A Cognitive and Behavioral Intervention for Burnout in Japanese Nurses of the 3 Years Nursing Clinical Experience

Friday, July 15, 2011: 8:30 AM

Takashi Ohue, RN, MA
Division of Nursing Science Graduate School of Health Sciences, Hiroshima University, Hiroshima, Japan
Michiko Moriyama, RN, PhD
Division of Nursing Science Graduate School of Health Sciences, Hiroshima University, Hirosima, Japan
Takashi Nakaya, PhD
Faculty of Health and Welfare, Prefectural University of Hiroshima, Hiroshima, Japan

Learning Objective 1: There are many reports that nurse of the 3 years nursing clinical experience has the high score of burnout.

Learning Objective 2: The learner will be able to learn the intervention method of a more effective nurse's burnout.

[Purpose]: There are many reports that nurse of the 3 years nursing clinical experience has the high score of burnout. The purpose of the present study was decrease burnout and intention to resign by practicing cognitive behavioral approach to nurses of the 3 years nursing clinical experience. 

[Methods]: Nurses (N=30) who worked at acute-care hospitals and whose clinical experience was 3years were requested. Nurses (n=18, male 1, female 17) who were able to do participation at all the sessions were objects. The program included three60-minute sessions, separated by 1 week. The program was created and carried out for a nurse's burnout with reference to the workbook of Ono (2003). Evaluation of intervention were asked to complete a questionnaire that measured burnout (Maslach Burnout Inventory:MBI), job stressors (Nursing Job Stressor Scale:NJSS), automatic thoughts (the shorter version of Japanese version Automatic Thoughts Questionnare-Revised: ATQ-R), Irrational Belief Test for Nurses (IBTN), coping measure and whether or not they had an intention to resign. Measurement was performed 3 times of a baseline, after the end of session and follow-up. One-way analysis of variance was performed.

[Result]: The significant difference was affirmed between a baseline and follow-up of "helplessness" (p< 0.10) of an irrational belief, "emotional exhaustion" (p< 0.10) of burnout, "wanted to quit working as a nurse" of intention to resign (p< 0.05) However, there was no significant difference at other subscales. That is, it was suggested to decrease of a nurse's burnout or intention to resign that cognitive behavioral approach is effective. Moreover, the effect can consider a possibility of having been brought by the change of the "helplessness" of an irrational belief.

[Conclusion]:It was suggested that cognitive behavioral approach appears to be effective for reducing nurse's burnout or intention to resign in nurses of the 3 years nursing clinical experience.