Bernadette Mazurek Melnyk

Bernadette Mazurek Melnyk
The Ohio State University | OSU · University Chief Wellness Officer, Dean, College of Nursing; Professor of Pediatrics & Psychiatry, College of Mediicine

PhD, RN, CPNP/PMHNP, FAAN

About

457
Publications
217,551
Reads
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15,955
Citations
Additional affiliations
January 2017 - December 2017
The Ohio State University
Position
  • CEO

Publications

Publications (457)
Article
Full-text available
Purpose To (1) assess rates of burnout in Fellows of the American Academy of Optometry and (2) assess associations among perceptions of workplace wellness support with lifestyle behaviors and health and wellness indicators (ie, anxiety, depression, stress, burnout, mattering to the workplace, and workplace is not stressful). Methods A survey colle...
Article
Objective: This scoping review describes findings from published literature, evaluates the association between hospital accreditation or certification and patient outcomes, and identifies gaps. Background: Healthcare accreditation and certification organizations set standards and evaluate whether the standards are met. Despite the extensive effo...
Article
Background Nursing students experience significantly more stress related diseases when compared to non-nursing students, and the state of their mental health can result in short-term increased attrition rates and increased nursing shortages. Purpose A preexperimental pre-post study design was used to examine mental health and healthy behaviors amo...
Article
OBJECTIVE The aims of this study were to describe burnout, mental health, and healthy lifestyle behaviors of nurses in a managerial role and assess associations among workplace culture factors (perceived culture, mattering, support, and staff shortages) with burnout, mental health outcomes, and healthy lifestyle behaviors. BACKGROUND Nurse manager...
Article
African American (AA) women have the highest prevalence of obesity in addition to health disparities in preventable diet-related diseases (i.e., diabetes, hypertension), which places them at increased risk for cardiovascular disease. The purpose of this pilot study was to assess the feasibility, acceptability, and preliminary effectiveness of the K...
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Full-text available
Background Nurses, the largest workforce in healthcare, are at high risk of depression, anxiety, burnout, and suicidal ideation. Suicide among nurses is higher than the general population. This randomized controlled trial pairs the MINDBODYSTRONG© cognitive-behavioral skills building program with the American Foundation for Suicide Prevention’s (AF...
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Introduction Although adolescents make treatment gains in psychiatric residential treatment (RT), they experience significant difficulty adapting to the community and often do not sustain treatment gains long term. Their parents are often not provided with the necessary support or behaviour management skillset to bridge the gap between RT and home....
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Background Nursing well‐being has become a heightened focus since the COVID‐19 pandemic. Nurses are leaving the profession early in their careers or retiring sooner than expected. Those who remain in the workforce report higher levels of burnout, anxiety, depression, and exhaustion. There is concern that there may be a shortage of at least half a m...
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Background Pregnancy provides a privileged and opportune moment to implement interventions promoting healthy lifestyle behaviors and significantly improving perinatal outcomes. The Healthy Lifestyle Behaviors Scale (HLBES) can be used to assess health promoting behaviors, such as diet, physical activity, and mental health. Purpose This study aimed...
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Background: Sedentary behaviors and mental health symptomology have increased in college youth over the past decade. Institutions of higher education are working to address these concerns through preventative programming that teaches students how to cope with stress, anxiety, and depression.Aims: This pilot study aimed to evaluate the impact of a c...
Article
The soaring prevalence of depression and anxiety in children, teenagers, and young adults is now a public health epidemic, yet access to timely evidence-based mental health treatment is often lacking due to a severe shortage of mental health providers. This article provides an overview of the current state of depression and anxiety in children and...
Article
Background Guidelines call for pregnant people to be screened for depression and anxiety. Screening may be particularly important for pregnant Black individuals who are reported to be more likely than non-Hispanic White pregnant people to experience prenatal stress, anxiety, and depressive symptoms. The purpose of this study was to determine if dep...
Article
Background Mental health outcomes in nurses have historically indicated a greater prevalence of anxiety, depression, and suicide than the general population. It is vital to provide programming for healthcare workers to gain the necessary skills to reduce burnout and improve their mental and physical health. Aims The aims of this study were to eval...
Article
