Literature Review

Criteria

Article 1

Article 2

Article 3

Article 4

“Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article”

Gutsan, E. (2018, April 4). Burnout syndrome and nurse-to-patient ratio in the workplace. Marshall Digital Scholar. https://mds.marshall.edu/mgmt_faculty/196/

Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F. (2018). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes “in acute specialist units: a systematic review and meta-analysis. European Journal of Cardiovascular” Nursing, 17(1), 6–22. https://doi.org/10.1177/1474515117721561

“García-Campayo, J., Puebla-Guedea, M., Herrera-Mercadal, P., & Daudén, E. (2016). Burnout” Syndrome and Demotivation Among Health Care Personnel. Managing Stressful Situations: The Importance of “Teamwork. Actas Dermo-Sifiliográficas (English Edition), 107(5), 400–406. https://doi.org/10.1016/j.adengl.2016.03.003”

“Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew-Graham, C., Dawson, S., van” Marwijk, H., Geraghty, K., & Esmail, A. (2017). Controlled Interventions to Reduce Burnout in Physicians. JAMA Internal Medicine, 177(2), 195. https://doi.org/10.1001/jamainternmed.2016.7674

Article Title and Year Published

Burnout syndrome and nurse-to-patient ratio in the workplace.

Published on 4 April 2018.

“The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis.”

Published 1 January 2018.

“Burnout Syndrome and Demotivation Among Health Care Personnel. Managing Stressful Situations: The Importance of Teamwork.”

Published- June 2016.

“Controlled Interventions to Reduce Burnout in Physicians.”

Published- 2017.

Research Questions (Qualitative)/Hypothesis (Quantitative)

How does the nurse-to-patient ratio affect the psychology, emotional health, mental, and nurses’ general productivity in the workplace?

What is the relationship between nurse staffing levels and nurse-sensitive patient outcomes in acute specialist units?

How essential is teamwork in managing stressful situations in healthcare?

“Are interventions for reducing burnout in physicians effective?”

Purposes/Aim of Study

To determine how the nurse-to-patient ratio affects nurses' psychology, general productivity, their emotional and mental health (Gutsan, 2018).

To examine the relationship between nurse staffing levels and nurse-sensitive patient outcomes in acute specialist units.

To examine burnout syndrome, demotivation among healthcare providers, and how teamwork is essential in managing stress (García-Campayo et al., 2016).

To assess the effectiveness of interventions to reduce burnout in physicians and whether different types of interventions can improve effects (Panagioti et al., 2017).

“Design (Type of Quantitative, or Type of Qualitative)”

Qualitative.

Qualitative.

Qualitative.

Qualitative.

Setting/ Sample

31 articles.

35 articles.

Public and private healthcare organizations.

Articles with interventions focusing on burnout.

Methods: Intervention/Instruments

Review of literature and semi-structured interview.

Literature review from articles retrieved from nine electronic databases.

Literature review.

Literature review.

Analysis

The article provides concise information and easy to understand.

It provides detailed information regarding the relationship between nurse staffing levels and nurse-sensitive patient outcomes.

The article is educative and detailed, providing helpful information for research.

The article discussed physician-directed interventions and organization-directed interventions that were associated with a reduction in burnout.

Key Findings

Due to low nurse-to-patient ratio, work overload is attributed to nurses' job dissatisfaction, increased burnout, and overall fatigue.

Higher nurse staffing levels were related to low mortality, medication errors, infections, and other diseases (Driscoll et al., 2018).

Teamwork and a good work environment have positive results like low turnover, accomplishment, increase productivity, and satisfaction.

Cognitive-behavioral therapy, educational programs, and mindfulness-based stress reduction techniques reduced physician burnout, increased job satisfaction, and increased physician retention.

Recommendations

None

None.

Healthcare organizations should identify unmotivated or stressed workers to enable early prevention of stressful work environments.

None.

“Explanation of How the Article Supports EBP/Capstone Project”

The article discusses the relationship between the nurse-to-patient ratio and nurse's general productivity, psychological, emotional, and mental health.

