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Thanks everyone for the great discussion this month. I will leave this open until Monday. I know a couple more people would like to join the conversation.
I will be sending out your CNE certificates ASAP.1.What was the knowledge gained from the article?
I was surprised to learn that outpatient nurses have higher rates of emotional exhaustion. Davis, Lind, and Sorensen (2013) note that inpatient units have higher levels of stress (according to the data), which is why I expected outpatient RN’s to have lower levels or stress, burnout, and exhaustion. The authors explained that this could be explained as outpatient RN’s forming more meaningful and longer and more personal relationships with patients, leading to more anguish when the patients don’t do well. The authors also remind us that outpatient nurses tend to be older, and they found that older nurses have higher levels of emotional exhaustion. I was also surprised to see how strong an effect chair massages had on stress levels. If such a small effort can yield effect results, then we should use it!2.Will the research/information in this article change or influence your practice? If so how?
I think we are fortunate in the James to have a relatively high level of social support among our peers to help with resilience. Of course, each clinic is different and some have more support than others. Being part of JCRU, we offer each other strong support since our job can be demanding and chaotic at times. I hope we bring this level support to clinic staff as well. After presenting these articles in our monthly RBC meeting, Kelly set up chair massage sessions for our unit in February. We’ll see how they help!3.Do you agree/disagree with the conclusions of the author, why?
I agree with the authors’ conclusions as their data collection methods and reasoning appear very sound. I wonder if we would find similar results in the James? I wish we could have massage chair rooms in each building!Davis, S., Lind, B. K., & Sorensen, C. (2013). A comparison of burnout among oncology nurses working in adult and pediatric inpatient and outpatient settings. Oncology Nursing Forum, 40(4). https://doi.org/10.1188/13.onf.e303-e311
Hand, M., Margolis, J., & Staffileno, B. (2019). Massage chair sessions: Favorable effects on ambulatory cancer center nurses’ perceived level of stress, blood pressure, and heart rate. Clinical Journal of Oncology Nursing, 23(4), 375–381. https://doi.org/10.1188/19.cjon.375-381
1.What was the knowledge gained from the article?
I was surprised to learn that outpatient nurses have higher rates of emotional exhaustion. Davis, Lind, and Sorensen (2013) note that inpatient units have higher levels of stress (according to the data), which is why I expected outpatient RN’s to have lower levels or stress, burnout, and exhaustion. The authors explained that this could be explained as outpatient RN’s forming more meaningful and longer and more personal relationships with patients, leading to more anguish when the patients don’t do well. The authors also remind us that outpatient nurses tend to be older, and they found that older nurses have higher levels of emotional exhaustion. I was also surprised to see how strong an effect chair massages had on stress levels. If such a small effort can yield effect results, then we should use it!2.Will the research/information in this article change or influence your practice? If so how?
I think we are fortunate in the James to have a relatively high level of social support among our peers to help with resilience. Of course, each clinic is different and some have more support than others. Being part of JCRU, we offer each other strong support since our job can be demanding and chaotic at times. I hope we bring this level support to clinic staff as well. After presenting these articles in our monthly RBC meeting, Kelly set up chair massage sessions for our unit in February. We’ll see how they help!3.Do you agree/disagree with the conclusions of the author, why?
I agree with the authors’ conclusions as their data collection methods and reasoning appear very sound. I wonder if we would find similar results in the James? I wish we could have massage chair rooms in each building!Davis, S., Lind, B. K., &Sorensen, C. (2013). A comparison of burnout among oncology nurses working in adult and pediatric inpatient and outpatient settings. Oncology Nursing Forum, 40(4). https://doi.org/10.1188/13.onf.e303-e311
Hand, M., Margolis, J., & Staffileno, B. (2019). Massage chair sessions: Favorable effects on ambulatory cancer center nurses’ perceived level of stress, blood pressure, and heart rate. Clinical Journal of Oncology Nursing, 23(4), 375–381. https://doi.org/10.1188/19.cjon.375-381
1. What was the knowledge gained from the article?
I was surprised to learn that outpatient nurses have higher rates of emotional exhaustion. Davis, Lind, and Sorensen (2013) note that inpatient units have higher levels of stress (according to the data), which is why I expected outpatient RN’s to have lower levels or stress, burnout, and exhaustion. The authors explained that this could be explained as outpatient RN’s forming more meaningful and longer and more personal relationships with patients, leading to more anguish when the patients don’t do well. The authors also remind us that outpatient nurses tend to be older, and they found that older nurses have higher levels of emotional exhaustion. I was also surprised to see how strong an effect chair massages had on stress levels. If such a small effort can yield effect results, then we should use it!
