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Impact of Nurses Taking Daily Work Breaks in a Hospital Garden on Burnout
- Source :
- American Journal of Critical Care. 27:508-512
- Publication Year :
- 2018
- Publisher :
- AACN Publishing, 2018.
-
Abstract
- Background Nurses working in hospital environments are at risk for burnout. Exposure to nature has psychological benefits, but the effect of hospital gardens on nurse burnout is less understood. Objective To compare the effect on nurse burnout of taking daily work breaks in a hospital-integrated garden with the effect of indoor-only breaks. Methods A prospective crossover trial was conducted of nurses assigned to either 6 weeks of a work break in an outdoor hospital garden or 6 weeks of indoor-only breaks. After a 1-week washout period, break assignments were switched for a subsequent 6 weeks. The Maslach Burnout Inventory was administered at the beginning and end of each 6-week period, and a Present Functioning Visual Analogue Scale was completed at the start and end of each break to capture immediate psychological symptoms. Change scores were analyzed by using generalized estimating equations. Results For 29 nurses, for garden compared with indoor breaks, significant improvement was apparent in scores on the Maslach Burnout Inventory subscales for emotional exhaustion (4.5 vs -0.2; P < .001) and depersonalization (1.8 vs 0.0; P = .02) but not for personal accomplishment (-0.6 vs -0.0; P = .55). Compared with indoor breaks, total symptom scores on the Present Functioning Visual Analog Scale improved significantly when nurses took a break in the garden (garden vs indoor breaks, 4.0 vs 2.4; P = .04). Conclusions Taking daily work breaks in an outdoor garden may be beneficial in mitigating burnout for nurses working in hospital environments.
- Subjects :
- Adult
Male
medicine.medical_specialty
Visual analogue scale
Nursing Staff, Hospital
Burnout
Critical Care Nursing
Washout period
Job Satisfaction
Clinical study
03 medical and health sciences
0302 clinical medicine
Depersonalization
medicine
Humans
Prospective Studies
030212 general & internal medicine
Emotional exhaustion
Burnout, Professional
Generalized estimating equation
Cross-Over Studies
030504 nursing
business.industry
General Medicine
Middle Aged
Physical therapy
Female
Job satisfaction
medicine.symptom
0305 other medical science
business
Gardens
Subjects
Details
- ISSN :
- 1937710X and 10623264
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- American Journal of Critical Care
- Accession number :
- edsair.doi.dedup.....69f75b491e07370cef8d18923bf9cb4d