Psikoterapi Pemberdayaan: Berbagi Tiga Hal Baik untuk Mengatasi Burnout Perawat di Era COVID-19

  • Sri Nining Universitas Indonesia
  • Rr. Tutik Sri Hariyati Universitas Indonesia
  • La Ode Abdul Rahman Universitas Indonesia
  • Lilis Rayatin RSUPN Dr Cipto Mangunkusumo


This study aims to identify problems and determine improvement strategies to overcome burnout nurses. The research method used is a case report to assess quality improvement with an 8-step approach to change starting from problems with observation and screening of burnout using the Maslach Burnout Inventory Human Services Survey (MBI-HSS), analysis using a fishbone approach, determining improvement strategies, implementing and program evaluation. The results showed that 55% of nurses experienced a decrease in self-esteem, but through the Empowerment Psychotherapy program: Three Good Things, which was carried out for two weeks, it was able to reduce the burnout level of nurses as assessed by the Mini Z burnout survey. In conclusion, Empowerment Psychotherapy: Three Good Things can overcome nurse burnout problems. It is recommended that the implementation of this program be carried out thoroughly in all work units.

Keywords: Burnout Management, Nurses, Empowerment Psychotherapy, Three Good Things


Ahn, D. G., Shin, H. J., Kim, M. H., Lee, S., Kim, H. S., Myoung, J., Kim, B. T., & Kim, S. J. (2020). Current Status of Epidemiology, Diagnosis, Therapeutics, and Vaccines for Novel Coronavirus Disease 2019 (COVID-19). Journal of Microbiology and Biotechnology, 30(3), 313–324.

Cho, H., Han, K., & Ryu, E. (2021). Unit Work Environment, Psychological Empowerment and Support for Patient Activation Among Nurses. Journal of Nursing Management, 29(6), 1623–1630.

Cross, K., Bradbury, A., Burnham, N., Corbett-Carbonneau, D., Peterson, K., Phelan, C., & DeSanto-Madeya, S. (2021). A Nurse Staffing Model for an Unprecedented Event. Nursing Management, 52(3), 34–42.

Dall’Ora, C., Ball, J., Reinius, M., Griffiths, P., & Griffiths, P. (2020). Burnout in Nursing: A Theoretical Review. Human Resources for Health, 18(1), 1–17.

Danielis, M., Peressoni, L., Piani, T., Colaetta, T., Mesaglio, M., Mattiussi, E., & Palese, A. (2021). Nurses’ Experiences of Being Recruited and Transferred to A New Sub-Intensive Care Unit Devoted to COVID-19 Patients. Journal of Nursing Management, 29(5), 1149–1158.

Faíco-Filho, K. S., Carvalho, J. M. A., Conte, D. D., de Souza Luna, L. K., & Bellei, N. (2020). COVID-19 in Health Care Workers in a University Hospital During The Quarantine in São Paulo City. Brazilian Journal of Infectious Diseases, 24(5), 462–465.

Gao, X., Jiang, L., Hu, Y., Li, L., & Hou, L. (2020). Nurses’ Experiences Regarding Shift Patterns in Isolation Wards during the COVID-19 Pandemic in China: A Qualitative Study. Journal of Clinical Nursing, 29(21–22), 4270–4280.

Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., & Monks, T. (2020). Nursing Workload, Nurse Staffing Methodologies and Tools: A Systematic Scoping Review and Discussion. International Journal of Nursing Studies, 103(1), 103–487.

Grigorescu, S., Cazan, A. M., Rogozea, L., & Grigorescu, D. O. (2020). Original Targeted Therapy for the Management of the Burnout Syndrome in Nurses: An Innovative Approach and A New Opportunity in the Context of Predictive, Preventive and Personalized Medicine. EPMA Journal, 11(2), 161–176.

Guo, Y., Lam, L., Plummer, V., Cross, W., & Zhang, J. (2020). A WeChat‐based “Three Good Things” Positive Psychotherapy for the Improvement of Job Performance and Self‐Efficacy in Nurses with Burnout Symptoms: A Randomize Controlled Trial. Journal of Nursing Management, 28(3), 480–487.

James-Scotter, M., Walker, C., & Jacobs, S. (2019). An Interprofessional Perspective on Job Satisfaction in the Operating Room: A Review of the Literature. Journal of Interprofessional Care, 33(6), 782–794.

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.

Kelly, L. A., Lefton, C., & Fischer, S. A. (2019). Nurse Leader Burnout, Satisfaction, and Work-Life Balance. JONA: The Journal of Nursing Administration, 49(9), 404–410.

Kelly, L. A., Weston, M. J., & Gee, P. M. (2021). A Nurse Leader’s Guide to Reducing Burnout. Nurse Leader, 1–7.

