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89 % evidencebase (11).pptx cccc.pptx

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User paper Student paper Student paper

Student paper Student paper

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Student paper

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Word Count: 1,051 evidencebase (11).pptx cccc.pptx

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Advanced Levels of Clinical Inquiry and Systematic Reviews Impact of NURSING BURNOUT ON PATIENT SAFETY AND SATISFACTION

Institution

Course Name

Student Name

Impact of NURSING BURNOUT ON PATIENT SAFET AND SATISFACTION

Nursing burnout also known as nursing turnover is a state where nurses experience physical or emotional exhaustion that also results in a sense of reduced

accomplishment and loss of personal identity (Mayo Clinic Staff, 2018). Nursing burnout has negative impacts on healthcare at a national level. With recent

reports of pervasive “burnout” and depression among healthcare professionals and the pressure that many influential healthcare organizations exert on clinicians to deliver high-quality, safe care under increasingly heavy patient loads, the use and teaching of EBP may be key not only to providing outstanding care to patients and saving healthcare dollars, but also to reducing the escalating turnover rate in certain healthcare professions (Melnyk & Fineout-Overholt, 2018). This is devastating, yet important, due to the impact this has on patient care and safety.

Picot question

PICOT questions help in searching for the best evidence-based information related to a particular topic. PICOT is n acronym where: P=patient or population,

I=intervention or issue, C=comparison intervention, O=outcome, T=time frame (Mazurek Melnyk & Fineout-Overholt, 2019, p.18). That being said, my PICOT Question is: Does Registered Nurse burnout/turnover in the ED impact patient safety and satisfaction? P= Registered Nurses in the ED

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7/5/2020 Originality Report

https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=6956dcf8-2972-4638-b7be-4121615fac92&course_id=_16693… 2/7

I= Nurse Burnout and Turnover rate

C=Other areas of nursing

O=Patient safety and satisfaction

T=.

Impact of NURSING BURNOUT ON PATIENT SAFET AND SATISFACTION: meta-analysis. Database: Medline

Mayo Clinic Staff. (2018, November 21). Know the signs of job burnout. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-

depth/burnout/art-20046642

Systematic Review. Level I

High level of evidence provided; numerous studies identified. Quantitative statistical research combined. This meta-analysis included 813 articles involving

nursing burnout and patient satisfaction, obtained from three different databases were studied. A large number of studies was analyzed. This systematic

literature review retrieved all possible information. The analysis demonstrated a relationship between burnout and patient safety actions. There was an effect of 2.67 with a confidence interval of 2.3 to 3.0, which represents a probability of superiority of 96.7%. Through meta-analysis, a relationship between the development of burnout and patient safety actions was found with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety.

Impact of NURSING BURNOUT ON PATIENT SAFET AND SATISFACTION: a prospective randomized noninferiority trial

Database: Medline

McElreath, R. L. (2020). A Comparative Analysis of Job Satisfaction, Burnout, and Intent to Leave Among Nurses. Randomized Controlled trial. Level I

Most of the studies were within an acceptable standard error in health with representativeness in the range of 95%, reinforcing the congruence with the meta- analysis and assertiveness in the general interpretation of results. The presence of burnout among health professionals is associated with worsening patient

safety. High levels of burnout is related to external factors, such as high workload, long hours, and interpersonal relationship. Avoiding professional exhaustion is an important strategy for improving patient safety.

Clinical Research - Clinical Trials and Studies; Reports Outline Clinical Trials and Studies Study Results from Department of Nursing (Impact of NURSING

BURNOUT ON PATIENT SAFETY AND SATISFACTION: a meta-analysis)

Database: Nursing & Allied Health Database

Heath, S. (2018, September 5). How does provider burnout impact patient care quality, care access? Retrieved from

https://patientengagementhit.com/news/how-does-provider-burnout-impact-patient-care-quality-care-access

Randomized controlled trials and controlled clinical trials. Level II

This Meta-analysis review of randomized controlled and clinical controlled trials analyzed a large number of databases to assess the impact of nursing burnout

on patient safety and satisfaction. The selected studies were carried out mostly with nurses and physicians, mainly in the United States, followed by European countries; 90% were cross-sectional studies, 5% were prospective, and 5% longitudinal, with studies between the years 2015 and 2020. This study carefully summarized the causes of nursing burnout and the interventions that can be used to mitigate nursing burnout in the practice. This trial contains current data. A

large amount of data analyzed gives strength to this study.

NURSING BURNOUT, a systematic literature review

Database: National Institute for Health Research. Systematic Review Level I

Melnyk, B., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer. 813 articles involving

nursing burnout and patient satisfaction, obtained from three different databases were studied.

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After incorporating the Boolean terms AND nurse turnover, it then narrowed the search articles to 402. Through the Walden Library, the search terms nurse burnout in the ED were used, narrowing to peer-reviewed only and full text. This generated 8 articles. To improve these results strategies such as incorporating more Boolean terms, using more specific search terms, and trialing more databases could benefit in a more efficient and effective search. These systematic studies provided strong information guidelines from expert organizations. This study showed a significant correlation between nursing burnout and patient safety and satisfaction.

