CANDLE BURNING AT BOTH SIDES: LIVED EXPERIENCES OF OPERATING ROOM (OR) NURSES IN COPING WITH BURNOUT AND BUILDING RESILIENCE

Burnout among OR nurses significantly affect their well-being and patient care. This study explored the experiences of ten OR nurses at Ilocos Training and Regional Medical Center from February to March 2025, using a descriptive phenomenological design. Findings revealed that burnout stemmed from emotional and physical exhaustion due to long hours, cognitive overload, and patient suffering, leading to fatigue, detachment, and decreased motivation. The high-pressure nature of surgical procedures and unpredictable emergencies further intensified stress. Despite these challenges, OR nurses employed coping mechanisms such as mindfulness, exercise, peer support, humor, and reflective practices to build resilience. A supportive work environment and shared experiences with colleagues played a crucial role in alleviating emotional fatigue and sustaining commitment. Humor and positive reframing were commonly used to manage stress and maintain morale. The study emphasized the need for sustainable organizational interventions, including flexible schedules, rest periods, and ergonomic support, to mitigate burnout. Wellness programs incorporating mindfulness training, physical fitness, and peer support were recommended to improve job satisfaction and patient safety. Structured debriefings and reflective practices, such as post-surgery discussions, reinforced the meaningful impact of nurses' work. Based on these findings, the study proposed a Comprehensive Wellness Program to enhance OR nurses’ well-being, retention, and long-term resilience.