The article discusses how higher staffing results in reduced medical errors, which is an expected outcome in the PICOT question.

The article discusses teamwork to reduce workplace stress, which is a comparison intervention in the PICOT.

The article focuses on reducing burnout in healthcare, providing education as one of the interventions mentioned in the PICOT question.

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Magtibay, D. L., Chesak, S. S., Coughlin, K., & Sood, A. (2017). Decreasing Stress and Burnout in Nurses. JONA: The Journal of Nursing Administration, 47(7/8), 391–395. https://doi.org/10.1097/nna.0000000000000501

Zhang, X. J., Song, Y., Jiang, T., Ding, N., & Shi, T. Y. (2020). Interventions to reduce burnout of physicians and nurses. Medicine, 99(26), e20992. https://doi.org/10.1097/md.0000000000020992

Olson, K., Marchalik, D., Farley, H., Dean, S. M., Lawrence, E. C., Hamidi, M. S., Rowe, S., McCool, J. M., O’Donovan, C. A., Micek, M. A., & Stewart, M. T. (2019). Organizational strategies to “reduce physician burnout and improve professional fulfillment. Current Problems in Pediatric and Adolescent Health Care,” 49(12), 100664. https://doi.org/10.1016/j.cppeds.2019.100664

Maslach, C., & Leiter, “M. P. (2016). New insights into burnout and health care: Strategies for” improving civility and alleviating burnout. Medical Teacher, 39(2), 160–163. https://doi.org/10.1080/0142159x.2016.1248918

Article Title and Year Published

“Decreasing Stress and Burnout in Nurses.

Published- 2017.

“Interventions to reduce burnout of physicians and nurses.”

Published- 2020

“Organizational strategies to reduce physician burnout and improve professional fulfillment.”

Published- 2019

“New insights into burnout and health care: Strategies for improving civility and alleviating burnout.”

Published- 2016.

Research Questions (Qualitative)/Hypothesis (Quantitative)

How effective is blended learning in decreasing “stress and burnout among nurses by utilizing the stress management and resiliency training program?”

What is the effectiveness of the bundled strategy to reduce nurse and physician burnout?

How effective are organization-based strategies in reducing physician burnout?

What is known about burnout, and what can be done about it?

Purposes/Aim of Study

To evaluate the efficacy of blended learning in reducing stress and burnout through stress management and resiliency training program.

To summarize the evidence and explain a bundled strategy to reduce burnout of nurses and physicians (Zhang et al., 2020).

To evaluate the effectiveness of organization-based strategies in reducing physician burnout and improving job satisfaction (Olson et al., 2019).

To provide an overview of what is known about burnout and the implications of the key themes.

Design (Type of Quantitative, or Type of Qualitative)

Quantitative.

Systematic review.

Systematic review.

Systematic review.

Setting/ Sample

None

22 articles.

None.

Healthcare organization.

Methods: Intervention/Instruments

Web-based reading, facilitated discussions, and independent reading.

Literature search using Cochrane Library, PubMed, and CINHAL.

Literature search.

Literature search of current research on burnout and interventions.

Analysis

Blended learning and stress management are good strategies to reduce burnout.

High-quality articles.

The article is undetailed enough, and it lacks crucial information.

The article provides detailed information about burnout and strategies to reduce it.

Key Findings

Decreased anxiety, burnout, stress, and increase in happiness, resilience, and mindfulness (Magtibay et al., 2017).

Yoga, massage, stress management skills, schedule-rotation, teamwork, stress management training, and resiliency training can reduce burnout.

Teamwork, leadership traits, work-life integration reduces burnout and increases job satisfaction.

Workplace civility reduces burnout (Maslach & Leiter, 2016).

Recommendations

None.

None

Physician wellness program.

None.

Explanation of How the Article Supports EBP/Capstone

Uses mindfulness as a way of educating healthcare professionals to reduce stress and burnout.

The article discusses nurse and physician burnout as a common problem in healthcare and the interventions that can reduce it.

The article is about interventions to reduce burnout in healthcare.

It discusses burnout and provides interventions to reduce it.