Doctor of Philosophy, The Ohio State University, 2025, Nursing
Abstract
Background: Post-pandemic surveys continue to report high rates of exhaustion, burnout,
anxiety, and intention to leave the job in hospital nurses. Early-career registered nurses (ECRN)
who experience burnout and exhaustion in the first 1-3 years of their career have a job turnover
rate of approximately 46% and are more prone to physical complaints, insomnia, and cognitive
problems 10 years later. Few studies have focused on understanding if mindfulness in ECRNs
can help mitigate the negative effects of the work environment.
Purpose: This descriptive cross-sectional study aimed to examine if mindfulness in ECRNs is
associated with their anxiety, burnout, perceived stress, job satisfaction, and intent to stay in the
job. Additional aims were to investigate the relationships among ECRN's level of mindfulness
and nursing work-related and personal demographic variables, such as level of education, unit
worked, hours worked per shift and per week, shift, chronic illness, gender, children at home,
relationship status, and use of a regular mindfulness practice routine.
Methods: A sample of 100 ECRNs were recruited from the campus of a mid-west academic
teaching health system. Inclusion criteria were direct care hospital nurses who have at least one
year but less than four years of experience, who work full-time hours. Pearson's correlation,
point biserial correlation, bivariate regression, and one-way ANOVA were used to examine the
associations between mindfulness, anxiety, burnout, stress, job satisfaction, intent to stay,
nursing work-related variables, and personal demographic variables.
Results: The sample included 100 nurses with more than one year but less than four years of
experience. Participants were mostly female (82%) and white (84%). The majority of the sample
had no children (87%), and were not married or cohabitating with a significant other (52%).
Fourteen percent had a chronic illness. The highest earned nursing degree (open full item for complete abstract)
Committee: Bernadette Melnyk (Committee Chair); Brian Turner (Committee Member); Barbara Warren (Committee Member); Jin Jun (Committee Co-Chair)
Subjects: Management; Nursing; Occupational Health