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Compassion fatigue is a phenomenon commonly experienced by nurses. The cumulative emotional burden of caring for critically ill patients and their families, coupled with the increasing complexity of the health care practice environment, significantly drives the experience of compassion fatigue. Compassion fatigue can negatively impact nurses’ physical and emotional well-being. If left unaddressed, compassion fatigue can lead to burnout among nurses. Burnout has been correlated to increased patient mortality, increased infection rates, and decreased patient satisfaction. In addition, it causes nurses to leave the nursing profession. Opportunities for nursing renewal, coupled with a leadership culture that values renewal practices, could combat the negative effects of compassion fatigue. A Center for Nursing Renewal was created at the Hospital of the University of Pennsylvania in Philadelphia, Pennsylvania, to provide a variety of renewal opportunities for nurses. This center is supported by a nursing culture that recognizes the ill effects of compassion fatigue and promotes wellness and renewal practices among nurses. [ABSTRACT FROM AUTHOR]

The purpose of this pilot study was to identify and describe work-related emotional stressors that impact the well-being of nurses working in hemodialysis units and to identify their coping techniques. The literature shows that constant exposure to stressors induces emotional conflict and ambiguity, which results in the use of coping techniques to balance well-being. Nineteen participants from six hemodialysis centers completed the Ways of Coping Questionnaire, a 66-item survey based on a four-point scale. Mean and standard deviations were conducted on eight coping techniques. Findings revealed that participants most frequently used ways of coping were planful problem solving (M = 17.66), followed by self-controlling (M = 15.29), positive appraisal (M=14.93), and seeking social support (M = 14.49) when dealing with work-related stressors. [ABSTRACT FROM AUTHOR]

Purpose To determine the effect of hospital work environments on hospital outcomes across multiple countries. Design Primary survey data using a common instrument were collected from separate cross sections of 98 116 bedside care nurses practising in 1406 hospitals in 9 countries between 1999 and 2009. Main Outcome Measures Nurse burnout and job dissatisfaction, patient readiness for hospital discharge and quality of patient care. Results High nurse burnout was found in hospitals in all countries except Germany, and ranged from roughly a third of nurses to about 60% of nurses in South Korea and Japan. Job dissatisfaction among nurses was close to 20% in most countries and as high as 60% in Japan. Close to half or more of nurses in every country lacked confidence that patients could care for themselves following discharge. Quality-of-care rated as fair or poor varied from 11% in Canada to 68% in South Korea. Between one-quarter and one-third of hospitals in each country were judged to have poor work environments. Working in a hospital with a better work environment was associated with significantly lower odds of nurse burnout and job dissatisfaction and with better quality-of-care outcomes. Conclusions Poor hospital work environments are common and are associated with negative outcomes for nurses and quality of care. Improving work environments holds promise for nurse retention and better quality of patient care. [ABSTRACT FROM PUBLISHER]

Introduction: Researchers' interest in occupational burnout results primarily from the dangerous and extensive consequences of this phenomenon. The aim of the study was to analyze the level of occupational burnout among nurses and doctors in operating theaters. Materials and Methods: A cross-sectional survey study conducted on 325 nurses and doctors of seven hospitals in Poland. The Maslach Burnout Inventory (MBI) and the Areas of Worklife Survey (AWS) by Michael Leiter and Christina Maslach. Results: The mean values for the level of occupational burnout for the entire sample according to the scale from the Maslach Burnout Inventory by C. Maslach amounted to 14.35 for emotional exhaustion, 8.56 for depersonalization, and 11.90 for personal accomplishment; when compared to reference levels, they classified emotional exhaustion at a low level, depersonalization at an average level, and personal accomplishment at a high level of burnout. Areas of work life are predictors of occupational burnout. The analysis showed a relationship between three of the six variables. As the workload increased, so did the level of burnout among participants, and the categories of honesty and values. Conclusions: The conducted research has shown that occupational burnout among nurses and doctors in operating theaters occurs in all dimensions of this phenomenon (emotional exhaustion, depersonalization, job satisfaction). It was also shown that the areas of work life (workload, control, community, rewards, fairness, values) are predictors of occupational burnout among the respondents. This article shows how important the problem of burnout among operating theater medical staff is. Perhaps it will allow nurses and doctors to recognize this syndrome and encourage them make changes to their work to prevent burnout. [ABSTRACT FROM AUTHOR]

The article explores the detrimental effects of nurse burnout and stress in a neonatal intensive care unit (NICU) on neonatal care. The causes of burnout include high levels of psychologic and physical stress. The consequences of burnout include sleeplessness, headaches and muscle tension. Among the solutions to nurse burnout are rewards, compensation, and support from physicians.

