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Integrating Doctrine & Diversity Speaker Series: Breaking Bias: A Conversation With Attorney Anu Gupta 9-10-2024, Roger Williams University School Of Law Sep 2024

Integrating Doctrine & Diversity Speaker Series: Breaking Bias: A Conversation With Attorney Anu Gupta 9-10-2024, Roger Williams University School Of Law

School of Law Conferences, Lectures & Events

No abstract provided.


Emotional Intelligence, Perceived Stress, Coping Strategies And Burnout In High Stress Nursing Job Types, Chris Hutsell Aug 2024

Emotional Intelligence, Perceived Stress, Coping Strategies And Burnout In High Stress Nursing Job Types, Chris Hutsell

Doctoral Dissertations and Projects

This quantitative, correlative study examined the relationships between emotional intelligence (EI), burnout, perceived stress, coping strategy approaches, and dimensions of burnout in nurses According to many in the healthcare industry, the U.S. is facing a potential nursing crisis by 2030. Research has indicated that inadequate staffing leads to heavier workloads that contribute to higher rates of injuries, medical errors, absenteeism, financial loss, stress, and job burnout in nurses. Studies have also indicated that emotional intelligence can alleviate perceived stress and burnout in nurses that reduce nursing injuries, medical errors, absenteeism that manifests as financial losses for the overall healthcare industry. …


The Relationship Between Resilience, Psychological Capital, Burnout, And Grit In Direct Care Staff, Nicholas Stoia Jul 2024

The Relationship Between Resilience, Psychological Capital, Burnout, And Grit In Direct Care Staff, Nicholas Stoia

Doctoral Dissertations and Projects

The present study examined the relationship between resilience, psychological capital (PsyCap), grit, and burnout among direct care workers. The current study assessed other fields within direct care that have not been investigated. When it comes to research methodology, the current research utilized a quantitative approach. Participants were selected and sent the survey through the online platform. The present study had a total of 195 participants between the ages of 18 - 60. Participants were workers in agency settings within the direct care field. These agencies included state agencies, private agencies, non-profits, federal agencies, and home care. Specific types of direct …


A Transcendental Phenomenological Study Exploring How Licensed Marriage And Family Therapists Describe The Emotional Impact Of The Covid-19 Pandemic, Melissa Lund Jul 2024

A Transcendental Phenomenological Study Exploring How Licensed Marriage And Family Therapists Describe The Emotional Impact Of The Covid-19 Pandemic, Melissa Lund

Doctoral Dissertations and Projects

The purpose of this qualitative, phenomenological study was to describe the experiences of Licensed Marriage and Family Therapists (LMFT) in private practice during the COVID-19 pandemic. The study was viewed through the lens of resilience theory, which suggests that an individual's ability to adapt and overcome adverse experiences is based on their individual level of resilience. Eight LMFTs varying in demographics, such as age, gender, and ethnicity, as well as length of time in practice participated in individual interviews exploring their lived experiences during the pandemic. The study's questions aimed to gain a better understanding of the emotional impact of …


Variables Predicting Turnover Intention Among Mental Health And Addictions Therapists, Deborah J. Milanek Jun 2024

Variables Predicting Turnover Intention Among Mental Health And Addictions Therapists, Deborah J. Milanek

Doctoral Dissertations and Projects

The purpose of this research study was to explore the correlations between pay satisfaction, burnout, workload, and flexible work arrangements on turnover intention among mental health and addictions therapists. Previous research studies indicate that turnover may negatively affect patient care, increase cost to employers, decrease workplace morale and increase workload demands for remaining therapists. Some research studies have also found that pay satisfaction, burnout, workload, and flexible work arrangements may be related to turnover intention. This study planned to support current research as well as determine the strength of the correlation between each of these variables and turnover intention. To …


Effects Of Covid-19 On Mental Health Workers' Job Satisfaction, Employee Burnout, And Intent To Leave, Colton Jacobs May 2024

Effects Of Covid-19 On Mental Health Workers' Job Satisfaction, Employee Burnout, And Intent To Leave, Colton Jacobs

Doctoral Dissertations and Projects

The COVID-19 disease emerged in December 2019 and created a worldwide pandemic. As the COVID-19 virus spread, healthcare workers faced increased workloads and burnout due to increased stress. With a current abundance of research to better understand how the pandemic affected healthcare workers, minimal research has been conducted to investigate the effects on mental health workers. It is imperative to better understand how the consequences of the pandemic affected mental health workers due to their importance in supporting the mental well-being of our communities. This study focused on how the COVID-19 pandemic influenced job satisfaction, burnout syndrome, and intent to …