Background Nurses often forgo needed mental healthcare due to stigma and fear of losing their license. The decision to access care or disclose mental health struggles is intensified when registered nurses (RNs) or advanced practice registered nurses (APRNs) discover that licensure applications ask invasive mental health questions that could impact...
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Food insecurity increases among marginalized children during the summer when school is out of session. Summer programming that offers access to healthy meals and snacks may reduce the risk. There is a national call in the US for more research to assure equitable access to summer programming. The objective of this prospective observational study was...
Article
Background: Previous systematic reviews have explored nurse, patient, and organizational outcomes in Magnet®-recognized hospitals compared with non-Magnet hospitals, yet these did not comprehensively review a wide variety of patient outcomes. Aim: The purpose of this scoping review was to describe the findings from published research evaluating...
Chapter
Never has there been a more urgent need for strong mentorship to improve healthcare delivery, policy, and outcomes with a focus on developing mentees who have strong knowledge and skills in key areas that will benefit clinical practice, including evidence-based practice (EBP), innovation, well-being, and leadership. The United States (US) spends mo...
Chapter
This chapter describes the qualities of a great mentor–mentee relationship. Key components of mentorship are discussed along with important qualities that are “difference makers” for mentees. Outcomes of a terrific mentor–mentee relationship are highlighted to demonstrate the powerful impact that this relationship can have in improving healthcare q...
Article
Healthy lifestyle during pregnancy influences the pregnant woman's and child's physical and mental health, impacting perinatal outcomes. Healthy lifestyle beliefs are predictors of lifestyle behaviors, requiring a valid and reliable instrument to assess them during prenatal care. The 16-item Healthy Lifestyle Belief Scale (HLBS) measures a person's...
Article
Objective: To describe the well-being and lifestyle behaviors of health-system pharmacists during the COVID-19 pandemic and to determine the relationships among well-being, perceptions of workplace wellness support, and self-reported concern of having made a medication error. Methods: Pharmacist (N = 10,445) were randomly sampled for a health an...
Chapter
Rates of burnout, depression, anxiety, post-traumatic stress, and suicide have been declared a public health epidemic in clinicians. Solutions to improve clinicians’ mental health and well-being include fixing system problems (e.g., inadequate staff–patient ratios, lengthy shifts, problems with the electronic medical record) and equipping clinician...
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Background: Hospitals and healthcare systems strive to meet benchmarks for the National Database of Nursing Quality Indicator (NDNQI) measures, Centers for Medicare & Medicaid Services (CMS) Core Measures, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) outcome indicators. Prior research indicates that Chief Nursing O...
Article
The U.S. Centers for Disease Control established the central line maintenance care bundle in 2011, yet nurses' adherence to all seven components remains challenging. The specific aim of this study was to explore and understand intensive care nurses' perceptions and beliefs regarding central line maintenance, bundle care elements, and associated adh...
Article
Background: Depression, anxiety, and burnout are an epidemic in the nursing profession. Unlike nurses in clinical settings, little is known about the mental health of doctorally prepared nursing faculty in academic settings, especially when separated by degree type (Doctor of Philosophy in Nursing [PhD] vs. Doctor of Nursing Practice [DNP]) and cl...
Article
Background Evidence‐based practice and decision‐making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports throughout the literature. However, a comprehensive summary and review of the extent and type of evidence‐based practices (EBPs) and their associated outcomes acros...
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Routine implementation and sustainability of evidence-based practices (EBPs) into health care is often the most difficult stage in the change process. Despite major advances in implementation science and quality improvement, a persistent 13- to 15-year research-to-practice gap remains. Nurse leaders may benefit from tools to support implementation...
Article
Healthcare in America faces multiple major challenges, highlighting the critical need for innovative solutions to systemic problems. Nursing is uniquely positioned to lead innovation in healthcare. Nurses represent the largest segment of the healthcare workforce, have the greatest exposure to system failures, and must develop workarounds and soluti...
Article
Background: Although mental health symptoms increased during the coronavirus disease 2019 (COVID-19) pandemic, little is known about the associations between nursing students' perceived risk of contracting COVID-19 and their academic and psychological well-being. This study examined associations between perceived COVID-19 risk, likelihood of compl...
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Objective One in five children report experiencing bullying. Bullying in childhood affects the physical and emotional health and functioning of youth with immediate consequences, including depression, anxiety, somatic complaints, and suicidal ideation. Schools overwhelmingly are tasked with addressing bullying; however, school-based programs are of...
