burnoutandresilience.pdf - Healthy Work Environments B...

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1.0 Hour C E H ealthy Work Environments B URNOUT AND R ESILIENCE A MONG N URSES P RACTICING IN H IGH -I NTENSITY S ETTINGS By Cynda Hylton Rushton, RN, PhD, Joyce Batcheller, RN, DNP, NEA-BC, Kaia Schroeder, RN, BSN, and Pamela Donohue, ScD ©2015 American Association of Critical-Care Nurses doi: Notice to CE enrollees: A closed-book, multiple-choice examination following this article tests your understanding of the following objectives: 1. Define and better understand burnout and moral distress. 2. Identify the impact that burnout and resilience have among nurses. 3. Discuss the results of the study. To read this article and take the CE test online, visit and click “CE Articles in This Issue.” No CE test fee for AACN members. Background The high level of stress experienced by nurses leads to moral distress, burnout, and a host of detrimental effects. Objectives To support creation of healthy work envi- ronments and to design a 2-phase project to enhance nurses’ resilience while improving retention and reducing turnover. Methods In phase 1, a cross-sectional survey was used to characterize the experiences of a high-stress nursing cohort. A total of 114 nurses in 6 high-intensity units completed 6 survey tools to assess the nurses’ charac- teristics as the context for burnout and to explore factors involved in burnout, moral distress, and resilience. Statistical analysis was used to determine associations between scale measures and to identify independent variables related to burnout. Results Moral distress was a significant predictor of all 3 aspects of burnout, and the association between burnout and resilience was strong. Greater resilience protected nurses from emotional exhaustion and contributed to personal accomplishment. Spiritual well-being reduced emotional exhaustion and depersonalization; physical well-being was associated with personal accomplishment. Meaning in patient care and hope were independent pre- dictors of burnout. Higher levels of resilience were asso- ciated with increased hope and reduced stress. Resilience scores were relatively flat over years of experience. Conclusions These findings provide the basis for an experimental intervention in phase 2, which is designed to help participants cultivate strategies and practices for renewal, including mindfulness practices and personal resilience plans. ( American Journal of Critical Care. 2015; 24:412-421) 412 AJCC AMERICAN JOURNAL OF CRITICAL CARE, September 2015, Volume 24, No. 5
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N urses are profoundly stressed as they attempt to practice in alignment with their personal and professional values. 1 Acting contrary to those values threatens their sense of integrity 2 and meaning. 3,4 Socialized to provide patient- and family- centered care, nurses experience moral distress and burnout when the nurses’ values are not congruent with those of the organization in which they work.
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  • Fall '18
  • Nursing, depersonalization, American Journal of Critical Care

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