ID NCT05436548.
Collapse
Affiliation(s)
- David A Hurtado
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America; OHSU-PSU School of Public Health, United States of America.
| | - Jacqueline Boyd
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America
| | - Rachel Madjlesi
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America
| | - Samuel A Greenspan
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America
| | - David Ezekiel-Herrera
- Department of Family Medicine, Oregon Health & Science University, United States of America
| | - Gideon Potgieter
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America
| | - Leslie B Hammer
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America
| | - Teresa Everson
- Multnomah County Health Department, United States of America
| | - Abigail Lenhart
- Department of General Internal Medicine and Geriatrics, Oregon Health & Science University, United States of America
| |
Collapse
|
6
|
Shoker D, Desmet L, Ledoux N, Héron A. Effects of standardized mindfulness programs on burnout: a systematic review and original analysis from randomized controlled trials. Front Public Health 2024; 12:1381373. [PMID: 38841654 PMCID: PMC11151852 DOI: 10.3389/fpubh.2024.1381373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Accepted: 04/15/2024] [Indexed: 06/07/2024] Open
Abstract
According to the World Health Organization (WHO), burnout is a syndrome conceptualized as resulting from chronic occupational stress that has not been successfully managed. It is characterized by emotional exhaustion, cynicism toward work, and a lack of personal accomplishment at work. Recent WHO guidelines on mental health suggest that mindfulness could have beneficial effects in a professional environment, but to the best of our knowledge, there is currently no study that has made a large inventory of research focused specifically on the effects of standardized programs on burnout. Which professional populations have already been studied? What are the characteristics of the programs? Have studies shown a significant effect and on what indicator? Objective To assess the effects of standardized programs of mindfulness on burnout, we carried out a systematic review using an exhaustive inventory of the international literature based on randomized controlled trials (RCTs). Methods The articles were selected according to PRISMA recommendations. The Embase, PubMed/MEDLINE, EBSCOhost, HAL databases were searched with the keywords "mindfulness," "burnout," and "randomized" in the title and abstract of each article. The data were all collected in an Excel spreadsheet and analyzed in pivot tables, which were then presented in graphs and maps. Results A total of 49 RCTs were thus selected, the majority of which were of good methodological quality, of American origin (43% of studies), concerned professionals in the health sector (64% of participants included), and mostly women (76%). The RCTs assessed the effects of 31 different mindfulness programs, mostly with the Maslach Burnout Inventory (78% of RCTs). More than two-thirds of RCTs (67%) showed a significant beneficial effect on burnout measurement indicators, with emotional exhaustion being the most impacted component. Conclusion This systematic review shows that mindfulness-based interventions could be approaches of choice to prevent emotional distress of burnout. Further studies are still needed to determine which type of program is best suited to impact the two other components of burnout.
Collapse
Affiliation(s)
- Dyna Shoker
- Unité de Recherche Clinique ARC EN CIEL UF657-Centre Hospitalier Victor Jousselin-GHT HOPE Les Hôpitaux Publics Euréliens, Dreux, France
- Cabinet médical de la gare de Nyon, Nyon, Switzerland
| | - Laura Desmet
- Unité de Recherche Clinique ARC EN CIEL UF657-Centre Hospitalier Victor Jousselin-GHT HOPE Les Hôpitaux Publics Euréliens, Dreux, France
| | - Nelly Ledoux
- Unité de Recherche Clinique ARC EN CIEL UF657-Centre Hospitalier Victor Jousselin-GHT HOPE Les Hôpitaux Publics Euréliens, Dreux, France
| | - Anne Héron
- Unité de Recherche Clinique ARC EN CIEL UF657-Centre Hospitalier Victor Jousselin-GHT HOPE Les Hôpitaux Publics Euréliens, Dreux, France
- Faculté de Santé - Pharmacie, Université Paris Cité, Paris, France
| |
Collapse
|
7
|
Cunningham T, Gonzalez-Guarda RM. Burned Out on Burnout-The Urgency of Equity-Minded Structural Approaches to Support Nurses. JAMA HEALTH FORUM 2023; 4:e235249. [PMID: 38095879 DOI: 10.1001/jamahealthforum.2023.5249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Abstract
This JAMA Forum discusses a health equity framework to address burnout and professional fulfillment among nurses.
Collapse
Affiliation(s)
- Tim Cunningham
- Woodruff Health Sciences Center, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia
| | | |
Collapse
|
8
|
Murali KP, Brody AA, Stimpfel AW. Nurses, Psychological Distress, and Burnout: Is There an App for That? Ann Am Thorac Soc 2023; 20:1404-1405. [PMID: 37772942 PMCID: PMC10559133 DOI: 10.1513/annalsats.202307-629ed] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2023] Open
Affiliation(s)
- Komal Patel Murali
- New York University Rory Meyers College of Nursing, New York, New York; and
| | - Abraham A Brody
- New York University Rory Meyers College of Nursing, New York, New York; and
- New York University Grossman School of Medicine, New York, New York
| | | |
Collapse
|