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Abstract:Introduction: Concern about mental health is an increasingly relevant topic in high-performance sport. In this regard, because burnout can be harmful to both the health and performance of athletes, it is of particular importance. Although a great deal of time and effort has been dedicated to the study of athlete burnout, there are still issues that require further work. Therefore, in the present paper, we aim to highlight what, in our perspective, are the most important unsolved issues regarding burnout in athletes. Methods: We brought together expert athlete burnout scholars to offer their perspectives on five unresolved issues in this research area. Results: We describe the following five issues that require further research attention: (i) burnout as a syndrome, (ii) the negative consequences of burnout, (iii) the role of recovery in burnout, (iv) the importance of the social environment, and (v) developing effective interventions to reduce/prevent burnout. Conclusion: Our commentary provides suggestions for future research to help solve these problems, advance our understanding of athlete burnout, and ultimately safeguard the mental health of athletes. [ABSTRACT FROM AUTHOR]

The reality of the professional burnout of social workers has never been more topical than in today's transformative, dynamic, and anxiety-filled society. Thus, this study aims to stress the necessity and importance of prevention of social workers' burnout syndrome based on empirical research data on the topicality of the problem and the application of diverse and contradictory solutions. Although social work is purposefully structured, mentally rewarding, rejuvenating, and inspiring, it is also tedious, demanding, and emotionally draining at times, as it requires inexhaustible intellectual and emotional resources from social work professionals, consistently qualified professional activities, and effective cooperation with the client. The research data obtained from surveying social workers confirm the topicality of the problem and the need for preventive activities for the promotion and preservation of the mental health of professionals. The study result offers theory-based recommendations and suggestions for the reduction of burnout syndrome symptoms and prevention strategies when implementing professional self-efficacy of social workers in the era of constantly pulsating changes and challenges. [ABSTRACT FROM AUTHOR]

The article deals with the topic of burnout and describes risk factors, warning signs, course, and prevention of this condition. Burnout was included as a diagnosis in the International Classification of Diseases in 2018 and refers to exhaustion, mental distance, and negative feelings regarding work, as well as reduced performance. The article emphasizes the causal relationship with the professional context, although burnout can also occur in other areas of life. There is an increasing number of facilities for the treatment of burnout and various internal and external factors that increase the risk. Warning signs for burnout include feeling indispensable and completely consumed by work, as well as neglecting one's own needs. There are no objective parameters for diagnosing burnout, and treatment must be individually tailored. A study on the prevention of burnout identifies ten criteria that can serve as protective factors. The article concludes with an outlook on the future of the burnout topic and the possible influence of changing values on subsequent generations. [Extracted from the article]

The article focuses on the challenges faced by faculty members in higher education, including the impact of work-related stress (burnout) and compassion fatigue. It highlights the increased pressures resulting from technological advancements, globalization, changing student demographics, and the COVID-19 pandemic. The article suggests the need for better support systems, mental health training for faculty, and a shift in institutional culture to address faculty well-being.

Work-related burnout has been studied for decades across multiple industries, including librarianship. However, few studies have evaluated burnout in technical services workers. This study surveys academic library technical services managers to learn their perspective on the prevalence and impact of burnout on technical services workers. Managers observed a high incidence of burnout in their direct reports. The negative impacts of burnout on employees (e.g., personal health) and the organization (e.g., performance decline) are discussed. Managers' typical practices are evaluated through the lens of burnout prevention and mitigation. Documentation of the typical practices of academic library technical services managers is provided to assist current managers in self-evaluating their practices with peers. Overall, technical services managers are using thoughtful and research supported practices that can have a positive impact on the mitigation and prevention of work-related burnout. [ABSTRACT FROM AUTHOR]

"Involution" refers intensive and irrational competitions in workplace, "lying flat" is the phenomenon in which individuals perform the bare minimum of work required for employment. This study investigates the life experience of Chinese Music Teachers (CMTs) participating in involutionary work activities, explores how they cope with involution by "lying flat." In-depth interviews with 16 participants identified three stages of involutionary work activities engagement: involvement, conflict, and defense. CMTs employed three "lying flat" ways including evasive behaviors, emotional compensation, and swan strategy. Findings suggest that "lying flat" serves as a strategy for teachers to avoid burnout, providing insights into emerging buzzwords across various cultures. • The title-oriented teachers' evaluation mechanism drives involution among teachers. • CMTs are affected by conflicts arising from subject competition, pedagogical research, musical skills, and teacher recruitment. • CMTs perceive "lying flat" as a defensive measure against involution. • When faced with competitions, CMTs resort to evasive behaviors, self-acceptance, and the swan strategy as means of "lying flat." • "Lying flat" serves as a strategy for teachers to avoid burnout. [ABSTRACT FROM AUTHOR]

