{"id":2632,"date":"2025-08-01T07:01:24","date_gmt":"2025-08-01T07:01:24","guid":{"rendered":"https:\/\/nursementalhealth.org\/blog\/?p=2632"},"modified":"2026-01-27T08:37:46","modified_gmt":"2026-01-27T08:37:46","slug":"nurse-mental-health-prevention","status":"publish","type":"post","link":"https:\/\/nursementalhealth.org\/blog\/nurse-mental-health-prevention\/","title":{"rendered":"Promoting Nurse Mental Health: From Crisis to Prevention"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\">\n\n\n\n<h1 class=\"wp-block-heading\">Promoting Nurse Mental Health: From Crisis to Prevention<\/h1>\n\n\n\n<p>A paradigm shift from crisis intervention to mental health promotion and prevention is urgently needed. Nurses, at the forefront of healthcare, face significant challenges that contribute to high rates of burnout, emotional exhaustion, depersonalization, and reduced personal accomplishment. The World Health Organization has identified burnout as an &#8220;occupational phenomenon&#8221; that must be addressed to maintain mental health and well-being. Without systemic interventions, individual nurses have been left to manage these challenges, resulting in a mental health crisis.<\/p>\n\n\n\n<p>When burnout occurs, it often leads to depression, anxiety, risky substance use, physical fatigue, and workplace incivility. According to Davidson and colleagues, the prevalence of depression, anxiety, and suicide among nurses is now higher than in the general population. A 2019 study by Melnyk and colleagues, involving 1,790 nurses from 19 healthcare systems, revealed poor mental and physical health, with approximately one-third reporting depression. The study identified depression as the leading predictor of self-reported medical errors, contributing to costly job turnover and increased risks to patient care and safety.<\/p>\n\n\n\n<p>The COVID-19 pandemic has exacerbated these issues, increasing rates of burnout, depression, anxiety, acute stress disorder, and post-traumatic stress disorder (PTSD). The lack of system-level preparation to protect nurses from COVID-19-related secondary trauma has led to tragic outcomes, including nurse and physician suicides. These outcomes underscore the urgent need for interventions to support nurses experiencing acute mental health problems and to intensify mental health promotion and prevention efforts.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contributing Factors to Nurse Mental Health Challenges<\/h2>\n\n\n\n<p>Nurse burnout and other mental health concerns\u2014such as compassion fatigue (a severe form of burnout involving trauma, reduced ability to sympathize, and a change in worldview), depression, anxiety, and risky substance use\u2014are driven by multiple factors:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>High workloads and staffing shortages<\/strong>: Nurses often face intense job demands and inadequate staffing, leading to physical and emotional exhaustion.<\/li>\n\n\n\n<li><strong>Compassion fatigue<\/strong>: Prolonged exposure to patient suffering can diminish nurses\u2019 ability to empathize, exacerbating mental health challenges.<\/li>\n\n\n\n<li><strong>Workplace incivility<\/strong>: Negative interactions with colleagues or patients contribute to stress and mental strain.<\/li>\n\n\n\n<li><strong>Lack of systemic support<\/strong>: Insufficient mental health resources and organizational support leave nurses to manage these challenges independently.<\/li>\n\n\n\n<li><strong>COVID-19 impact<\/strong>: The pandemic has intensified these issues, with increased exposure to trauma and inadequate protective measures contributing to acute stress and PTSD.<\/li>\n<\/ul>\n\n\n\n<p>These factors highlight the need for comprehensive, system-level interventions to address nurse mental health proactively.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">System-Level Interventions for Mental Health Promotion<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"559\" src=\"https:\/\/nursementalhealth.org\/blog\/wp-content\/uploads\/2025\/08\/blog-2.2-1024x559.png\" alt=\"Nurse Mental Health \" class=\"wp-image-2633\" srcset=\"https:\/\/nursementalhealth.org\/blog\/wp-content\/uploads\/2025\/08\/blog-2.2-1024x559.png 1024w, https:\/\/nursementalhealth.org\/blog\/wp-content\/uploads\/2025\/08\/blog-2.2-300x164.png 300w, https:\/\/nursementalhealth.org\/blog\/wp-content\/uploads\/2025\/08\/blog-2.2-768x419.png 768w, https:\/\/nursementalhealth.org\/blog\/wp-content\/uploads\/2025\/08\/blog-2.2-1200x655.png 1200w, https:\/\/nursementalhealth.org\/blog\/wp-content\/uploads\/2025\/08\/blog-2.2.png 1408w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>To address the mental health crisis among nurses, organizations must prioritize employee self-care by providing evidence-based mental health resources and interventions. These include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mindfulness<\/strong>: Training nurses to stay present, aware of their feelings and thoughts, to manage stress effectively.<\/li>\n\n\n\n<li><strong>Sense of belonging<\/strong>: Fostering personal attributes such as forgiveness, gratitude, and compassion to build supportive workplace relationships.