Burnout is a unique type of stress syndrome that is pervasively affecting the nursing profession. The literature on burnout is reviewed, and a conceptual framework using Maslach's Burnout Inventory is provided. The culture of organizations is examined with regard to its contribution to the antecedents and consequences of burnout. Leininger's cultural care theory and its relevance to the concept of burnout and culture is discussed. Implications for the amelioration of burnout from the perspective of culture are discussed to stimulate future changes in nursing administration, practice, and education. A culture of trust, support, open communication, and respect can foster healthy work environments and protect against burnout. [ABSTRACT FROM AUTHOR]

The purpose of this study was to determine whether resiliency activities, compiled into a practice playbook designed for implementation by nurse leaders and self-initiation by clinical nurses, improves resilience in both the nurse leaders and direct care nurses who implement them. Evidence indicates strengthening nurse resilience increases well-being, protects against burnout, improves retention and increases patient safety. A resilience playbook was assembled to include stress-reduction activities. Resilience was measured at baseline and after two phases during which participants engaged in leader-led and self-initiated activities. The Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience. A total of 118 nurses completed both phases; 17 leaders and 101 clinical nurses. A significant increase in mean CD-RISC scores was detected among those who participated in self-initiated activities (p = 0.01). Initiating or participating in leader-led activities did not positively impact resilience scores. Further, clinical nurses who participated in leader-led activities were not more likely to participate in self-initiated activities. This study supports self-initiated resilience-strengthening activities as beneficial to nurses, but not leader-led initiatives. These results are especially important for nursing leaders as they strive to reduce burnout, improve nurse retention and achieve exceptional practice quality. • Resilience is a skill that can be learned and strengthened by individual commitment to self-care. • The power of the individual nurse to strengthen their resilience through simple, meaningful activities is evident. • Leader-led activities are beneficial, but not necessarily needed for nurses to increase their resilience. • Organizations can support development of resilience by providing access to activities via an online playbook. [ABSTRACT FROM AUTHOR]

Nursing professionals are constantly exposed to several risk factors and high levels of stress that can affect their mental, emotional, and physical health, which can trigger burnout syndrome. This article aims to use bibliometric analysis to investigate burnout research trends among nursing professionals worldwide and to compare the contributions of different countries/institutions, scientific journals, authors, keywords, and citations. A bibliometric study was performed using the Scopus and Web of Science databases, in the period up to November 2021, aiming to search original and review articles in the English language regarding burnout in nursing professionals. The analysis was performed with a sample of 1406 articles. The most cited article indicated that 43% of nurses had high burnout scores, and a similar percentage were dissatisfied with their work. The most productive and most cited country in the world was the United States of America. Regarding the 10 most cited documents, there were no studies that could provide interventions to reduce burnout in nursing professionals, which can result in a need to develop studies on prevention capable of mitigating the problem, in view of the impacts generated on their mental, emotional, and physical health. [ABSTRACT FROM AUTHOR]

(1) Background. In caretaking professions, attachment style and mentalization capacities are essential factors for establishing an effective caretaker–patient relationship and for buffering burnout. While attachment avoidance and dependency are considered risk factors for burnout, impairment in mentalization capacity is associated with psychological distress and ineffective emotion regulation. (2) Objective: Evaluating the attachment style and mentalization capacity in nurse professionals and nursing students. We further investigated the impact of these factors on burnout in professional nurses. (3) Method: 94 nursing students and 94 controls and 34 professional nurses completed the Attachment Style Questionnaire (ASQ) and the Reflective Functioning Questionnaire (RFQ). For professional nurses, the Maslach's Burnout Inventory (MBI) was also administered. (4) Results: Nursing students exhibited lower scores in secure attachment and higher scores in anxiety over relationships compared to controls while no difference in mentalization capacity was found between both groups. Importantly, attachment anxiety resulted a significant predictor of burnout in professional nurses. (5) Conclusions: Nursing students might compensate their attachment insecurity with high mentalization. Attachment security may play a protective role against burnout in the professional nurses. Education programs aimed at enhancing mentalizing abilities might facilitate nursing students' entrance in the forthcoming clinical environment and practice. Implementing training strategies based on attachment theory may contribute to burnout prevention in nurse professionals. [ABSTRACT FROM AUTHOR]