Background: The high prevalence and adverse consequences of excessive drinking among lower-educated adolescents and young adults are public concerns in the Netherlands. Evidence-based alcohol prevention programs targeting adolescents and young adults with a low educational background are sparse. Objective: This study aimed to describe the planned process for the theory- and evidence-based development, implementation, and evaluation of a dynamically tailored mobile alcohol intervention, entitled What Do You Drink (WDYD), aimed at lower-educated students from secondary vocational education and training (Middelbaar Beroepsonderwijs in Dutch). Methods: We used intervention mapping as the framework for the systematic development of WDYD. It consists of the following six steps: assessing needs (step 1), formulating intervention objectives (step 2), translating theoretical methods into practical applications (step 3), integrating these into a coherent program (step 4), anticipating future implementation and adoption (step 5), and developing an evaluation plan (step 6). Results: Reducing excessive drinking among Dutch lower-educated students aged 16 to 24 years was defined as the desired behavioral outcome and subdivided into the following five program objectives: make the decision to reduce drinking, set realistic drinking goals, use effective strategies to achieve drinking goals, monitor own drinking behavior, and evaluate own drinking behavior and adjust goals. Risk awareness, motivation, social norms, and self-efficacy were identified as the most important and changeable individual determinants related to excessive drinking and, therefore, were incorporated into WDYD. Dynamic tailoring was selected as the basic intervention method for changing these determinants. A user-centered design strategy was used to enhance the fit of the intervention to the needs of students. The intervention was developed in 4 iterations, and the prototypes were subsequently tested with the students and refined. This resulted in a completely automated, standalone native app in which students received dynamically tailored feedback regarding their alcohol use and goal achievement via multiple sessions within 17 weeks based on diary data assessing their alcohol consumption, motivation, confidence, and mood. A randomized controlled trial with ecological momentary assessments will be used to examine the effects, use, and acceptability of the intervention. Conclusions: The use of intervention mapping led to the development of an innovative, evidence-based intervention to reduce excessive alcohol consumption among lower-educated Dutch adolescents and young adults. Developing an intervention based on theory and empirical evidence enables researchers and program planners to identify and retain effective intervention elements and to translate the intervention to new populations and settings. This is important, as black boxes, or poorly described interventions, have long been a criticism of the eHealth field, and effective intervention elements across mobile health alcohol interventions are still largely unknown. [ABSTRACT FROM AUTHOR]

Background: Burnout is a hidden productivity killer in organizations. Finding a solution to efficiently measure and proactively prevent or rehabilitate employees with burnout is a challenge. To meet this unabated demand, companies and caregivers can focus on proactive measures to prevent "Burnout as an Occupational Phenomenon.". Objective: We aimed to address effectiveness, reliability, and validity of the empowerment for participation (EFP) batch of assessments to measure burnout risk in relation to the efficacy of web-based interventions using cognitive behavioral therapy (CBT) and floating to improve mental health and well-being. We introduced three risk assessments: risk for burnout, risk of anxiety, and risk for depression. Methods: We used an interventional, empirical, and parallel design using raw EFP psychometric data to measure the effectiveness of web-based therapy to reduce the risk of burnout between a control group and web-based therapy group. A total of 50 participants were selected. The rehabilitation and control groups consisted of 25 normally distributed employees each. The rehabilitation group received therapy, whereas the control group had not yet received any form of therapy. IBM SPSS was used to analyze the data collected, and a repeated measures ANOVA, an analysis of covariance, a discriminant analysis, and a construct validity analysis were used to test for reliability and validity. The group was selected from a list of employees within the My-E-Health ecosystem who showed a moderate or high risk for burnout. All assessments and mixed-method CBT were web-based, and floating was conducted at designated locations. The complete EFP assessment was integrated into a digital ecosystem designed for this purpose and therapy, offering a secure and encrypted ecosystem. Results: There was a statistically significant difference between pre- and postassessment scores for burnout. The reliability of the burnout measure was good (Cronbach a=.858; mean 1.826, SD 3.008; Cohen d=0.607; P<.001) with a high validity of 0.9420. A paired samples 2-tailed test showed a good t score of 4.292 and P<.001, with a good effect size, Cohen d=0.607. Web-based therapy reduced the risk for burnout in participants compared with the control group. Tests of between-subject effects show F=16.964, a significant difference between the control group and the web-based therapy group: P<.001, with movement between the group variables of 0.261 or 26.1% for the dependent variable. Conclusions: This study suggests good reliability and validity of using web-based interventional mixed methods CBT to reduce the risk of burnout. The EFP batch of web-based assessments could reliably identify morbidity risk levels and successfully measure clinical interventions and rehabilitation with consistently reliable results to serve as both a diagnostic and therapeutic tool worthy of major research in the future. [ABSTRACT FROM AUTHOR]

