A Holistic, Tarot-Inspired Framework for Understanding and Mitigating Burnout in Nurses Through Self-Reflection
1Author Affiliation: Regional Director of Evidence-Based Practice and Program Evaluation (Retired), Regional Nursing Research Program, Kaiser Permanente Southern California, Pasadena, California, USA (Dr Crawford).
Holistic Nursing Practice
|July 24, 2026
Summary
Nurse burnout is a global issue influenced by systemic factors. A novel tarot-informed framework aids self-reflection on burnout
Area of Science:
- Nursing
- Occupational Health
- Psychology
Background:
- Nurse burnout is a significant global occupational hazard.
- It is characterized by emotional exhaustion, cynicism, and decreased quality of care.
- While often viewed as a nurse resilience issue, organizational factors like workload and leadership are key contributors.
Purpose of the Study:
- To introduce a holistic, tarot-informed framework for nurse self-reflection.
- To utilize the Rider-Waite tarot process and Celtic Cross structure for exploring burnout.
- To examine psychological, social, professional, and structural influences on nurses' burnout experiences.
Main Methods:
- A 10-card tarot spread based on the Celtic Cross structure was adapted.
- Card positions and symbolism were used as prompts for self-reflection.
- Tarot cards were optionally added for deeper symbolic exploration, not for divination.
Main Results:
- The framework facilitates meaning-making, mindfulness, and professional identity exploration.
- It offers a pathway to understanding and addressing nurse burnout.
- The process highlights the interconnectedness of individual and organizational factors.
Conclusions:
- Individual reflection using this framework can enhance nurse resilience and holistic insight.
- Sustainable change requires leadership accountability and organizational commitment to supportive work environments.
- Caring for nurses is integral to the core principle of human caring in nursing.
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