Investigating The Association Between Incivility Variability And Burnout At Work, Tamia Eugene May 2024

Investigating The Association Between Incivility Variability And Burnout At Work, Tamia Eugene

Masters Theses & Specialist Projects

Incivility is a prevalent workplace stressor for many employees in the workplace. Over time, exposure to stressors may lead to increased burnout, which can be costly for organizations. However, variability in uncivil experiences may be more detrimental to employees than chronic exposure to incivility due to the uncertainty associated with it. Using previously collected data from a larger grant, I examined the direct effect of incivility variability on burnout. Specifically, I hypothesized that employees who experienced incivility frequently but sporadically will report more burnout. Furthermore, I hypothesized that a perceived organizational climate that supports civility will moderate the direct effect …


Exploring The Relationship Between Emotional Intelligence And Religiosity And The Experience Of Emotional Labor In Working Women, Jane Naa Koshie Acquah-Bailey Apr 2024

Exploring The Relationship Between Emotional Intelligence And Religiosity And The Experience Of Emotional Labor In Working Women, Jane Naa Koshie Acquah-Bailey

Doctoral Dissertations and Projects

Women serve crucial roles within the home as caregivers and outside the home in the workforce, where they often fill many essential support positions such as service industry workers, teachers, social workers, nurses, and human service workers. In these roles, women must often mitigate the psychosocial issues of those whom they serve, resulting in high emotional labor with subsequent deleterious effects for them. Religiosity and emotional intelligence have been demonstrated to alleviate psychosocial stressors. Current research identified on emotional intelligence and emotional labor in diverse workspaces shows ongoing development. Biblical references to emotional intelligence and religiosity in emotional management highlight …


Gender Differences In Compassion Fatigue And Burnout Among Sheriff's Deputies, Charity Creech Feb 2024

Gender Differences In Compassion Fatigue And Burnout Among Sheriff's Deputies, Charity Creech

Doctoral Dissertations and Projects

Law enforcement has a long and sordid history with mental health. Recently researchers have begun to dissect the effect of professional and occupational stressors on LEOs. I focused on secondary constructs, compassion fatigue and burnout, that contribute to mental health concerns. Compassion fatigue (CF) and burnout (BO) have been studied most thoroughly in medical settings, but less so in law enforcement settings. While most researchers study law enforcement as a genderless mass, I hypothesized that there is a gender difference in burnout and compassion fatigue levels among Sheriff Deputies (SD). Research aimed to identify how gender differences can contribute to …


A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi Feb 2024

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …


The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery Jan 2024

The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery

Antioch University Dissertations & Theses

Nurses are the most likely group of healthcare workers to develop burnout. Previous research identified supervisory support, job control, and decision-making ability in the workplace as protective factors against burnout. There was a gap in the literature regarding the relationship between burnout in nurses and their experience of support, control, and decision-making during the COVID-19 pandemic. Reducing and preventing burnout in nurses is important due to the nursing shortage and concerns of attrition rates. This quantitative study examined the relationship of emotional support, instrumental support, job control, and decision-making opportunities in the workplace to burnout in hospital-based nurses. Measures used …


Mindfulness Based Interventions To Reduce Burnout And Ptsd Symptoms In Critical Care Nursing, Kelly A. Pellegrino, Libby M. Colley, Carly R. Fazendin, Emma R. Parrotta, Mollie Johnson Jan 2024

Mindfulness Based Interventions To Reduce Burnout And Ptsd Symptoms In Critical Care Nursing, Kelly A. Pellegrino, Libby M. Colley, Carly R. Fazendin, Emma R. Parrotta, Mollie Johnson

Non-Thesis Student Work

Within the medical field, nursing is a career that can be very taxing on both one’s physical and mental wellbeing, especially in regards to critical care. The life-threatening situations and strenuous work that critical care nurses are met with everyday make them especially susceptible to struggling with burnout, compassion fatigue, and PTSD-like symptoms. This not only puts their own safety at risk, but the safety of their patients as well. This raises the question: In critical care nursing, does the utilization of mindfulness based interventions, compared to no intervention, aid in the reduction of nursing burnout and PTSD symptoms? In …


A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi Jan 2024

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …


A Meta-Analysis Of Attachment At Work, Kate N. Warnock, Christina S. Ju, Ian M. Katz Jan 2024

A Meta-Analysis Of Attachment At Work, Kate N. Warnock, Christina S. Ju, Ian M. Katz