Article
Background Being overweight or obese is a large public health problem, especially in the African American/Black and Hispanic communities. Having a body mass index (BMI) > 25 can lead to chronic health conditions, such as heart disease, stroke, and type 2 diabetes. The transition into adulthood may be an excellent time to intervene due to young adul...
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Background Although nursing students are educated on the importance of exercising regularly and maintaining a well-balanced diet, many do not practice healthy weight management behaviors, and some even use unhealthy weight loss methods. Yet, little research has examined both positive and negative psychosocial variables related to weight control amo...
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Background: Implementation of evidence-based practice (EBP) in healthcare remains challenging. The influence of leadership has been recognized. However, few randomized trials have tested effects of an educational and skills building intervention for leaders in clinical settings. Aims: Test effects of an EBP leadership immersion intervention on E...
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Background: American healthcare workers face unprecedented stress and trauma in the workplace during COVID-19, putting nurses at increased risk for poor mental health. Examining trends of mental health from before and during COVID-19 can illuminate the toll of the pandemic on nurses well-being. Methods: Nurses enrolled in Healthy Nurse, Healthy...
Article
Background Patient safety metrics declined due to COVID‐19‐related strains placed on hospitals and hospital systems. Because evidence‐based practice (EBP) can improve patient outcomes and quality of care and empower clinicians, a renewed focus on organizational EBP culture is needed. The Advancing Research and Clinical practice through close Collab...
Article
Background: Evidence-based practice (EBP) improves the quality of care, decreases healthcare costs, and improves job satisfaction. However, nurses and other clinicians, as well as their institutions, struggle to consistently implement EBP. The Advancing Research and Clinical practice through close Collaboration (ARCC©) Model established that a cad...
Article
Introduction Parental burnout is an underrecognized condition with adverse consequences for parents and children. The objective of this study was to determine the psychometric properties of a new scale, the Working Parent Burnout Scale, and a concurrent one-item assessment. Method A cross-sectional survey was conducted. The sample included parents...
Article
Background COVID-19 added stress to infection prevention professionals’ (IPs) work-life that may have impacted their well-being. This study aimed to describe IPs’ mental and physical health and lifestyle behaviors during the pandemic and their associations with IP role, perceived worksite wellness support, shift length, and race and/or ethnicity....
Article
Objective: Examine relationships among worked hours, stress, sleep hours, burnout, PTSD, anxiety, and depression reported by academic medical center employees. Methods: Employees completed an anonymous electronic mental health survey with automated feedback that included self-help and professional local resources. Data were analyzed using struct...
Article
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Purpose The purpose of this study was to examine the feasibility, acceptability and preliminary outcomes of a Cognitive Behavioral Skills Building (CBSB) manualized program for 12-17 year old adolescents who experienced bullying and reported depressive and/or anxiety symptoms. Background One in five children report experiencing bullying. Bullying...
Article
Background: The ASPIRE study is a NIH funded clinical trial seeking to reduce cardiovascular disease risk factors in young adults who identify as Black and Hispanic through the provision of an individualized, text message-based intervention. The intervention has been developed specifically for this demographic group through formative research and s...
Article
OBJECTIVE To evaluate the effects of a cognitive-behavioral skills building program (ie, MINDSTRONG; The Ohio State University) on the mental health outcomes and healthy lifestyle beliefs and behaviors of Doctor of Veterinary Medicine (DVM) students. Sample DVM students (n = 62) before beginning their program at a large public Midwest land-grant u...
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Full-text available
Background: Hypertension is a leading cause of cardiovascular disease (CVD) and affects nearly one in two adults in the United States when defined as a blood pressure of at least 130/80 mm Hg or on antihypertensive medication (Virani et al., 2021, Circulation, 143, e254). Long-standing disparities in hypertension awareness, treatment, and control...
Article
Background: Cardiovascular disease (CVD) is the number one cause of death in the United States of America and across the world. The high prevalence of obesity (56.9%) in African American women contributes to high rates of CVD. Ketogenic nutritional therapy has been shown to be a safe and effective therapy for weight loss and reduction in other CVD...