Athlete burnout is an important psychological health concern that may be influenced by coach behaviors. Participants were 933 collegiate soccer coaches who described their utilization of burnout prevention strategies. Deductive content analysis was used to categorize and interpret responses. The most frequently endorsed prevention strategies involved managing/limiting physical stressors. Reducing nonsport stressors and promoting autonomy and relatedness were also endorsed. Motivational climate changes and secondary prevention strategies were infrequently reported. These findings can help inform the design of educational programming to ensure that all coaches are aware of the range of ways in which they can help prevent athlete burnout. [ABSTRACT FROM AUTHOR]

The negative feelings that are part of burnout syndrome may prompt athletes to drop out of their sport. The objective of the current study was therefore to examine the influence of athlete burnout profiles on playing status 6 years later. The participants of this study were 458 boys and girls between 14 and 18 years old (M = 15.44; SD = .95) enrolled in elite handball training centers. Cluster analysis on athlete burnout and multinomial logistic regressions on the playing status were conducted. The results suggest that those individuals with a "higher burnout" profile at Time 1 were more likely to have stopped playing handball 6 years later. It therefore seems important to develop strategies to prevent burnout in young athletes enrolled in elite training structures and to promote long-term engagement and well-being in elite sporting activity. [ABSTRACT FROM AUTHOR]

Wellness is a concept of optimal well-being, an essential component for medical students at the personal and professional level. While medical education and healthcare service demand an efficient coping reservoir and resilience, but greater burnout and psychological morbidity is being reported among medical students. Responsibility to address the concerns about well-being lies in medical schools, but there is a lack of awareness and nonavailability of such adaptive resources. In this article, we highlight the concept of wellness and its relevance in the context of medical students, models described in the literature for this purpose, and recommendations for wellness of medical students. [ABSTRACT FROM AUTHOR]

As healthcare workers around the world teeter on the verge of burnout, exhaustion, and mental illness in the wake of the COVID-19 pandemic, this article seeks to discuss the wellbeing of a significant demographic: The medical students. We describe the effects of expectations on medical student wellness, whether regarding themselves, their college experience, their future, the profession, or the people around them. Recognizing these as potential sources of problems and future burnout, we propose possible interventions that could rectify these issues and promote their well-being. [ABSTRACT FROM AUTHOR]

Mental health issues are common in medical undergraduate students. Various studies have identified depression, anxiety, burnout, and substance abuse, among others, as common problems among this group. Frequent suicides by medical students are a disheartening reality. Despite belonging to the medical fraternity, students find it difficult to approach or access of professional help for multiple reasons. In this study, the authors discuss the extent of the problem, available resources, and further efforts that need to be made to improve the provision of care to this group. [ABSTRACT FROM AUTHOR]

In the recent changes in medical education and health-care systems, stressful work condition and concurrent destabilizing psychosocial dynamics can result in adverse consequences of medical trainee's mental health. This can range from the usual stress in a medical school to distress and long-term burnout emerging into psychological disorders often underrecognized and ill managed. Stigma and poorly integrated available mental health services, administration, peers, and families can be roadblocks to implement an effective campus mental health services. This article also provides a template of student mental health service model in our institution and suggested measures for a holistic professional grooming during medical curriculum. [ABSTRACT FROM AUTHOR]

