Authored by Carmen Corder*
Abstract
Background: Burnout and turnover is a significant problem within critical care. Due to the various outcomes of burnout and turnover, including their impact on the quality of patient care, it is imperative to consider strategies to reduce burnout and turnover of critical care nurses.
Research objective: To determine the effectiveness of a mindfulness-based stress reduction intervention on the emotional intelligence, burnout inventory scores, and anticipated turnover among a group of critical care nurses.
Research design: This study used a pre-experimental, pre- and post-test design. Participants and research context: A total of 32 intensive care nurses were selected from a large tertiary care facility in West TN. Data collection instruments were a “demographics questionnaire”, “Genos Concise Emotional Intelligence Inventory”, Maslach Burnout Inventory[1], and the “Anticipated Turnover Scale”.
Ethical Considerations: Informed consent from participants and research approval was granted by the Old Dominion University Institutional Review Board.
Findings: Findings showed that nurses had moderate levels of burnout an anticipated turnover. Results revealed that participation in the mindfulness-based stress reduction intervention was associated with an increase in emotional intelligence and decreases in both burnout and anticipated turnover.
Discussion: Many findings in this study are consistent with those of other, similar studies.
Conclusions: An overall decrease in post-intervention burnout and anticipated turnover substantiates the use of mindfulness as a useful retention strategy.
Keywords: Mindfulness; Emotional intelligence; Burnout; Turnover
Introduction
Turnover of experienced nurses in intensive care is a critical problem that can be attributed to a disproportionate amount of stress and burnout among this specialized group of RNs [2]. Studies indicate that an interrelated combination of work-related and personal factors influence stress levels and decisions to leave the ICU; however, high levels of EI have been shown to protect against work-related stressors. Nurses with high levels of EI possess superior clinical performance and improved overall well-being [3].
Objectives
• To determine the impact of participation in a MBSR on the EI of critical care nurses.
• To determine the impact of participation in a MBSR intervention on the burnout inventory scores of critical care nurses.
• To determine the impact of participation in a MBSR intervention on the anticipated turnover of critical care nurses.
Prevalence of burnout and turnover among critical care nurses
1. 33% of critical care nurses display symptoms of severe burnout [4].
2. Annual turnover is estimated to be 25% to 60% [5]. Nearly 17.5% of all newly licensed registered nurses (RN) leave their first nursing job within one year, and that as many as 33.5% leave within two years (Robert Wood Johnson Foundation [RWJF], 2014).
Consequences of burnout and turnover among critical care nurses
1. Exhaustion, depersonalization, and/or reduced personal accomplishment within critical care nurses.
2. Higher 30-day mortality rates as being very closely associated with nurse burnout [6].
3. High nurse turnover leads to higher nurse to patient ratios, which results in more frequent occurrences of preventable complications such as pneumonia, falls, decubitus ulcers, and reduced overall patient satisfaction [7].
4. Patient mortality is proven to be significantly higher in ICUs with the highest nurse to patient ratios [8].
Benefits of High Levels of Emotional Intelligence (EI) among Critical Care Nurses
1. High levels of EI have been shown to protect against workrelated stressors.
2. Nurses with high levels of EI possess superior clinical performance and improved overall well-being [8].
Methods/Intervention
This research is a quantitative, pre-experimental study. Three dependent variables (EI, burnout, anticipated turnover) were measured using the Geno’s Emotional Intelligence Inventory, the Maslach Burnout Inventory, and the Anticipated Turnover Scale, respectively. The pre-intervention questionnaire survey was administered to participants between September 2017- November 2017. Participants completed the researcher led MBSR intervention by February 2018 and were administered a post-intervention survey questionnaire. Data was analyzed for differences in pre and post-intervention scores.
The Study
The purpose of this research was to evaluate the effect of a mindfulness-based stress reduction intervention on the EI, burnout inventory scores, and anticipated turnover among critical care nurses in a large hospital located in Tennessee (Table 1).
To know more about our Journals....Iris Publishers
No comments:
Post a Comment