Applied Sciences Proposal Assignment

Criteria

Article 1

Article 2

Article 3

APA-Formatted Article Citation With Permalink

Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11). https://doi.org/10.1001/jamanetworkopen.2024.43059

Hernandez, I., Söderström, M., Rudman, A., & Dahlgren, A. (2024). Under pressure - Nursing staff’s perspectives on working hours and recovery during the COVID-19 pandemic: A qualitative study. International Journal of Nursing Studies Advances, 7, 100225–100225. https://doi.org/10.1016/j.ijnsa.2024.100225

Panagioti, M., Panagopoulou, E., Bower, P., et al. (2023). Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis.  JAMA Network Open, 6(2), e2254745.  https://doi.org/10.1001/jamanetworkopen.2022.54745

How Does the Article Relate to the Health Care Barrier?

This article relates to my topic because it shows how nurse burnout can negatively affect patient safety, patient satisfaction, and the quality of care. The findings support the need for better workload balance to reduce burnout and improve outcomes for both employees and patients.

This article relates to my topic because it explores how long work hours and limited recovery time contribute to burnout among nurses. It highlights the importance of maintaining a healthy workload balance.

This article supports my project by showing that workplace changes, including workload improvements, can help reduce physician burnout.

Quantitative, Qualitative (How do you know?)

Quantitative. The researchers collected and analyzed numerical data from multiple studies using a systematic review and meta-analysis.

Qualitative: I know this study is qualitative because the researchers conducted interviews with nurses and analyzed their experiences and opinions. The focus was on understanding personal perspectives rather than collecting numerical data.

Quantitative. I know this study is quantitative because it used statistical analysis to compare the effectiveness of burnout interventions. The researchers combined numerical results from several studies and reported effect sizes. 

Purpose Statement

The purpose of the study was to examine the relationship between nurse burnout and patient safety, patient satisfaction, and quality of care.

The study focused on brining insights into the perception of the nursing staff regarding their working hours and the recovery during COVID-19 pandemic and whether they encountered changes in well-being or sleep.

The purpose of the study was to evaluate how effective different burnout interventions are for physicians.

Research Question

How does nurse burnout affect patient safety, patient satisfaction, and quality of care?

How did the nursing staff perceive the working hours and the recovery during COVID-19 pandemic, and did they encounter any changes in their sleep and well-being?

What interventions are most effective in reducing physician burnout?

Outcome

The client safety climate, the safety guide, infections, falls, medication errors, negative events, satisfaction of the clients, and the nurse evaluated healthcare quality.

The suboptimal work hours resulted to the loss of control, blurred work and life balance, the impaired sleep, extreme fatigue, and the physical or mental health reduction among nurses.

Burnout scores, particularly the emotional exhaustion domain of the Maslach Burnout Inventory (MBI)

Setting (Where did the study take place?)

Various settings in 32 nations with the inclusion of medical facilities and hospitals.

Four hospital in the three regions within Sweden.

The primary care and the secondary care (hospital) settings in various nations with their inclusion in 19 reviewed research.

Sample

288, 581 nurses from 85 studies across 32 nations with a target of 82.7 percent female in a mean age of 33.9 years.

22 participants with the inclusion of the 16 registered nurses and 6 certified nursing assistants.

1,550 physicians with a mean age of 40.3 years of 49 percent from 20 independent comparisons across 19 intervention research works.

Method

Systematic review and meta-analysis using PRISMA 2020 guidelines using random effects meta-analysis.

Qualitative descriptive design though the use of semi-structured interviews that were analyzed using thematic analysis using Braun and Clarke’s six-step process.

Systematic review and meta-analysis of the randomized clinical trials and the controlled before-after research works using random-effects models.

Key Findings of the Study

The study found that higher levels of burnout were linked to more safety concerns, increased medical errors, and lower patient satisfaction.

The extended and recognized working hours in the pandemic led to poor recovery, the loss of control over schedules, the blurred in the work and life boundaries, the increased levels of fatigue, the impairment of sleep, and the reduction in the well-being amongst nursing staff.

