Burnout In Healthcare Workers Research Articles

Preventing health care worker burnout in primary care settings through the trauma-informed CARES leadership competency model.

Staff burnout, a pervasive and persistent issue in the Canadian primary care environment, demands urgent and immediate attention. The managerial response to this problem has been largely reactive, especially in the post-COVID era. The need for proactive approaches to equip health leaders to detect early signs of burnout in healthcare workers and intervene effectively is more pressing than ever. Health leaders are beginning to acknowledge the significant role that trauma plays in impacting workers' propensity to experience burnout, leading to the growing recognition of trauma-informed best practices in healthcare management. This article will introduce the CARES model, a leadership competency framework that underscores the connections between leadership competencies and employee-leader engagement to detect early signs of burnout in primary care workers. The model, along with the proposed CARES toolkit, strongly emphasizes trauma-informed best practices and will enable health managers to better proactively prevent burnout through appropriate, empathetic, and efficient interventions.

Improving joy at work and reducing burnout in health care workers in Victoria, Australia using the Institute for Healthcare Improvement joy in work framework: A mixed-methods study.

Burnout in health care workers (HCWs) has serious ramifications for individual well-being, patients, organizations, and health systems. Global evidence demonstrates the COVID-19 pandemic has amplified the risk of burnout. Scalable interventions to address burnout are critical to protect HCW well-being. Underpinned by the Conservation of Resources theory, this study examines the impacts of a statewide improvement initiative (the Initiative), using the Institute for Healthcare Improvement Joy in Work (JiW) Framework, to reduce burnout and increase joy at work across participating health care organizations in Victoria, Australia. An impact evaluation was undertaken utilizing a mixed-methods design. Quantitative outcomes included burnout and joy at work measured using an adapted Mini Z tool. In-depth interviews with implementation teams sought insights into the effectiveness of interventions. Overall, 20 teams from 17 organizations across diverse health care settings and geographical locations participated. At a statewide level, outcomes in burnout and joy at work were inconclusive due to limited data. However, five out of eight teams reporting sufficient data achieved measurable improvements in one or more outcomes. Qualitative data revealed the Initiative increased workplace resources and supports such as providing "permission" for HCWs to prioritize well-being at work, improved communications between management and HCWs, and increased HCWs' teamwork and camaraderie, resulting in safer and more positive workplaces. The JiW Framework, implemented across diverse settings, provided organizations with a structured process to develop multifaceted improvements that resulted in enhanced resources that appeared to improve HCW well-being. Compared to individual well-being support, this approach offers organization-level change and scalability potential.

Stigma towards people with mental conditions in healthcare workers: an Italian cross-sectional study

Abstract Background Stigma towards people with mental disorders (MD) in healthcare workers (HCWs) can negatively influence the quality of care provided and hinder patients from accessing healthcare. The aim of this study was to analyze stigma and its determinants among physicians and nurses in Italy, as a basis for future strategies to reduce its extent. Methods A cross-sectional study was conducted from April to September 2023. A sample of 1053 physicians and nurses working in Italy answered an online 52-item questionnaire. Variables explored demographic data, work context, burnout symptoms, and personal or family history of MD. The Opening Minds Scale for Health Care Providers (OMS-HC) was used to assess the level of stigma (score from 20 to 100, higher scores represent higher levels). Descriptive analysis and multivariable linear regression were performed. Results Females were 69.5% and median age was 48 years (IQR=37-58). Physicians were 60.5%. A total of 20% of the sample worked in psychiatric settings. Burnout symptoms were reported by 23.5%. Results showed a median OMS-HC score of 49 (IQR=43-54). Positive associations with stigmatizing attitudes were found for being a nurse (p = 0.020) and being in burnout (p = 0.017), while working in a psychiatric setting (p < 0.001) and having personal or family history of MD (p < 0.001) had negative associations. Conclusions This research unveiled a notable amount of stigma among Italian HCWs towards individuals with MD. Since people with MD experience higher rates of disability and mortality, it has to be a public health priority to develop targeted strategies to reduce stigma in HCWs, as it discourages patients from accessing healthcare. Future interventions should be tailored for different professionals and dealing with HCWs burnout. Key messages • Future interventions should consider that healthcare workers in burnout and nurses tend to have more stigma toward patients with mental conditions. • Healthcare professionals working in psychiatric settings and having personal or family history of mental disorders showed lower stigma.