Psychology Faculty Publications

This meta-analysis aimed to confirm and clarify the relationships between attachment style and various workplace correlates, including job performance, burnout, personality, and job satisfaction (K = 109 independent samples, N = 32,278 participants). Results provided the strongest support for the relationships between attachment style and the Big Five personality traits, burnout, and job performance. Anxious attachment was also related to a host of other correlates, including job stress, turnover intentions, job satisfaction, and work engagement. Additionally, dominance analysis was used and found that attachment style had incremental validity beyond the Big Five in the prediction of job performance, job satisfaction, …


Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld Nov 2023

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. According to the ICD-11, three symptoms define the entity: feelings of exhaustion, increased mental distance from one’s job, and a sense of ineffectiveness at work, all of which correspond to the structure of the Maslach Burnout Inventory. The ICD-11 includes burnout among the factors that influence health status. This paper calls into question that conceptualization based on a number of lines of evidence. The evidence includes the following: burnout was …


Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Schonfeld Nov 2023

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. Accordingly, three symptoms define the entity: (i) feelings of energy depletion or exhaustion; (ii) increased mental distance from one’s job or feelings of negativism or cynicism towards one’s job; and (iii) a sense of ineffectiveness and lack of accomplishment. We call into question the definition of burnout embodied in the Maslach Burnout Inventory and incorporated into the ICD-11. We draw stakeholders’ attention to the fact that burnout’s symptoms and etiology …


Burnout, Secondary Traumatic Stress, And Compassion Fatigue: Employees Of Anti-Sex-Trafficking Agencies Who Work Directly With Rescued Sex-Trafficked Women, Andrea Lynn Bassett Oct 2023

Burnout, Secondary Traumatic Stress, And Compassion Fatigue: Employees Of Anti-Sex-Trafficking Agencies Who Work Directly With Rescued Sex-Trafficked Women, Andrea Lynn Bassett

Doctoral Dissertations and Projects

This phenomenological study aims to understand the shared experience of employees who work directly with rescued sex-trafficked women at anti-trafficking agencies in the United States. Chapter One details the theoretical contexts, including Maslow’s (1954) hierarchy of needs, Maslach’s (1982) cost of caring: burnout, McCann and Pearlman’s (1990) construct of vicarious traumatization, Rotter’s (1954) social learning theory as it relates to the impact of working with severely traumatized people. The problem statement is explained as the effectiveness of anti-sex trafficking agencies being influenced by the staff who provide care to rescued sex trafficked women, and there is currently little to no …


Examining The Relationship Between Counselor Professional Identity And Burnout, Jessica Gaul Sep 2023

Examining The Relationship Between Counselor Professional Identity And Burnout, Jessica Gaul

Antioch University Dissertations & Theses

This study examines counselor professional identity and burnout for clinical mental health counselors. The population of focus included licensed or license-eligible Clinical Mental Health Counselors, who were post-grad (N=53). Participants then completed the Professional Identity Scale in Counseling - Short Form and the Maslach Burnout Inventory–Human Services Survey. When examining the findings regarding the relationship between Counselor Professional Identity and Burnout for this study, the initial observation revealed the validity and applicability of the MBI-HSS to clinical mental health counselors. Though a relationship between Burnout and Counselor Professional Identity was not identified, relationships between sub-scale items were noteworthy. Implications for …


The Role Of Spiritual Fitness On Burnout And Organizational Commitment In High-Stress Environments, Amy Mcdonald Stevens Apr 2023

The Role Of Spiritual Fitness On Burnout And Organizational Commitment In High-Stress Environments, Amy Mcdonald Stevens

Doctoral Dissertations and Projects

This quantitative study examined the relationships between burnout, spiritual fitness, and organizational commitment in National Guard servicemembers. Recent deployments and chronic stressors have resulted in an emergence of mental health concerns, burnout, and turnover intentions in this population. Research has indicated that elements of spirituality address these concerns and suggest that more spiritual individuals are more resilient, less susceptible to burnout, and find positive meaning in work. This study examined these variables using the Maslach Burnout Inventory (Maslach & Jackson, 1981), the Organizational Commitment Scale (Meyer & Allen, 1997), and the SOCOM Spiritual Fitness Scale (Alexander et al., 2020). Correlations …


Importance Of Spending Time In Nature, Peyton M. Daniel Jan 2023

Importance Of Spending Time In Nature, Peyton M. Daniel

A with Honors Projects

In this honors project, the author explores the benefits of forest schools and forest bathing in education.


