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Expressive Therapies And Resiliency – Resistance In Mental Health: A Literature Review, Gabrielle Lopez

Expressive Therapies Capstone Theses

This review evaluates the current literature on psychological resistance amongst human service professionals experiencing burnout and the effect of Expressive Arts interventions on resiliency. Concepts include identifying the main symptoms, risk factors, causes, and treatments for burnout in education faculty, medical staff, and clinicians. Qualitative, quantitative, and meta-analysis studies are included to identify the most prevalent intervention frameworks for reducing stress including Arts-Based and Mindfulness-compassion based techniques. The effectiveness of Arts-based tools on strengthening identity, self-esteem, emotional regulation, and meaning-making in combating burnout is presented. Based on analysis of the literature, the author proposes a three-step intervention framework for utilizing …

Shift Schedule Justice And Clinician Outcomes: A Quasi-Experimental Approach, Caroline George

All Dissertations

Emergency Physicians (EPs) work in stressful and unpredictable work environments. Due to these factors and the nature of their work scheduling (in shifts), EPs experience heightened levels of adverse work outcomes. As such, it is important for EPs to believe their shift schedule is fair, and for them to have adequate recovery time away from work. The present research examined the effects of Emergency Department leadership approving a 1-hour increase to EP shifts, equating to roughly two fewer shifts per month (8-hour shifts will become 9-hour shifts). As such, EPs should experience more time off from work per month, allowing …

The Experience Of Caregiver Burden And Burnout Among Resident Directors, Tanya Koroyan

Doctoral Dissertations

The goal of this study was to understand the experiences of caregiver burden and burnout for Resident Directors (RDs). RDs live on campus and support students through traumatic experiences by serving in an “on-call” capacity. Student emergencies that RDs respond to include mental health concerns, sexual violence and sexual harassment, suicidal ideation, self-harm, grief, physical assault, etc. There is little research on understanding this work's experience and potential long-term implications.

Through a constructivist-interpretivist research paradigm and phenomenological qualitative methodology, nine interviews took place with individuals who had previously been RDs at Bay Area University, a large public institution in the …

An Evidence-Based Approach For Decreasing Burnout In Health Care Workers, Leonor T. Salalila

Student Scholarly Projects

Practice Problem: Health care worker (HCW) burnout is a pervasive phenomenon within the healthcare industry, affecting professionals across various disciplines. Emotional exhaustion is a prominent feature, leading to feelings of being emotionally drained, overwhelmed, and unable to cope effectively with the demands of the job. Additionally, burnout often results in a significant lack of motivation among HCWs, who may struggle to find meaning and purpose in their work, exacerbating feelings of frustration and disillusionment. Consequences extend beyond individual well-being, impacting healthcare organizations with reduced work efficacy, low productivity, increased absenteeism, and high turnover rates. Addressing burnout requires a multifaceted approach, …

Adjustments To Social Work Practice During The Covid-19 Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Social Work Faculty Publications

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

Medical School Middle Managers Learning To Successfully Work With Leadership To Navigate Organizational Change, Elizabeth G. Smith

Doctor of Education Program Dissertations

There is a lapse in research exploring middle managers at medical schools during an organizational change. The purpose of this qualitative phenomenological study was to examine the perceptions of middle managers during an organizational change to mitigate burnout and build resilience. The literature reviewed explored how stressors from organizational changes may impact medical school middle managers, leading to feeling less secure about their position and increasing middle managers’ stress leading to burnout. For an organizational change to be successful, middle managers must build trust with their staff, communicate with middle managers, and engage middle managers in the change process. Burnout …

Venturing Free: An Empowerment Journey, Sara Taylor Lattimore

Doctor of Leadership

NPO Statement

Experienced leaders who have experienced burnout or leadership trauma lose their risk-taking capacity.