Occupational burnout of health care workers in a specialised COVID hospital setting

The aim is to evaluate the peculiarities of the development of professional burnout (PB) among physicians of therapeutic and surgical specialties, as well as middle medical workers, specialised red zones, as well as its prediction and prevention in this category of workers. Material and methods. The following groups of medical workers were examined: the 1st group consisted of doctors of therapeutic specialities (GPs) working in the red zone (n=111); the 2nd group consisted of doctors of surgical specialities (MDs) working in the ‘red zone’ (n=61); the 3rd group consisted of nurses working in the red zone (n=29); the 4th group – the control group included workers of engineering, technical and economic specialities not related to work in medical organisations (n=190). Professional burnout syndrome was assessed using the Maslach Burnout questionnaire and V.V. Boyko’s technique of diagnosing the level of burnout [4, 5]. The data were processed using Statistica statistical package by StatSoft (USA). Results. It was found that the work of therapeutic and surgical doctors, as well as middle medical workers of specialised red zones, is connected with the exposure of medical workers to a number of specific risk factors related to the provision of medical care to infected patients, as well as with significant changes in the work regarding aspects related to organisation, safety, which contribute to the increase in the level of stress and the increase in the level of SP. Conclusions. The work of physicians of therapeutic and surgical specialities, as well as middle medical workers of specialised red zones, is associated with an increase in the level of professional stress and the level of SP. It is necessary to continue the research of emotional state of medical doctors and average medical workers working in conditions of extreme epidemic situations with the purpose of timely preventive treatment for preservation of health of medical workers.

Burnout in healthcare workers: The effect of stress of conscience.

The stress of conscience occurs in stressful situations that are often encountered in healthcare, leading to an uncomfortable conscience in healthcare workers. They may not be able to control their emotions and feel burnout. Therefore, the aim of this study is to evaluate the effect of stress of conscience on burnout in healthcare workers. This cross-sectional study was performed with 602 healthcare workers between November 2020 and January 2021 in Turkey. Data were collected using a sociodemographic form, Stress of Conscience Scale, and Maslach Burnout Inventory. A positive and high-level relationship was found between the stress of conscience and burnout (r = 0.603, p < 0.001). The stress of conscience accounted for 36% of burnout. Also, female healthcare workers have high stress of conscience and burnout scores. This study is important in terms of realising the stress and burnout of healthcare workers and for health managers to recognise the stress types of their workers. The increase in the level of burnout of healthcare workers is associated with their stress of conscience. Using the results of this study, national and international consensus can be obtained to reduce the impact of the stress of conscience on healthcare workers.

Positive mental health, depression and burnout in healthcare workers during the second wave of COVID-19 pandemic.

INTRODUCTION: Few studies focused on healthcare workers' positive mental health (i.e. high levels of psychological well-being) and its association with anxiety, depression and burnout in the second wave of the pandemic. To evaluate the protective role of well-being in buffering burnout and psychological distress. We evaluated 173 Italian healthcare workers with indicators of psychological distress (Depression Anxiety Stress Scales [DASS]-21), burnout (Copenhagen Burnout Inventory [CBI]) and positive mental health (Mental Health Continuum) and we cross-classified them according to their levels of mental health (flourishing, languishing and moderate mental health) and their levels of anxiety, depression and burnout. Forty-eight per cent of health workers were classified as flourishing, 10% as languishing and 42% as moderate mental health. Flourishing individuals presented lower scores on DASS and CBI scales, whereas no differences emerged between languishing and moderate mental health groups. More than 80% of health workers with clinically significant symptoms of anxiety, depression and risk of burnout were classified as not flourishing. This investigation documented the presence of flourishing mental health in almost half of the sample of Italian healthcare workers. However, those with moderate or languishing mental health manifested higher levels of anxiety, depression and higher risks of burnout. The study confirms the importance of maintaining and/or promoting the well-being of this population, with a crucial role of mental health nurses who can easily approach other healthcare workers and provide them informational (training, guidelines) and emotional support programmes (psychoeducation, mental health support team, peer support and counselling) when facing adverse working conditions.