A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating Jan 2023

A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating

Antioch University Dissertations & Theses

This study examined the perspectives of master-level clinical mental health providers and members of leadership at a Community Mental Health Center (CMHC) in New Hampshire, to understand clinician and leadership perspectives as to why master-level providers choose to continue working at CMHCs. Most prior research on turnover in such organizations has focused on why so many leave their positions, however this study instead focuses on factors related to the decision to stay at a specific CMHC in an urban area of New Hampshire. A single case study method was utilized to focus on masters-level mental health care providers with additional …


Occupational Depression In Italy: Associations With Health, Economic, And Work-Life Characteristics, Renzo Bianchi, Caterina Fiorilli, Giacomo Angelini, Nicoletta Dozio, Carlo Palazzi, Gloria Palazzi, Benedetto Vitiello, Irvin Sam Schonfeld Dec 2022

Occupational Depression In Italy: Associations With Health, Economic, And Work-Life Characteristics, Renzo Bianchi, Caterina Fiorilli, Giacomo Angelini, Nicoletta Dozio, Carlo Palazzi, Gloria Palazzi, Benedetto Vitiello, Irvin Sam Schonfeld

Publications and Research

Background: The Occupational Depression Inventory (ODI) reflects a new approach to job-related distress centered on work-attributed depressive symptoms. The instrument was developed with reference to the characterization of major depression found in the DSM-5. The ODI has been validated in English, French, and Spanish. This study (a) investigated the psychometric and structural properties of the ODI’s Italian version and (b) inquired into the nomological network of occupational depression. Methods: A convenience sample of 963 employed individuals was recruited in Italy (69.9% female; mean age = 40.433). We notably relied on exploratory structural equation modeling bifactor analysis, common-practice …


A Preliminary Assessment Of Compassion Fatigue In Chimpanzee Caregivers, Mary Lee A. Jensvold Dec 2022

A Preliminary Assessment Of Compassion Fatigue In Chimpanzee Caregivers, Mary Lee A. Jensvold

Anthropology and Museum Studies Faculty Scholarship

Compassion fatigue is defined as “traumatization of helpers through their efforts at helping others”. It has negative effects on clinicians including reduced satisfaction with work, fatigue, irritability, dread of going to work, and lack of joy in life. It is correlated with patients’ decreased satisfaction with care. Compassion fatigue occurs in a variety of helping professions including educators, social workers, mental health clinicians, and it also appears in nonhuman animal care workers. This study surveyed caregivers of chimpanzees using the ProQOL-V to assess the prevalence of compassion fatigue among this group. Compassion satisfaction is higher than many other types of …


Teacher Self-Efficacy, Job Satisfaction, And Burnout Amid The Covid-19 Pandemic, Jaimee Ann Hager Nov 2022

Teacher Self-Efficacy, Job Satisfaction, And Burnout Amid The Covid-19 Pandemic, Jaimee Ann Hager

Doctoral Dissertations and Projects

Teachers are consistently faced with adversity, which can affect their ability to feel efficacious in their position, causing them to experience a decrease in their job satisfaction and putting them at risk for burnout. Recently, teachers have experienced significant changes in education, as the COVID-19 pandemic has increased illnesses and forced necessary safety adaptions in the educational setting. This study is a quantitative research design. Participants included 40 elementary teachers from Isle of Wight County Schools in Virginia. Participants were provided a link or QR code to access the survey. This study used a Pearson Correlation to measure relationships between …


Principles For Managing Burnout Among Catholic Church Professionals, Thomas G. Plante Nov 2022

Principles For Managing Burnout Among Catholic Church Professionals, Thomas G. Plante

Psychology

While a large body of research literature has explored the assessment, treatment, and prevention of worker burnout, much less research has focused on the unique issues associated with burnout in religious organizations, especially within the Roman Catholic Church. Catholic Church employees, whether clerics or laypersons, are embedded within a 2,000-year-old global hierarchical structure and organization that is unique in that it includes clerics with vows of chastity, obedience, and often poverty as well as ongoing crises related to clerical sexual abuse scandals, significant financial stressors, and a faith tradition that often overvalues sacrifice and suffering. The purpose of this brief …


Burned-Out With Burnout? Insights From Historical Analysis, Renzo Bianchi, Katarzyna Wac, James Francis Sowden, Irvin Sam Schonfeld Sep 2022

Burned-Out With Burnout? Insights From Historical Analysis, Renzo Bianchi, Katarzyna Wac, James Francis Sowden, Irvin Sam Schonfeld

