• Valerio Salvarani, Giulia Rampoldi, Stefano Ardenghi, Marco Bani, Paola Blasi, Davide Ausili, Stefania Di Mauro, and Maria Grazia Strepparava.
• School of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
• J Nurs Manag. 2019 May 1; 27 (4): 765-774.

AimTo verify the role of dispositional mindfulness, difficulties in emotion regulation and empathy in explaining burnout levels of emergency room (ER) nurses.BackgroundMany studies have examined the variables that can affect burnout amongst ER nurses, but little is known about factors that can protect ER nurses against work-related stress.MethodA multi-centre cross-sectional design was used. Burnout level intensity, dispositional mindfulness facets, difficulties in emotion regulation and empathy dimensions were assessed using valid and reliable self-report questionnaires in a sample of ER nurses (N = 97) from three different hospitals.ResultsHigher dispositional mindfulness and cognitive empathy levels and lower difficulties in emotion regulation, were negatively associated with emotional exhaustion levels.ConclusionER nurses with more mindful, emotion regulation and empathy skills are more able to manage work-related distress.Implications For Nursing ManagementExperiential interventions to promote mindfulness skills, emotion regulation variability and flexibility in a clinical context and the cognitive side of empathy are recommended for ER nurses to reduce professional distress, and to enhance personal and work satisfaction. Future research should assess the effectiveness of new multi-factorial interventions which combine the development of mindfulness, emotion regulation and empathy skills in ER nurses.© 2019 John Wiley & Sons Ltd.

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