Association between menopause and occupational burnout in healthcare workers: a cross-sectional study

ABSTRACT The increased proportion of women in the workplace and the labor force aging have been demanding investigations of the link between menopause and occupational health issues, especially in healthcare settings. Evidence on the association between menopause and occupational burnout in healthcare settings is still inconclusive. Therefore, we aimed to evaluate the association between menopause and burnout among clinical and non-clinical workers in different occupational health environments. A multi-center, cross-sectional study, applying the Oldenburg Burnout Inventory (OBI) was conducted from September 2021 to March 2023 in University Medical Center (UMC) hospitals in Astana, Kazakhstan. The study involved 125 physicians and nurses and 82 non-clinical administrative and service staff. We found that 63.9% of respondents had disengagement and 61.7% had exhaustion. The affiliated clinical setting was associated with disengagement (p = 0.034), with the highest prevalence among employees in surgical departments (76.9%), while a higher prevalence of exhaustion was found in individuals with different work experience (p = 0.023) and among those who were dissatisfied with their work environment (74.3%). While burnout was identified in almost two-thirds of respondents, the self-reported menopause status of participants was not significantly related to either disengagement (p = 0.34) or exhaustion (p = 0.73), even though a higher prevalence of both was revealed among the postmenopausal group. We propose that healthcare management should understand the importance of burnout among postmenopausal healthcare workers and facilitate open communication and a supportive work environment.

The Effect of Coronavirus (COVID-19) on Job Satisfaction, Work Stress and Burnout of Healthcare Workers: A Systematic Review and Meta-Analysis.

We aimed to examine the job satisfaction (JS), work stress (WS) and burnout (B) levels of healthcare workers (HCWs), who are at the forefront of the fight against the coronavirus (COVID-19) epidemic process, which negatively affects the whole world, by meta-analysis. Articles, theses and papers in the literature before the COVID-19 (2014-2019) and during COVID-19 (2020-2022) were systematically reviewed. The sample size of 54 studies conducted from 13 countries was 49.139. Data analysis was performed with the Comprehensive Meta-analysis (CMA) 3.0 Version program. According to the random effect model analysis result, a negative, significant and low-level relationship was found between WS and JS, before and during COVID-19. There was a negative, significant and medium level relationship between JS and B. It was found positive, significant and high-level relationship between WS and B. Human development level (HDL) has a moderating effect on WS and B. In addition, sample size has moderating effect on WS and JS. During the prolonged COVID-19 pandemic, HCWs have experienced more burnout due to strict isolation, working conditions requiring overtime, fatigue, insomnia and concerns about virus transmission. Intense work tempo, inadequate health equipment, patient deaths, and low wages are the factors that decrease JS and increase WS and B. It is recommended to improve working conditions globally and provide financial support and mental health protection for HCWs.

Factors associated with anxiety disorders among healthcare workers (HCWS) involved in the first wave of the COVID-19 pandemic.

In a context of reorganization of the activity, of increase of the psychological, emotional and physical constraints of the nursing staff induced by the first wave of the COVID-19 pandemic, an increase of the anxiety disorders could occur. This study aims to assess the prevalence of anxiety disorders in healthcare workers (HCWs) by wards and to investigate medical, personal, and occupational factors associated with anxiety disorder. In France, in May 2020, a monocentric observational cross-sectional study was proposed to 285 HCWs of the University Hospital of Saint Etienne, working in 3 types of randomly selected care wards. Information was collected using an anonymous self-questionnaire offered to eligible HCWs. Validated questionnaires were used to assess anxiety (Hospital anxiety and Depression Scale) and burnout (Maslach Burnout Inventory). Of the 164 HCWs who participated in the study (57% participation rate), 69 (42%) caregivers had anxious symptomatology. The prevalence of anxiety disorders did not differ significantly by type of wards. Anxiety disorders are significantly associated with occupational factors (increased COVID-19 stress level, increased emotional load, increased mental load, high work/life stress during confinement, emotional exhaustion and loss of empathy), with medical factors (medical history of anxiety disorders, psychotropic treatment and impaired sleep quality) and personal factors (concern about working conditions and/or media reports). Preventive actions focusing on organizational factors could be carried out to reduce the emotional and mental load, the level of stress and the burnout of HCWs.

