A Mindfulness-Based Cognitive Therapy (MBCT) Intervention to Improve Resilience and Mitigate Symptoms of Burnout Syndrome in Critical Care Nurses: Results of a Randomized Trial

Background Job stress and cumulative exposure to traumatic events experienced by critical care nurses can lead to psychological distress and the development of burnout syndrome and posttraumatic stress disorder. Resilience can mitigate symptoms associated with these conditions. Objective To identify factors that affect resilience and to determine if the factors have direct or indirect effects on resilience in development of posttraumatic stress disorder. Methods Data from 744 respondents to a survey mailed to 3500 critical care nurses who were members of the American Association of Critical-Care Nurses were analyzed. Mplus was used to analyze a mediation model. Results Nurses who worked in any type of intensive care unit other than the medical unit and had high scores for resilience were 18% to 50% less likely to experience post-traumatic stress disorder than were nurses with low scores. Nurses with a graduate degree in nursing were 18% more likely to experience posttraumatic stress disorder than were nurses with a bachelor’s degree. Conclusion Because of their effects on resilience, working in a medical intensive care unit and having a graduate degree may influence the development of posttraumatic stress disorder. Future research is needed to better understand the impact of resilience on health care organizations, development of preventive therapies and treatment of posttraumatic stress disorder for critical care nurses, and the most appropriate mechanism to disseminate and implement strategies to address posttraumatic stress disorder.

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Exploratory and Confirmatory Factor Analysis of the Maslach Burnout Inventory to Measure Burnout Syndrome in Critical Care Nurses

Journal of Nursing Measurement ◽

10.1891/jnm-d-18-00055 ◽

2020 ◽

Vol 28 (1) ◽

pp. E18-E29

Author(s):

Alexander Schneider ◽

Jeri E. Forster ◽

Meredith Mealer

Keyword(s):

Factor Analysis ◽

Critical Care ◽

Confirmatory Factor Analysis ◽

Exploratory Factor Analysis ◽

Factor Model ◽

Maslach Burnout Inventory ◽

The United States ◽

Critical Care Nurses ◽

Burnout Syndrome ◽

Confirmatory Factor

Background and PurposeBurnout syndrome is common in critical care nursing. The Critical Care Societies Collaborative recently released a joint statement and call to action on burnout in critical care professionals.MethodsWe conducted an exploratory factor analysis and confirmatory factor analysis (CFA) of the 22-item MBI.ResultsThe exploratory factor analysis identified three factors but after questions were removed; we were left with a 2-factor, 10-item abridged version of the MBI-HSS to test with CFA modeling. The CFA indicated conflicting fit indices.Conclusionswe conducted an exploratory and CFA of the abridged MBI-HSS in critical care nurses from the United States and found the two-factor model was the best fit achieved.

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LEVELS OF BURNOUT SYNDROME IN CROATIAN CRITICAL CARE NURSES: A CROSS-SECTIONAL STUDY

10.31219/osf.io/xdeyh ◽

2020 ◽

Author(s):

Adriano Friganović ◽

Polona Selič

Keyword(s):

Critical Care ◽

Emotional Exhaustion ◽

Healthcare Workers ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Critical Care Nurses ◽

Burnout Syndrome ◽

Sectional Study ◽

Cross Sectional ◽

High Dependency

Background: Burnout syndrome occurs in people who work in jobs which involve frequent and intense contact with people, especially healthcare workers. High dependency departments such as critical care units are very stressful environments, and this can lead to a greater incidence of burnout, especially of emotional exhaustion and poor personal accomplishment. Nurses are the largest group of healthcare workers, and so it is reasonable to expect they would have a high prevalence of burnout.Subjects and methods: The aim of this study was to assess the prevalence of burnout in critical care nurses in Croatia and explore its association with demographic features. A cross-sectional study of 620 nurses was conducted in several university hospitals, using convenience sampling. The Maslach Burnout Inventory was administered, together with questions about the sociodemographic and work characteristics of the participants (age, gender, length of work in ICU, education, type of ICU).Results: The majority of the sample were female nursing staff (87.7%), aged 26-35 (38.9%). The results showed that approximately every fifth nurse (22.1%) expressed a high emotional exhaustion (EE), with lesser burden of a high depersonalisation (D) in 7.9%, yet every third nurse (34.5%) scored low on PA. Male nurses reported more depersonalisation (p=0.045), yet neither EE nor the PA dimensions differed by gender.Conclusion: The results of this study concerning burnout are comparable to those of studies of other professions, but the results vary with regard to the sample and the working conditions of the countries.

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Effects of Stress on Critical Care Nurses: A National Cross-Sectional Study

Journal of Intensive Care Medicine ◽

10.1177/0885066617696853 ◽

2017 ◽

Vol 34 (4) ◽

pp. 311-322 ◽

Cited By ~ 11

Author(s):

Amir Vahedian-Azimi ◽

Mohammadreza Hajiesmaeili ◽

Mari Kangasniemi ◽

Joana Fornés-Vives ◽

Rita L. Hunsucker ◽

...

