Interventions to Reduce Burnout among Emergency Nurses: A Systematic Review
Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v6i3.4395
Abstract
These datasets (PubMed, CINAHL, Scopus) were searched using a three-step technique and manually searched relevant studies in the reference lists. The scope of the search was limited to English-language publications published between January 1, 2019, and December 31, 2024. Using PRISMA, two reviewers independently examined titles and abstracts, extracted data, and rated selected studies using standardized MMAT. The systematic review comprised six studies in total and looked into laughter yoga, mindfulness, empathy, emotion regulation, emotional freedom technique, conflict resolution techniques, efficacy enhancement. All of the included studies affected burnout.The individual-focused interventions (including laughter yoga, mindfulness, optimism, proactive coping, empathy, emotion regulation, and emotional freedom technique) and organizational-directed interventions (including comprehensive management, transformational leadership, and culture change toolkit) can reduce job burnout for nurses working in the emergency department.
Keywords
individual-focused intervention, organizational-directed intervention, burnout, emergency nurse
Full Text
PDF - Viewed/Downloaded: 2 TimesReferences
[1]World Health Organization. Burn-out an “occupational phenomenon”: International classification of diseases. World Health Organization. Published May 28, 2019. Accessed December 20, 2024
https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
[2]Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior. 1981;2(2):99-113. doi:https://doi.org/10.1002/job.4030020205
[3]Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM de. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLOS ONE. 2017;12(10):e0185781. doi:https://doi.org/10.1371/journal.pone.0185781
[4]Emergency Nurses Association. ED Nurses Report Higher Work Dissatisfaction Than Inpatient Colleagues. Published January 10, 2024. Accessed May 22, 2024. https://www.ena.org/press-room/2024/01/10/ed-nurses-report-higher-work-dissatisfaction-than-inpatient-colleagues
[5] Halter M, Boiko O, Pelone F, et al. The determinants and consequences of adult nursing staff turnover: A systematic review of systematic reviews. BMC Health Services Research. 2017;17(1). doi:https://doi.org/10.1186/s12913-017-2707-0
[6] Hong QN, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P et al. The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information. 2018;34(4):285-91.
[7] Salvarani V, Rampoldi G, Ardenghi S, Bani M, Blasi P, Ausili D et al. Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy. Journal of Nursing Management. 2019;27(4):765-74. doi:https://doi.org/10.1111/jonm.12771
[8] Si˙s Çeli˙k , Kılınç T. The effect of laughter yoga on perceived stress, burnout, and life satisfaction in nurses during the pandemic: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2022;49:101637.
[9] Dincer B, Inangil D. Emotional freedom techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: A randomized controlled trial. Explore. 2020;17(2):109-14. doi:https://doi.org/10.1016/j.explore.2020.11.012
[10] I. Shattla S, M. Mabrouk S, A. Abed G. Effectiveness of Laughter yoga Therapy on job Burnout Syndromes among Psychiatric Nurses. INTERNATIONAL JOURNAL OF NURSING. 2019;6(1). doi:https://doi.org/10.15640/ijn.v6n1a5
[11] Wu X, Mark H, Lee AJ, et al. Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave. Journal of Nursing Management. 2020;28(4):804-13. doi:https://doi.org/10.1111/jonm.12994
[12] Adams A, Hollingsworth A, Osman A. The Implementation of a Cultural Change Toolkit to Reduce Nursing Burnout and Mitigate Nurse Turnover in the Emergency Department. Journal of Emergency Nursing. 2019;45(4):452-6. doi:https://doi.org/10.1016/j.jen.2019.03.004
[13] Figley CR. Compassion fatigue: Psychotherapists’ chronic lack of self care. Journal of Clinical Psychology. 2002;58(11):1433-41. doi:https://doi.org/10.1002/jclp.10090
[14] Ozturk FO, Tezel A. Effect of laughter yoga on mental symptoms and salivary cortisol levels in first‐year nursing students: A randomized controlled trial. International Journal of Nursing Practice. 2021;27(2). doi:https://doi.org/10.1111/ijn.12924
[15] Nagendra H, Chaya M, Nagarathna R, Kataria M, Rao M. Laughter Yoga International.Efficacy of laughter Yoga on IT Professional to overcome Professional Stress. Laughter Yoga International. Published online 2016:1-62.