<\/li>\n\n\n\n<li><strong>Sense of purpose<\/strong>: Helping nurses understand how their thought patterns impact emotions and behaviors, encouraging positive thinking to replace negative patterns.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Evidence-Based Programs<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">HEAR Program<\/h4>\n\n\n\n<p>The University of California at San Diego\u2019s Healer Education Assessment and Referral (HEAR) program offers anonymous depression and suicide screenings. This evidence-based initiative successfully identifies and provides care for individuals experiencing suicidal thoughts, substance use disorders, and other mental health conditions. By integrating such screenings into healthcare settings, organizations can proactively s<a href=\"https:\/\/nursementalhealth.org\/\">upport nurses\u2019 mental health<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">MINDBODYSTRONG Program<\/h4>\n\n\n\n<p>The MINDBODYSTRONG program, a workout-based cognitive behavioral therapy initiative, can be delivered by nurses and non-psychiatric mental health providers. A study with new nurse residents showed that those who participated in the program during orientation reported higher job satisfaction and lower burnout up to six months post-completion compared to those who did not.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">National Initiatives<\/h3>\n\n\n\n<p>Several national programs support nurse mental health and well-being, aligning with the efforts of the American Nurses Association (ANA) Building Strength through Resilience Committee:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ANA\u2019s Healthy Nurse, Healthy Nation<\/strong> (www.hnhn.org): Promotes nurse well-being through resources and community engagement.<\/li>\n\n\n\n<li><strong>American Nurses Foundation Well-Being Initiative<\/strong>: Provides tools and support to address nurse mental health.<\/li>\n\n\n\n<li><strong>Joy 360<\/strong> (www.joy360.com): Focuses on fostering joy and resilience in healthcare settings.<\/li>\n\n\n\n<li><strong>National Academy of Medicine\u2019s Action Collaborative on Clinician Well-Being and Resilience<\/strong> (www.nam.edu\/initiatives\/clinician-resilience-and-well-being): Offers strategies to improve clinician mental health.<\/li>\n<\/ul>\n\n\n\n<p>These initiatives demonstrate nursing leadership\u2019s commitment to prioritizing mental health. Sustainable improvements require a multi-stakeholder approach, including direct leadership from nursing professionals and indirect support from state policymakers, health professional licensing boards, and educational institutions.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">State Policy Briefs<\/h3>\n\n\n\n<p>States can issue policy briefs to promote clinician mental health. For example, the Health Policy Institute of Ohio, in partnership with The Ohio State University Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare, published <em>A Call to Action: Improving Clinician Well-being and Patient Care and Safety<\/em>. This brief outlines the state of clinician well-being, defines the relationship between mental health and patient care, reviews evidence-based policies and programs, and establishes recommendations for improvement.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Legislative Efforts<\/h3>\n\n\n\n<p>Legislation introduced on July 20, 2020, aims to address healthcare professionals\u2019 mental health by:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Providing behavioral health and well-being training programs.<\/li>\n\n\n\n<li>Launching campaigns to promote seeking mental health support and treatment.<\/li>\n\n\n\n<li>Conducting a federal study on mental health and burnout in healthcare professionals.<\/li>\n\n\n\n<li>Offering grants to establish and expand programs for healthcare workers caring for COVID-19 patients.<\/li>\n<\/ul>\n\n\n\n<p>If passed, this legislation could significantly enhance mental health support for nurses and other healthcare professionals.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Building a Foundation of Prevention<\/h2>\n\n\n\n<p>Promoting nurses\u2019 <a href=\"https:\/\/nursementalhealth.org\/\">mental health and well-being<\/a> is foundational to improving population health, enhancing patient outcomes, and reducing healthcare costs. As Benjamin Franklin said, \u201cAn ounce of prevention is worth a pound of cure.\u201d By prioritizing prevention through evidence-based interventions, organizations can mitigate the mental health crisis and foster a healthier, more resilient nursing workforce.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">About the Authors<\/h2>\n\n\n\n<p>Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, Andreanna Pavan Hsieh, MPH, Judy Davidson, DNP, RN, MCCM, FAAN, Healy Carpenter, BSN, RN, Amanda Choflet, RN, BSN, OCN, Janie Heath, APRN-BC, FAAN, FNAP, FAANP, Marianne E. Hess, MSN, RN, CCRN-K, Peggy Lee, BSN, RN, Terri Link, MPH, BSN, CNOR, CIC, CAPF, FAPIC, Jalma Marcus, RN, BS, MS, HNP-BC, CLSE, CBP, AJT, Christine Pabico, PhD, RN, NE-BC, Kathleen Pendleton, PhD, RN, CNE, ANEF, and Lisa Sund, JD.