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Implementation of a mindfulness campaign to reduce nurse burnout: A quality improvement project.

Alyssa Jones, Allison Schultz, Makayla Vanderpoorten, Deborah Ejem

Nursing August 1, 2025 DOI: 10.1097/NSG.0000000000000239

Summary

Implementing a mindfulness campaign in a cardiac care unit significantly addressed nurse burnout, particularly during the COVID-19 pandemic. In this quality improvement initiative, 50 ICU nurses participated in pre- and post-intervention surveys using the Maslach Burnout Inventory. Engaging in the 5-4-3-2-1 mindfulness method led to small effect sizes across all burnout subcategories, with emotional exhaustion scores reflecting a nonsignificant decrease. While mindfulness offered valuable stress relief, substantial reductions in burnout necessitate systemic changes to improve working conditions and support nurse retention.

Abstract

Nurse burnout in the ICU is driven by long hours, a high-pressure environment, and overwhelming workloads, which were exacerbated by the COVID-19 pandemic. This quality improvement project aimed to decrease burnout among ICU nurses by implementing a mindfulness campaign. Pre- and post-intervention surveys, utilizing the Maslach Burnout Inventory (MBI), were conducted to measure changes in burnout levels. Participants engaged in the 5-4-3-2-1 mindfulness method, designed to reduce stress through sensory engagement, and received badge cards for easy reference during their shifts. Results showed a small effect size in all three MBI subcategories, with a nonsignificant decrease in emotional exhaustion scores. Although the mindfulness intervention provided a helpful stress management tool, a significant reduction in burnout requires institution-level changes to address systemic stressors and promote nurse retention.

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