Advertisement
Research Article| Volume 35, ISSUE 2, P185-188, April 2021

An innovative program to promote health promotion, quality of life, and wellness for School of Nursing faculty, staff, and students: Facilitators, barriers, and opportunities for broad system-level and cultural change

Published:October 29, 2020DOI:https://doi.org/10.1016/j.apnu.2020.10.018
      Members of the nursing profession are often challenged by attempts to engage in personal health and well-being practices because of their dedication, commitment, and passion for improving the lives of others through engagement in practice, research, service, and education. Research reveals disproportionately high rates of emotional distress and depression among nurses (
      • Letvak S.
      • Ruhm C.
      • McCoy T.
      Depression in hospital-employed nurses.
      ), coupled with challenges relative to work environment and culture as well as with prioritizing self-care. Distress and burnout among nurses are associated with compassion fatigue, poor sleep, trouble concentrating, limited performance in mental or interpersonal tasks, time management challenges, work-place bullying, lower productivity, chronic absenteeism, increased turnover, and compromised quality of care provision (
      • Drury V.
      • Craigie M.
      • Francis K.
      • Aoun S.
      • Hegney D.G.
      Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results.
      ;
      • Ekici D.
      • Beder A.
      The effects of workplace bullying on physicians and nurses.
      ;
      • Kelly L.
      Burnout, compassion fatigue, and secondary trauma in nurses: Recognizing the occupational phenomenon and personal consequences of caregiving.
      ;
      • Roelen C.
      • van Rhenen W.
      • Schaufeli W.
      • van der Klink J.
      • Magerøy N.
      • Moen B.
      • Bjorvatn B.
      • Pallesen S.
      Mental and physical health-related functioning mediates between psychological job demands and sickness absence among nurses.
      ). Focusing on the well-being of nurses is a quality and safety imperative to improve the lives of nurses and for the people they serve. Accordingly, the authors of the Quadruple Aim posit that to promote optimal patient outcomes, cost-effective care, and patient satisfaction, we must also prioritize the well-being of providers (
      • Bodenheimer T.
      • Sinsky C.
      From triple to quadruple aim: Care of the patient requires care of the provider.
      ).
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Psychiatric Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Amaya M.
        • Donegan T.
        • Conner D.
        • Edwards J.
        • Gipson C.
        Creating a culture of wellness: A call to action for higher education, igniting change in academic institutions.
        Building Healthy Academic Communities Journal. 2019; 3: 27-40https://doi.org/10.18061/bhac.v3i2.7117
        • Amaya M.
        • Melnyk B.
        • Buffington B.
        • Battista L.
        Workplace wellness champions: Lessons learned and implications for future programming.
        Building Healthy Academic Communities Journal. 2016; 1: 59-67https://doi.org/10.18061/bhac.v1i1.5744
        • American Nurses Association
        2017: Year of the healthy nurse (fact sheet).
        (Retrieved October 16, 2020 from)
        • Beddoe A.E.
        • Murphy S.O.
        Does mindfulness decrease stress and foster empathy among nursing students?.
        Journal of Nursing Education. 2004; 43: 305-312
        • Bodenheimer T.
        • Sinsky C.
        From triple to quadruple aim: Care of the patient requires care of the provider.
        Annals of Family Medicine. 2014; 12: 573-576https://doi.org/10.1370/afm.1713
        • Cohen-Katz J.
        • Wiley S.
        • Capuano T.
        • Baker D.M.
        • Deitrick L.
        • Shapiro S.
        The effects of mindfulness-based stress reduction on nurse stress and burnout: A qualitative and quantitative study, part III.
        Holistic Nursing Practice. 2005; 19: 78-86https://doi.org/10.1097/00004650-200411000-00006
        • Drury V.
        • Craigie M.
        • Francis K.
        • Aoun S.
        • Hegney D.G.
        Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results.
        Journal of Nursing Management (John Wiley & Sons, Inc.). 2014; 22: 519-531
        • Edwards D.
        • Burnard P.
        • Coyle D.