The Relationship between Job Satisfaction and Burnout in Healthcare Professionals: Meta-Analysis

Aim: The study aims to gather under a single roof a meta-analysis of the relationship between job satisfaction and burnout in healthcare workers, carried out in OECD countries, and to obtain a general result. Method: Unlike similar methodologies employed in assessing the correlation between job satisfaction and job performance in international literature, the study employed the meta-analysis technique in its methodology. For this aim, the literature was systematically reviewed, and 35 specific studies meeting the established criteria were included. The initial step involved uploading these studies into the Comprehensive Meta-Analysis V3 program and subsequently coding them for analysis. Before commencing the study analysis, the decision was made regarding the model for the effect size calculation, with preference given to the random effects model. Following this, the analysis encompassed effect size determination, examination of publication bias, and execution of subgroup analyses. Results: Considering the prominent findings of the study, a negative and significant relationship was found between job satisfaction and burnout. The individual studies included in the study do not have publication bias. There exists a statistically significant difference among countries concerning the correlation between job satisfaction and burnout. Conclusion: The structure and functioning of countries' health systems are unique and different. The effects of this situation are also reflected in the findings of the study. To increase the satisfaction of healthcare professionals, human resources strategies specific to the dynamics of each country should be determined and implemented, and the results should be monitored.

Healthcare worker burnout during a persistent crisis: a case-control study.

During the immediate outbreak of the COVID-19 pandemic, burnout symptoms increased among healthcare workers. Knowledge is needed on how early symptoms developed during the persistent crisis that followed the first pandemic wave. To investigate if high levels of burnout symptoms during the first pandemic wave led to high burnout and depressive symptoms up to a year later, and if participation in psychological support was related to lower levels of symptoms. A longitudinal case-control study followed 581 healthcare workers from two Swedish hospitals. Survey data were collected with a baseline in May 2020 and three follow-up assessments until September 2021. The case group was participants reporting high burnout symptoms at baseline. Logistic regression analyses were performed separately at three follow-ups with case-control group assignment as the main predictor and burnout and depression symptoms as outcomes, controlling for frontline work, changes in work tasks and psychological support participation. One out of five healthcare workers reported high burnout symptoms at baseline. The case group was more likely to have high burnout and depressive symptoms at all follow-ups. Participation in psychological support was unrelated to decreased burnout and depressive symptoms at any of the follow-ups. During a persistent crisis, healthcare organizations should be mindful of psychological reactions among staff and who they place in frontline work early in the crisis. To better prepare for future healthcare crises, preventive measures on burnout are needed, both at workplaces and as part of the curricula in medical and nursing education.

Coronavirus phobia and burnout in healthcare workers during the pandemic process

Aim: During the pandemic process, healthcare workers are in a very high-risk group and constitute the group most affected by the process. This study was conducted to determine coronavirus phobia and burnout in healthcare workers during the pandemic process. Method: This descriptive study was conducted with 337 healthcare workers between June and December 2021. Research data were collected using the Descriptive Characteristics Form, the Coronavirus 19 Phobia Scale, and the Coronavirus Burnout Scale. Results: The mean age of participants in the study was 31.7±8.5; 69.97% of them were female, and 45.7% of them were nurses. The mean score of the Coronavirus Phobia Scale of the healthcare professionals was 49.46±15.83, and the mean score of the Coronavirus Burnout Scale was determined as 25.65±10.50. It was concluded that there was a statistically significant positive correlation between the Coronavirus Phobia Scale of healthcare workers and the Coronavirus Burnout Scale (p&amp;lt;0.05). It was determined that coronavirus phobia and burnout were higher in women and in those who worked in the intensive care unit. Coronavirus phobia was higher in healthcare workers who had chronic diseases and whose family members were not diagnosed with COVID-19 (p&amp;lt;0.05). In addition, it was determined that coronavirus phobia and burnout were higher in nurses in doctors (p&amp;lt;0.05). Conclusion: It was concluded that the coronavirus phobia and burnout levels of healthcare workers were low, and the burnout increased as the phobia level increased.

