Evidence-Based Capstone Project, Part 6: Disseminating Results

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Part 5: Recommending an Evidence-Based Practice for Change

Clotee Battle

Walden University

Essentials of Evidenced-Based Practice, NURS 6052N

Dr. Lisa South

August 3, 2020

Organizational

CULTURE

They aspire to use best practices in patient care, to use effective treatment management systems and to prevent errors.

Their vision is tol be the leading healthcare organization advancing the quality of life in our societies in partnership with our research collaborators (2020).

Their mission is to work to enhance people's health and welfare by offering compassionate care and outstanding services.

Cultural Change Toolkit

Provides information and resources on approaches focused on research that promote meaningful improvements in action( Adams, Hollingsworth, and Osman, 2019).

To help minimize burnout rates faced by nurses and minimize attrition of nursing staff.

Focuses on "important appreciation, joint decision-making and broader participation in leadership (Adams, Hollingsworth, and Osman, 2019).

Interventions which are cost efficient and easy to execute

Evidence Based Idea

Current Problem and Scope of the Issue

Current Problem

To reduce the rate and prevalence of nursing burnout

Scope of the Issue

Find interventions that reduce burnout

Stakeholders

Include the nurses who’s mental health is being compromised and the patients that may be affected by it

Risk

Expense and time of implementing interventions

Organizational Implementation

Knowledge

Creation

Knowledge workshops and literature reviews with staff and stakeholders to hear about operational progress and discussion of nurse burnout knowledge, retaining nurses, value of supportive work environments and proposed strategies

Dissemination

Expect to pilot for 6 months on one of the smaller nursing units. Disseminate to the larger units, with good effects. Newsletters and communications that contain important study results and priorities should be submitted to hospital wide.

Implementation

Six months of management engagement focussed on joint decision-making, effective identification approaches and improved collaboration. Interventions include Kudos desk, thank you employees and leadership card plan, constructive input envelope, regular leadership rounding and suggestions from workers. Disseminate in the organization, with positive reviews.

Organization

Adoption

When research continues to demonstrate reductions in attrition levels for nurses and increases in the quality and provision of health care, the hospital would have no choice but to implement the Cultural Change Toolkit.

Several causes such as poor spirits in nursing, toxic work environments, high turnover and burnout in nursing have a significant impact on patient care (Adams, Hollingsworth, and Osman, 2019)

Reducing the burnout and turnover rates for nurses would be tangible results that would help foster a healthy work climate

Measurable Outcomes

Lessons Learned from Completing the Evaluation Table

Burnout syndrome is commonly thought to consist of three dimensions: emotional exhaustion (EE), depersonalization (D) and personal accomplishment (PA) (Membrive-Jiménez et al, 2020). It has been argued nurses are especially vulnerable to burnout, due in large part to the job stress they frequently encounter. This can be attributed to lack of staff, which makes it impossible to provide an effective response to treatment demands. Small personal accomplishment can be attributed to a lack of job participation and obligations, which can affect performance and effectiveness.

The highest level of evidence of the articles was Level I

More research needs to be done on this topic.

Burnout affects patient care.

Adams, A., Hollingsworth, A., & Osman, A. (2019). The Implementation of a Cultural Change Toolkit to Reduce Nursing Burnout and Mitigate Nurse Turnover in the Emergency Department. JEN: Journal of Emergency Nursing, 45(4), 452

Membrive-Jiménez, M. J., Pradas-Hernández, L., Suleiman-Martos, N., Vargas-Román, K., Cañadas-De la Fuente, G. A., Gomez-Urquiza, J. L., & De la Fuente-Solana, E. I. (2020). Burnout in Nursing Managers: A Systematic Review and Meta-Analysis of Related Factors, Levels and Prevalence. International Journal of Environmental Research and Public Health, 17(11). https://doi-org.ezp.waldenulibrary.org/10.3390/ijerph17113983

References