Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy
Open accessAbstract
AIM: To verify the role of dispositional mindfulness, difficulties in emotion regulation and empathy in explaining burnout levels of emergency room (ER) nurses. BACKGROUND: Many studies have examined the variables that can affect burnout amongst ER nurses, but little is known about factors that can protect ER nurses against work-related stress. METHOD: A multi-centre cross-sectional design was used. Burnout level intensity, dispositional mindfulness facets, difficulties in emotion regulation and empathy dimensions were assessed using valid and reliable self-report questionnaires in a sample of ER nurses (N = 97) from three different hospitals. RESULTS: Higher dispositional mindfulness and cognitive empathy levels and lower difficulties in emotion regulation, were negatively associated with emotional exhaustion levels. CONCLUSION: ER nurses with more mindful, emotion regulation and empathy skills are more able to manage work-related distress. IMPLICATIONS FOR NURSING MANAGEMENT: Experiential interventions to promote mindfulness skills, emotion regulation variability and flexibility in a clinical context and the cognitive side of empathy are recommended for ER nurses to reduce professional distress, and to enhance personal and work satisfaction. Future research should assess the effectiveness of new multi-factorial interventions which combine the development of mindfulness, emotion regulation and empathy skills in ER nurses.
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Stress can make it hard for emergency care nurses to focus on patient needs, which in turn can negatively affect the quality of care and their own work satisfaction.
“Stress can make it hard for them to focus on patient needs, which in turn can negatively affect the quality of care and their own work satisfaction (Kelly et al., 2015; Salvarani et al., 2019).”
From Emergency department nurses' experiences of a mindfulness training intervention: A phenomenological exploration (2023) · cites this paper as Salvarani et al., 2019
The Background links work stress to burnout and says nurses’ emotion-regulation abilities influence patient interactions and clinical performance. The Abstract also discusses reducing distress and enhancing work satisfaction. However, the paper does not establish the claimed sequence in which stress makes ER nurses less able to focus on patient needs, thereby reducing care quality and work satisfaction. (LLM, conf=0.82)
Experimental — accuracy not yet measuredNurses working in an emergency context have a high risk of stress-related illness and burnout.
“Previous studies indicate that nurses working in an emergency context have a high risk of stress-related illness and burnout (Kelly et al., 2015; Salvarani et al., 2019).”
From Emergency department nurses' experiences of a mindfulness training intervention: A phenomenological exploration (2023) · cites this paper as Salvarani et al., 2019
The Background states that emergency-room nurses are more exposed to burnout than nurses in other specialties. The Conclusions report high levels of work-related distress and a risk of burnout, but do not establish a risk of stress-related illness as a separate outcome. No page numbers are available in our copy. (LLM, conf=0.85)
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- Authors
- Salvarani, V., Rampoldi, G., Ardenghi, S., Bani, M., Blasi, P., Ausili, D., Di Mauro, S., & Strepparava, M. G.
- Affiliations
- University of Milano-Bicocca (IT)
- School of Medicine and Surgery University of Milano – Bicocca Monza Italy
- Azienda Ospedaliera San Gerardo (IT)
- Corresponding author
- Strepparava, Maria Grazia
- ORCID
- Venue
- Journal of Nursing Management
- Publisher
- Wiley
- Published
- 2019-04-09
- Volume
- 27
- Issue
- 4
- Pages
- 765-774
- ISSN
- 0966-0429 (ISSN-L)
- 1365-2834
- OpenAlex
- W2923921745
- Cited by
- 144
- References
- 57
- Citations by year
- 2026: 12 · 2025: 22 · 2024: 20 · 2023: 24 · 2022: 28 · 2021: 22 · 2020: 12 · 2019: 4
- FWCI
- 20.73
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of Nursing Management (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- burnout, emergency department nurses, trait mindfulness, emotion regulation, empathy, cognitive empathy, emotional exhaustion, occupational stress, occupational distress, mindfulness-based interventions
- MeSH terms
- Adult, Analysis of Variance, Burnout, Professional, Cross-Sectional Studies, Emergency Service, Hospital, Empathy, Female, Humans, Italy, Job Satisfaction, Male, Middle Aged, Nurses, Surveys and Questionnaires, Mindfulness
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