Organization-focused interventions were more effective than individual-focused interventions in reducing burnout.

Recommendations of the Researcher

Healthcare organizations should implement strategies that reduce nurse burnout and improve workplace conditions.

The organizations need to avoid the short-term staffing approaches that resulted leads to depletion of human capital as an adverse worker consequence can create feedback loops that worsens resources depletion in the organization.

Healthcare organizations should focus on workplace improvements rather than relying only on individual stress-management programs.

Criteria

Article 4

Article 5

Article 6 ( Too Old replace)

APA-Formatted Article Citation with Permalink

Rotenstein, L. S., Torre, M., Ramos, M. A., et al. (2021). Prevalence of burnout among physicians: A systematic review.  JAMA, 326(11), 1131–1150.  https://doi.org/10.1001/jama.2021.1337

Brooks Carthon, J. M., Hatfield, L., Brom, H., Houton, M., Kelly-Hellyer, E., Schlak, A., & Aiken, L. H. (2021). System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction. Journal of Nursing Care Quality, 36(1), 7–13. https://doi.org/10.1097/ncq.0000000000000475

Willard-Grace, R., Knox, M., Huang, B., Hammer, H., Kivlahan, C., & Grumbach, K. (2019). Burnout and Health Care Workforce Turnover. The Annals of Family Medicine, 17(1), 36–41. https://doi.org/10.1370/afm.2338

How Does the Article Relate to the Health Care Barrier?

This article shows how common burnout is among physicians and why healthcare organizations need to address factors that contribute to stress and workload imbalance.

This article directly supports my topic by showing that healthier work environments are linked to lower burnout and higher patient satisfaction.

This article connects burnout to employee turnover, showing how excessive stress and workload can cause healthcare workers to leave their jobs.

Quantitative, Qualitative (How do you know?)

Quantitative. I know this study is quantitative because it reviewed data from many research studies and reported burnout rates using percentages and statistical findings. 

Quantitative. I know this study is quantitative because it analyzed survey data from thousands of nurses and compared the results with patient satisfaction scores using statistical methods. 

Quantitative. I know this study is quantitative because it used survey data and statistical analysis to examine the relationship between burnout and employee turnover over time. 

Purpose Statement

The group the methods utilized to evaluate burnout and offering an estimate of prevalence of burnout amongst the practicing physicians.

Examination of the relationship between nurse burnout and the satisfaction of the client, and determination whether work environments impact on such outcomes.

Determining whether burnout and the reduced level of engagement predicting primary care worker turnover between 2 to 3 years later.

Research Question

How is burnout assessed among physicians and what is the prevalence of burnout among physicians?

Does increased nurse burnout relate to the reduced client satisfaction and work environment enhancements results in the drop in the burnout and raising satisfaction?

Does burnout and the reduced level of engagement helps in predicting turnover amongst primary healthcare clinicians and staff?

Outcome

The incidences of the overall burnout, the depersonalization, emotional fatigue, and the reduced personal achievement.

The increased burnout associated with the reduced patient satisfaction, perfect work environments leads to the drop in the burnout and the rise in satisfaction level.

The turnover which is no longer working in similar system or primary care clinical roles.

Setting (Where did the study take place?)

Studies from 45 nations across various continents with the inclusion of medical facilities and clinical practice.

463 adult non-federal acute healthcare in California, Florida, New Jersey, and Pennsylvania.

The two San Francisco health systems like university that include 6 clinics and the country of 10 clinics.

Sample

109, 628 practicing physicians from 182 research studies whose publication occurred on 1991 and 2018.

14,722 nurses and HCAHPS client data from similar healthcare facilities.

There are 740 primary care clinicians (252) and staff at 488 that were surveyed in 2013/2014.

Method

Systematic review of EMBASE, MEDLINE, ERIC, PsycINFO, psycArticles, independent extraction, and the evaluation of the risk of bias.

