April 27, 2020

Systematic review critical to addressing burnout, mental health during pandemic

A new systematic review published today in the American Journal of Health Promotion that focuses on interventions to promote the health and well-being of physicians and nurses urges health care systems to incorporate programs supported by research that can help clinicians reduce symptoms of burnout, including stress, anxiety and depression.

Alarming rates of burnout, depression and suicide are not only negatively impacting physicians and nurses, but they are also linked to several negative consequences for health care systems, including dangerous medical errors and costly turnover. With the added stress of COVID-19, these alarming issues are likely to escalate.

This rigorous systematic review was conducted by an interprofessional research team as part of the National Academy of Medicine’s Action Collaborative on Clinician Well-being and Resilience. The team was led by Bernadette Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAAN, who serves as The Ohio State University’s vice president for health promotion, university chief wellness officer and dean of the College of Nursing. The team reviewed 187 studies that led to the final inclusion of 29 studies with nearly 3,000 participants. Effective interventions identified in the review include:

  • Mindfulness and cognitive-behavioral therapy-based interventions for reducing stress, anxiety and depression
  • Brief interventions that incorporate deep breathing and gratitude
  • Visual triggers, pedometers and health coaching with texting for physical activity

“This review was designed to pinpoint those interventions that are most effective in decreasing depression, stress and anxiety, as well as enhancing healthy lifestyle behaviors in physicians and nurses ” Melnyk said. “Mental health problems were a public health epidemic that negatively impacted the quality and safety of care before the COVID-19 crisis started. Health care systems must urgently invest in wellness cultures and evidence-based interventions to prevent a tsunami of these problems in frontline clinicians following this pandemic.”

The study, “Interventions to Improve Mental Health, Well-being, Physical Health and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review,” is available online at this link.

April 23, 2020

Health and well-being hub represents an innovative first step towards addressing burnout and associated mental health issues among nurses nationwide

Trusted Health, the career platform for the modern nurse, and The Ohio State University College of Nursing today announced a new initiative to promote mental health and well-being among nurses on the front lines of the COVID-19 pandemic. The program will be piloted with nurses in New York and Michigan -- two of the states hit hardest by the pandemic -- and rolled out nationwide in the coming weeks. 

Even before the current crisis hit, burnout among nurses has been at an all-time high, with some studies estimating that up to 63 percent of nurses exhibit symptoms such as job-induced stress, anxiety and depression. In addition, nurses are at increased risk of suicide. More than half report being in suboptimal mental or physical health, which research shows can lead to more errors in caring for patients. The COVID-19 pandemic has only exacerbated this issue, as frontline nurses find themselves delivering care for a high volume of acutely ill patients, often in situations with limited crisis response training or supplies of personal protective equipment (PPE). 

Trusted and The Ohio State University have come together to help address this issue through a partnership that will provide access to wellness support and evidence-based strategies from nursing faculty and advanced practice nursing (APN) students from The Ohio State University College of Nursing. Nurses employed by Trusted who are working in facilities with COVID-19 patients will be able to access an emotional support line staffed by seasoned nurse practitioner faculty, including mental health experts, and supervised students. Those faculty and students will review stressors with callers and offer coping strategies and stress-reduction techniques.

Nurses who call the emotional support line may then opt to participate in a wellness support partnership program supported by the College of Nursing for a period of four or eight weeks. This will include cognitive-behavioral skills building, motivational interviewing, mindfulness and therapeutic communication aimed at finding sustainable solutions to enhance the nurses’ health and well-being, both during the pandemic and for life.

“Our healthcare professionals on the front lines of this pandemic deserve not only our highest regards for their selfless service, but also our support to handle what they are feeling and experiencing because of this crisis,” said Bernadette Mazurek Melnyk, PhD, APRN-CNP, EBP-C, FAANP, FNAP, FAAN, vice president for health promotion, university chief wellness officer and dean of the College of Nursing at Ohio State. “Our college’s faculty, staff and students participating in this effort are well-versed in evidence-based interventions that will not only help these nurses survive, but thrive and build the resilience needed to continue to provide high-quality care and save lives.”