2. Will the research/information in this article change or influence your practice? If so how?
I think we are fortunate in the James to have a relatively high level of social support among our peers to help with resilience. Of course, each clinic is different and some have more support than others. Being part of JCRU, we offer each other strong support since our job can be demanding and chaotic at times. I hope we bring this level support to clinic staff as well. After presenting these articles in our monthly RBC meeting, Kelly set up chair massage sessions for our unit in February. We’ll see how they help!
3. Do you agree/disagree with the conclusions of the author, why?
I agree with the authors’ conclusions as their data collection methods and reasoning appear very sound. I wonder if we would find similar results in the James? I wish we could have massage chair rooms in each building!Davis, S., Lind, B. K., & Sorensen, C. (2013). A comparison of burnout among oncology nurses working in adult and pediatric inpatient and outpatient settings. Oncology Nursing Forum, 40(4). https://doi.org/10.1188/13.onf.e303-e311
Hand, M., Margolis, J., & Staffileno, B. (2019). Massage chair sessions: Favorable effects on ambulatory cancer center nurses’ perceived level of stress, blood pressure, and heart rate. Clinical Journal of Oncology Nursing, 23(4), 375–381. https://doi.org/10.1188/19.cjon.375-381
1. What was the knowledge gained from the article?
I was surprised to learn that outpatient nurses have higher rates of emotional exhaustion. Davis, Lind, and Sorensen (2013) note that inpatient units have higher levels of stress (according to the data), which is why I expected outpatient RN’s to have lower levels or stress, burnout, and exhaustion. The authors explained that this could be explained as outpatient RN’s forming more meaningful and longer and more personal relationships with patients, leading to more anguish when the patients don’t do well. The authors also remind us that outpatient nurses tend to be older, and they found that older nurses have higher levels of emotional exhaustion. I was also surprised to see how strong an effect chair massages had on stress levels. If such a small effort can yield effect results, then we should use it!
2. Will the research/information in this article change or influence your practice? If so how?
I think we are fortunate in the James to have a relatively high level of social support among our peers to help with resilience. Of course, each clinic is different and some have more support than others. Being part of JCRU, we offer each other strong support since our job can be demanding and chaotic at times. I hope we bring this level support to clinic staff as well. After presenting these articles in our monthly RBC meeting, Kelly set up chair massage sessions for our unit in February. We’ll see how they help!
3. Do you agree/disagree with the conclusions of the author, why?
I agree with the authors’ conclusions as their data collection methods and reasoning appear very sound. I wonder if we would find similar results in the James? I wish we could have massage chair rooms in each building!Davis, S., Lind, B. K., & Sorensen, C. (2013). A comparison of burnout among oncology nurses working in adult and pediatric inpatient and outpatient settings. Oncology Nursing Forum, 40(4). https://doi.org/10.1188/13.onf.e303-e311
Hand, M., Margolis, J., & Staffileno, B. (2019). Massage chair sessions: Favorable effects on ambulatory cancer center nurses’ perceived level of stress, blood pressure, and heart rate. Clinical Journal of Oncology Nursing, 23(4), 375–381. https://doi.org/10.1188/19.cjon.375-381I agree with Jeff Shawver in that the worst shift outpatient is still better than a good shift inpatient. I also wonder if this study was repeated at the James if inpatient wouldn’t have a higher burnout level because that is how it seems. I remember one of my complaints about working inpatient was that we only saw patients when they were at their worst or when treatment wasn’t working. If the treatment or surgery went well, they were discharged and never seen again. In the outpatient setting we get to work with patients throughout their cancer journal and see some of the success stories.
Katie Conrad brought up the point that it doesn’t seem like there are as many resources/activities for outpatient nurses such as tea for the soul for inpatient nurses. I had not thought about it but now realize you are right. Perhaps this is linked to Jeff’s comment- the perception is that outpatient nurses do not suffer as much burnout as inpatient nurses. I would think any employer offering resilience support would offer it to all employees, but it does seem most of it is targeted to inpatient nurses.Sorry my post showed up 4 times! I kept trying to post but it never seemed to appear, then Renee found my posts were hidden for some reason.
Michelle- Over the years (especially working inpatient) I developed lower back problems. I had talked to my doctor, seen a physical therapist, had a TENS unit, massages, heating packs, lidocaine patches, and every cream and ointment possible. My sister kept telling me I needed to see her acupuncturist so I finally gave in and tried. He fixed my back problems. I was shocked. I still have a couple of sessions a year to keep things from getting painful again. It taught me to keep my mind open and try new things. I now also practice mindfulness at least 10 minutes every day. It used to be challenging sometimes to find time to squeeze it into my day but now is such a habit that I can’t imagine going without it. If anyone else wants to try mindfulness, OSU gives us free access to Whil through Your Plan 4 Health, which has mindfulness training along with lots of other resources. Personally I use another app, but it is very easy to use. It’s amazing how a simple, 10 minute practice can spill out into the rest of your day to help you cope.
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