Determinants of Burnout syndrome among healthcare workers in Sahloul hospital, Tunisia: A cross sectional study

IntroductionHealthcare workers are at increased risk of Burnout due to the stressful demands of their job.ObjectivesThe aim of this study was to assess the prevalence and the related factors of burnout in healthcare workers at the Sahloul University Hospital, TunisiaMethodsData were collected from a cross sectional study using a questionnaire exploring socio-demographic and professional data, lifestyle habits and pathological history. Burnout was assessed using the French version of the Maslash Burnout Inventory (MBI).ResultsOur study included 135 healthcare workers. The average age was 41.7 ± 9.15 years. 81.5% of the sample was female. Nurses accounted for 60% of staff. More than half (51.1%) worked shifts, with night work in 32.6%. A pathological history was noted in 17.8% of healthcare workers, and a history of work-related accidents in 40.7%. The prevalence of burnout in our study population was 42.6%, with a high emotional exhaustion score in 47.4%, a high depersonalization score in 23.7% and a low personal accomplishment score in 73.3%. Burnout was significantly associated with alcoholism (p=0.016), shift work (p=0.037) and the presence of stress at work (p=0.048).ConclusionsThe prevalence of burnout was high in our study population, hence the importance of setting up a burnout prevention strategy in hospitals.Disclosure of InterestNone Declared

Healthcare worker burnout: exploring the experiences of doctors working in a maternity unit in Namibia

BackgroundGlobally, healthcare workers (HCWs) in maternity units are at high risk of developing burnout. Burnout can lead to multiple harmful impacts on HCWs, their patients, and the broader healthcare system. Little is known about the burden of burnout among sub-Saharan African HCWs. Although evidence suggests that maternity unit doctors in a hospital complex in Namibia are at risk of developing burnout, no studies have been conducted on doctors in this department yet.MethodsThrough participant observation and a mixed-methods needs assessment, this study aimed to explore the drivers, experiences, and impact of burnout symptoms among doctors in this department, and current support mechanisms in place. Survey data was collected from 18 participants and seven in-depth interviews were conducted. Burnout risk was assessed using the Burnout Assessment Tool.ResultsSeven out of 18 participants were at very high risk for burnout and three were at risk, showing a high prevalence of burnout risk. Burnout risk remained similar between levels of staff, while gender qualitatively impacted burnout-related experiences. Drivers of burnout were identified at personal, occupational, and systemic levels.ConclusionsOver half of participants were at risk or at very high risk of burnout. Results highlighted a need for support and identified areas for intervention and further research. Such areas include blame culture, lack of trust between colleagues, and systemic drivers of burnout. This study contributes to the understanding of burnout among HCWs in sub-Saharan Africa.

Enhancing Healthcare Worker Well-Being and Patient Safety in the Pediatric Emergency Department: A Comprehensive Hazard and Risk Analysis

Providing a healthy and safe hospital environment improves employee health and prevents occupational diseases and accidents. This increases the motivation and productivity of employees and contributes to the improvement of service quality in hospitals. Healthcare workers have to work meticulously to provide accurate diagnosis, treatment and care services while competing with time. Working under pressure can cause fatigue, stress and burnout in healthcare workers. This can affect their decision-making abilities and lead to malpractice. Errors can cause occupational accidents or occupational diseases, while misunderstanding or misapplication can cause serious damage to the patient's health. In this study, hazards and risks were identified in order to ensure that employees working in the pediatric emergency department of the hospital work in a healthier and safer environment. Fine Kinney method was used as a risk analysis method in the study. It was observed that the high rate (86.7%) of employees' inability to participate in social and cultural activities (86.7%) due to occupational fatigue caused a decrease in the desire to work (70%), as well as the intense feelings of burnout and frustration (70%) caused by stress caused by the profession. As a result of the challenging conditions experienced, it was determined that the desire not to see patients during the day (76.7%) and dissatisfaction increased (46.6%). Healthcare workers need to be vigilant and careful, and occupational health and safety initiatives should be carried out systematically, team-based, and education-focused.

