Advanced Practice Registered Nurse Burnout and Mindfulness Meditation
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PublisherThe University of Arizona.
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AbstractPurpose: The purpose of this quality improvement project was to: 1) assess burnout of Advanced Practice Registered Nurses (APRNs) in a primary care clinic in Tucson, Arizona through the Maslach Burnout Inventory for Human Services Survey for Medical Personnel (MBI-HSSMP) pre-test, 2) present the use of mindfulness meditation through an online application, UCLA Mindful, 3) assess burnout of the APRNs through a post-test MBI-HSSMP after using the phone application for seven days. Background: The suicide and turnover rate for healthcare professionals, including APRNs continues to increase every year. The main reason for the high suicide rates and high rates for turnover is the result of burnout, a syndrome characterized by depersonalization, emotional exhaustion, cynicism, and perceived clinical ineffectiveness which not only can affect the health of the individual provider but is also associated with suboptimal patient care, decreased patient satisfaction, and increase the potential for medical errors. With the increasing demand and pressure placed on healthcare professionals, it is imperative to find ways to combat burnout. One such way that is garnering attention and has proved to be effective is mindfulness meditation. Methods: MBI-HSSMP scores, indicative of burnout in healthcare professionals, were measured before as a pre-test and after the APRN’s used the online phone application, UCLA Mindful for seven days, as a post-test. Consent and a demographic questionnaire were completed by the participants, and then they received an online PowerPoint presentation on mindfulness meditation and UCLA Mindful Application on their smart phone. This QI project was a description of a change proposal using the PDSA model. APRN’s in a primary clinic (TMC One) in Tucson, Arizona voluntarily participated in this QI project. Results: All participants completed the intervention and after seven days of application use, MBI-HSSMP scores improved, specifically in the subscales of emotional exhaustion (EE) and depersonalization (DP), which directly measure burnout of healthcare professionals. Conclusions: This pilot QI project employed an effective strategy to use mindfulness meditation through an online application to combat burnout and subsequent turnover that APRNs face in their careers. In order for APRNs to provide high-quality patient care, ways in which burnout can be lessened must be explored.
Degree ProgramGraduate College