“As a nurses-first company, Trusted was founded on a simple idea: Nurses are the backbone of our healthcare system, and we must do more to support them,” said Dan Weberg, PhD, RN, head of clinical innovation at Trusted. “The COVID-19 crisis has pushed this issue into the national consciousness, and we are committed to using this moment to advocate for and identify new ways to support the mental well-being of nurses not just on the front lines, but everywhere.” 

Since the onset of COVID-19, Trusted has been focused on meeting the unprecedented demand for healthcare workers by matching nurses who have raised their hands to help with hospitals battling the pandemic. As a nurses-first company, Trusted was among the first to offer guaranteed quarantine pay for all of their nurses, and has made their Nurse Advocate team -- former bedside nurses who offer guidance throughout the job search process -- available 24/7 to support the needs of Trusted nurses working on the front lines. Over the last several weeks, nearly 40,000 nurses have signed up via Trusted to work on the front lines of the crisis. 

About Trusted Health

Trusted is where modern nurses go to build their careers. Nurses are the backbone of our healthcare system and yet their options for finding new roles are cumbersome and outdated. Trusted is on a mission to change this by matching the nurses on our platform with a range of flexible jobs that meet their preferences and career goals. With support from a dedicated Nurse Advocate and unmatched insight into compensation and contract details, Trusted makes it easy for nurses to navigate the job search process and manage their careers with confidence. 

Trusted supports hiring in all 50 states and has connected the nurses on its platform with thousands of opportunities. Based in San Francisco, CA, Trusted has raised $25 million in funding from Craft Ventures, Felicis Ventures, and Founder Collective, as well as healthcare innovators like Texas Medical Center and Healthbox. For more information, visit www.trustedhealth.com

About The Ohio State University College of Nursing

The Ohio State University College of Nursing exists to transform health and improve lives through top-tier teaching, research and innovation, grounded in evidence-based practice and a powerful culture and support system to foster optimal personal well-being.

The college’s nationally-ranked academic programs taught by world-class faculty offer top-notch programs for future and current nurses and healthcare leaders. U.S. News & World Report highly ranks our university-wide online bachelor’s including RN to BSN (#1), online master’s (#4), traditional master’s (#6) and online Doctor of Nursing Practice (#8). Majors include both nursing and programs in healthcare and wellness innovation, along with certificates that range from school nurse and primary care to nurse education and nurse/health coaching.

The college’s two research centers – the Martha S. Pitzer Center for Women, Children and Youth and the Center for Healthy Aging, Self-Management and Complex Care – seek innovative solutions to real-world healthcare issues. The college received approximately $10.7 million in research awards in FY2019, including $4.3 million in NIH funding – #6 among public institutions and #13 overall. Its Helene Fuld Health Trust National Institute for Evidence-based Practice (EBP) in Nursing and Healthcare promotes EBP worldwide and offers the first globally-recognized certificate of added qualification in EBP.

April 30, 2015

On Children’s Mental Health Awareness Day, The Ohio State University Office of the Chief Wellness Officer will host an important discussion that every parent should hear.

“Depression and Anxiety in Children and Teens: What Every Parent Must Know” will be from 10-11 a.m. on May 7 in 168 Newton Hall, located at 1585 Neil Avenue.

The free lecture will be presented by Bernadette Melnyk, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN, Ohio State’s associate vice president for health promotion, university chief wellness officer and dean of the College of Nursing. Melnyk is a world-renowned authority and author on the topic of child and adolescent mental health and will share strategies for preventing, identifying and seeking help for depressive and anxiety disorders in today’s youth.

According to Melnyk, one in four American children and teenagers suffers from a mental health disorder that disrupts functioning at home, at school and with peers, yet less than 25 percent of affected children receive mental health treatment.

“If left untreated, mental health problems can lead to chronic illnesses that are more difficult to treat,” explained Melnyk. “Our ultimate goal is to prevent these conditions, but we also want to help parents identify the warning signs of anxiety and depression and give them the proper resources so that they know where to turn for help should their child develop a mental health problem.”

Participants may join via livestream at carmenconnect.osu.edu/mhd-talk. Ohio State users should log into CarmenConnect with their Ohio State account. Others may login as a guest. For detailed login instructions, visit go.osu.edu/carmenconnect-quickstart.