Background: Employees who engage in proactive burnout prevention can prevent burnout by changing aspects of the work, home, and personal domain. However, these proactive behaviors may be impeded by high initial levels of burnout. Based on the conservation of resources theory and the dual-pathway proactivity model, resources were expected to play a vital role in the relationship between proactive burnout prevention and burnout through two distinct processes: a resource-generation process in which proactive burnout prevention negatively affects burnout through an increase in resources, and a resource-depletion process in which proactive burnout prevention is hindered because high initial levels of burnout negatively affected resources.Methods: A two-wave longitudinal panel design was used in which 617 employees, mainly employed in government agencies, healthcare and education, were asked to complete an online survey twice with an interval of 1 month.Results: Results of structural equation modelling showed clear evidence for the resource-generation process in the work, home, and personal domain, and only limited evidence for the resource-depletion process. Solely in the personal domain a small negative indirect effect of burnout on proactive burnout prevention through personal resources was found.Conclusions: The findings of this study confirm that employees can proactively prevent burnout by investing in resources, yet proactive actions should be taken before increased burnout-complaints impede employees to do so. This study contributes to scientific knowledge on proactive behaviors and burnout prevention by investigating the mechanism underlying the temporal relationship between proactive burnout prevention and burnout. An important practical implication of this study is that it highlights that more attention should be given to employees' self-initiated actions to prevent burnout, as proactive burnout prevention can effectively reduce levels of burnout. [ABSTRACT FROM AUTHOR]

As very few studies regarding dentists' professional burnout have been published, we provide an updated review and recommendations with regards to the published dental literature of this phenomenon, which is relevant to the general dental community around the world. Professional burnout has been found to be prevalent among dentists and dental students. The challenge lies in early recognition and developing intervention programs specifically for the dental profession. Attention to realistic career expectation and the type of dentist one prefers to be, attention to practice management skills and the stressfulness of work, as well as longitudinal monitoring of newly qualified dentists on burnout development are recommended. Learning about professional burnout and its potentially serious consequences, as well as increasing knowledge about how to prevent and treat it are crucial. It is not only a caregiver problem, but also a public health problem. [ABSTRACT FROM AUTHOR]

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Aims: To identify current best evidence on the types of interventions that have been developed to improve job satisfaction among nurses and on the effectiveness of these interventions. Design: The systematic review is a quantitative systematic review and meta‐analysis following a profile‐likelihood random‐effects model. Data Sources: CINAHL, Medic, and Pubmed (Medline). Review Methods: PICOS eligibility criteria were used to select original studies published between 2003–2019. The articles were screened by title (N = 489), abstract (N = 61), and full‐text (N = 47). A total of 20 articles remained after the full‐text screening process and further assess on risk of bias. The screening process was conducted by two authors independently and finally agreed together. A meta‐analysis was performed to determine how the identified interventions influence nurses' job satisfaction. Results: The interventions were primarily educational and consisted of workshops, educational sessions, lessons, and training sessions. The postintervention differences between intervention and control groups in meta‐analysis revealed that two interventions significantly improved nurses' job satisfaction. Notably, the spiritual intelligence training protocol and Professional Identity Development Program were found to be effective in improving job satisfaction. Conclusion: Healthcare organizations and managers should consider implementing effective interventions to improve nurses' job satisfaction and reduce turnover. The results reported in this study highlight that nurse managers should focus on organizational strategies that will foster the intrinsic motivation of employees. Impact: The current nursing shortage and increased turnover intentions are proving to be a global problem. For this reason, it is imperative that nurse managers plan strategies to improve nurses´ job satisfaction. The effective interventions detected in this study are a first step for developing human resource strategies for healthcare organizations. These findings propose that extrinsic factors (e.g., salary and rewards) will never be as effective in maintaining job satisfaction as intrinsic factors (e.g., spiritual intelligence, professional identity, and awareness). [ABSTRACT FROM AUTHOR]

