Impact of Nurses Taking Daily Work Breaks in a Hospital Garden on Burnout

Cordoza, Makayla; Ulrich, Roger S.; Manulik, Bette J; Gardiner, Stuart K.; Fitzpatrick, Paul S; Hazen, Teresia M.; Mirka, Alar; Perkins, R. Serene

doi:10.4037/ajcc2018131

Cited by 61 publications

(72 citation statements)

References 15 publications

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“…Considerable research has identified hospital design features that can reduce patient stress (e.g., Andrade & Devlin, 2015; Andrade et al, 2017; Devlin et al, 2016; Hagerman et al, 2005; Ulrich, Bogren, Gardiner, & Lundin, 2018). A more limited but growing body of evidence has demonstrated that certain healthcare design interventions (such as noise reduction or a nearby garden) can decrease staff stress and burnout (Applebaum, Fowler, Fiedler, Osinubi, & Robson, 2010; Blomkvist, Eriksen, Theorell, Ulrich, & Rasmanis, 2005; Cordoza et al, 2018). However, there is a paucity of scientific research that has evaluated the possible effectiveness of hospital design features in mitigating stress in visiting family members.…”

Section: Stress In Healthcare Facilitiesmentioning

confidence: 99%

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

Ulrich

Cordoza

Gardiner

et al. 2019

HERD

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Objectives: Measure the immediate change in intensive care unit (ICU) family members’ state stress levels from the beginning to the end of a person’s visit to a hospital garden and compare the changes produced by the garden with those associated with spending time in indoor hospital environments intended for respite and relaxation. Background: No previous research has compared the efficacy of different physical environments as interventions to foster stress reduction in family members of ICU patients, a group of hospital visitors known to experience high levels of distress. Method: A convenience sample of 42 ICU patient family (from 42 different families) completed the Present Functioning Visual Analogue Scales (PFVAS) before and after each visit (128 total visits) to a garden, an atrium/café, or ICU waiting room. Results: Stress scores significantly declined (i.e., improved) from the start to the end of a break on all PFVAS subscales ( p < .0001) in both the garden and indoors locations. However, it is noteworthy that garden breaks resulted in significantly greater improvement in the “sadness” scale than breaks in indoor locations ( p = .03), and changes in all five other PFVAS scores showed somewhat more reduction of stress for breaks spent in the garden than indoors, although these differences were not statistically significant. Conclusion: Creating an unlocked garden with abundant nature located close to an ICU can be an effective intervention for significantly mitigating state stress in family members of ICU patients and can be somewhat more effective than indoor areas expressly designed for family respite and relaxation.

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Section: Stress In Healthcare Facilitiesmentioning

confidence: 99%

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

Ulrich

Cordoza

Gardiner

et al. 2019

HERD

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“…Work duration of fewer than 10 h a day with adequate breaks will be beneficial for reducing burnout and stress in the ICU. Cordoza et al [ 20 ] have shown that taking adequate breaks can reduce stress and burnout.…”

Section: Discussionmentioning

confidence: 99%

Burnout in health care providers working in the intensive care units of a tertiary care hospital, South India—a questionnaire-based survey

Sanil¹,

Machado²,

Nayak³

2021

Can J Respir Ther

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Background The intensive care unit (ICU) is a special section of the hospital where intense monitoring and patient care are required. Health care providers (HCPs) who work in the ICU are exposed to a stressful environment and, in the long run, this may lead to exhaustion and burnout. It is observed that the burnout in HCPs in the ICU may have an impact on patient care and the psychological wellbeing of the caregiver. Thus, we aimed to assess the burnout in HCPs working in the ICUs of a tertiary care hospital in South India. Methods A single-center, questionnaire-based survey was carried out by HCPs who work in the ICUs of a tertiary care hospital in South India. A Google form link was created after obtaining approval from the Institutional Ethics Committee. The link was then circulated to the HCPs who work in the ICU and the responses were collected. The Google form fetched data related to demographics, profession, area of work, duration of work per day, total days of work in the ICU during the work period, and details of night duty. The Oldenburg burnout inventory questionnaire was used to measure burnout in the HCPs. Results A total of 60 HCPs with a mean age of 23.37±2.93 years, consented and filled out the online questionnaire. Of the 60 HCPs, 41 (68.33%) were females and 19 (31.67%) were males. Most of the participants were working in adult medical ICUs. The overall burnout level in all the participants was 2.39± 0.31, with the exhaustion level being 2.45±0.43 and the disengagement level being 2.32± 0.31. Between 70% and 80% of HCPs experienced high levels of burnout while working in the ICUs. Work area, work duration, sleep duration, and clinical experience had an impact on burnout levels of the HCPs. Conclusion Most of the HCPs who work in the ICU experience high levels of burnout. Lack of clinical experience in the ICU and long work hours with lack of sleep can increase burnout in the HCPs.

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“…For example, mindfulness-based stress reduction programs, which can require a time commitment of up to 24 hours over eight weeks, have been effective in reducing burnout among nurses (van der Riet et al, 2018). Similarly, outdoor breaks, with a mean length of 20.5 minutes, were shown to reduce burnout among nurses (Cordoza et al, 2018). Journaling has been shown to decrease burnout and compassion fatigue and increase compassion satisfaction among nurses.…”

Section: Discussionmentioning

confidence: 99%

Brief Workplace Interventions Addressing Burnout, Compassion Fatigue, and Teamwork: A Pilot Study

Copeland

2020

West J Nurs Res

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Burnout and compassion fatigue are problematic for nurses, patients, and organizations. Identifying brief interventions nurses can engage in while at work to address compassion fatigue, burnout, and teamwork, as burnout and teamwork are inversely related, is important for all stakeholders. This quasi-experimental pilot study sought to examine the feasibility, acceptability, and effectiveness of five-minute interventions on nurses’ burnout, compassion fatigue, and perceptions of teamwork. Nurses were randomized into five groups: meditation, journaling, gratitude, outside, and control. Participants engaged in the interventions, the majority of shifts worked, and many expressed a desire to continue after the six-week intervention period. Cohen’s d effect sizes were greatest for burnout, range 0.495–0.757, and situation monitoring, range 0.252–1.1. The journaling group had the highest burnout (−11.88%), compassion satisfaction (7.54%), situation monitoring (−21.21%), and communication (−26.47%) Delta scores. Feasibility, acceptability, and effectiveness of these brief workplace interventions were preliminarily established to inform a larger study.

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Impact of Nurses Taking Daily Work Breaks in a Hospital Garden on Burnout

Cited by 61 publications

References 15 publications

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

Burnout in health care providers working in the intensive care units of a tertiary care hospital, South India—a questionnaire-based survey

Brief Workplace Interventions Addressing Burnout, Compassion Fatigue, and Teamwork: A Pilot Study

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