Interventions to Reduce Burnout Among Clinical Nurses: Systematic Review and Meta-analysis

Overview

Journal Sci Rep

Specialty Science

Date 2023 Jul 6

PMID 37414811

Authors

Miran Lee

Chiyoung Cha

Affiliations

Soon will be listed here.

Abstract

Sporadic evidence exists for burnout interventions in terms of types, dosage, duration, and assessment of burnout among clinical nurses. This study aimed to evaluate burnout interventions for clinical nurses. Seven English databases and two Korean databases were searched to retrieve intervention studies on burnout and its dimensions between 2011 and 2020.check Thirty articles were included in the systematic review, 24 of them for meta-analysis. Face-to-face mindfulness group intervention was the most common intervention approach. When burnout was measured as a single concept, interventions were found to alleviate burnout when measured by the ProQoL (n = 8, standardized mean difference [SMD] = - 0.654, confidence interval [CI] = - 1.584, 0.277, p < 0.01, I = 94.8%) and the MBI (n = 5, SMD = - 0.707, CI = - 1.829, 0.414, p < 0.01, I = 87.5%). The meta-analysis of 11 articles that viewed burnout as three dimensions revealed that interventions could reduce emotional exhaustion (SMD = - 0.752, CI = - 1.044, - 0.460, p < 0.01, I = 68.3%) and depersonalization (SMD = - 0.822, CI = - 1.088, - 0.557, p < 0.01, I = 60.0%) but could not improve low personal accomplishment. Clinical nurses' burnout can be alleviated through interventions. Evidence supported reducing emotional exhaustion and depersonalization but did not support low personal accomplishment.

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References

Bruyneel A, Smith P, Tack J, Pirson M . Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium. Intensive Crit Care Nurs. 2021; 65:103059. PMC: 9759739. DOI: 10.1016/j.iccn.2021.103059. View

Lee S, Sung K . [The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout]. J Korean Acad Nurs. 2017; 47(3):332-344. DOI: 10.4040/jkan.2017.47.3.332. View

de Oliveira S, Sousa L, Gadelha M, Barbosa do Nascimento V . Prevention Actions of Burnout Syndrome in Nurses: An Integrating Literature Review. Clin Pract Epidemiol Ment Health. 2019; 15:64-73. PMC: 6446475. DOI: 10.2174/1745017901915010064. View

Nantsupawat A, Nantsupawat R, Kunaviktikul W, Turale S, Poghosyan L . Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals. J Nurs Scholarsh. 2015; 48(1):83-90. DOI: 10.1111/jnu.12187. View

Montgomery A, Azuero A, Baernholdt M, Loan L, Miltner R, Qu H . Nurse Burnout Predicts Self-Reported Medication Administration Errors in Acute Care Hospitals. J Healthc Qual. 2021; 43(1):13-23. DOI: 10.1097/JHQ.0000000000000274. View

Rudman A, Arborelius L, Dahlgren A, Finnes A, Gustavsson P . Consequences of early career nurse burnout: A prospective long-term follow-up on cognitive functions, depressive symptoms, and insomnia. EClinicalMedicine. 2020; 27:100565. PMC: 7599295. DOI: 10.1016/j.eclinm.2020.100565. View

Atli Ozbas A, Tel H . The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses. Palliat Support Care. 2015; 14(4):393-401. DOI: 10.1017/S1478951515001121. View

Luo Y, Li H, Plummer V, Cross W, Lam L, Guo Y . An evaluation of a positive psychological intervention to reduce burnout among nurses. Arch Psychiatr Nurs. 2019; 33(6):186-191. DOI: 10.1016/j.apnu.2019.08.004. View

Berger R, Gelkopf M . An intervention for reducing secondary traumatization and improving professional self-efficacy in well baby clinic nurses following war and terror: a random control group trial. Int J Nurs Stud. 2010; 48(5):601-10. DOI: 10.1016/j.ijnurstu.2010.09.007. View

10.

Kharatzadeh H, Alavi M, Mohammadi A, Visentin D, Cleary M . Emotional regulation training for intensive and critical care nurses. Nurs Health Sci. 2020; 22(2):445-453. DOI: 10.1111/nhs.12679. View

11.

DallOra C, Ball J, Reinius M, Griffiths P . Burnout in nursing: a theoretical review. Hum Resour Health. 2020; 18(1):41. PMC: 7273381. DOI: 10.1186/s12960-020-00469-9. View

12.

Molina-Praena J, Ramirez-Baena L, Gomez-Urquiza J, Canadas G, De La Fuente E, Canadas-De la Fuente G . Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. Int J Environ Res Public Health. 2018; 15(12). PMC: 6313576. DOI: 10.3390/ijerph15122800. View

13.

Ramirez-Baena L, Ortega-Campos E, Gomez-Urquiza J, Canadas-De la Fuente G, De la Fuente-Solana E, Canadas-De la Fuente G . A Multicentre Study of Burnout Prevalence and Related Psychological Variables in Medical Area Hospital Nurses. J Clin Med. 2019; 8(1). PMC: 6351959. DOI: 10.3390/jcm8010092. View

14.

Duarte J, Pinto-Gouveia J . Effectiveness of a mindfulness-based intervention on oncology nurses' burnout and compassion fatigue symptoms: A non-randomized study. Int J Nurs Stud. 2016; 64:98-107. DOI: 10.1016/j.ijnurstu.2016.10.002. View

15.

OLeary K, Sehgal N, Terrell G, Williams M . Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. J Hosp Med. 2011; 7(1):48-54. DOI: 10.1002/jhm.970. View

16.

Deldar K, Froutan R, Dalvand S, Gheshlagh R, Mazloum S . The Relationship between Resiliency and Burnout in Iranian Nurses: A Systematic Review and Meta-Analysis. Open Access Maced J Med Sci. 2018; 6(11):2250-2256. PMC: 6290412. DOI: 10.3889/oamjms.2018.428. View

17.

Dincer B, Inangil D . The effect of Emotional Freedom Techniques on nurses' stress, anxiety, and burnout levels during the COVID-19 pandemic: A randomized controlled trial. Explore (NY). 2020; 17(2):109-114. PMC: 7834511. DOI: 10.1016/j.explore.2020.11.012. View

18.

Rajeswari H, Sreelekha B, Nappinai S, Subrahmanyam U, Rajeswari V . Impact of Accelerated Recovery Program on Compassion Fatigue among Nurses in South India. Iran J Nurs Midwifery Res. 2020; 25(3):249-253. PMC: 7299415. DOI: 10.4103/ijnmr.IJNMR_218_19. View

19.

Salvado M, Marques D, Pires I, Silva N . Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2021; 9(10). PMC: 8544467. DOI: 10.3390/healthcare9101342. View

20.

Wei R, Ji H, Li J, Zhang L . Active Intervention Can Decrease Burnout In Ed Nurses. J Emerg Nurs. 2016; 43(2):145-149. DOI: 10.1016/j.jen.2016.07.011. View