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The Effects of a Serene Break Area on
Nurses’ Well-Being
Zach Bosworth, Malea Hill, Cortney Ihnen, Zharayya Miller
BACKGROUND EVIDENCE TABLE
Registered nurses encounter a variety of situations and Study
circumstances that will impact their overall health. Nurses Study Design/ Sample # Findings related to
experience work-related stress and anxiety that can alter their Author(s) Evidence & Setting the PICO question
quality of work. Research was conducted to determine if a Level
space for nurses to relax and have quiet time would improve 1. Hoolahan, Quasi- 27 nurses on a 34- Nurses were taught to identify stress in
Experimental/
bed medical surgical themselves and others. When nurses felt
S.E., et al.
well-being. The space may be considered a break room, calm (2012). Level 2 unit at the University stressed, they were encouraged to utilize
of Pittsburgh Medical the restoration room. Staff viewed the
room, or be a space that incorporates nature to increase Center serenity room as a relaxing place to go
therapeutic effects. when unplanned events happened during
their shift, resulting in stress reduction.
PICO QUESTION 2. Largo- Nonexperimental/ 503 office staff at Nature contact can be fostered through
Southeastern
Level 3
Wight, E., et al.
environmental modifications to reduce
(2011). University in the employee stress. Nature contact is valued
United States as it had the strongest association with
stress reduction and health.
• Population: Nurses in the inpatient setting RECOMMENDATION
• Intervention: Serene break area 3. Nejati A., et Mixed Methods/ 10 nurses from The creation of better designed staff break
• Comparison: No serene break area al. (2016). Level 3 healthcare-sector areas can be of significant benefit for staff Results consistently show that a serenity area decreases
architectural firms in and patient outcomes. The study supports
• Outcome: Well-being conjunction with 993 that these improved staff break areas
Question: In the inpatient setting, how does a serene break additional nurses improve nurses’ job satisfaction, retention, stress and increases a feeling of well-being and renewal. A
from the Academy of and performance, while also decreasing
pilot project is necessary before a serenity area can be
area compared to no serene break area affect nurses’ Medical-Surgical job-related health concerns. confidently implemented in all settings. Key stakeholders
Nurses
reported well-being?
4. Nejati A., et Mixed Methods/ 10 nurses from The restoration provided by improved would include unit managers, human resources, and
al. (2016). Level 3 healthcare-sector design for nurses’ use is expected to healthcare architects to help facilitate change. More research
EVIDENCE SEARCH METHOD architectural firms in increase nurses’ well-being and allow them is needed to identify how serenity spaces affect patient
conjunction with 993 to better provide care for their patients.
additional nurses outcomes.
from the Academy of
Search Databases: Medical-Surgical
Nurses
1. EBSCO 5. Salmela, L., Organizational 69 ED nurses in an 94% of staff thought that other departments
2. CINAHL et al. (2020). Experience/ upper midwest would benefit from a serenity room. Results PROPOSED EVALUATION
3. PubMed Level 5 trauma center demonstrated that using the serenity room
for a short period of time resulted in
4. PsycInfo decreased stress and increased renewal for Measure How will it be measured?
staff members.
Search Terms: Stress Nursing Stress Scale (NSS),
1.Serenity rooms AND nurses AND stress Perceived Stress Questionnaire
2.Nurses AND staff break areas RESULTS (PSQ), surveys
3.Nursing AND work environment AND stress
4.Nurses and serenity rooms Evidence shows that nurses without proper high-level breaks Well-being and renewal Turnover rate, missed days of
Restrictions used to narrow the search: peer-reviewed, English are negatively affected by stress. Proper breaks begin with an work, Behavioral Risk Factor
Surveillance System (BRFSS),
language, within the past ten years appropriate designated break area. High-level break rooms surveys
provide a serene atmosphere to optimize nurse restoration.
The evidence shows restoration within a designated break Exposure to the Room usage diaries, Nature
area greatly improved nurse stress levels, job satisfaction, intervention Contact Questionnaire (NCQ),
retention, and performance. surveys