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

Monday, 30 July 2012

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: The purpose of the present study was to decrease burnout and intention of resigning from the job by practicing cognitive behavioral approach in nurses with 3 year-clinical experience.

Methods: Nurses (N=30) who were working in acute-care hospitals and have 3 years of clinical experience were recruited. The subjects included the nurses (n=18; 1 male 17 females) who were able to participate in all sessions. For evaluation of intervention, subjects were asked to complete a questionnaire that measured burnout (MBI), job stressors (NJSS), automatic thoughts  (ATQ-R), Irrational Belief Test for Nurses (IBTN), coping measure and whether or not they had an intention to resign from the job.

 Results: According to the results, the primary effect of “helplessness” was significant  in the group with irrational belief immediately after intervention. With regard to automatic thoughts, the primary effect of “positive thinking” in the ATQ-R shorter version was significant  in the group with irrational belief after intervention. Moreover, 3 months after the completion of intervention, the primary effect was significant  in the group. With regard to all subscales of burnout (MBI), no significant difference was observed after intervention, but the primary effect of “personal accomplishment” was significant in the group with MBI in 3 month after intervention. According to the results of Friedman test, significant differences were observed in “emotional exhaustion” in the group with low degree of irrational belief and in the group with high degree. With regard to intention of resigning from the job, “desire to continue working as a nurse” was significant in the group in 3 months after intervention.

Conclusion: It was suggested that cognitive behavioral approach appears to be effective for reducing nurse's burnout or intention of resigning from the job in nurses with 3 year of clinical experience.