The Burnout PRedictiOn Using Wearable aNd ArtIficial IntelligEnce (BROWNIE) study: a decentralized digital health protocol to predict burnout in registered nurses

BackgroundWhen job demand exceeds job resources, burnout occurs. Burnout in healthcare workers extends beyond negatively affecting their functioning and physical and mental health; it also has been associated with poor medical outcomes for patients. Data-driven technology holds promise for the prediction of occupational burnout before it occurs. Early warning signs of burnout would facilitate preemptive institutional responses for preventing individual, organizational, and public health consequences of occupational burnout. This protocol describes the design and methodology for the decentralized Burnout PRedictiOn Using Wearable aNd ArtIficial IntelligEnce (BROWNIE) Study. This study aims to develop predictive models of occupational burnout and estimate burnout-associated costs using consumer-grade wearable smartwatches and systems-level data.MethodsA total of 360 registered nurses (RNs) will be recruited in 3 cohorts. These cohorts will serve as training, testing, and validation datasets for developing predictive models. Subjects will consent to one year of participation, including the daily use of a commodity smartwatch that collects heart rate, step count, and sleep data. Subjects will also complete online baseline and quarterly surveys assessing psychological, workplace, and sociodemographic factors. Routine administrative systems-level data on nursing care outcomes will be abstracted weekly.DiscussionThe BROWNIE study was designed to be decentralized and asynchronous to minimize any additional burden on RNs and to ensure that night shift RNs would have equal accessibility to study resources and procedures. The protocol employs novel engagement strategies with participants to maintain compliance and reduce attrition to address the historical challenges of research using wearable devices.Trial RegistrationNCT05481138.

Resilience and burnout of healthcare workers during the early COVID-19 pandemic.

The COVID-19 pandemic has led to significantly more healthcare workers (HCWs) experiencing burnout than previously. This burnout is strongly associated with low resilience. Addressing organisational stresses and the introduction of resilience training will help to reduce the proportion of HCWs experiencing this phenomenon. The aim of this study was to assess the impact of the biopsychosocial changes and challenges associated with the COVID-19 pandemic on the healthcare workforce, exploring, specifically, the impact on and relationship between HCWs' resilience and burnout. An electronic opt-in survey was distributed to HCWs through hospital and professional association communications emails and websites, as well as social media. The survey consisted of demographic questions, the Oldenburg Burnout Inventory to assess burnout, Brief Resilience Scale to assess general resilience, and 10-item Connor-Davidson Resilience Scale to assess resilience during the pandemic. Univariate and multivariate analysis was undertaken to examine the relationship between these factors. A total of 1370 HCWs completed the questionnaire, with 802 (58.5%) having burnout, 348 (25.4%) having low general resilience and 390 (28.5%) having low COVID resilience. Burnout was significantly associated with being public sector workers, low general resilience and low COVID resilience. Resilience training was found to be protective for burnout. The introduction of resilience training in the workplace is a fundamental tool that will significantly benefit HCWs when working under challenging conditions.

Mini-Z validation for burnout and stress evaluation: an observational study.