Emerging Insights

Emerging insights began to imply that leaders in helping professions such as ministry leaders who are serving in this post-COVID world may experience increased burnout and trauma as they lead in spaces where they are tasked with leading while helping others heal. Burnout and lack of community started to arise as a potential factor that could lead to leaders slipping into survival mode and avoiding risk-taking in their contexts. Research workshops revealed leaders had feelings of survival, burnout, and loneliness. They spoke of …

Toxin Handling In Human Resources (Hr) And Its Impact On Burnout, Cecilia J. Lee

Theses and Dissertations

These are challenging times for HR professionals. The world of work has experienced unprecedented levels of change since the pandemic. Now on the horizon is the transformative influence of generative AI on the future of work and HR sits at the center of these changes in organizations. Business executives need healthy and productive HR professionals to effectively support organizations in the future. Unfortunately, recent industry studies paint a sobering picture of waning well-being and high levels of burnout in HR. Burnout is characterized by exhaustion, cynicism, and inefficacy, experienced by individuals and caused by systemic organizational imbalances. This study was …

Navigating Embodied Self-Awareness States To Produce Work-Enhancing Adaptive Stress Responses, Kristina Banfield

Theses and Dissertations

Work-related stress is increasingly problematic for middle managers and executives, leading to escalating problems of burnout, turnover, diminished performance, and compromised well-being. However, given the same stressor, differential outcomes are observable across individuals, ranging from paralysis to agitation, and even enhanced performance. Individuals’ responses to stress are strongly influenced by their mental models, physiology, and nervous systems—all of which can be deliberately modulated to promote more adaptive stress responses. The purpose of this study was to examine managers’ experiences of their modulated self-awareness states to optimize their stress response for work performance. A purposive sample of 10 senior managers and …

Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron R. Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Journal of Human Services: Training, Research, and Practice

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

The Anatomy Of Physician Fulfillment: Strategies Beyond Burnout, Brook Hale

Antioch University Dissertations & Theses

The persistent tension and power struggle between healthcare executives and physicians is a prevalent issue in healthcare organizations, often leading to a culture of organizational mistrust. This dynamic stems from perceived conflicting goals: executives are frequently seen as primarily focused on financial outcomes, while physicians are viewed as resistant to change. This study explored how physician fulfillment is experienced at work, with the ultimate goal of identifying potential interventions to bridge the gap between these groups. There is vast research and literature available regarding burnout in healthcare; this research focused on understanding what physicians find fulfilling in their work and …

Qualitative Study Exploring The Risk Factors Of Burnout: Pennsylvania Social Work Professionals In Child Welfare, Nicole Ukaegbu

Social Work Doctoral Dissertations

Burnout is a concern that impacts many professionals in the workplace. This study focused on the risk factors of burnout for social work professionals in Pennsylvania’s child welfare industry. The study was conducted with 10 professionals at children and youth services (CYS) agencies in Pennsylvania, where each of the professionals were interviewed to gain perspective on the problem of burnout. This study used a qualitative approach and was rooted in grounded theory to unravel the findings.

Four risk factor themes, nine risk factor subthemes, and two additional findings themes were generated during the data analysis process. Findings from the 10 …

Wellness Review 2023, Part 1, Brian A. Ferguson, Martin Huecker

Journal of Wellness

Introduction: The 2023 Part 1 summary reviews research on wellness in healthcare professionals published outside of JWellness from January 1, 2023 to June 30, 2023.

Methods: Editors conducted a Boolean search of titles and abstracts in PubMed utilizing keyword identifiers pairing healthcare personnel (providers, nurses, and other staff) with a well-being metric. Of 416 relevant articles, an intriguing and innovative 30 were selected for inclusion, with two additional articles manually curated.

Literature in Review: This sample of the recent literature into healthcare professional wellness included multiple targeted interventions and studies of resilience. Main themes that emerged include: positive systematic healthcare …

The Relationship Of Insufficient Resources To Leadership Burnout In Rural Nonprofit Organizations, Keilee Webb

Honors College Theses

The purpose of this thesis is to describe and analyze the relationship between the lack of resources in nonprofit organizations and burnout. In this literature review, the aim is to explore various resources affecting nonprofit entities as they relate to organizational capacity. These specific resources will be reviewed and discussed to understand how closely related those resources are to burnout. Additionally, the implications of nonprofit employee and volunteer burnout will be analyzed. Within the literature review, the research indicates nonprofits in rural United States are more likely to encounter a deficit in connections to resources than their urban counterparts. This …

Exploration Of Burnout, Emotional Thriving, And Emotional Recovery In An Academic Medical Center: A Mixed Methods Quality Improvement Project, Roxana Naderi, Katherine T. Morrison, Zuzanna Czernik, James E. Carter Jr, Katherine N. Dickerman, Alexandra Gallant, Lara Kirkbride-Romeo, Lauren Mcbeth, Angela Keniston, Kristin M. Jensen

Journal of Wellness

Introduction: Healthcare provider burnout, an indicator of wellbeing, impacts patient safety, provider distress, and employee turnover. In this mixed methods, multi-site quality improvement study conductedpandemic, we assessed employee wellbeing in a large clinical department.

