Journal of Intensive and Critical Care Nursing

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +1 (629)348-3199

Review Article - Journal of Intensive and Critical Care Nursing (2023) Volume 6, Issue 6

Addressing Burnout and Promoting Resilience Among Intensive Care Nurses: Strategies for Self-Care.

Sharon Shulma *

Department of Psychology, School of Biomedical Sciences, European University of Madrid, Spain.

*Corresponding Author:
Sharon Shulma
Department of Psychology, School of Biomedical Sciences, European University of Madrid, Spain.
E-mail:shulmansharon@gmail.com

Received: 29-Nov-2023, Manuscript No. AAICCN-24-127307; Editor assigned: 01-Dec-2023, PreQC No. AAICCN-24-127307(PQ); Reviewed:15-Dec-2023, QC No. AAICCN-24-127307; Revised:18-Dec-2023, Manuscript No. AAICCN-24-127307(R); Published: 26-Dec-2023, DOI:10.35841/aaiccn-6.6.181

Citation: Shulman S. Addressing Burnout and Promoting Resilience Among Intensive Care Nurses: Strategies for Self-Care. J Intensive Crit Care Nurs. 2023; 6(6):181.

Visit for more related articles at Journal of Intensive and Critical Care Nursing

Introduction

Nursing, especially in intensive care units (ICUs), is an inherently demanding profession that exposes nurses to high levels of stress, emotional strain, and physical exhaustion. The nature of ICU nursing, characterized by prolonged exposure to critically ill patients and complex care situations, places significant strain on nurses, often leading to burnout. Burnout among ICU nurses not only impacts their own well-being but also jeopardizes patient care and healthcare outcomes. To mitigate burnout and promote resilience among ICU nurses, it is imperative to implement effective strategies for self-care. This essay explores various approaches to address burnout and foster resilience among ICU nurses through self-care initiatives [1,2].

Burnout is a multifaceted phenomenon encompassing emotional exhaustion, depersonalization, and reduced personal accomplishment. ICU nurses are particularly susceptible to burnout due to the emotionally taxing nature of their work, witnessing suffering, death, and complex medical situations on a daily basis. Emotional exhaustion manifests as a depletion of emotional resources, leading to feelings of fatigue and detachment from patients. Depersonalization involves developing negative attitudes and a cynical outlook towards patients and colleagues. Reduced personal accomplishment reflects a diminished sense of achievement and competence in one's work .[3,4].

Several factors contribute to burnout among ICU nurses, including high patient acuity, heavy workloads, long hours, limited resources, inadequate staffing, moral distress, and insufficient support from management and colleagues. The relentless demands of ICU nursing, coupled with exposure to traumatic events and ethical dilemmas, exacerbate stress and increase the risk of burnout. Moreover, the hierarchical nature of healthcare organizations and the perceived lack of autonomy further contribute to feelings of powerlessness and disillusionment among ICU nurses.[5].

Several factors contribute to burnout among ICU nurses, including high patient acuity, heavy workloads, long hours, limited resources, inadequate staffing, moral distress, and insufficient support from management and colleagues. The relentless demands of ICU nursing, coupled with exposure to traumatic events and ethical dilemmas, exacerbate stress and increase the risk of burnout. Moreover, the hierarchical nature of healthcare organizations and the perceived lack of autonomy further contribute to feelings of powerlessness and disillusionment among ICU nurses.[6].

Promoting self-care among ICU nurses is essential for mitigating burnout and enhancing resilience. Self-care encompasses various practices aimed at preserving physical, emotional, and psychological well-being. While the responsibility for addressing burnout extends beyond individual nurses to healthcare organizations and policymakers, nurses can adopt self-care strategies to cope with stress and cultivate resilience. The following are key strategies for promoting self-care among ICU nurses [7].

Physical well-being forms the foundation of self-care. ICU nurses should prioritize regular exercise, adequate sleep, and nutritious diet to replenish energy levels and enhance resilience. Engaging in physical activity, such as yoga, meditation, or outdoor recreation, can alleviate stress, improve mood, and promote overall well-being. Additionally, maintaining proper hydration and taking regular breaks during shifts are crucial for preventing burnout and sustaining performance.

