BURNOUT A phenomenon in which the cumulative effects of a stressful work environment gradually overwhelm the defenses of a person, forcing them to withdraw psychologically. MINDFULNESS-BASED STRESS REDUCTION (MBSR) Developed in 1979 by Jon Kabat-Zinn Teaches participants to become more aware of thoughts, feelings and body sensations, while approaching these internal states with a nonjudgmental curiosity Allows for greater awareness of the present moment Helps cultivate adaptive ways of responding to stress, rather than habitual and maladaptive reactions
(Duarte & Pinto-Gouveia, 2016)
RESEARCH QUESTION Would teaching MBSR techniques to nurses decrease burnout?
Photo credit: americannursetoday.com
RELEVANCE TO NURSING Conditions such as increased documentation, extended hours, staffing shortages, and a lack of relaxing environments contribute to significant amounts of stress for nurses (Duarte & Pinto-Gouveia, 2016; Gauthier, Meyer, Grefe, & Gold, 2015) RESEARCH FINDINGS Newsome, Waldo, & Gruszka (2012) results showed that MBSR group work increased self-compassion and mindfulness and reduced stress. Raab, Sogge, Parker, & Flament (2015) examined an intervention on Mental Health professionals. Results showed that MBSR training significantly improved self-compassion. Duarte & Pinto-Gouveia (2016) examined a group meeting on the principles of mindfulness for oncology nurses. Results showed a decrease in stress, burnout, experiential avoidance, and compassion fatigue while increased self-compassion, mindfulness, and life satisfaction. Gauthier, Meyer, Grefe, & Gold (2015) examined a short group mindfulness meditation led by a Zen Buddhist monk for 30 days for PICU nurses. Results showed a positive correlation between self-compassion and mindfulness and a negative correlation between mindfulness and stress, and self-compassion and stress. Hevezi (2016) examined whether short self study meditation interventions (less than 10 minutes) decreased compassion fatigue while improving compassion. A paired t-test showed an increase in Compassion Satisfaction (CS) and decreases in Secondary traumatic stress (STS) and burnout. IMPLEMENTATION Group 6 weekly 90 minute classes 8 weekly 2.5 hour long classes 6 weekly 2 hour instruction 5 minute instruction Individual Study on own time (less than 10 minutes) Busy schedules BARRIERS TO Lack of motivation IMPLEMENTATION Staff misunderstanding STUDY LIMITATIONS & RECOMMENDATIONS Study Limitations Lack of control groups Use of Self-report questionnaires Nonrandomized Small Sample Recommendations Future efforts should focus on improving interventions that increase self-care/compassion through mindfulness-based techniques and the most effective way to implement. Determine whether short or individual meditations are effective Self-care and self- compassion are Self-compassion can effective for be cultivated through decreasing the MBSR burnout risk
CONCLUSION MEDITATION
10 session free trial
on the basics of meditation Can do 3-10 minutes a day Photo credit: headspace.com REFERENCES Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses burnout and compassion fatigue symptoms: A non-randomized study. International Journal of Nursing Studies, 64, 98-107. doi:10.1016/j.ijnurstu.2016.10.002 Gauthier, T., Meyer, R. M., Grefe, D., & Gold, J. I. (2015). An on-the-job mindfulness-based intervention for pediatric ICU nurses: A pilot. Journal of Pediatric Nursing, 30(2), 402-409. doi:10.1016/j.pedn.2014.10.005 Hevezi, J. A. (2016). Evaluation of a meditation intervention to reduce the effects of stressors associated with compassion fatigue among nurses. Journal of Holistic Nursing, 34(4), 343- 350. doi:10.1177/0898010115615981 Newsome, S., Waldo, M., & Gruszka, C. (2012). Mindfulness group work: Preventing stress and increasing self-compassion among helping professionals in training. Journal for Specialists in Group Work, 37(4), 297-311. doi:10.1080/01933922.2012.690832 Raab, K., Sogge, K., Parker, N., & Flament, M. F. (2015). Mindfulness-based stress reduction and self-compassion among mental healthcare professionals: A pilot study. Mental Health, Religion & Culture, 18(6), 503-512. doi:10.1080/13674676.2015.1081588