The Mini-Z is a questionnaire created to evaluate the levels of burnout in healthcare workers. It consists of 10 items rated using a 5-point Likert scale and one open question. It explores three outcomes (burnout, stress and satisfaction) and seven drivers of burnout (work control, work chaos, teamwork, values alignment with leadership, documentation time pressure, EMR use at home, and EMR proficiency). The aim of this study is to validate the Italian version of the Mini-Z, comparing it with the other most used scales. We recruited a sample of 120 healthcare professionals and administered all three questionnaires to each of them, after which we compared the answers and the scores of the results. A cross-sectional study among healthcare workers was conducted from May to July 2022. An online questionnaire was sent, by e-mail, to 120 healthcare workers (60.8% male, 39.2% female), aged between 18 and 60 years old (26.8% between 25 and 38 years old). They were invited to answer to an anonymous survey, consisting of three assessment instruments: Copenhagen Burnout Inventory (CBI), Maslach Burnout Inventory (MBI) and Mini-Z Inventory 2.0. The Mini-Z 2.0 is a new and easier tool to assess burnout syndrome, actually validated only in English. It was translated into Italian by reverse translation. Cronbach's Alpha coefficient, a statistical index, was used to assess its reliability. The last phase of the study compared the Mini-Z, the CBI and the MBI, by means of Pearson's coefficient, to highlight the Mini-Z's ability to be used for Burnout assessment. The analysis of the results showed that 18.3% of the interviewed healthcare professionals scored equal (2.5%) or higher (15.8%) than 40. The average percentage value was 33.35%, with a standard deviation of 6.3%. This emphasises, therefore, that this portion of employees is more or less satisfied with their working environment. The remaining portion of employees, on the other hand, 81.7%, scored below 40, emphasising an unpleasant and unjoyful working environment. Burnout is very common among employees and especially among healthcare workers and a routine assessment seems to be necessary to be able to prevent the syndrome. The Italian version of the Mini-Z includes ten items, is more user-friendly and aims to assess not only Burnout subscales, as in the previous tests, but also well-being factors and has applied a rigorous approach, including forward translation, back translation and cognitive debriefing.

Analysis of burnout syndrome on the quality of nursing work life during COVID-19 pandemic

Background: Amid the long struggle against the COVID-19 pandemic, nurses are experiencing physical and psychological fatigue. This study aimed to analyze the impact of burnout syndrome on the quality of work life of nurses in Madiun, Indonesia. Methods: In this study, researchers used a quantitative approach with data sources from questionnaires through Google form with a total of 1299 respondents, and data processing was carried out using structural equation model-partial least square (SEM-PLS). Results: The results showed that burnout syndrome has a significant effect on the quality of nurses' work life with p-value=0.004, emotional exhaustion, depersonalization, and personal achievement have a significant influence on the incidence of burnout syndrome with p-value=0.000, and work-life-home life, work context, and work design have a considerable influence with p-value=0.000, on the quality of nursing work life in nurses in Madiun, Indonesia. Conclusion: Recognizing burnout in healthcare workers during an outbreak was crucial to minimizing its impact and ensuring their well-being. This study can help stakeholders make decisions about work distribution, compensation, and creating a supportive work environment.

Perceptions of Sandtray as a Component of a Mindful Self-Compassion Workshop to Reduce Burnout in Nursing Students

Burnout is an increasing phenomenon in healthcare resulting in many nurses choosing to leave the profession, creating shortages. Nursing students experience burnout the same as professional nurses; however, equipping them with tools to build strength and resiliency may offer protection against burnout in the future. Mindfulness-based practices, like mindful self-compassion, have been proven effective at reducing burnout in healthcare workers. Mindful self-compassion has three components: moments of (1) self-kindness, (2) shared human experience, and (3) mindfulness. We, the authors, developed a workshop intervention based on principles of mindful self-compassion to teach undergraduate nursing students tools for managing emotional stress and reduce feelings of burnout. The use of sandtray was an essential component of this training. Three sandtray builds incorporated into the workshop served as the primary mechanism for fostering the shared humanity component required for mindful self-compassion. Qualitative feedback regarding the sandtray component was gathered immediately following the workshop and analyzed for common themes. The response to the experience was overwhelmingly positive. The feedback word cloud reporting – helped, think, reflect, visualize, express, open, and learn, as some of the most used phrases to describe the experience, as well as liked, loved, and great. Additionally, participants were asked what the most impactful experience was they took away from the workshop; the feedback word cloud indicated the sandtray component, specifically the “Strength Tray,” as the most impactful. Using sand therapy as a mechanism for fostering moments of shared humanity as part of a mindful self-compassion workshop is a novel application of this therapeutic technique and proved a valued and celebrated aspect by the participant population, undergraduate nursing students.