Dissemination of Evidence Paper: Nursing Burnout.

Nursing burnout is a global concern facing the nurse profession. Among nurses, burnout is characterized by feelings of frustration, job dissatisfaction, exhaustion, fatigue, reduced motivation, and increased intent to exit the profession. Nursing burnout can be attributed to various factors.Dissemination of Evidence Paper: Nursing Burnout. These include staff shortages, increased workload and responsibilities, and inadequate staffing ratios. Consequently, burnout has grave consequences among nurses. It increases the incidence of medical errors, reduces motivation, and leads to compassion fatigue. Other impacts include irritability, insomnia, and feelings of inadequacy.
Clinical Question

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Among nurse populations (P), does adequate staffing combined with routine mental health checks (I) compared with other solutions (C), reduce the incidence of nurse burnout (O)?
Literature Search Process
Databases used for literature search were CINAHL, Cochrane Library, PubMed, and JSTOR. Studies included guiding the assignment were published within the past five years. Articles were selected if they focus on nurse burnout and adequate staffing ratios. Used keywords were nursing burnout, adequate staffing, mental wellness of nurses, patient safety, and quality of care. Three articles were selected based on the desired outcome.Dissemination of Evidence Paper: Nursing Burnout.
Justification of the Topic
There is a dire need to investigate burnout among nurses based on several reasons. Burnout can be a medical diagnosis, according to the International Classification of Diseases 11th Revision (ICD-11), if not sufficiently managed (Chen et al., 2019). Burnout is, therefore, considered a psychological threat to the nursing practice environment. Second, nursing burnout negatively impacts patient safety. According to Hall et al. (2016), patient safety culture is threatened when nurses experience burnout.Dissemination of Evidence Paper: Nursing Burnout.
Evidence-Based Practice Model
The Lowa Model of EBP will be used in implementing practice change related to nursing burnout. The model is effective in organizational systems change. The stages of the Lowa model are detection of the trigger when an EBP change is warranted, determining whether the problem is an organizational priority, forming a team to evaluate the need for the practice change and implementation, obtaining research related to the change project, synthesizing the research, and implementing the project in the form of a pilot (Buckwalter et al., 2017). Evaluation of the results is the last stage of the Lowa model of EBP implementation. This model was selected as it has been widely applied in the US. It is also highly recommended for the implementation of EBP practices atthe organization level.Dissemination of Evidence Paper: Nursing Burnout.
A key stakeholder involved in the practice change is the human resource department. The HR department is tasked with recruiting and training nurses. It is also responsible for ensuring adequate staffing of nurses in the organization. They are directly related to nursing burnout practice change as they oversee staffing ratios and training, two aspects linked to burnout (Hall et al., 2016). The HR department aligns with the Lowa EBP Model as they identify barriers and facilitators of nursing burnout.
Findings
A cross-sectional study conducted by Chen et al. (2019) investigated the influence of nurse-patient ratios on nurses’ intention to exit the profession, taking into consideration the role of burnout and job dissatisfaction on the intention to leave. One thousand four hundred nine registered nurses in tertiary hospitals constituted the sample. No association was found between nurse-patient ratios and the intent to leave the profession. Instead, the intent to leave the profession was fueled by a lack of motivation, job dissatisfaction, and burnout. The p-value was revealed to be 0.01, while the confidence interval was 95 percent.Dissemination of Evidence Paper: Nursing Burnout.
A review conducted by Manyisa and Vas Aswegen (2017) intended to identify factors that influence nurses’ practice environment in public hospitals. Databases searched were Google Scholar, Pub Med, Science Direct, EBSCO, the LANCET, and MEDLINE. Scholarly literature considered was published between 2000 and 2014. Various themes were identified from this review. These were high workloads, longer shifts, shortage of nursing staff, and inadequate resources. They were found to influence nursing working environments.
The last study by Hall et al. (2016) was a systematic review to establish a correlation between nurses’ wellbeing, burnout, and patient safety. They searched the following databases for scholarly literature; PsychInfo, Scopus, Medline, and Embase. The authors identified 46 studies, out of which 27 established a correlation between poor wellbeing and burnout among nurses and diminished patient safety.