Emotional intelligence is essential for navigating the complex emotions inherent in ICU nursing. Nurses can cultivate emotional intelligence through self-awareness, self-regulation, empathy, and effective communication. Reflective practices, such as journaling or mindfulness, enable nurses to process their emotions, develop insight into their experiences, and cultivate empathy towards patients and colleagues. Building supportive relationships with peers and seeking professional counseling or peer support groups can also provide avenues for emotional expression and validation [8].

Setting boundaries is essential for preserving mental and emotional well-being in the demanding environment of the ICU. Nurses should learn to recognize their limits and assertively communicate their needs and preferences to colleagues and supervisors. Implementing strategies such as time management techniques, delegation of tasks, and saying no to unreasonable demands can prevent overextension and mitigate stress. Boundary-setting also involves creating a balance between work and personal life, allowing nurses to recharge and engage in activities that bring fulfillment outside of work.

Burnout is a complex syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. In the context of ICU nursing, where healthcare professionals are constantly exposed to high-stakes situations and intense emotional demands, burnout is a prevalent concern. Emotional exhaustion manifests as a state of chronic fatigue, where nurses feel drained, both physically and emotionally [9].

Depersonalization involves developing negative attitudes and a sense of detachment towards patients and colleagues, eroding the compassionate core of nursing. Reduced personal accomplishment reflects a diminished sense of competence and achievement in their professional role, further exacerbating the negative impact of burnout.

Several factors contribute to the heightened risk of burnout among ICU nurses. The very nature of their work, dealing with critically ill patients and facing life-and-death situations, creates an emotionally charged environment. Factors such as high patient acuity, heavy workloads, long and irregular hours, insufficient staffing, limited resources, and moral distress further compound the stressors. Additionally, the hierarchical structure within healthcare organizations and the perceived lack of support from management can contribute to feelings of powerlessness and frustration among ICU nurses .[10].

Conclusion

Addressing burnout and promoting resilience among ICU nurses is a shared responsibility that involves both individual and organizational efforts. The multifaceted nature of burnout requires a comprehensive approach that recognizes the unique challenges faced by ICU nurses and empowers them with effective self-care strategies. By prioritizing physical well-being, cultivating emotional intelligence, establishing boundaries, practicing mindfulness, building a support system, investing in continuing education, and promoting a positive workplace culture, ICU nurses can enhance their resilience and mitigate the impact of burnout.

References

  1. Luo Y, Grinspan LT, Fu Y, et al. Hospital-onset Clostridioides difficile infections during the COVID-19 pandemic. Infect Control Hosp Epidemiol. 2021; 42(9):1165-6.

    2. Indexed at, Google Scholar, Cross Ref

  2. Evans ME, Kralovic SM, Simbartl LA, et al . Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated infections associated with a Veterans Affairs prevention initiative. Am J Infect Control. 2017; 45(1):13-6.

    3. Indexed at, Google Scholar, Cross Ref

  3. Cassone M, Mody L. Colonization with multidrug-resistant organisms in nursing homes: scope, importance, and management. Curr Geriatr Rep. 2015; 4:87-95.

    4. Indexed at, Google Scholar, Cross Ref

  4. Denis O, Jans B, Deplano A, et al. Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) among residents of nursing homes in Belgium. J Antimicrob Chemother. 2009; 64(6):1299-306.

    5. Indexed at, Google Scholar, Cross Ref

  5. Jans B, Schoevaerdts D, Huang TD, et al. Epidemiology of multidrug-resistant microorganisms among nursing home residents in Belgium. PloS one. 2013; 8(5):e64908.

    6. Indexed at, Google Scholar, Cross Ref

  6. Ketefian S, Redman RW. Nursing science in the global community. J Nurs Scholarsh. 1997:11-5.

    7. Indexed at, Google Scholar, Cross Ref

  7. Messias DK. Globalization, nursing, and health for all. JNurs Scholarsh. 2001; 33(1):9.

    8. Indexed at, Google Scholar, Cross Ref

  8. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet. 1997; 349(9064):1498-504.

    9. Indexed at, Google Scholar, Cross Ref

  9. Aiken LH, Clarke SP, Sloane DM, et al. Hospital staffing, organization, and quality of care: cross-national findings. Int J Qual Health Care. 2002; 5-14.

    10. Indexed at, Google Scholar, Cross Ref

  10. Manolio TA, Chisholm RL, Ozenberger B, et al. Implementing genomic medicine in the clinic: the future is here. Genet Med. 2013; 15(4):258-67.

    11. Indexed at, Google Scholar, Cross Ref

Get the App