DISCUSSION: Clinically Oriented Problem Or Issue In Future Practice
DISCUSSION: Clinically Oriented Problem Or Issue In Future Practice
In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
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Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
- Background
- Problem statement
- Purpose of the change proposal
- PICOT
- Literature search strategy employed
- Evaluation of the literature
- Applicable change or nursing theory utilized
- Proposed implementation plan with outcome measures
- Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
- Appendix section, if tables, graphs, surveys, educational materials, etc. are created
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Below are papers to REFERENCE only. No plagiarism please.
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Nurse Burnout Literature Review
- In patients who are hospitalized/SNF’s(P), how does reducing the number of hours nurses work per week(I) compared to an increase in overtime(C) affect nurses satisfaction towards their job and patients satisfaction with the nursing staff(O) during their stay(T).
Conclusion and Recommendations
References
- Cañadas-De la Fuente, A. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240 – 249. DOI:http://dx.doi.org/10.1016/j.ijnurstu.2014.07.001
- Caruso, C. (2013). Negative Impacts of Shiftwork and Long Work Hours. Rehabilitation Nursing; 39(1): 16–25. doi:10.1002/rnj.107
- Dall’Ora, C., Grifitths, P., Ball, J., Simon, M. & Aiken, L. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open 2015; 5: e008331. doi:10.1136/bmjopen2015-008331
- Lockley, S., Barger, L. & Ayas, N. (2007). Effects of Health Care Provider Work Hours and Sleep Deprivation on Safety and Performance. The Joint Commission Journal on Quality and Patient Safety, 33(11), 7-18.
- Stimpfel1, W., Sloane, W., and Aiken, L. (2012). The Longer the Shifts or Hospital Nurses, the Higher the Levels of Burnout and Patient Dissatisfaction. Health Affairs, 31(11), 25012509. doi:10.1377/hlthaff.2011.1377
- Stimpfel, W. & Aiken, L. (2014). Hospital Staff Nurses’ Shift Length Associated with Safety and Quality of Care. Journal of Nursing Care Quality, 28(2): 122–129. doi:10.1097/NCQ.0b013e3182725f09
- Vahey, D., Aiken, L., Sloane, D., Clarke, S., & Vargas, D. (2004). Nurse Burnout and Patient Satisfaction. Medical Care, 42(2), II57–II66. doi:10.1097/01.mlr.0000109126.50398
- Wisetborisut, C., Angkurawaranon, W., Jiraporncharoen, R., & Wiwatanadate, A. (2014). Shift Work and Burnout Among Health Care Workers. Occupational Medicine, https://academic.oup.com/occmed/article/64/4/279/1464114/Shift-work- and-burnoutamong-health-care- workers 7
Running head: NURSING BURNOUT
Nursing Burnout Relates to Long Shift Hours. Nursing burnout has long been a problem in the healthcare industry. Nurses are the frontline of healthcare and have numerous numbers of tasks to be done and at the same time has increased liabilities. Many studies have been completed to try to determine what exactly causes nurses to become “burnt-out” and the problems that arise from it. Burnout, as defined by Maslach and Jackson is, “a syndrome characterized by emotional exhaustion, depersonalizations and a perceived lack of personal accomplishment” (Maslach and Jackson 2014).
References
- Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care–associated infection. American Journal of Infection Control,40(6), 486-490. doi:10.1016/j.ajic.2012.02.029
- Barker, L.M. & Nussbaum M.A. (2011). Fatigue, performance, and the work environment of Registered nurses. Journal of Advanced Nursing, 76(6), 1370-1382. Doi:10.1111/j.13652648.2010.05597.x
- Burnout Among Health Professionals and Its Effect on Patient Saftey. (2016, February). Retrieved from http://psnet.ahrq.gov/perspectives/perpective/190/burnout-amounghealth-professionals-and-its-effect-on-patient-saftey
- Dall’Ora, Chiara, Peter Griffiths, Jane Ball, Michael Simon, and Linda H. Aikens. “Association of 12 h shifts and nurses job satisfaction, burnout and intention to leave: finding from cross-sectional study of 12 European countries.: BMJ Open. September 01, 2015. Received from http://bmjopen.bmj.con/content/5/9/e008331.info.
- Maslach, C., & Jackson, S. (1981). The Measurement of Experienced Burnout. Journal of Occupational Behaviour, 2(2), 99-113. Retrieved from http://www.jstor.org.libproxy.nau.edu/stable/3000281
- Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). The Longer The Shifts For Hospital Nurses. The Higher The Levels Of Burnout And Patient Dissatisfaction. Health Affairs,31(11), 2501-2509. doi:10.1377/hlthaff.2011.1377
- U.S. Department of Health and Human Services. (2016, July). Physician Work Hours and Patient Safety. Retrieved February 22, 2017, from https://psnet.ahrq.gov/primers/primer/19
- Zimmerman, B. (2017, May 05). Survey:70% of nurses report burnout in current position. Retrieved from http://www.beckershospitalreview.com/human-capital-and-risk/survey70-of-nurses-report-burnout-in-current-position.html
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Nursing Burnout Related to Long Shift Hours
Nursing burnout is a term that is difficult to explain or diagnosed due to the many, different changing factors involved in the word itself. There is no standard guideline or screening that can be used to determine whether an individual is experiencing burnout. The term was coined by a psychologist, Herbert Freudenberger, who stated that it was a condition that is most often experienced by public servants (Freudenberger, 2013). Nursing burnout does not only affect the nurse but also the patients they are sworn to care for.
This condition affects the whole health care system due to the fact that nurses are an integral part of care from time of admission to time of discharge. Public servants, like nurses, experience this condition because they are constantly under pressure to perform during high levels of stress and to exhibit high level of ideals expected from them by the community. In patients who are hospitalized/SNF’s(P), how does reducing the number of hours nurses work per week(I) compared to an increase in overtime(C) affect nurses satisfaction towards their job and patients satisfaction with the nursing staff(O) during their stay(T).
Nursing burnout occurs due to the amount of hours and workload that a nurse is put under without having the adequate time to recover. Nurses often have to work in these conditions because of the high nurse to patient ratio given to them by the facility they work for. Facilities often do not have adequate staffing that causes nurses to work longer than their shift entails or sign up for a shift they are suppose to be off. Mandatory overtime is also an issue that is a current practice in some states. In Arizona, 15% of nurses working in hospital settings are required to work mandatory overtime (Mandatory Overtime, 2012).
This can lead to nursing burnout and will have different products. Nursing burnout will lead to nurses calling off during Nursing Burnout shifts, high turnover rates, higher nurse to patient ratios for other nurses, and/or substance abuse. The patients are affected as well if they are under the care of a nurse experiencing exhaustion. The patients are more at risk for not receiving the adequate care they need and and an increased risk of medication/care error when the critical thinking of the nurse is impaired. This can affect the nurse physically and mentally.
A nurse working more hours than recommended can neglect nutrition due to the fact that by taking a break, it can put them behind during their shift, therefore, risking not finishing their assignment by the time they need to punch out of their shift. A nurse can also neglect exercise because by the the end of their shift they are exhausted and sleep is what their body needs. Mental exhaustion also occurs and this can alter their critical thinking and response during certain events.