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NurseBurnoutDuringaPandemic-.pptxIn the acute care setting, can stress reduction and relaxation techniques impact stress level of nurses during a pandemic?
NR 449 Final Presentation
Ariana Lewis, Danielle Pozeg, Ellen Boateng, Jovita Amuchie, & Lashay Clark
Presentations will give a brief overview of the topic, followed by examples of how the topic influences or assists the nursing profession.
Each student will contribute two to three slides for the group presentation.
The final presentation will consist of 10–12 PowerPoint slides and may include handouts, if applicable.
Introduction: Identification of Problem and Impact on Nursing
Pandemics are characterized by a severely high rate of new infections which requires prompt medical attention.
During the current COVID-19 pandemic, the high rates of infection, lack of staff, lack of proper protective equipment, and more have created and increased level of stress among nurses and healthcare workers.
The problem identified is the feeling burnout among nurses during the pandemic as both workload and stress increase. Feelings of burnout directly affect important aspects of nursing care such as patient safety.
The WHO defines burnout as "a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed." Feelings of burnout include energy depletion or exhaustion, feelings of negativity or cynicism to one’s job, and reduced professional efficacy (Kumar, 2019). A survey taken in 2017 found that 63% of registered nurses in hospitals say that they are experiencing burnout. During a pandemic, these feelings will only be exacerbated as stress levels rise. Worldwide, more than 200 countries have been affected by the novel coronavirus (SARS-COV-2) pathogen that is associated with coronavirus 2019 (COVID-19). This has caused deployment of resources in their healthcare systems in order to mitigate spread of COVID-19 and reduce mortality and morbidity. This results to healthcare professionals to face high workload, stress and adversity since they are in the frontline making them vulnerable to burnouts (Chen et al, 2020; Lai et al, 2020). Burnouts impact physical and mental health of nurses working during the pandemic. Systematic review found that nurses’ burnout was a contributor to prolonged fatigue, musculoskeletal pain, respiratory issues, gastrointestinal pain and prolonged fatigue (Salvagoni et al, 2020)
Research Finding #1 (Danielle)
The main purpose of this qualitative research study performed in Turkey was to look into nurses psychosocial barriers and stresses during the COVID-19 pandemic.
During this study, some positives factors included thorough and organized process to make this research possible. An example of a strength would be that those conducting the study used via face to face video calls (Kackin,2020). This allowed to see non verbal communication and include verbal communication. Doing this made it safe for all participants and researchers. Another positive to this study was a software used to quote interviewers directly making the information obtained trustworthy, dependable, and confirmed (Kackin,2020). Looking at the article closely, some barriers included less samples obtained. Having more samples makes the study stronger.
Research Finding #2 Continued
Findings in this study concluded that nurses in Turkey working during COVID-19 were affected socially and psychosocially (Kackin, 2020). Depression and trauma were all concluded for nurses. By using short term coping skills such as refraining from watching the news, keeping diaries, and listening to music helped nurses decreases stress (Kackin,2020).
A qualitative study can be confirmed due to the one of one experiences of nurses and allowing personal stories with no manipulation. The method used during this study was the Colaizzi’s seven step method.
Research Finding #2
The research process used was cross-sectional study to gather information from the Health Care workers at the time of the pandemic.
Burnout is among Health Care Providers was very higher than reported during the COVID-19 pandemic and is related to high workload, job stress, and time pressure, and limited organizational support.” (Morgantini et al., 2020).
The results of such study showed that 56.6% showed Post Traumatic Stress Disorder, 58.6% anxiety, 46% depression while 41% felt emotionally drained.” (Luceño-Moreno et al., 2020).
2. Clearly describe the research process, including what went well, barriers encountered, and what is still needed.
The research was focused on the COVID-19 pandemic which is still going and the barriers encountered were that some other factors must have led to the burnt-out among the Nurses like the stress of getting the virus and their family safety as they work during a pandemic.
3. Correlates research findings to an identified clinical issue.
4. Summarizes the validity of qualitative and quantitative evidence.
Cross-sectional data on 1422 health workers were analyzed in Spain and a total of 56.6% of health workers present symptoms of posttraumatic stress disorder, 58.6% anxiety disorder, 46% depressive disorder, and 41.1% feel emotionally drained.” (Luceño-Moreno, Talavera-Velasco, García-Albuerne & Martín-García, 2020). A total of 2,707 Health Care Providers from 60 countries participated in this study, where 51% reported work burnout during the COVID-19 pandemic. (Morgantini et al., 2020).
Research Finding #2 Continued
The findings were that PTSD, anxiety, depression was increased among Nurses during the COVID-19 pandemic.
Taking time out for the employee will reduce the burnout among Nurses.
Providing resources to Nurses like support groups.
Employ more Nurse and workers to help reduce the workload.
Resilience. Relaxation techniques like deep breathing and meditation and Guided imagery.
Provide enough Personal protective equipment for Nurses.
Working not more than 40 hours per week.
5. Findings are clearly identified.
Independent variables were stress, pandemic and workload. Dependent variable was the burnout, PTSD, Anxiety, Depression.When putting all the dependent and independent variables, the outcome is that increased workload of Nurses leads to burnout of Nurses.
6. . Recommends practice change with measurable outcomes and addresses feasibility issues.
support groups where they can reflect on their work, life, and reorganize themselves which will help reduce the stress of working during a pandemic.
7. Suggestions for implementation:
Research Finding #3
The research process was exceptionally thorough due to the fact that most articles that were researched were up-to-date
There were no significant barriers encountered
Researching about nurse burnout was very insightful especially because we are part of history due to the COVID -19 pandemic.
More research studies are needed to address the benefits of the implementations on nurse burnout.
Research Findings #4 continued
Strategies to reduce anxiety and stress
Relaxation
Music therapy (Giordano et al., 2020)
Deep Breathing
Measurable outcomes can be done via zoom for verbal feedback or via survey for quantitative data
Implementation of these strategies can include
Safe space to take off mask and deep breath
Therapeutic music at nursing station
Conclusion: research has shown that therapeutic techniques such as music therapy, relaxation, and deep breathing helps to aid nurses during a high stress time like a pandemic. Using these techniques can help reduce nurse burnout in the event of a pandemic.
Evidence is both qualitative and quantitative.
Ross, 2020 explores nurses feelings about burnout in both nurse’s statements and in the percentage of nurses affected by burnout.
Ross, J. (2020). The Exacerbation of Burnout During COVID-19: A Major Concern for Nurse Safety. Journal of PeriAnesthesia Nursing, 35(4), 439-440, https://doi.org/10.1016/j.jopan.2020.04.001
Suggestions for implementation
Developing an online emotional support
Psychological first aid
Web-based resource support
Developing a self-care strategies
Strengthening communication channels
Some recommendations to practice change with measurable outcomes and addresses feasibility issues are additional training on how to mitigate the disease, availability of mental health resources, provision of personal protective equipment, and organizational support
To prevent devastating psychological outcomes, nurses’ mental health support is very important. Key interventions include, developing an online emotional support, self-care strategies, web-based resources, strengthening communication channels and psychological first aid (Salvagoni et al, 2020)
Conclusion
Feelings of burnout directly impact a nurse’s quality of life, job satisfaction, and quality of patient care
During a pandemic, high stress levels increase the risk for burnout.
Taking care of the nurses’ mental health is key to preventing and alleviating burnout
Our research found that burnout is prominent among nurses during our current pandemic and strategies such as music therapy and deep breathing can help reduce stress levels and promote relaxation.