[16] Kravits K, McAllister-Black R, Grant M, Kirk C. Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout. Applied Nursing Research. 2010;23(3):130-8. doi:https://doi.org/10.1016/j.apnr.2008.08.002
[17] Paal P, Neenan K, Muldowney Y, Brady V, Timmins F. Spiritual leadership as an emergent solution to transform the healthcare workplace. Journal of Nursing Management. 2018;26(4):335-7. doi:https://doi.org/10.1111/jonm.12637
[18] Pirkola H, Rantakokko P, Suhonen M. Workplace spirituality in health care: an integrated review of the literature. Journal of Nursing Management. 2016;24(7):859-68. doi:https://doi.org/10.1111/jonm.12398
[19] Emotional Freedom Techniques Is Associated With Simultaneous Reductions in Posttraumatic Stress Disorder, Anxiety, and Depression Symptoms. Journal of Evidence-Based Integrative Medicine. 2018;23:215658721875651. doi:https://doi.org/10.1177/2156587218756510
[20] Chatwin H, Stapleton P, Porter B, Porter S, Porter T. The effectiveness of cognitive behavioral therapy and emotional freedom techniques in reducing depression and anxiety among adults: a pilot study. Integr Med (Encinitas). 2016;15(2):27-34.
https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
[2]Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior. 1981;2(2):99-113. doi:https://doi.org/10.1002/job.4030020205
[3]Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM de. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLOS ONE. 2017;12(10):e0185781. doi:https://doi.org/10.1371/journal.pone.0185781
[4]Emergency Nurses Association. ED Nurses Report Higher Work Dissatisfaction Than Inpatient Colleagues. Published January 10, 2024. Accessed May 22, 2024. https://www.ena.org/press-room/2024/01/10/ed-nurses-report-higher-work-dissatisfaction-than-inpatient-colleagues
[5] Halter M, Boiko O, Pelone F, et al. The determinants and consequences of adult nursing staff turnover: A systematic review of systematic reviews. BMC Health Services Research. 2017;17(1). doi:https://doi.org/10.1186/s12913-017-2707-0
[6] Hong QN, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P et al. The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information. 2018;34(4):285-91.
[7] Salvarani V, Rampoldi G, Ardenghi S, Bani M, Blasi P, Ausili D et al. Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy. Journal of Nursing Management. 2019;27(4):765-74. doi:https://doi.org/10.1111/jonm.12771
[8] Si˙s Çeli˙k , Kılınç T. The effect of laughter yoga on perceived stress, burnout, and life satisfaction in nurses during the pandemic: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2022;49:101637.
[9] Dincer B, Inangil D. Emotional freedom techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: A randomized controlled trial. Explore. 2020;17(2):109-14. doi:https://doi.org/10.1016/j.explore.2020.11.012
[10] I. Shattla S, M. Mabrouk S, A. Abed G. Effectiveness of Laughter yoga Therapy on job Burnout Syndromes among Psychiatric Nurses. INTERNATIONAL JOURNAL OF NURSING. 2019;6(1). doi:https://doi.org/10.15640/ijn.v6n1a5
[11] Wu X, Mark H, Lee AJ, et al. Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave. Journal of Nursing Management. 2020;28(4):804-13. doi:https://doi.org/10.1111/jonm.12994
[12] Adams A, Hollingsworth A, Osman A. The Implementation of a Cultural Change Toolkit to Reduce Nursing Burnout and Mitigate Nurse Turnover in the Emergency Department. Journal of Emergency Nursing. 2019;45(4):452-6. doi:https://doi.org/10.1016/j.jen.2019.03.004
[13] Figley CR. Compassion fatigue: Psychotherapists’ chronic lack of self care. Journal of Clinical Psychology. 2002;58(11):1433-41. doi:https://doi.org/10.1002/jclp.10090
[14] Ozturk FO, Tezel A. Effect of laughter yoga on mental symptoms and salivary cortisol levels in first‐year nursing students: A randomized controlled trial. International Journal of Nursing Practice. 2021;27(2). doi:https://doi.org/10.1111/ijn.12924
[15] Nagendra H, Chaya M, Nagarathna R, Kataria M, Rao M. Laughter Yoga International.Efficacy of laughter Yoga on IT Professional to overcome Professional Stress. Laughter Yoga International. Published online 2016:1-62.
[16] Kravits K, McAllister-Black R, Grant M, Kirk C. Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout. Applied Nursing Research. 2010;23(3):130-8. doi:https://doi.org/10.1016/j.apnr.2008.08.002
[17] Paal P, Neenan K, Muldowney Y, Brady V, Timmins F. Spiritual leadership as an emergent solution to transform the healthcare workplace. Journal of Nursing Management. 2018;26(4):335-7. doi:https://doi.org/10.1111/jonm.12637
[18] Pirkola H, Rantakokko P, Suhonen M. Workplace spirituality in health care: an integrated review of the literature. Journal of Nursing Management. 2016;24(7):859-68. doi:https://doi.org/10.1111/jonm.12398
[19] Emotional Freedom Techniques Is Associated With Simultaneous Reductions in Posttraumatic Stress Disorder, Anxiety, and Depression Symptoms. Journal of Evidence-Based Integrative Medicine. 2018;23:215658721875651. doi:https://doi.org/10.1177/2156587218756510
[20] Chatwin H, Stapleton P, Porter B, Porter S, Porter T. The effectiveness of cognitive behavioral therapy and emotional freedom techniques in reducing depression and anxiety among adults: a pilot study. Integr Med (Encinitas). 2016;15(2):27-34.
Copyright © 2025 Xiaoqiong Zhang
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License