Conclusion Clinicians with burnout may have impaired attention, memory, and executive function that decrease their recall and attention to detail placing them

and their patients at higher risk for errors and safety (Heath, 2018). Happy and healthy employees promote happy and healthy patients. This topic is in need of clinical inquiry at a national level, but also where this nurse is employed. The turnover rate has been significantly increased where this nurse is employed, leading to

short staffing, thus increased workload and unhappy patients. This kind of work environment is unsafe and warrants change not only for the healthcare professionals sake, but more importantly the patients sake.

Reference

Heath, S. (2018, September 5). How does provider burnout impact patient care quality, care access? Retrieved from

https://patientengagementhit.com/news/how-does-provider-burnout-impact-patient-care-quality-care-access

Mayo Clinic Staff. (2018, November 21). Know the signs of job burnout. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art- 20046642

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7/5/2020 Originality Report

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Source Matches (38)

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waldenu 64%

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User paper 79%

Student paper 87%

20046642

McElreath, R. L. (2020). A Comparative Analysis of Job Satisfaction, Burnout, and Intent to Leave Among Nurses. Melnyk, B., & Fineout-Overholt, E. (2018).

Evidence-based practice in nursing & healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer.

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Student paper

Advanced Levels of Clinical Inquiry and Systematic Reviews Impact of NURSING BURNOUT ON PATIENT SAFETY AND SATISFACTION

Original source

Advanced Levels of Clinical Inquiry and Systematic Reviews

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Student paper

Impact of NURSING BURNOUT ON PATIENT SAFET AND SATISFACTION

Original source

impact on job satisfaction and burnout

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Student paper

Nursing burnout also known as nursing turnover is a state where nurses experience physical or emotional exhaustion that also results in a sense of reduced accomplishment and loss of personal identity (Mayo Clinic Staff, 2018).

Original source

Job burnout is a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity (Mayo Clinic Staff, 2018)

4

Student paper

Nursing burnout has negative impacts on healthcare at a national level. With recent reports of pervasive “burnout” and depression among healthcare professionals and the pressure that many influential healthcare organizations exert on clinicians to deliver high-quality, safe care under increasingly heavy patient loads, the use and teaching of EBP may be key not only to providing outstanding care to patients and saving healthcare dollars, but also to reducing the escalating turnover rate in certain healthcare professions (Melnyk & Fineout-Overholt, 2018). This is devastating, yet important, due to the impact this has on patient care and safety.

Original source

Nursing burnout is negatively impacting healthcare at a national level With recent reports of universal “burnout” and depression among healthcare professionals and the pressure that many influential healthcare organizations exert on clinicians to deliver high-quality, safe care under increasingly heavy patient loads, the use and teaching of evidence-based teaching may be key not only to providing outstanding care to patients and saving healthcare dollars, but also to reducing the escalating turnover rate in certain healthcare professions (Melnyk & Fineout-Overholt, 2018) Job burnout is devastating due to the impact it has on patient care and safety

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Student paper

P=patient or population, I=intervention or issue, C=comparison intervention, O=outcome, T=time frame (Mazurek Melnyk & Fineout-Overholt, 2019, p.18). That being said, my PICOT Question is:

Original source

P=patient or population, I=intervention or issue, C=comparison intervention, O=outcome, T=time frame (Mazurek Melnyk & Fineout-Overholt, 2019, p.18) My PICOT question is

7/5/2020 Originality Report

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waldenu 64%

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waldenu 64%

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Does Registered Nurse burnout/turnover in the ED impact patient safety and satisfaction?

Original source

Does the Registered Nurse burnout/turnover rate in the ED impact patient safety and satisfaction

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I= Nurse Burnout and Turnover rate C=Other areas of nursing O=Patient safety and satisfaction

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Nurse burnout and turnover rate Other areas of nursing Patient Safety and satisfaction

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Impact of NURSING BURNOUT ON PATIENT SAFET AND SATISFACTION:

Original source

impact on job satisfaction and burnout

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Mayo Clinic Staff. (2018, November 21). Know the signs of job burnout. Retrieved from https://www.mayoclinic.org/healthy- lifestyle/adult-health/in- depth/burnout/art-20046642

Original source

Mayo Clinic Staff (2018, November 21) Know the signs of job burnout Retrieved from https://www.mayoclinic.org/healthy- lifestyle/adult-health/in- depth/burnout/art-20046642

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High level of evidence provided; numerous studies identified. Quantitative statistical research combined.

Original source

High level of evidence provided numerous studies identified Quantitative statistical research combined

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A large number of studies was analyzed. This systematic literature review retrieved all possible information.