Introduction. Burnout is a set of psychological manifestations ("emotional exhaustion", "depersonalization" and reduced "personal accomplishment") that principally affects healthcare professionals. Objectives. Analysis of the level of burnout among twelve nurses who work in two Italian prisons. Materials and Methods. The Maslach Burnout Inventory was administered. In order to explore possible correlations between the three dimensions of the Maslach Burnout Inventory and such variables as age, years of service in general and years of service in prisons, multiple regression based on the ordinary least squares method (OLS model) was performed. Results. the response rate was 100%, of whom 66.6% female and 33.4% male. The average age is 38.1 years. Over half of the sample had worked from 0 to 10 years in prisons (58.4%), and only one respondent had done so between 21 and 30 years (8.3%). The data indicate that the highest levels of burnout concerned the dimension of "depersonalization" (66.7%) and "personal accomplishment" (41.6%). Emotional exhaustion of nurses in carrying out their work diminished with the increase of the independent variable of "personal accomplishment" (p-value 0.0361); it increased with the increase of the age variable (p-value 0.0117). Personal accomplishment decreased with the increase of the independent variables of emotional exhaustion (p-value 0.0361) and years of service in prisons (p-value 0.0238). For depersonalization, no statistically significant coefficients were observed. Model 1 of multiple regression showed a significant statistical association between the emotional exhaustion (dependent variable) and personal achievement (p-value 0.0361), and increase in age (p-value 0.0117). Model 2 showed significant statistical association between personal achievement (dependent variable) and emotional exhaustion (p=value 0.0361) and years of service nursing in prisons (p-value 0.0238). Model 3 showed no statistical association between depersonalization (dependent variable) and the other variables. Conclusions. While twelve nurses formed this small sample, the study nonetheless indicated how the variables examined can influence the levels of burnout. Given that thorough inquiries into the levels of burnout among nurses who work in Italian prisons, specifically in the Marche Region, have yet to be conducted, this pilot study can serve as a point of reference for future research to improve evidence-based medicine. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to analyse the buffering effect of individual, social and organisational resources on health and intention to leave the profession in the context of burden due to quantitative job demands. Methods: In 2017, a cross-sectional survey was carried out anonymously among nurses in palliative care in Germany. One thousand three hundred sixteen nurses responded to the questionnaire (response rate 38.7%), which contained, amongst others, questions from the German version of the Copenhagen Psychosocial Questionnaire (COPSOQ). Moderator analyses were conducted to investigate the buffering effect of different resources on health ('self-rated health' and 'burnout') and 'intention to leave' in the context of quantitative demands. Results: 'Self-rated health' was significantly buffered by the resources 'recognition through salary' (p = 0.001) and 'good working team' (p = 0.004). Additionally, buffering effects of the resources 'workplace commitment' and 'good working team' on 'burnout' (p = 0.001 and p = 0.006, respectively) as well as of the resources 'degree of freedom', 'meeting relatives after death of patients', 'recognition from supervisor' and 'possibilities for development' on 'intention to leave' (p = 0.014, p = 0.012, p = 0.007 and p = 0.036, respectively) were observed. Conclusions: The results of our study can be used to develop and implement job (re) design interventions with the goal of reducing the risk of burnout and enhancing job satisfaction among nurses in palliative care. This includes for example adequate payment, communication training and team activities or team events to strengthen the team as well as the implementation of some rituals (such as meeting relatives after the death of patients). As our study was exploratory, the results should be confirmed in further studies. [ABSTRACT FROM AUTHOR]

Photovoice was used among 4 HIV providers and 4 managers at a NYC community-based HIV organization to engage in critical dialogs about the way they experience burnout and self-care measures taken. The study's objective was to empower participants to change aspects of their organizational culture and advocate for better working conditions to mitigate burnout. Common themes around causes of burnout were: perfectionism, isolation, multitasking, conflict in relationships. Common themes around self-care practices were: physical activity, recreational activities, being in nature, spirituality, self-expression, food/drinks, social support. The study offers strategies to social service agencies to inspire providers to create organizational change. [ABSTRACT FROM AUTHOR]

Organizations play a vital role in preventing or ameliorating secondary traumatic stress (STS) among helping professionals. This qualitative case study investigated one organization's response to workers' STS, why its response was ineffective, and how its organizational structure and organizational culture negatively impacted its response to employees' trauma-related distress. Data included 29 in-depth interviews with staff members serving survivors of domestic violence and sexual assault, ethnographic fieldnotes, and the employee handbook. Key findings were that the organization's approach was overly individualistic, that employees needed additional resources and education to engage in effective self-care, and that the organizational culture undermined workers' well-being. [ABSTRACT FROM AUTHOR]

Nurses face workplace stressors that contribute to job dissatisfaction, burnout, and turnover, impacting not only patient safety but the nurses' physical and emotional well-being. At the 2018 American Academy of Nursing conference, a policy dialogue "Creating Healthy Work Environments to Address the Quadruple Aim" was convened focusing on creating healthy work environments by addressing stressors such as violence and bullying. That discussion is encapsulated in this article, providing proven and practical strategies for reducing risk. [ABSTRACT FROM AUTHOR]

