Decreasing compassion fatigue and burnout in nursing through mindfulness: A quality improvement project
Andrea Redmann, BSN, RN, CCRN, DNP Student
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Nature and scope of the project: Health care professionals are at risk for developing compassion fatigue and burnout, which creates a decrease in productivity, increases the risk for medication and medical errors, and decreases the overall morale. The World Health Organization recognizes burnout to be an occupational phenomenon that results from exposure to chronic workplace stress and is a significant concern for employee and patient outcomes. The aim of this quality improvement project is to utilize mindfulness through guided imagery to reduce burnout and compassion fatigue.
Synthesis and analysis of supporting literature: Mindfulness interventions have shown to strengthen the neural pathways for both compassion and empathy, which improves happiness, the ability to pay attention, and emotional regulation. Guided imagery is a specific form of mindfulness that creates a physical response of calm and peacefulness, which ultimately results in safer practice, increased job satisfaction, and decreases the amount of burnout experienced by providers.
Project implementation: Education and support were provided to promote an effective means for registered nurses in the PACU to reduce the risk of compassion fatigue and burnout through the utilization of guided imagery. An informational handout was provided to the nursing staff and then they were provided with 3 evidence-based guided imagery recordings to listen to for 8 weeks.
Evaluation criteria: Pre/post-ProQol questionnaires were given to the nursing staff to complete and were compared to determine if there was a statistically significant change in compassion fatigue and burnout after incorporating guided imagery into the registered nurse’s routine.
Outcomes: Total number of nursing staff who were eligible to participate was 15 and there were 11 that completed this project. The result of the two-tailed paired samples t-test for both compassion fatigue (alpha value of .05, t(10) = -0.22, p = .829) and burnout (alpha value of .05, t(10) = 0.92, p = .378) were not significant.
Recommendations: Unfortunately, the timing of this QI project was during the busiest and most understaffed times that the unit and medical system has experienced due to COVID-19. Which may have impeded the nursing staff’s ability to complete the required questionnaires and may not accurately reflect the number of nursing staff who found the guided imagery recordings to be helpful in reducing stress. In addition, there was only a small group of participants which may also affect results. However, though the statistical differences were minimal, staff have reported enjoying and continuing to listen to the guided imagery recordings.
|Type||DNP Capstone Project|
|Review Type||None: Degree-based Submission|
|Evidence Level||Quality Improvement|
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