Cognitive Emotion Regulation Strategies Predict Burnout in Geriatric Nursing Staff

Clin Gerontol. 2022 Oct-Dec;45(5):1236-1244. doi: 10.1080/07317115.2020.1829230. Epub 2020 Oct 22.

Abstract

Objectives: Burnout contributes to high turnover rates, medical errors, and poor patient satisfaction in geriatric nursing staff. Nurses' cognitive emotion regulation (ER) strategies are emerging as an important personal resource related to burnout that are modifiable with intervention. This study examined the association between cognitive ER strategies and burnout among geriatric nursing staff.

Methods: Participants were 54 nurses (RNs, LPNs, CNA/UWs) with a mean age of 43.1 years (SD = 12.2), majority female (96.3%), and racially diverse: Black (20.4%), White (63.0%), and Other (13.0%).

Results: After controlling for CVs, cognitive ER strategies accounted for unique variance in depersonalization, but did not account for unique variance in emotional exhaustion or personal accomplishment. Rumination was associated with greater depersonalization, and greater refocus on planning was associated with lower depersonalization.

Conclusions: Findings suggest that depersonalization may be most impacted by ER; however, other ER strategies may be important that were not included in the current study (e.g., experiential avoidance, mindfulness). Future research is needed with additional ER strategies and larger samples.

Clinical implications: Findings support the use of person-centered interventions, such as cognitive-behavioral and mindfulness-based techniques, to improve stress management and decrease depersonalization.

Keywords: Burnout; aging; emotion regulation; geriatric workforce; long-term care; nursing.

MeSH terms

  • Aged
  • Burnout, Professional* / epidemiology
  • Burnout, Professional* / psychology
  • Cognition
  • Emotional Regulation*
  • Female
  • Geriatric Nursing*
  • Humans
  • Nursing Staff* / psychology