Original source

A large number of studies was analyzed This systematic literature review searched twelve databased to retrieved all possible information

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Impact of NURSING BURNOUT ON PATIENT SAFET AND SATISFACTION:

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impact on job satisfaction and burnout

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a prospective randomized noninferiority trial

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a prospective randomized noninferiority trial

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Student paper

A Comparative Analysis of Job Satisfaction, Burnout, and Intent to Leave Among Nurses.

Original source

A Comparative Analysis of Job Satisfaction, Burnout, and Intent to Leave Among Nurses

7/5/2020 Originality Report

https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=6956dcf8-2972-4638-b7be-4121615fac92&course_id=_16693… 5/7

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lww 65%

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Randomized Controlled trial.

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Randomized Controlled trial

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The presence of burnout among health professionals is associated with worsening patient safety.

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Burnout Among Health Professionals and Its Effect on Patient Safety

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Clinical Research - Clinical Trials and Studies;

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Clinical Research - Clinical Trials and Studies

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a meta-analysis)

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a meta analysis

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Nursing & Allied Health Database

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Nursing & Allied Health Database

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(2018, September 5).

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(2018, September 5)

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How does provider burnout impact patient care quality, care access?

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How does provider burnout impact patient care quality, care access

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Retrieved from https://patientengagementhit.com/news/ how-does-provider-burnout-impact- patient-care-quality-care-access

Original source

Retrieved from https://patientengagementhit.com/news/ how-does-provider-burnout-impact- patient-care-quality-care-access

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Randomized controlled trials and controlled clinical trials.

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Randomized controlled trials and controlled clinical trials

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This Meta-analysis review of randomized controlled and clinical controlled trials analyzed a large number of databases to assess the impact of nursing burnout on patient safety and satisfaction.

Original source

This Meta-analysis review of randomized controlled and clinical controlled trials analyzed a large number of databases to assess the impact of hair removal and its methods regarding the incidence of surgical site infections

7/5/2020 Originality Report

https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=6956dcf8-2972-4638-b7be-4121615fac92&course_id=_16693… 6/7

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This trial contains current data. A large amount of data analyzed gives strength to this study.

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This trial contains current data A large amount of data analyzed gives strength to this study

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NURSING BURNOUT, a systematic literature review

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A systematic literature review

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National Institute for Health Research. Systematic Review Level I

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National Institute for Health Research Systematic Review Level I

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Melnyk, B., & Fineout-Overholt, E.

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Melnyk, B., & Fineout-Overholt, E

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Evidence-based practice in nursing & healthcare (4th ed.).

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Evidence-based practice in nursing & healthcare (4th ed.)

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Conclusion Clinicians with burnout may have impaired attention, memory, and executive function that decrease their recall and attention to detail placing them and their patients at higher risk for errors and safety (Heath, 2018). Happy and healthy employees promote happy and healthy patients. This topic is in need of clinical inquiry at a national level, but also where this nurse is employed.

Original source

Clinicians with burnout may have impaired attention, memory, and executive function that decrease their recall and attention to detail placing them and their patients at higher risk for errors and safety (Heath, 2018) Happy and healthy employees promote happy and healthy patients This topic needs clinical inquiry at a national level, but also where nurses are employed

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Student paper

The turnover rate has been significantly increased where this nurse is employed, leading to short staffing, thus increased workload and unhappy patients. This kind of work environment is unsafe and warrants change not only for the healthcare professionals sake, but more importantly the patients sake.

Original source

The turnover rate has been significantly increased where this nurse is employed, leading to short staffing, thus increased workload and unhappy patients This kind of work environment is unsafe and warrants change not only for the healthcare professionals sake, but more importantly the patients sake

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(2018, September 5).

Original source

(2018, September 5)

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How does provider burnout impact patient care quality, care access?

Original source

How does provider burnout impact patient care quality, care access

7/5/2020 Originality Report

https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=6956dcf8-2972-4638-b7be-4121615fac92&course_id=_16693… 7/7

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Retrieved from https://patientengagementhit.com/news/ how-does-provider-burnout-impact- patient-care-quality-care-access Mayo Clinic Staff. (2018, November 21). Know the signs of job burnout.

Original source

Retrieved from https://patientengagementhit.com/news/ how-does-provider-burnout-impact- patient-care-quality-care-access Mayo Clinic Staff (2018, November 21) Know the signs of job burnout

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Retrieved from https://www.mayoclinic.org/healthy- lifestyle/adult-health/in- depth/burnout/art-20046642

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Retrieved from https://www.mayoclinic.org/healthy- lifestyle/adult-health/in- depth/burnout/art-20046642

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A Comparative Analysis of Job Satisfaction, Burnout, and Intent to Leave Among Nurses.

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A Comparative Analysis of Job Satisfaction, Burnout, and Intent to Leave Among Nurses

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Melnyk, B., & Fineout-Overholt, E.

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Melnyk, B., & Fineout-Overholt, E

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Evidence-based practice in nursing & healthcare (4th ed.).

Original source

Evidence-based practice in nursing & healthcare (4th ed.)