Publications and Research

Fierce debates surround the conceptualization and measurement of job-related distress in occupational health science. The use of burnout as an index of job-related distress, though commonplace, has increasingly been called into question. In this paper, we first highlight foundational problems that undermine the burnout construct and its legacy measure, the Maslach Burnout Inventory (MBI). Next, we report on advances in research on job-related distress that depart from the use of the burnout construct. Tracing the genesis of the burnout construct, we observe that (a) burnout’s definition was preestablished rather than derived from a rigorous research process and (b) the MBI …


Critical Care Nurse Burnout, Moral Distress, And Mental Health During The Covid-19 Pandemic: A United States Survey, Jill L. Guttormson, Kelly Calkins, Natalie S. Mcandrew, Jacklynn M. Fitzgerald, Holly Lynn Losurdo, Danielle Loonsfoot Sep 2022

Critical Care Nurse Burnout, Moral Distress, And Mental Health During The Covid-19 Pandemic: A United States Survey, Jill L. Guttormson, Kelly Calkins, Natalie S. Mcandrew, Jacklynn M. Fitzgerald, Holly Lynn Losurdo, Danielle Loonsfoot

Psychology Faculty Research and Publications

Background

The COVID-19 pandemic has and will continue to have a tremendous influence on intensive care unit (ICU) nurses’ mental health.

Objectives

The purpose of this study was to describe the impact of COVID-19 on nurse moral distress, burnout, and mental health.

Methods

Between October 2020 and January 2021 this descriptive study recruited a national sample of nurses who worked in the ICU during the COVID-19 pandemic through American Association of Critical Care Nurses newsletters and social media.

Results

A total of 488 survey responses were received from critical care nurses working in the U.S. during the COVID pandemic. Over …


Exploring The Relationship Between Faith And The Experience Of Burnout, Compassion Fatigue, And Compassion Satisfaction For Hospice Workers During A Global Pandemic: A Multidisciplinary Study, Sarah Jo Spiridigliozzi Apr 2022

Exploring The Relationship Between Faith And The Experience Of Burnout, Compassion Fatigue, And Compassion Satisfaction For Hospice Workers During A Global Pandemic: A Multidisciplinary Study, Sarah Jo Spiridigliozzi

Doctoral Dissertations and Projects

Individuals who work within hospice and palliative care experience unique stressors while providing care to patients and families at the end of life. The COVID-19 global pandemic provides additional stressors, personal and professional, which may affect these individuals. Research lacks data to understand how this pandemic affects individuals working in hospice care. Most current research focuses on individual disciplines, with the highest number of studies focusing on a nurse's experiences. Additionally, the recent research provides conflicting relationships on faith's influence on burnout, compassion fatigue, and compassion satisfaction. Biblical guidance on burnout and compassion highlights the importance of addressing this phenomenon …


Lived Experiences Of Mental Health Professionals Using Resilience To Resist Burnout, Kristen Shawn Cummins Apr 2022

Lived Experiences Of Mental Health Professionals Using Resilience To Resist Burnout, Kristen Shawn Cummins

Doctoral Dissertations and Projects

The purpose of this qualitative transcendental phenomenological study was to describe the lived experiences of mental health professionals (MHPs) in California who have worked in private practice settings. The three research questions that framed this study were: what resilience-promoting mindsets do these mental health professionals rely upon, what resilience-promoting behaviors or practices do they demonstrate, and how do these mindsets and behaviors protect MHPs in private practice from experiencing burnout? The theory guiding this study was the metatheory of resilience and resiliency by Glenn E. Richardson (2002; 2016) as it provided a framework to assess how these professionals utilized resilience …


Communicating Comfort In Crisis: A Literature Review On Overcoming The Emergency Room Environment To Foster The Nurse-Patient Relationship, Faith G. Davenport Apr 2022

Communicating Comfort In Crisis: A Literature Review On Overcoming The Emergency Room Environment To Foster The Nurse-Patient Relationship, Faith G. Davenport

Senior Honors Theses

The average emergency room patient is not receiving the compassionate nurse-patient communication that patients experience on other hospital floors. Fewer positive nurse-patient interactions prompt patients to state that they feel uncomforted and dissatisfied on hospital exit surveys, inciting hospital management to investigate how to reverse this trend to retain their federal funding. Emergency room nurses cite multiple barriers inherent in their work environment that prevent them from building rapport with their patients, including a layout not conducive to private conversations, strict time constraints, and a fluctuating workload. Working for a prolonged period under these conditions is driving many nurses to …