Project
Nurse Burnout
NR 449
Evidence Based Practice - March 2023
Professor Evelyn Burton
Identification of problem and impact on nursing practice.
Clearly describe the research process, including what went well, barriers encountered, and what is still needed.
Aaliyah Ward () - Aaliyah
Correlates research findings to identified clinical issue
Evidence suggests that nurse burnout programs can be effective in addressing nurse burnout:
Providing support systems, offering training programs to enhance coping skills, addressing the root causes of stress, and promoting work-life balance, can prevent nurse burnout (Cherovsky, 2020).
Summarizes validity of qualitative and quantitative evidence.
Qualitative & quantitative evidence assisted with the solution for Nurse Burnout research
Qualitative gathered the perspectives through discussion and identifying themes and patterns
Could be used for implementing nurse burnout program based on subjective information.
Though qualitative analysis was felt to be the best approach to address burnout, quantitative analysis could be used to implement a nurse burnout program based on objective data, such as:
Standardized assessments
Surveys
Health records of nurses experiencing burnout vs. nurses who do not experience burnout.
Findings are clearly identified.
Nurse burnout has been prevalent in the healthcare profession. This outcome has been identified through cross-sectional studies utilizing Maslach Burnout Scale (Dall’Ora et al.,2020). The results suggested increase workload, inadequate staffing, poor work climate, and low rewards were some of the indicators mentioned in the study.
With these results, nurses demonstrate a decrease in job performance, inadequate decision making skills, delivered poor quality of care to patients, medication errors, infections and reduced patient safety (Dall’Ora et al., 2020). Poor leadership and negative nurse-physician relationships are other effects associated with nurse burnout.
There are many other findings associated with nurse burnout. This condition has been recognized as a real concern for the healthcare community. Nurse burnout causes negative outcomes related to depression, emotional exhaustion, and compassion fatigue (Dall’Ora et al., 2020). It is imperative for nurses to receive the care they require psychologically, so that they are able to provide adequate care to clients.
Recommends practice change with measurable outcomes and addresses feasibility issues.
Managers must control the resources required for nurses to complete their job efficiently on a daily basis (Dall’Ora, et al., 2020).
Rewards is an incentive employers can offer to their employees on a quarterly basis (Dall’Ora, et al., 2020).
Administrators and managers must determine a workload that is practical for nurses to provide adequate care to clients within a sufficient time, usually a week prior to assess adequate staffing (Dall’Ora, et al., 2020).
Weekly staff meetings with employees to address concerns by nurses should be conducted to discuss emotional concerns leading to implications associated with nurse burnout, during this time nurses must be provided with resources to assist with emotional exhaustion.
Quarterly funding should be allocated by the organization for nurses and managers to access for psychological assistance and recreational activities for motivational support.
According to Dall’Ora et al., (2020), six dimensions that affect nurses work performance associated with nurse burnout must be addressed to improve workload, control over resources, reward, community involvement from other nurses, fairness, and values are leading causes of emotional exhaustion. The feasibility for nurses to access the resources required to provide adequate care to patients is essential, and should be readily accessible from the organizational policies and regulations which need to state beneficial information on staffing and managing requirements. Nurse burnout develops in a few ways, excessive job demands and limited resources leading to both exhaustion and disengagement with employees (Dall’Ora et al., 2020).
Suggestions for implementation.
One must raise concerns about fatigue before patient safety is endangered
Need to evaluate the decision to work if insufficiently rested
When working extended schedules, nurses are required to notify their supervisors
Have an ethical obligation to practice safely and must uphold their obligation to arrive at work well-rested and prepared to provide patient care (Dorrian et al., 2006)
Should evaluate the impact of multiple workloads and work environments on fatigue levels and limit the number of overtime hours they agree to work (Carayon, P., & Gurses, A., 2008)
Should identify and work the schedule that is most compatible with their circadian rhythm
Needs to develop support networks (Jennings, 2008)
Discuss with coworkers methods to deal with the difficulties of shift work
Assist colleagues by monitoring for symptoms of drowsiness
Apply new techniques that promote sufficient time for relaxation away from work between shifts
Conclusion of content findings.
References
Cherovsky, E. (2020). Nursing burnout – mitigating the impact and creating a resilient
nursing workforce. California State University, Sacramento. Retrieved from
https://www.proquest.com/openview/69a276eba53b29a6abba13a8581d01d8/1?pqorigsite=
gscholar&cbl=18750&diss=y
Dall'Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human resources for health, 18(1), 41. https://doi.org/10.1186/s12960-020-00469-9
Dorrian, J., Lamond, N., Van Den Heuval, C., Pincombe, J., Rogers, A. E., & Dawson, D. (2006). A pilot study of the safety implications of Australian nurses’ sleep and work hours. PubMed. https://doi.org/10.1080/07420520601059615
Carayon, P., & Gurses, A. (2008). Nursing Workload and Patient Safety—A Human Factors Engineering Perspective. PubMed. https://pubmed.ncbi.nlm.nih.gov/21328758/
Jennings, B. M. (2008, April 1). Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions - Patient Safety and Quality - NCBI Bookshelf. Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions - Patient Safety and Quality - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK2668/