Kelly, R. J., & Hearld, L. R. (2020). Burnout and Leadership Style in Behavioral Health Care: a Literature Review. Journal of Behavioral Health Services and Research, 1-19.

Liu, Y., Wang, H., Chen, J., Zhang, X., Yue, X., Ke, J., Wang, B., & Peng, C. (2020). Emergency Management of Nursing Human Resources and Supplies to Respond to Coronavirus Disease 2019 Epidemic. International Journal of Nursing Sciences, 7(2), 135–138.

Luo, Y., Li, H., Plummer, V., Cross, W. M., Lam, L., Guo, Y., Yin, Y., & Zhang, J. (2019). An Evaluation of a Positive Psychological Intervention to Reduce Burnout among Nurses. Archives of Psychiatric Nursing, 33(6), 186–191.

Marshall, A. P., Austin, D. E., Chamberlain, D., Chapple, L. anne S., Cree, M., Fetterplace, K., Foster, M., Freeman-Sanderson, A., Fyfe, R., Grealy, B. A., Hodak, A., Holley, A., Kruger, P., Kucharski, G., Pollock, W., Ridley, E., Stewart, P., Thomas, P., Torresi, K., & Williams, L. (2021). A Critical Care Pandemic Staffing Framework in Australia. Australian Critical Care, 34(2), 123–131.

Permarupan, Y. Y., Mamun, A. Al, Samy, N. K., Saufi, R. A., & Hayat, N. (2020). Predicting Nurses Burnout through Quality of Work Life and Psychological Empowerment: A Study Towards Sustainable Healthcare Services in Malaysia. Sustainability (Switzerland), 12(1), 1–18.

Poortaghi, S., Shahmari, M., & Ghobadi, A. (2021). Exploring Nursing Managers’ Perceptions of Nursing Workforce Management during the Outbreak of COVID-19: A Content Analysis Study. BMC Nursing, 20(1), 1-10.

Qureshi, S. M., Purdy, N., Mohani, A., & Neumann, W. P. (2019). Predicting the Effect of Nurse–Patient Ratio on Nurse Workload and Care Quality Using Discrete Event Simulation. Journal of Nursing Management, 27(5), 971–980.

Rippstein-Leuenberger, K., Mauthner, O., Bryan Sexton, J., & Schwendimann, R. (2017). A Qualitative Analysis of the Three Good Things Intervention in Healthcare Workers. BMJ Open.

Rosa, W. E., Schlak, A. E., & Rushton, C. H. (2020). A Blueprint for Leadership during COVID-19. Nursing Management, 51(8), 28–34.

Schlak, A. E., Aiken, L. H., Chittams, J., Poghosyan, L., & McHugh, M. (2021). Leveraging the Work Environment To Minimize the Negative Impact of Nurse Burnout on Patient Outcomes. International Journal of Environmental Research and Public Health, 18(2), 1–15.

Sexton, J. B., & Adair, K. C. (2019). Forty-Five Good Things: A Prospective Pilot Study of the Three Good Things Well-Being Intervention in The USA for Healthcare Worker Emotional Exhaustion, Depression, Work–Life Balance And Happiness. BMJ Open, 9(3), 1-11.

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and Factors Associated with Nurse Burnout in the US. JAMA Network Open, 4(2), 1-14.

Shan, Y., Shang, J., Yan, Y., Lu, G., Hu, D., & Ye, X. (2021). Mental Workload of Frontline Nurses Aiding in the Covid-19 Pandemic: A Latent Profile Analysis. Journal of Advanced Nursing, January, 1–12.

Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T., Trockel, M., Adair, K. C., Sexton, J. B., & Ioannidis, J. P. A. (2019). Evidence Relating Health Care Provider Burnout and Quality of Care. Annals of Internal Medicine, 171(8), 467-473.

Tubbs-Cooley, H. L., Mara, C. A., Carle, A. C., Mark, B. A., & Pickler, R. H. (2019). Association of Nurse Workload with Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatrics, 173(1), 1-44.

Wang, X., Jiang, X., Huang, Q., Wang, H., Gurarie, D., Ndeffo-Mbah, M., Fan, F., Fu, P., Horn, M. A., Mondal, A., King, C., Xu, S., Zhao, H., & Bai, Y. (2020). Risk Factors of SARS-CoV-2 Infection in Healthcare Workers: A Retrospective Study of A Nosocomial Outbreak. Sleep Medicine: X, 2(1), 1-8.

White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. Journal of the American Geriatrics Society, 67(10), 2065–2071.
How to Cite
Nining, S., Hariyati, R., Rahman, L., & Rayatin, L. (2021). Psikoterapi Pemberdayaan: Berbagi Tiga Hal Baik untuk Mengatasi Burnout Perawat di Era COVID-19. Journal of Telenursing (JOTING), 3(2), 687-698.
Abstract viewed = 24 times
pdf downloaded = 25 times