Mindfulness Bundle Impact on Nurse Burnout Study
texas; covenant; covid-19
Nurse burnout is a widespread problem globally. Nurse burnout is not only exacerbating nurses’ physical and mental health, but also affects patient satisfaction as well as hospital performance. Due to negative outcomes of nurse burnout, high turnover rates, and excessive costs of hiring nurses, there is a growing body of literature about factors leading to burnout and interventions to control and reduce nurse burnout. Nurses working in Intensive Care Units (ICU) designated for SARS-CoV-2 infected patients during the height of the 2020 pandemic reported experiencing higher than usual levels of emotional exhaustion (EE), depersonalization (DP), physiological signs of stress and exhaustion, and lower levels of personal accomplishment (PA). Researchers observed changes in frontline nurse work patterns, mental and emotional health, and verbalization of frustrations and helplessness. Current literature does not have a definitive solution to combat individual burnout. The purpose of this study is to test the effectiveness of a mindfulness bundle toolkit on nurse EE, DP, PA, Nurse Work Index (NWI) and Stress Arousal Checklist (SACL) scores in nurses working in critical care units designated for the care of SARS-CoV-2 patients.
A quantitative quasi-experimental repeated measures design was utilized in this IRB approved study. Study participants consisted of (N = 52) a convenient sample of front-line registered nurses caring for SARS-CoV-2 patients. Study participants were provided a mindfulness bundle toolkit with aims to decrease burnout over a twelve-week period by developing skills to manage clinical stress and improve their overall health. Interventions included approximately 1 – 1.5 hours per week of intervention including mindfulness, spirituality training, music therapy, resilience, yoga, and therapeutic rooms. Data was collected at three time periods from study participants: pre-intervention, six-weeks post intervention, and twelve-weeks post intervention using the Maslach Burnout Inventory (MBI), NWI, and SACL. Data was entered into SPSS version 27. Descriptive analysis was conducted on all study variables. Normality was examined for interval-level dependent variables. A one-way repeated measures analysis of variance (ANOVA) was conducted to determine the effects of the mindfulness bundle on EE, PA, DP, NWI, Stress and Arousal scores.
The results of the analysis indicated a statistically significant effect from the mindfulness bundle on front-line nurses in three areas pertaining to burnout: Emotional Exhaustion, Wilks’ Lambda = .657, F(1, 41) = 19.02, p < .005, η2 = .31; Depersonalization, Wilks’ Lambda = .704, F(1, 41) = 7.93, p < .007, η2 = .16; and Stress, Wilks’ Lambda = .81, F(1, 41) = 8.81, p < .005, η2 = .17.
Significant effects were not found from the mindfulness bundle on the measures of Personal Accomplishment, NWI and Arousal scores. Study findings in this population suggest the use of a 12-week mindfulness bundle is an effective intervention to mitigate emotional exhaustion, depersonalization and stress linked to burnout in critical care nurses caring for SARS-CoV-2 patients. Replication of the intervention with a larger, randomized sample of nurses is recommended.
Gisele N Bazan, BSN, RN, CCRN-K, Jamie K Roney DNP, RN, NPD-BC, CCRN-K, Kelsey Sawyer BSN, RN, CCRN, NPD-BC, Tiffany Patterson BSN, RNC-NIC, Michelle Bradberry BSN, RN, CCRN, Deborah Wambui Kamau MSN, RN, FNP-BC, Cynthia Grissman BSN, RN, NE-BC, Sahar Mihandoust PhD, MArch,C Randall Stennett DNP, RN, NPD-BC, CHSE, JoAnn D Long PhD, RN, NEA-BC
Bazan, Gisele Nicole; Roney, Jamie; Sawyer, Kelsey; Patterson, Tiffany; Bradberry, Michelle; Kamau, Deborah Wambui; Grissman, Cynthia L.; Mihandoust, Sahar; Stennett, Randall; and Long, JoAnn D., "Mindfulness Bundle Impact on Nurse Burnout Study" (2022). Articles, Abstracts, and Reports. 5906.