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Aims: The prevalence of overweight adolescents in Taiwan has dramatically increased in recent years. A survey shows that 66.6% of adolescents do not get the recommended amount of vegetables and fruit (i.e., two portions of fruit and three portions of vegetables per day each week). The purpose of this study was to explore relationships between indiv...
Article
Objective: To assess faculty and staff beliefs about returning to campus as well as their mental health and healthy lifestyle behaviors. Participants: Faculty and staff at a large Mid-west public land-grant university. Methods: A survey was emailed to a random sample of faculty and staff (N = 6,000 faculty; N = 6,000 staff). Results: Response rate...
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Background: As the COVID-19 pandemic began, wellness leadership at a large Mid-west public university anticipated an increase in mental health problems among faculty and staff. A two-part weekly webinar series entitled "Staying Calm and Well in the Midst of the COVID-19 Storm" was launched to assist faculty and staff in coping with stressful issues...
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Background: The COVID-19 pandemic has added substantial stress to the college student experience that could escalate the already existing student mental health crisis. Institutions of higher education have been called to explore ways in which they can promote and support the whole student. Objective: To describe college students' beliefs about re...
Article
Background and purpose Pediatric populations represent a vulnerable research group. Careful thought must be given to many factors when designing and implementing pediatric intervention research studies. This article discusses methodological and implementation lessons learned from two pediatric intervention pilot studies and highlights facilitators...
Article
Background: Oncology nurses are at increased risk for developing burnout. Although various interventions have been researched, mindfulness has been proven to be beneficial in mitigating burnout while improving well-being. Objectives: The aim was to evaluate whether the use of a mindfulness mobile application (app), Headspace®, increases percepti...
Article
A novel interprofessional clinical experience, entitled POP (Pet Owner and Pet Care), was offered to students from the Colleges of Nursing, Veterinary Medicine, and Social Work at a large Midwest university. The objectives of the clinical experience were to (1) provide students with an opportunity to improve their readiness for interprofessional le...
Article
Background High rates of mental health conditions and poor healthy lifestyle behaviors are reported in nurses, other clinicians and health science students but have not been compared across different professions. Purpose The purpose of this study was threefold: (1) describe rates of mental health problems and healthy behaviors across the Big 10 he...
Article
Work cultures supportive of wellness and shorter shift length have been associated with better mental/physical health outcomes in nurses, but how the coronavirus disease-19 (COVID-19) pandemic impacted such outcomes is not known. This study's aims were to (1) describe the mental/physical health, well-being, and healthy lifestyle behaviors of nurses...
Article
Background: The Advancing Research and Clinical practice through close Collaboration (ARCC© ) Model is a system-wide framework for implementing and sustaining evidence-based practice (EBP) in hospitals and healthcare systems. The model involves assessing organizational culture and readiness for EBP in addition to the development of a critical mass...
Article
Background: Evidence-based practice (EBP) is a problem-solving approach to clinical decision making that leads to a higher quality and safety of health care. Three valid and reliable scales that measure EBP attributes, including the EBP Beliefs Scale, the EBP Implementation Scale, and the Organizational Culture and Readiness Scale for System-Wide...
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Background: The interest in and demand for healthcare innovation has heightened amid the COVID-19 pandemic. Organizations are challenged to balance the goals of daily operations with innovation to stay relevant and compete in the marketplace. Innovation is critical for not only the success and sustainability of organizations, but the well-being of...
Article
Bullying is a long-standing problem with relatively few intervention options for individual youth who have experienced it and have adverse mental health concerns. Depression, anxiety, and suicidal ideation are major consequences of bullying victimization. Although few evidence-based interventions have been put forth to address bullying victimizatio...
Article
Background: Critical care nurses experience higher rates of mental distress and poor health than other nurses, adversely affecting health care quality and safety. It is not known, however, how critical care nurses' overall health affects the occurrence of medical errors. Objective: To examine the associations among critical care nurses' physical...
Article
Background: Translating research into practice is complex for clinicians, yet essential for high quality patient care. The field of implementation science evolved to address this gap by developing theoretical approaches to guide adoption and sustained implementation of practice changes. Clinicians commonly lack knowledge, time, and resources of ho...

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