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 via PubMed
Summary
AI-generated from the abstractA quality improvement project introduced a mindfulness campaign to reduce burnout among ICU nurses, whose stress was worsened by the COVID-19 pandemic. Nurses used the 5-4-3-2-1 sensory engagement method and carried badge cards for quick reference. Pre- and post-intervention surveys using the Maslach Burnout Inventory showed a small effect size across all three subcategories, with a nonsignificant decrease in emotional exhaustion scores. The intervention offered a helpful stress management tool, but the authors suggest that meaningful reduction in burnout requires institution-level changes to address systemic stressors and support nurse retention.
Study at a glance
| Characteristics | Quality improvement project Peer reviewed |
|---|---|
| Population | ICU nurses |
| Interventions | 5-4-3-2-1 mindfulness method badge cards |
| Topics | Meditation |
| Keywords | Covid-19 Cardiac care unit Nurse burnout Quality improvement |
| Key finding | The mindfulness intervention produced a small effect size and a nonsignificant decrease in emotional exhaustion, indicating that systemic changes are needed to reduce burnout. |
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.