Burnout syndrome has been defined as a state of chronic stress characterized by high levels of emotional exhaustion and depersonalization with low levels of professional efficacy. The effects of nurse burnout include poor job satisfaction and turnover. Nurses' physical and mental well-being are both essential to sustaining a healthy nursing workforce with factors such as an empowering work environment showing positive effects on reducing burnout. Formal and informal individual and organizational approaches to supporting novice nurses' transition and experienced nurses' sustained practice fulfillment are key to addressing burnout and fostering retention., Competing Interests: Disclosure The authors have nothing to disclose., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Objective: Emergency clinicians face elevated rates of burnout that result in poor outcomes for clinicians, patients, and health systems. The objective of this single-arm pilot study was to evaluate the feasibility of a Transcendental Meditation (TM) intervention for emergency clinicians during the coronavirus disease 2019 (COVID-19) pandemic and to explore the potential effectiveness in improving burnout, sleep, and psychological health., Methods: Emergency clinicians (physicians, nurses, and physician-assistants) from 2 urban hospitals were recruited to participate in TM instruction (8 individual or group in-person and remote sessions) for 3 months. Session attendance was the primary feasibility outcome (prespecified as attending 6/8 sessions), and burnout was the primary clinical outcome. Participant-reported measures of feasibility and validated measures of burnout, depression, anxiety, sleep disturbance, and stress were collected at baseline and the 1-month and 3-month follow-ups. Descriptive statistics and linear mixed-effects models were used., Results: Of the 14 physicians (46%), 7 nurses (22%), and 10 physician-assistants (32%) who participated, 61% were female ( n  = 19/32). TM training and at-home meditation practice was feasible for clinicians as 90.6% ( n  = 29/32) attended 6/8 training sessions and 80.6% self-reported meditating at least once a day on average. Participants demonstrated significant reductions in burnout ( P  < .05; effect sizes, Cohen's d  = 0.43-0.45) and in symptoms of depression, anxiety, stress, and sleep disturbance ( P values < .001; Cohen's d  = 0.70-0.87)., Conclusion: TM training was feasible for emergency clinicians during the COVID-19 pandemic and led to significant reductions in burnout and psychological symptoms. TM is a safe and effective meditation tool to improve clinicians' well-being., Competing Interests: Desiree Azizoddin receives funding from the David Lynch Foundation, NIH‐NCI, and the National Palliative Care Research Center Kornfeld Scholars Award. Peter R. Chai is funded by NIH K23DA044874, R44DA051106, DARPA HR001120S0041, eink corporation, Hans and Mavis Lopater Psychosocial Foundation and the Bill and Melinda Gates Foundation. Dr. Chai has a financial interest in Biobot Analytics, a company engaged in the collection and analysis of wastewater to develop epidemiological data. Dr. Chai's interests were reviewed and are managed by Brigham and Women's Hospital and Mass General Brigham in accordance with their conflict of interest policies. The other authors have no conflicts of interest to report., (© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.)

In Europe 20% of the working population is somehow involved in shift work. Studies show that it can have a negative impact on workers' health and well-being, with direct consequences on performance and efficiency [1]. Nurses are among health professionals with a higher risk of burnout [2], which can negatively affect their alertness, attention and concentration, with direct consequences on patient's health [3]. The aim of this study is to identify relevant factors regarding the impact of shift work in nurses' health and well-being. This study is a literature review which consists of a narrative and comprehensive analysis of the literature [4]. Articles were search in the following databases: Academic Google, Scientific Electronic Library Onine (SciELO) and EBSCO Host. Keywords were defined according to the acronym PCC (Population, Concept, Context): P: nurs*; C: burnout; C: shift work*). Inclusion criteria were: articles in Portuguese and English, available in full-text, published between 2013 and 2018. The review was conducted in parallel by two independent researchers. 10 articles were selected for final review. Data were extracted and synthesised using an information systematisation table. The articles allowed to identify the impact of shift work on nurses physical (interrupts the circadian rhythm, affects sleep quality, causes fatigue, gastrointestinal, neuropsychological, cardiovascular, and musculoskeletal disorders), mental (depersonalization, cynicism, aggression and frustration), and social dimensions (deterioration of family relationships and social life). Although most studies mention the impact of burnout on nurses professional performance and quality of care, no details are provided on the specific consequences for healthcare consumers, or for the health system itself. Although there's a widespread concern about the impact of shift work on nurse's health, few studies mention the consequences of burnout on nurse's performance and on the quality of care. Strategies to minimise the impact of burnout are superficially addressed and reduced to the intervention of occupational health [5]. Developing, testing, and implementing intervention programs to reduce burnout may produce a variety of beneficial effects. Burnout appears to be an important indicator for healthcare leaders at both strategical and tactical level, to track and solve quality of care issues particularly in the current context of nursing shortage [6]. [ABSTRACT FROM AUTHOR]