Recommendations
Clinical Practice
From the above findings, various clinical practice changes are proposed to reduce nursing burnout. Specifically, mental empowerment programs would be useful in improving mental wellbeing for nurses (Chen et al., 2019). Ultimately, improving mental wellbeing for nurses will reduce the incidence of burnout. It will also improve patient safety and care quality.
Nursing Education
Nursing education should focus on coping strategies for burnout. Strategies such as breathing mechanisms, seeking support, and taking inventory of one’s stress should be recommended. Other coping approaches include delegation and engaging in healthy activities. Coping strategies are highly effective in assisting nurses in dealing with burnout.
Policy Development
Healthcare policies should be established to address the occurrence of burnout among nurses. Specifically, policies should focus on adequate nurse-patient staffing ratios (Hall et al., 2016). Burnout among nurses has been highly attributed to inadequate staffing. Therefore, implementing policies geared toward adequate staffing is crucial.
Conclusion
In summary, the paper provides evidence that nursing burnout poses a significant threat to patient safety. Burnout has been linked to decreased motivation, job dissatisfaction, and the nurse’s intent to exit the profession. It also undermines patient safety and the quality of care provided. The reviewed articles recommend that adequate staffing and ensuring mental wellness for nurses are two crucial factors in alleviating nursing burnout. These findings support the identified clinical question by proving that mental wellness checks, combined with adequate staffing, effectively reduce nursing burnout.Dissemination of Evidence Paper: Nursing Burnout.

In this assignment, you will present your Dissemination of Evidence Paper by creating a 3 to 5-minute narrated (voiceover) PowerPoint Presentation.  Review the tutorials on How to Record a Slide Show with Narration (Links to an external site.) and How to Rehearse the Time Delivery of the Presentation (Links to an external site.).Dissemination of Evidence Paper: Nursing Burnout.

Prepare: To complete this assignment:

• Use the 4 sources from the final Dissemination of Evidence Paper Assignment (3 approved peer-reviewed scholarly articles and assigned course textbook).
• Use a built-in or portable microphone to record your voice as you speak.
• Prepare by completing each slide beforehand, write notes within the notes section to use as speaking points or a script, study the material, and rehearse for time management before you record. Be creative and do not read from your paper.
• Be mindful of your recorded audio quality, background noise, language and possible distractions from family, phones, and pets.
• As soon as you finish your first slide recording, play it back to make sure your audio sounds the way you expect.
• Note that you are required to record your voice with a narration and your presentation should be organized, attractive, creative and professional.
• Review the Microsoft Office Tips for Creating an Effective Presentation(Links to an external site.).Dissemination of Evidence Paper: Nursing Burnout.

Narrated Presentation: In your 3 to 5-minute narrated presentation, include the following 8 slides (including title and references):

1. Title Slide
   Title of presentation (be creative with your topic)
   b.  Full name
   c.  Name of Institution
2. Introduction
   Introduce your topic.
   b.  Share your interest or connection to the topic.
   c.  State your clinical question.
3. Justification:Briefly explain why this topic should be investigated.
4. Evidence-Based Practice Model
   State the evidence-based practice model used and briefly discuss why you selected the model.
   b.  State one key stakeholder and briefly explain how this stakeholder relates to your topic or proposed project.
5. Summary of Evidence:Create an evidence table to summarize the 3 scholarly peer-reviewed articles. You may follow the sample table shown below.

6. Recommendations:Briefly provide recommendations for enhancing:
   Clinical practice
   b.  Nursing education
   c.  Policy development
7. Conclusions:State how the evidence you found supports your clinical question.
8. References: Formatted in APA style to include the 3 articles and assigned course textbook (you do not need to narrate the references slide).Dissemination of Evidence Paper: Nursing Burnout.