There is increasing awareness of the deleterious effect of the current work demands on a wide range of health professionals and of the benefits of contemplative understandings and practices in modern, secular settings, and healthcare environments. Here, we examine the theory and practice of a traditional Buddhist practice, Medicine Buddha, within a framework of transduality as a way to illuminate and empower core mechanisms of healing to support healthcare practitioners in both self-care and patient care. By fostering appreciation of innate health and connection to others, this practice can support compassion, inspiration, resilience, and joy in life. [ABSTRACT FROM AUTHOR]

Among a sample of only female school teachers, we compared a mindfulness meditation (MM) training group (n = 19) with a waiting-list control group (n = 20) on several participant-completed questionnaires: the Five Facet Mindfulness Questionnaire, the Big Five Personality Inventory, the Teacher Stress Inventory, and the Maslach Burnout Inventory. With these measures, we assessed the participants' dispositional mindfulness, personality styles, and their stress and burnout. Following mindfulness training, teachers in the MM group showed higher trait mindfulness and conscientiousness and lower neuroticism and stress and burnout levels than teachers in the waiting-list control group. These results support the beneficial role of MM in individuals' effective management of stressful conditions in the workplace. [ABSTRACT FROM AUTHOR]

Purpose: To assess the feasibility of a pilot mindfulness intervention program, the Emergency Resiliency Initiative (ERI), as well as to investigate changes in burnout scores and key drivers to burnout among registered nurses (RNs) and patient care technicians (PCTs) in a Level 1 trauma center emergency department (ED). Design: A mixed methods pre/post study with data collection points before and after the 3-month intervention. Method: Three mindfulness educational/experiential sessions were delivered once a month at staff meetings with topic themes of Introduction to Mindfulness, Practical Applications of Mindfulness, and Cultivating Compassion. Participants were asked to complete a minimum of two weekly 5-minute meditations. Burnout scores were assessed using the Maslach Burnout Inventory at preintervention (baseline) and postintervention. Findings: From the pre- (n = 35) to post- (n = 26) intervention period there was a significant increase in personal accomplishment scores (p =.01) and decrease in emotional exhaustion scores (p =.03) for RNs and PCTs combined. Qualitative interviews revealed five burnout-related themes: (a) prioritization distress, (b) change fatigue, (c) self-protection through superficiality, (d) intentional response, and (e) community amid chaos. Conclusion: The ERI was a feasible and acceptable program associated with improvements in burnout scores. Qualitative interviews revealed the positive impacts of mindfulness on ED clinician resiliency and identified future opportunities to address burnout from a holistic perspective. [ABSTRACT FROM AUTHOR]

It is well known that stress has a profoundly negative impact on the physical, mental, and spiritual health of nurses. In addition, undergraduate nursing students experience a tremendous amount of stress as a result of their academic and clinical requirements. In the current study, new self-care activities were introduced in an undergraduate psychiatric–mental health nursing course at a midsize, teaching-intensive university over the course of four academic semesters. Thematic analysis was conducted using qualitative feedback from 79 students who completed standard university course evaluations, and four major themes emerged: It is well known that stress has a profoundly negative impact on the physical, mental, and spiritual health of nurses. In addition, undergraduate nursing students experience a tremendous amount of stress as a result of their academic and clinical requirements. In the current study, new self-care activities were introduced in an undergraduate psychiatric–mental health nursing course at a midsize, teaching-intensive university over the course of four academic semesters. Thematic analysis was conducted using qualitative feedback from 79 students who completed standard university course evaluations, and four major themes emerged: Stress Levels, Use of Self-Care Strategies and Coping Skills, Self-Reflection, and Perception of Instructor. Overall, students found value in self-care activities that have potential to reduce burnout, increase retention, and improve student and patient outcomes. Therefore, a proactive approach should be taken early in undergraduate programs to provide education to nursing students about strategies to combat the deleterious effects of stress and promote self-care. [Journal of Psychosocial Nursing and Mental Health Services, 58(6), 40–45.] [ABSTRACT FROM AUTHOR]