        • Fothergill A.
        • Hannigan B.J.
        Stress and burnout in community mental health nursing: A review of the literature.
        Journal of Psychiatric and Mental Health Nursing. 2000; 7: 7-14https://doi.org/10.1046/j.1365-2850.2000.00258.x
        • Ekici D.
        • Beder A.
        The effects of workplace bullying on physicians and nurses.
        Australian Journal of Advanced Nursing. 2014; 31 (Retrieved October 16, 2020 from): 24-33
        • Fagin L.
        • Carson J.
        • Leary J.
        • De Villiers N.
        • Bartlett H.
        • O’Malley P.
        • Brown D.
        Stress, coping, and burnout in mental health nurses: Findings from three research studies.
        International Journal of Social Psychiatry. 1996; 42: 102-111https://doi.org/10.1177/002076409604200204
        • Kabat-Zin J.
        Full catastrophe living (revised edition): Using the wisdom of your body and mind to face stress, pain, and illness.
        Bantam Books, New York, NY2013
        • Kelly L.
        Burnout, compassion fatigue, and secondary trauma in nurses: Recognizing the occupational phenomenon and personal consequences of caregiving.
        Critical Care Nursing Quarterly. 2020; 43: 73-80
        • Letvak S.
        We cannot ignore nurses’ health anymore: A synthesis of the literature on evidence-based strategies to improve nurse health.
        Nursing Administration Quarterly. 2013; 37: 295-308https://doi.org/10.1097/NAQ.0b013e3182a2f99a
        • Letvak S.
        • Ruhm C.
        • McCoy T.
        Depression in hospital-employed nurses.
        Clinical Nurse Specialist. 2012; 26: 177-182https://doi.org/10.1097/NUR.0b013e3182503ef0
        • Mackenzie C.S.
        • Poulin P.A.
        • Seidman-Carlson R.
        A brief mindfulness-based stress reduction intervention for nurses and nurse aides.
        Applied Nursing Research. 2006; 19: 105-109https://doi.org/10.1016/j.apnr.2005.08.002
        • Magtibay D.L.
        • Chesak S.S.
        • Coughlin K.
        • Sood A.
        Decreasing stress and burnout in nurses: Efficacy of blended learning with stress management and resilience training program.
        Journal of Nursing Administration. 2017; 47: 391-395
        • McConville J.
        • McAleer R.
        • Hahne A.
        Mindfulness training for health profession students-The effect of mindfulness training on psychological well-being, learning and clinical performance of health professional students: A systematic review of randomized and non-randomized controlled trials.
        Explore (New York, N.Y.). 2017; 13: 26-45https://doi.org/10.1016/j.explore.2016.10.002
        • Melnyk B.
        President’s message: A bright future ahead for BHAC (Building Health Academic Communities).
        Building Health Academic Communities Journal. 2017; 1: 4https://doi.org/10.18061/bhac.v1i1
        • Owens J.
        • Kottwitz C.
        • Tiedt J.
        • Ramirez J.
        Strategies to attain faculty work-life balance.
        Building Health Academic Communities Journal. 2018; 2: 58-73
        • Roelen C.
        • van Rhenen W.
        • Schaufeli W.
        • van der Klink J.
        • Magerøy N.
        • Moen B.
        • Bjorvatn B.
        • Pallesen S.
        Mental and physical health-related functioning mediates between psychological job demands and sickness absence among nurses.
        Journal of Advanced Nursing (John Wiley & Sons, Inc.). 2014; 70: 1780-1792
        • Sherring S.
        • Knight D.
        An exploration of burnout among city mental health Nurses.
        British Journal of Nursing (Mark Allen Publishing). 2009; 18: 1234-1240https://doi.org/10.12968/bjon.2009.18.20.45114
        • Spadaro K.C.
        • Hunker D.F.
        Exploring the effects of an online asynchronous mindfulness meditation intervention with nursing students on stress, mood, and cognition: A descriptive study.
        Nurse Education Today. 2016; 39: 163-169