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Publication Information<\/h2>\n\n\n\n<p><strong>Source<\/strong>: American Nurse Journal, Volume 16, Number 1, January 2021.<br><strong>Resources<\/strong>: ANA\u2019s nurse suicide prevention resources are available at nursingworld.org\/practice-policy\/nurse-suicide-prevention.<\/p>\n\n\n\n<p><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\">        <div class=\"recent-posts-container\">\n            <h2 class=\"recent-posts-title\">Recent Posts<\/h2>\n                            <div class=\"recent-post-item\">\n                                            <span class=\"recent-post-category\">Nurse Mental Health<\/span>\n                                        <a href=\"https:\/\/nursementalhealth.org\/blog\/one-minute-nurse-anxiety-assessment\/\" class=\"recent-post-link\">One Minute Assessment, Lasting Impact: Plus, Quick Tips for Managing Nurse Anxiety<\/a>\n                <\/div>\n                            <div class=\"recent-post-item\">\n                                            <span class=\"recent-post-category\">Nurse Mental Health<\/span>\n                                        <a href=\"https:\/\/nursementalhealth.org\/blog\/nurse-mental-health-assessment-tools\/\" class=\"recent-post-link\">Simple, Nurse Assessment Tools You Can Use Today: Self-Care Starts Here<\/a>\n                <\/div>\n                            <div class=\"recent-post-item\">\n                                            <span class=\"recent-post-category\">Nurse Mental Health<\/span>\n                                        <a href=\"https:\/\/nursementalhealth.org\/blog\/nurse-assessment-questions-guide\/\" class=\"recent-post-link\">The Complete Nurse Assessment: Questions to Ask Yourself + Mental Health Quizzes<\/a>\n                <\/div>\n                            <div class=\"recent-post-item\">\n                                            <span class=\"recent-post-category\">Nurse Mental Health<\/span>\n                                        <a href=\"https:\/\/nursementalhealth.org\/blog\/nurse-burnout-quiz-prevention-tips\/\" class=\"recent-post-link\">Nurse Burnout Quiz: Plus, Expert Tips for Preventing and Managing Burnout<\/a>\n                <\/div>\n                            <div class=\"recent-post-item\">\n                                            <span class=\"recent-post-category\">Nurse Mental Health<\/span>\n                                        <a href=\"https:\/\/nursementalhealth.org\/blog\/new-nurse-anxiety-practical-tips\/\" class=\"recent-post-link\">10 Practical Tips for Managing Anxiety During Your First Year as a Nurse<\/a>\n                <\/div>\n                    <\/div>\n    \n\n\n\n<div class=\"wp-block-columns cta-sticky-box is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">    \n    <!-- <div class=\"sticky-cta\"> -->\n        <div class=\"nurse-cta-wrapper\">\n            <a href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSd4i1XM5v0qFfJwQ6MbV6pd60pEMJyPeYZhr025S5gTjOuR8A\/viewform?pli=1\"><img decoding=\"async\" class=\"nurse-cta-image\" src=\"\/img\/finalcta.png\" alt=\"Nurses Mental Health CTA\"><\/a>\n            <div class=\"nurse-cta-text\">\n                <h2>Nurses, How Are You Feeling Today?<\/h2>\n                <p>Take a Quick, Private Quiz to Check In With Your Mental Health.<\/p>\n                <a class=\"nurse-cta-button\" href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSd4i1XM5v0qFfJwQ6MbV6pd60pEMJyPeYZhr025S5gTjOuR8A\/viewform?pli=1\">Take the Quiz<\/a>\n            <\/div>\n        <\/div>\n    <!-- <\/div> -->\n\n    \n\n\n\n<div class=\"wp-block-columns button_section_custiom is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons button_cutiome is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSf1lSYM0DlYzcib_VewFDOE9x1JNCG2HSWG0qqMv-MAhsn2xw\/viewform\">Take the Quiz<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Promoting Nurse Mental Health: From Crisis to Prevention A paradigm shift from crisis intervention to mental health promotion and prevention is urgently needed. Nurses, at the forefront of healthcare, face significant challenges that contribute to high rates of burnout, emotional exhaustion, depersonalization, and reduced personal accomplishment. The World Health Organization has identified burnout as an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2634,"comment_status":"open","ping_status":"open","sticky":false,"template":"templates\/template-full-width.php","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[41],"class_list":["post-2632","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nurse-mental-health","tag-nurse-mental-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nurse Mental Health: Crisis to Prevention<\/title>\n<meta name=\"description\" content=\"Ssystem-level interventions to promote nurse mental health, reduce burnout, and enhance patient care.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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