Medicine recognizes burnout as a threat to quality patient care and physician quality of life. This issue exists throughout medicine but is notably prevalent in emergency medicine (EM). Because the concept of "wellness" lacks a clear definition, attempts at ameliorating burnout that focus on achieving wellness make success difficult to achieve and measure. Recent work within the wellness literature suggests that the end goal should be to achieve a culture of wellness by addressing all aspects of the physician's environment. A review of the available literature on burnout and wellness interventions in all medical specialties reveals that interventions focusing on individual physicians have varying levels of success. Efforts to compare these interventions are hampered by a lack of consistent endpoints. Studies with consistent endpoints do not demonstrate clear benefits of achieving them because improving scores on various scales may not equate to improvement in quality of care or physician quality of life. Successful interventions have uncertain, long-term effects. Outside of EM, the most successful interventions focus on changes to systems rather than to individual physicians. Within EM, the number of well-structured interventions that have been studied is limited. Future work to achieve the desired culture of wellness within EM requires establishment of a consistent endpoint that serves as a surrogate for clinical significance, addressing contributors to burnout at all levels, and integrating successful interventions into the fabric of EM. [ABSTRACT FROM AUTHOR]

Aim: To analyse the effect of mindfulness training on levels of burnout among nurses. Background: Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout. Design: Systematic review and meta‐analysis. Data sources: The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation 'Nurs * AND burnout AND mindfulness'. There was no restriction on the year of publication. Review methods: Papers were selected for analysis in accordance with the PRISMA guidelines. The meta‐analysis was carried out using Review Manager 5.3 software. Results: The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups. Conclusion: Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required. [ABSTRACT FROM AUTHOR]

Work-related stress is considered one of the biggest health and safety challenges among the member states of the European Union. A critical factor is recovery between periods of stress. The primary purpose of this study was to investigate whether a brief behaviorally oriented stress-recovery management intervention delivered in an individual setting could reduce stress symptoms among individuals with high levels of perceived stress. A single-subject experimental design with multiple baselines across three individuals was used. The results indicate, with at least moderate experimental control, a temporal relation between the start of the intervention and beneficial changes from baseline in continuous self-recordings of stress symptoms. The changes were maintained at 1-year and 5-year follow-up assessments. Also, self-reporting inventories measuring perceived stress, worry, anxiety, depression, burnout, type A behavior, unwinding and recuperation from work stress, and insomnia showed overall changes in beneficial directions at post-assessment, as well as the two follow-up assessments. The results indicate that a behaviorally oriented stress-recovery management intervention delivered in an individual setting can reduce stress symptoms in individuals with high levels of perceived stress. However, for firm conclusions to be drawn, further research is needed. [ABSTRACT FROM AUTHOR]

The article offers information on a quality improvement project conducted in a tertiary care hospital in Pittsburgh, Pennsylvania to address compassion fatigue commonly experienced by oncology nurses. Topics covered include a 2017 survey which showed that novice oncology nurses were more vulnerable to compassion fatigue, their current self-care activities, and the compassion fatigue tool kit created for this project.

The article discusses a study which examined whether animal-assisted therapy (AAT) is effective as a coping strategy for healthcare teams who work in high-stress environments. Topics covered include the findings of the study which showed that AAT can serve as a source of energy and positivity for staff members. It notes that the therapy dog encounters also significantly improved misconceptions associated with AAT like negative animal behavior and infection risk.

Health professionals are exposed to situations of emotional vulnerability by being in continuous contact with patients and their suffering, which can cause conditions such as compassion fatigue. To address this issue, therapies such as mindfulness are being used to reduce stress and promote self‐compassion. The objective of this research was to carry out a systematic review and meta‐analysis to analyse the types of mindfulness interventions that are being used for healthcare professionals and their effectiveness in reducing stress and improving self‐compassion and mindfulness. Following the PRISMA guideline, a systematic review of original studies was carried out in the following databases: Medline, Scopus, Cinhal, PsycINFO, Lilacs, and Science Direct, without a limited time frame. Controlled experimental mindfulness interventions on health professionals were selected, in which the following outcome variables were measured: stress, self‐compassion, and mindfulness. A meta‐analysis was performed with a random effects model. In cases of very high heterogeneity, the data were analysed by subgroup. Mindfulness‐Based Stress Reduction Therapy (MBSR) was the most often used in the studies. There is diversity in the implementation of MBSR, and a common finding is a reduction of stress and increased mindfulness in health professionals. However, studies that analyse self‐compassion are scarce. The effect of these therapies varies depending on how long the individual has been practising meditation. In conclusion, more studies are needed to describe the clinical usefulness of these programmes, to jointly analyse these three variables (stress, self‐compassion, and mindfulness), and to measure compassion fatigue as an outcome variable. [ABSTRACT FROM AUTHOR]