Cross-sectional analysis of the associated RN4CAST-US, AHA, and HCAHPS data, linear regressions adjusted for the covariates.

Longitudinal cohort study matching survey data to 2016 employment rosters and logistic regression.

Key Findings of the Study

Burnout rates among physicians varied widely, showing that burnout is a significant concern across healthcare settings.

Hospitals with better work environments reported lower burnout rates and higher patient satisfaction scores.

Burnout was a strong predictor of clinician turnover.

Recommendations of the Researcher

Researchers should use consistent methods to measure burnout so healthcare organizations can better understand and address the problem.

Healthcare organizations should invest in supportive work environments, adequate resources, and strong leadership.

Healthcare organizations should address burnout early to improve employee retention.

Criteria

Article 7

Article 8

Article 9

APA-Formatted Article Citation With Permalink

Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: A systematic review. British Medical Journal Open, 13(6), 1–23. https://doi.org/10.1136/bmjopen-2022-071203

Kelly, L. A., Gee, P. M., & Butler, R. J. (2021).  Impact of nurse burnout on organizational and position turnover.  Nursing Outlook, 69(1), 96–102.  https://doi.org/10.1016/j.outlook.2020.06.008

How Does the Article Relate to the Health Care Barrier?

This article examines workplace interventions that can improve employee well-being and reduce burnout among healthcare workers.

This article relates to my topic because it shows how burnout can lead nurses to leave their jobs. It highlights how heavy workloads, stress, and emotional exhaustion can contribute to staff turnover, making workload balance an important part of reducing burnout. 

Quantitative, Qualitative (How do you know?)

Quantitative. I know this study is quantitative because it reviewed studies that measured burnout and well-being using numerical survey results and other measurable outcomes. 

Quantitative. I know this study is quantitative because the researchers collected survey data from nurses and used statistical analysis to examine the relationship between burnout and turnover. The results were reported using percentages and measurable outcomes. 

Purpose Statement

Synthesize evidence since 2015 on measures developed to help in tackling well-being and burnout in nurses, allied medical providers, and physicians.

The purpose of the study was to examine the relationship between nurse burnout, resilience, and organizational and position turnover. 

Research Question

What is the effect of workplace measures (organizational or individual) on the well-being and burnout in medical professionals since 2015.

How does nurse burnout affect organizational turnover and position turnover among nurses? 

Outcome

Rise in the well-being, engagement, resilience, drop in the burnout, stress, depression, anxiety. Effective in 20 of the 33 research studies.

The study measured burnout levels, resilience, organizational turnover, and position turnover among nurses. 

Setting (Where did the study take place?)

Majority of the studies in USA (n=22); others in Australia, Netherland, Ireland, Portugal, Hong Kong, Iran, Japan, Italy, and Brazil.

The study took place in three hospitals in the United States. 

Sample

33 research studies; 30 individually focused, 3 organizational focused. Nurses with 16 studies, physicians (5), mixed (12) with s sample size of 9-228.

The sample included 1,688 direct-care nurses who completed 3,135 surveys between 2018 and 2019. 

Method

The systematic literature review (PRISMA). Looked into Medline, Embase, CINAHL, Google Scholar, PsycInfo. Quality evaluated using MERSQI.

The researchers used a quantitative, nonexperimental survey design and analyzed the data using statistical methods to examine burnout and turnover rates. 

Key Findings of the Study

Several interventions, including workload reduction and wellness programs, helped lower burnout and improve employee well-being.

The study found that more than half of the nurses experienced moderate burnout. Higher burnout levels were linked to an increased likelihood of nurses leaving the organization. For every increase in emotional exhaustion, the likelihood of organizational turnover also increased. 

Recommendations of the Researcher

Future research should focus more on organizational changes that address the root causes of burnout.

The researchers recommended that healthcare organizations regularly assess burnout, improve employee well-being programs, and create healthier work environments to reduce burnout and turnover.