Discussion Issues that Arise from Clinical Care
Nurse burnout is a common phenomenon characterized by reduced energy levels in the nursing workforce. According to Tran et al. (2019), the common sources of nurse burnout include high workload, the emotional impact of caring, lack of recognition, lack of shift rotation, and complex interpersonal relationships in the work setting. This paper seeks to discuss nurse burnout in relation to an evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice.
Recognizing and preventing nurse burnout plays a major role in improving nurses’ physical and mental health and wellbeing, and thus improves the quality of patient care. My proposed evidence-based solution to address nurse burnout is providing psychological interventions, such as meditation, yoga, and mindfulness interventions (Aryankhesal et al., 2019). The interventions have been attributed to a significant increase in self-care and a reduction in stress, and burnout, emotional exhaustion, among health providers (Aryankhesal et al., 2019). Psychological interventions has established as effective in improving nurses’ empathy, attention, and presence with patients.
The nursing intervention to address nurse burnout is to train nurses on psychiatric interventions to reduce emotional exhaustion and improve their mental wellbeing. Janssen et al. (2018) established that Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) decreased the degree of psychological distress, emotional stress, depression, and occupational stress. Lin et al. (2019) also proved that an MBSR program effectively reduced stress and negative affect and increased positive affect and resilience among nurses. Consequently, training of nurses on psychiatric strategies reduces emotional exhaustion can burnout levels and ultimately reduce turnover and shortage.
Burnout may negatively impact the quality and safety of patient care due to increased medical errors and missed nursing care. High
levels of nurse burnout are associated with unfavorable health outcomes, patient dissatisfaction, and increased patient and family complaints (Tran et al., 2019). Besides, nurses experiencing burnout are often negative in their work, predisposing them to more agitated or aggressive attitudes toward patients and their colleagues (Tran et al., 2019). Therefore, it is crucial that nurse burnout be addressed to improve patient care quality and safety, enhance health outcomes, and increase patient satisfaction.
Health Care Agency
Burnout lowers nurses’ performance level, quality of life, and organizational commitment increasing their intention to leave the job. This leads to high turnover rates, worsening the existing nursing shortage (Lin et al., 2019). The reduced work commitment and high turnover rate lead to the unsustainability of healthcare agencies since they spend lots of resources hiring new nurses. Reducing nurse burnout is thus essential to reduce the resources spent in recruiting temporary and permanent nurses and strengthen the sustainability of healthcare agencies.
Nurse burnout adversely impacts nursing practice considering that nurses experience the highest levels of burnout. It contributes to mental and physical exhaustion, sleep disturbances, and depression among nurses (Lin et al., 2019). As a result, nurses develop feelings of dread about work and the nursing profession at large. Besides, nurse burnout leads to compassion fatigue, evidenced by nurses disengaging from their patients. Burnout limits nurses from providing standard nursing care, which further impacts nursing practice.
Nurses with burnout have emotional exhaustion, decreased job motivation, and feelings of frustration, contributing to a significant decrease in work efficacy. The evidence-based solution provides nurses with psychological interventions, including meditation, yoga, and mindfulness interventions. Nurses will be trained on these interventions to reduce emotional exhaustion, improve mental wellbeing, and reduce the intention to leave. Reduced burnout will improve the quality and safety of patient care and patient satisfaction.
Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Behzadifar, M., Sohrabi, R., & Farhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical journal of the Islamic Republic of Iran, 33, 77. https://doi.org/10.34171/mjiri.33.77
Janssen, M., Heerkens, Y., Kuijer, W., van der Heijden, B., & Engels, J. (2018). Effects of Mindfulness-Based Stress Reduction on employees’ mental health: A systematic review. PloS one, 13(1), e0191332. https://doi.org/10.1371/journal.pone.0191332
Lin, L., He, G., Yan, J., Gu, C., & Xie, J. (2019). The effects of a modified mindfulness-based stress reduction program for nurses: A randomized controlled trial. Workplace health & safety, 67(3), 111-122.
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Tran, T. T. T., Nguyen, N. B., Luong, M. A., Bui, T. H. A., Phan, T. D., Ngo, T. H., … & Nguyen, T. Q. (2019). Stress, anxiety, and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis. International journal of mental health systems, 13(1), 1-11. https://doi.org/10.1186/s13033-018-0257-4