"Taking a Moment:" Evaluation Perceptions of Burnout & Well-Being in Bone Marrow Transplant Nurses Using a Mindfulness Smart-Phone App
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document Projects
Background: Oncology nurses, specifically those working in inpatient bone marrow transplant (BMT) units, are at an increased risk for developing burnout. While various interventions have been implemented to combat the impact of burnout, mindfulness has been beneficial in mitigating burnout while improving well-being. However due to demanding work days, nurses have limited time available for traditional mindfulness-based stress reduction (MBSR) training programs. Purpose: To evaluate whether the use of a smart-phone mindfulness application (app), Headspace®, increases perceptions of well-being and decreases perceptions of burnout among inpatient BMT nurses. Methods: Using an adapted version of the Plan, Do, Study, Act Model, this evidence-based practice quality improvement initiative asked 87 nurses and nurse practitioners from two inpatient BMT units to utilize the Headspace® app for a minimum of 10 minutes/day for 90 days. The Well-Being Index (WBI) evaluated both burnout and well-being in addition to a single, validated burnout question. These measures, along with demographic information, were collected at baseline and every 30 days via anonymous paper surveys for a total of 90 days. Headspace® provided data for total time and programs used within the app using aggregate data from the nurses and nurse practitioners. Results: Nurse mean scores for well-being improved at 30, 60, and 90 days. NP scores improved from baseline-to-30 days, however, at 60 days mean well-being scores remained the same and actually decreased at 90 days. Due to anonymous surveys, independent, sample t-tests, combined well-being results showed significant improvements in well-being from baseline to each time-point (30 days (p = 0.0005), 60 days (p = 0.0047), and 90 days (p = 0.0128)). No significance for the 30-to-60-day time period or the 60-to-90-day time period. Similar results were found in burnout with significant declines in burnout scores from baseline to each time-point (30 days (p < 0.001), 60 days (p = 0.0006), and 90 days (p = 0.0351)). No significance for the 30-to-60-day time period or the 60-to-90-day time period. Sleep Hygiene programs were the most widely used programs in Headspace® for both staff nurses and nurse practitioner groups.
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