Keyword(s):

Intensive Care Unit ◽

Critical Care ◽

Intensive Care ◽

Critical Care Nurses ◽

Peer Collaboration ◽

Burnout Syndrome ◽

Survey Method ◽

Post Traumatic Stress ◽

Cross Sectional ◽

Stress Levels

Background: Health care is a demanding field, with a high level of responsibility and exposure to emotional and physical danger. High levels of stress may result in depression, anxiety, burnout syndrome, and in extreme cases, post-traumatic stress disorder. The aim of this study was to determine which personal, professional, and organizational variables are associated with greater perceived stress among critical care nurses for purposes of developing integrative solutions to decrease stress in the future. Methods: We conducted a correlation research survey using a cross-sectional design and an in-person survey method. The questionnaire consisted of 2 parts: (1) socioeconomic, professional, and institutional variables and (2) work stressors. Surveys were conducted between January 1, 2011, and December 1, 2015. Multistage cluster random sampling was utilized for data collection. Inclusion criteria were (1) age ≥18 years, (2) registered nurse, (3) works in the intensive care unit (ICU), and (4) willing and able to complete the survey. Results: We surveyed 21 767 ICU nurses in Iran and found that male sex, lower levels of peer collaboration, working with a supervisor in the unit, nurse–patient ratios, and working in a surgical ICU were positively associated with greater stress levels. Increasing age and married status were negatively associated with stress. Intensive care unit type (semi-closed vs open), ICU bed number, shift time, working on holidays, education level, and demographic factors including body mass index, and number of children were not significantly associated with stress levels. Conclusion: As the largest study of its kind, these findings support those found in various European, North, and South American studies. Efforts to decrease workplace stress of ICU nurses by focusing on facilitating peer collaboration, improving resource availability, and staffing ratios are likely to show the greatest impact on stress levels.

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Where to Look for a Remedy? Burnout Syndrome and Its Associations with Coping and Job Satisfaction in Critical Care Nurses—A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084390 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4390

Author(s):

Adriano Friganović ◽

Polona Selič

Keyword(s):

Job Satisfaction ◽

Critical Care ◽

Essential Element ◽

Maslach Burnout Inventory ◽

Coping Mechanisms ◽

Critical Care Nurses ◽

Burnout Syndrome ◽

Cross Sectional ◽

Passive Coping ◽

Convenience Sample

Background: Burnout is a psychological, work-related syndrome associated with long-term exposure to emotional and interpersonal stressors in the workplace. Burnout syndrome in nurses is often caused by an imbalance between work requirements and preparation and fitness for work, a lack of control, insufficient performance recognition and a prolonged exposure to stress. Aim: The aims of this study were to explore the associations between levels of burnout syndrome, coping mechanisms and job satisfaction in critical care nurses in multivariate modelling process. A specific aim was also to explore whether coping and job satisfaction in critical care nurses are gender related. Methods: A cross-sectional multicentre study was conducted in a convenience sample of 620 critical care nurses from five university hospitals in Croatia in 2017. The data were collected using the Maslach Burnout Inventory and the Ways of Coping and Job Satisfaction Scale together with the nurses’ demographic profiles and were analysed using a multivariable model. Results: The results showed no significant association between gender, coping mechanisms and job satisfaction. However, significant negative associations between burnout and job satisfaction (OR = 0.01, 95%CI = 0.00–0.02, p < 0.001) and positive association between burnout and passive coping (OR = 9.93, 95%CI = 4.01–24.61, p < 0.001) were found. Conclusion: The association between job satisfaction and burnout in nurses urges hospital management teams to consider actions focused on job satisfaction, probably modifications of the work environment. Given that passive coping may increase the incidence of burnout, it is recommendable for active coping to be implemented in nurses’ training programmes as an essential element of capacity building aimed at reducing the incidence of burnout in nurses.

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The relationship between experiential avoidance and burnout syndrome in critical care nurses: A cross-sectional questionnaire survey

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2009.06.014 ◽

2010 ◽

Vol 47 (1) ◽

pp. 30-37 ◽

Cited By ~ 59

Author(s):

Marta Elena Losa Iglesias ◽

Ricardo Becerro de Bengoa Vallejo ◽

Paloma Salvadores Fuentes

Keyword(s):

Critical Care ◽

Experiential Avoidance ◽

Questionnaire Survey ◽

Critical Care Nurses ◽

Burnout Syndrome ◽

Cross Sectional ◽

The Relationship

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The prevalence of burnout syndrome among critical care nurses in a tertiary hospital in Pahang, Malaysia

Enfermería Clínica ◽

10.1016/j.enfcli.2020.09.023 ◽

2021 ◽

Vol 31 ◽

pp. S334-S338

Author(s):

Norizumie Mahamud ◽

Salizar Mohamed Ludin

Keyword(s):

Critical Care ◽

Tertiary Hospital ◽

Critical Care Nurses ◽

Burnout Syndrome

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Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/2456 ◽

2018 ◽

Vol 20 (1) ◽

Author(s):

Thusile Mabel Gqaleni ◽

Busisiwe Rosemary Bhengu

Keyword(s):

South Africa ◽

Critical Care ◽

Adverse Events ◽

Patient Care ◽

Family Involvement ◽

Reporting System ◽

Legal Framework ◽

Critical Care Nurses ◽

Kwazulu Natal ◽

Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

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