TY - JOUR
T1 - Care for the caregiver
T2 - Benefits of expressive writing for nurses in the United States
AU - Sexton, Janel D.
AU - Pennebaker, James W.
AU - Holzmueller, Christine G.
AU - Wu, Albert W.
AU - Berenholtz, Sean M.
AU - Swoboda, Sandra M.
AU - Pronovost, Peter J.
AU - Sexton, J. Bryan
PY - 2009/12/1
Y1 - 2009/12/1
N2 - This paper introduces expressive writing as a new tool to build psychological resilience in nurses by helping themto reduce the negative impact of the primary sources of stress in their jobs.Delivering care to patients exposes nurses to intense stressors including staffing and workload problems, communication breakdowns, death, bereavement, and medical error. Not surprisingly, these conditions contribute to job dissatisfaction and burnout which are primary causes of nurse turnover. There is an acute need for low cost and simple interventions that enhance nurses' coping with problems leading up to burnout and turnover.We found almost 2 out of 3 RNs reported trouble sleeping, almost half reported feeling burned out, and 1 out of 4 were depressed.Expressive writing has been widely used and is well validated inmany non-nursing populations in helping people cope more effectively with job-related stress and traumatic events. Writing improves health in several ways. One way is through exposure, the process by which difficult emotions become less potent and more manageable. Second is cognitive restructuring, which brings about new ways of thinking about stress thatmakes painful events less upsetting.Third is improved self-regulation, which is the ability to cope with and regulate one's emotions. The well-being of nurses directly affects the quality of patient care.Expressive writing is a time-efficient and easy-to-use intervention to help nurses cope with job upheavals in an effort to reduce job distress, turnover and, ultimately, improve the work environment and patient outcomes.
AB - This paper introduces expressive writing as a new tool to build psychological resilience in nurses by helping themto reduce the negative impact of the primary sources of stress in their jobs.Delivering care to patients exposes nurses to intense stressors including staffing and workload problems, communication breakdowns, death, bereavement, and medical error. Not surprisingly, these conditions contribute to job dissatisfaction and burnout which are primary causes of nurse turnover. There is an acute need for low cost and simple interventions that enhance nurses' coping with problems leading up to burnout and turnover.We found almost 2 out of 3 RNs reported trouble sleeping, almost half reported feeling burned out, and 1 out of 4 were depressed.Expressive writing has been widely used and is well validated inmany non-nursing populations in helping people cope more effectively with job-related stress and traumatic events. Writing improves health in several ways. One way is through exposure, the process by which difficult emotions become less potent and more manageable. Second is cognitive restructuring, which brings about new ways of thinking about stress thatmakes painful events less upsetting.Third is improved self-regulation, which is the ability to cope with and regulate one's emotions. The well-being of nurses directly affects the quality of patient care.Expressive writing is a time-efficient and easy-to-use intervention to help nurses cope with job upheavals in an effort to reduce job distress, turnover and, ultimately, improve the work environment and patient outcomes.
KW - Expressive writing
KW - Job stress
KW - Nurse resilience
UR - http://www.scopus.com/inward/record.url?scp=71049193421&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=71049193421&partnerID=8YFLogxK
U2 - 10.1179/096992609X12455871937620
DO - 10.1179/096992609X12455871937620
M3 - Review article
AN - SCOPUS:71049193421
SN - 0969-9260
VL - 17
SP - 307
EP - 312
JO - Progress in Palliative Care
JF - Progress in Palliative Care
IS - 6
ER -