Methods: Wellbeing surveys were sent electronically to Department of Medicine clinicians, researchers, administrators, and staff from August-September 2019 assessing perceptions of Burnout, Emotional Thriving (ET), and Emotional Recovery (ER). Qualitative responses were reviewed for themes using mixed inductive-deductive analysis. The initial coding was done by small teams with consensus obtained through large group discussions. This study was IRB-approved as non-human subjects research.

Results: Of the 671 …

Unit-Based Onboarding Program For New Graduates On A Medical-Surgical Unit, Racquel A. Brewster

Electronic Theses and Dissertations

Nurse turnover is prevalent among new graduate nurses. Many new graduate nurses feel unsupported by their peers, lack self-confidence, or feel overburdened due to the workload assigned to them. New graduate nurses with support systems are more likely to stay with an organization. Research suggests the creation of a supportive environment for new graduate nurses to help increase nurse retention in this demographic. A unit-based transition onboarding program was launched to create a supportive environment to help retain new graduate nurses on a medical-surgical unit. New graduate nurses with at least 1 to 3 years of experience completed a Likert-type …

Utilization Of Wellness Practices For Burnout And Stress During Covid-19 Among An Interdisciplinary Cohort Of Emergency Healthcare Workers, Michael J. Zdradzinski, Sheri-Ann O. Kaltiso, Roslyn Seitz, Timothy P. Moran, Jennifer Clements, Sheryl L. Heron, Michelle D. Lall

Journal of Wellness

Introduction: The Coronavirus Disease (COVID-19) introduced additional stress to the baseline occupational stressors of emergency care workers. The objectives of this study were to evaluate perceived stress and burnout and the utilization and perceived benefit of wellness practices among emergency healthcare workers (EHCWs), including: emergency physicians, advanced practice providers (APPs), nurses, and departmental administrative staff during the COVID-19 pandemic.

Methods: A cross-sectional 28-item electronic survey of EHCWs at three hospitals in a major United States city was used to measure participants’ utilization and perceived benefit of wellness practices, burnout (2-item measure), overall stress (perceived stress scale), and stress …

A Post Pandemic Intervention To Reduce Burnout In Nurses In An Acute Care Setting, Erica J. Larson

DNP and Student Works

The purpose of the project was to determine in nurses working in an acute care setting how a positive psychology intervention (Three Good Things), compared with no positive psychology intervention, affects perceived burnout within a four- week period of time.

Fostering Resilience Among Nurses For Healthy Work Environment: A Systematic Review, Divya Raghavan, Teena Jones, Sangeeta Edward

Creating Healthy Work Environments (CHWE)

Stressful work environments have serious implications. Nurses working in a challenging atmosphere have increased risk of psychological burnout syndrome, emotional exhaustion, and other health-related symptoms. Nurses who have better adaptations thrive the best in midst of adversities. It is imperative to foster nurse resilience to create a positive work environment.

Reducing Burnout Using Emergency Planning: A Literature Review, Taylor Vaughn

Capstone Experience: Master of Public Health

Objective

The objective of this capstone is to gain knowledge on what burnout is, what causes it, what can be done to prevent it, and what can be added to public health emergency plans to reduce burnout in local emergency preparedness workforces.

Methodology

A literature review was completed through peer-reviewed articles, and documents from professional and governmental organizations. The results were used to search current plans to determine whether burnout-related recommendations were present.

Results

Burnout prevention at the personal level includes a good diet, routine exercise, and mindfulness activities. At the organizational level it should include providing emotional support, emphasizing …

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 …

Areas Of Work-Life That Contribute To Burnout Among Higher Education Health Science Faculty And Perception Of Institutional Support, Megan Koster, Kristen Mchenry

Respiratory Therapy Faculty Publications and Presentations

Background: COVID-19 added responsibilities to faculty in health-related fields. Educators in these areas have experienced pandemic-related role strain in both the clinical and academic settings.

Purpose: This investigation sought to identify how health science faculty at one institution perceived challenges related to the COVID-19 pandemic in their role and to glean opportunities for institutions to increase the degree of support for faculty.