Introduction: Burnout is a condition due to chronic stress and overload at work. It affects professionals with high emotional involvement; care aid occupations come first. Objectives: Assess the degree of burnout and identify factors related to this syndrome among emergency department nurses. Methods: This is a descriptive and cross-sectional study, carried out using a self-quiz: the Maslach Burnout Inventory (MBI). It was carried out in 2019 with the healthcare staff of four major hospitals in Tunis. Results: Sixty participants agreed to answer our questionnaire. Women accounted for 53% compared to 47% of men with an average age of 31.8 years. Fifty percent (50%) participants were under the age of 30. Eighty-eight percent of caregivers were burnout. Thirty-three percent (33%) had a severe burnout. Thirty-five percent (35%) had an average burnout. Twenty percent (20%) had a low burnout. Burnout was severe in 72% of participants, while 60% had a severe degree of depersonalization and 57% had a low degree of personal achievement. The analytical study showed that burnout affected women more than men. Married participants with children were more concerned with burnout. Excessive workload was the major factor in burnout for 46 caregivers. Conclusions: These alarming results should lead to practical both institutional and individual actions to improve the quality and working conditions of nurses. [ABSTRACT FROM AUTHOR]

Background: Burnout remains a persistent issue affecting nurses across the US health system. Limited evidence exists about the direct impact of nurse burnout on patient outcomes. This study explores the relationship between nurse burnout and mortality, failure to rescue, and length of stay, while also considering the effect of a good work environment., Methods: Cross sectional data from nurses and hospitals were used in conjunction with patient claims data. Multivariate logistic regression was used to study the relationship between nurse burnout, patient outcomes, the work environment, and Magnet status., Results: Higher odds of patient mortality, failure to rescue, and prolonged length of stay were found in hospitals that had, on average, higher nurse burnout scores. Good work environments were found to attenuate the relationship between nurse burnout and mortality, failure to rescue, and length of stay. Magnet status, another indicator of a good work environment, was found to attenuate the relationship between nurse burnout and mortality and failure to rescue., Conclusions: Improving the work environment remains a solution for hospitals looking to concurrently improve nurse burnout and patient outcomes. Administrators may look to the Magnet recognition program as a blueprint to better support nurses in providing safe, high quality care., Competing Interests: The authors declare no conflicts of interests.

Background: Burnout (BO), a critical syndrome particularly for nurses in health care settings, substantially affects their physical and psychological status, the institute's well-being, and indirectly, patient outcomes. However, objectively classifying BO levels has not been defined and noticed in the literature., Objective: The aim of this study is to build a model using the convolutional neural network (CNN) to develop an app for automatic detection and classification of nurse BO using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) to help assess nurse BO at an earlier stage., Methods: We recruited 1002 nurses working in a medical center in Taiwan to complete the Chinese version of the 20-item MBI-HSS in August 2016. The k-mean and CNN were used as unsupervised and supervised learnings for dividing nurses into two classes (n=531 and n=471 of suspicious BO+ and BO-, respectively) and building a BO predictive model to estimate 38 parameters. Data were separated into training and testing sets in a proportion 70%:30%, and the former was used to predict the latter. We calculated the sensitivity, specificity, and receiver operating characteristic curve (area under the curve) across studies for comparison. An app predicting respondent BO was developed involving the model's 38 estimated parameters for a website assessment., Results: We observed that (1) the 20-item model yields a higher accuracy rate (0.95) with an area under the curve of 0.97 (95% CI 0.94-0.95) based on the 1002 cases, (2) the scheme named matching personal response to adapt for the correct classification in model drives the prior model's predictive accuracy at 100%, (3) the 700-case training set with 0.96 accuracy predicts the 302-case testing set reaching an accuracy of 0.91, and (4) an available MBI-HSS app for nurses predicting BO was successfully developed and demonstrated in this study., Conclusions: The 20-item model with the 38 parameters estimated by using CNN for improving the accuracy of nurse BO has been particularly demonstrated in Excel (Microsoft Corp). An app developed for helping nurses to self-assess job BO at an early stage is required for application in the future., (©Yi-Lien Lee, Willy Chou, Tsair-Wei Chien, Po-Hsin Chou, Yu-Tsen Yeh, Huan-Fang Lee. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 07.05.2020.)

Posttraumatic stress disorder (PTSD) is a complex, often debilitating, disorder that has far-reaching effects, including anxiety, depression, burnout, and compassion fatigue. Working as a critical care unit nurse can be physically and emotionally demanding. Critical care nurses are at increased risk of developing PTSD compared with general care nurses. Employers are also affected due to increased rates of attrition, absenteeism, and general decreased quality in patient care. There is conflicting evidence related to which factors contribute to PTSD but increased resilience holds the most promise for preventing PTSD and its detrimental effects on critical care nurses., (Copyright © 2019 Elsevier Inc. All rights reserved.)