NURS 6052 Evidence-Based
Clinical Inquiry; Nursing Burnout
Introducing Nursing Burnout
A mental, emotional, and physical exhaustion experienced by nurses due to excessive and prolonged stress caused by overwhelming and demanding demands in the field of their work
Nursing burnout is characterized by a decline in nurses energy which manifests through;
Emotional exhaustion
Feelings of frustration
Reduction in work efficacy
PICO QUESTION
Among Nurses in the US care system with burnout, what are the impacts of job redesign compared with external incentives on eliminating nursing burnout?
PICO Question Development Process
| Population/ Problem | Description of population/problem of interest. | Among Nurses in the US care system with burnout |
| Intervention | What is the main intervention to consider | what are the impacts of job redesign |
| Comparison | What alternative intervention can we compare with? | compared with external incentives |
| Outcomes | What is the clinical outcome? | eliminating nursing burnout |
Keywords
Nursing
Nursing burnout
Burnout
Job redesign
Job enrichment
Job rotation
Job enlargement
Incentives
Monitory incentives
Work environment
US care system
Eliminating nursing burnout
Motivation
Extrinsic motivation
Level of Evidence
| Source | Level of Evidence | Description |
| (Jackson, White, Besner, & Norris, 2014) | Level IV | A job redesign developed and implemented in a single medical patient care unit, the redesign unit. A second medical patient care unit served as a control unit. |
| (Jourdain, & Chênevert, 2010) | Level V (Meta-synthesis) | Research model tested on cross-sectional data collected in 2005 from 1636 registered nurses working in hospitals who responded to a self-administrated questionnaire. |
| Source | Level of Evidence | Description |
| (Achim, Simone, & Anna, 2011) | Level III (Quasi-experimental) | Ninety-six registered nurses from 11 Swiss hospitals were investigated to determine cause and effect relationship between Stressors in nursing and risk of cognitive failures |
| (W, Sekar, Manikandan, K, T, Shriraam, Silambanan, & R 2020) | Level II (least one well-designed RCT) | Nurses assigned randomly into a control group (n = 15) or Mahamantra intervention group (n = 15). |
References
Achim Elfering, Simone Grebner, & Anna Dudan. (2011). Job Characteristics in Nursing and Cognitive Failure at Work. Safety and Health at Work, 2(2), 194–200. https://doi-org.lopes.idm.oclc.org/10.5491/SHAW.2011.2.2.194
Jackson, K., White, D. E., Besner, J., & Norris, J. M. (2014). Optimizing enactment of nursing roles: redesigning care processes and structures. Journal of Healthcare Leadership, 1. https://doi-org.lopes.idm.oclc.org/10.2147/JHL.S53603
Jourdain, G., & Chênevert, D. (2010). Job demands–resources, burnout and intention to leave the nursing profession: A questionnaire survey. International Journal of Nursing Studies, 47(6), 709–722. https://doi-org.lopes.idm.oclc.org/10.1016/j.ijnurstu.2009.11.007
W.J, N., Sekar, L., Manikandan, A., K, M., T, G., Shriraam, V., Silambanan, S., & R, P. (2020). Mahamantra chanting as an effective intervention for stress reduction among nursing professionals—A randomized controlled study. Advances in Integrative Medicine. https://doi-org.lopes.idm.oclc.org/10.1016/j.aimed.2020.05.007