Methods: An analysis of narrative comments was conducted on a survey assessing burnout and well-being. The survey was distributed to full-time faculty within the College of Health Sciences at a four-year institution. Using the areas of work-life model …

A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, there was a high need for mental health services, which resulted in a shortage of mental health clinicians. This shortage of mental health clinicians then resulted in a high burnout rate due to client intake. This doctoral case study was grounded in the Baldrige Excellence Framework and focused on how a behavioral health organization in South Texas managed burnout in clinicians during the COVID-19 pandemic. This study aimed to help behavioral health leaders find a solution to preventing burnout during a high demand pandemic. This doctoral study had several data sources, including semistructured interviews with three …

Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins

Walden Dissertations and Doctoral Studies

Nurse leaders are a health care group that has been provided limited support to managestress and burnout symptoms, yet the impact of leader stress burden on staff satisfaction, patient outcomes, and their own health is vital to the provision of safe, high-quality health care. The problem of leader fatigue and burnout is the ability to retain current leaders and recruit the next generation. The purpose of this staff education project was to address leadership burnout due to stress and the lack of knowledge of how to manage stress in the moment. A combination of Watson’s theory of caring and Ray’s …

Staff Education Program To Reduce Burnout Among Health Care Professionals On A Long-Term Care Unit, Emelda Mati Che

Walden Dissertations and Doctoral Studies

AbstractBurnout negatively impacts the performance of health care providers, decreasing the quality of care provided to patients and affecting patients’ experience. This problem is evident in health care staff on long-term care units (LTCUs) as they strive to meet their patients’ chronic and acute care needs. Health care professionals often lack adequate knowledge on how to manage work-related stress and reduce the issue of burnout in this work environment. The health care professionals working on the LTCU at the local continuing care retirement facility were identified as lacking knowledge to manage work-related stress and burnout. Addressing this problem is essential …

Improving Provider Retention Through Addressing Burnout At A Federally Qualified Health Center: A Quality Improvement Initiative, Emily Grattan

DNP Scholarly Projects

Background: Primary care providers employed by federally qualified health centers (FQHC) working with underserved populations experience high levels of burnout as patients are often medically complex, face healthcare disparities and societal stigmas. The aim of the project was to alleviate burnout and improve provider retention through introduction of organizational support measures. Participants involved were healthcare providers, as well as nurse management and senior leadership.

Methods: The quality improvement approach for this project utilized the Plan-Do-Study-Act (PDSA) cycle and a driver diagram to guide the selected interventions. Interventions were based on categories from Mayo’s Clinic’s Nine Organizational Strategies to Promote Engagement …

Work Life Balance: Organizational Leadership And Best Practices To Overcome Burnout For Female Realtors, Carmen Sarkis

Theses and Dissertations

Women Realtors in residential real estate have a difficult time avoiding burnout and are commonly ineffective in achieving work life balance (WLB). This qualitative, phenomenological research study focused on understanding the issues of WLB and burnout which female Realtors faced, and best strategies in overcoming these issues. There were four main research questions and a total of 12 interview questions which were used as a method to collect data for research purposes. Fifteen participants who met the criteria of inclusion as discussed in Chapter 3 participated in this study, and were located using LinkedIn, and the National Association of Realtors. …

Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros

Walden Dissertations and Doctoral Studies

Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …

Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins

Walden Dissertations and Doctoral Studies

Nurse leaders are a health care group that has been provided limited support to managestress and burnout symptoms, yet the impact of leader stress burden on staff satisfaction, patient outcomes, and their own health is vital to the provision of safe, high-quality health care. The problem of leader fatigue and burnout is the ability to retain current leaders and recruit the next generation. The purpose of this staff education project was to address leadership burnout due to stress and the lack of knowledge of how to manage stress in the moment. A combination of Watson’s theory of caring and Ray’s …

A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, there was a high need for mental health services, which resulted in a shortage of mental health clinicians. This shortage of mental health clinicians then resulted in a high burnout rate due to client intake. This doctoral case study was grounded in the Baldrige Excellence Framework and focused on how a behavioral health organization in South Texas managed burnout in clinicians during the COVID-19 pandemic. This study aimed to help behavioral health leaders find a solution to preventing burnout during a high demand pandemic. This doctoral study had several data sources, including semistructured interviews with three …