Theoretical Foundations of Nursing practice Essay

Using PICO(t) Format to Formulate Clinical Questions

A significant portion of healthcare professionals such as registered nurses are experiencing varying levels of stress associated with the burnout in their work settings. Numerous causes and risk factors have been cited to significantly contribute to the occurrence of nurse burnout as a key clinical nursing problem affecting a majority of healthcare environments and providers. Stemley (2022) established heavy workloads due to the overwhelming and excessive pressures in the nursing field contributed to the stressful work environments that demand a good deal of emotional, physical, spiritual and mental strength. Oducado (2021) established chronic work-related stress among nurses and other healthcare personnel can contribute to reduced productivity, lower morale, and long shifts, reduced job satisfaction, and decreased quality in patient care and safety, high turnover rates, and higher risk of medical errors. Considering the growing cases of nursing burnout, there is the need for evidence-based interventions to mitigate or reduce nursing burnout levels experienced by those at risk for burnout in different workplace environments (Maresca et al., 2022). This short paper will examine the chronic burnout problem as a pertinent clinical issue, and reviews relevant literature on the connection between the problem and the PICOT question. Theoretical Foundations of Nursing practice Essay

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PICOT Formulation and Problem Description

PICOT

The following PICOT question is proposed: Among nursing practitioners (P), will the utilization of burnout coping mechanisms (I) compared to quitting the profession (C) lead to a reduction in work-related stress levels (0) within 6 months (T)?

Evidence-based Solution

The proposed evidence-based solution is aimed at addressing nursing burnout as a key issue behind increased patient safety concerns, lower healthcare quality and other adverse events. Aryankhesal et al. (2019) established the provision of training on stress coping strategies can become a viable means of equipping nurses and physicians with relevant skills, knowledge and experience to cope with burnout, heavy workloads and other work-related stress. Garcia et al. (2019) identified some of the stress management interventions can be implemented to reduce burnout levels among nurses and they include stress management, cognitive-behavior training, team-based support, mindfulness-based programs, co-worker support, healthy lifestyle, family support, spirituality/religion, and physical and emotional distancing from work. The evidence-based intervention suggested in this paper is the adoption of coping and stress management for minimizing burnout among nurses who practice coping mechanisms in comparison to their counterparts who do not and at the verge of quitting the profession. Theoretical Foundations of Nursing practice Essay

Nursing Intervention

With regards to the nursing intervention, the growing prevalence of burnout in nursing calls for adoption of organizational practices and policies aimed at tackling this pertinent clinical issue. De Oliveira et al. (2019) insisted the adoption of coping and stress management strategies can only be effectively realized in the event a healthy, supportive and participatory work environment is created and maintained. Garcia et al. (2019) emphasized strong nursing leadership  that embraces empathy, open communication, collaboration, active listening and teamwork can play a fundamental role in enhancing the meaningfulness of work, fostering opportunity to engage in decision-making, facilitating the attainment of organizational goals,  offering workplace autonomy and empowering employees to become more productive, motivated and committed. Therefore, the nursing management must strive to promote a positive and supportive work context, proactive coping behaviors and optimistic attitudes through role-modeling, distributed leadership, education and training and the use of incentives.

Patient Care

The detrimental implications of nursing burnout on patient care is based on the increased risk of adverse events including medical errors, prescription errors, safety concerns and reduced quality of care. Maresca et al. (2022) established that stressed healthcare personnel provide poor quality care due to increased exposure to long shifts, changing schedules, intense emotional involvement, exposure to illness and chemicals, high-energy physical demands and poor nurse-patient relationships. As such, the negative outcomes associated with this clinical problem on patient care calls for implementation of evidence-based intervention to tackle the causes, risk factors and effects of burnout. Theoretical Foundations of Nursing practice Essay

Health Care Agency

The healthcare agency in question is a Community hospital, and currently experiences persistent nursing shortages that have been credited for contributing to the high work-related stress levels and burnout among nurses.

Nursing Practice

Besides the effects on patient care, nursing burnout as a pertinent clinical issue possess detrimental implications on the nursing practice. Merlo (2021) pointed out nurse burnout remains a serious healthcare problem that has attracted the attention of policymakers, healthcare practitioners, government authorities, patients, researchers and the general public. De Oliveira et al. (2019) added, nurses and other healthcare practitioners affected by burnout tend to experience a higher risk of developing severe mental health problems including depression, and anxiety,  losing passion and commitment to their jobs, and even quitting the profession altogether. For healthcare entities, burnouts have been cited to contribute to reduced productivity, lower quality of care, nurse turnovers, poor reputation, increased patient safety concerns and reduced profitability (Maresca et al., 2022). Therefore, the detrimental implications on nursing burnout on the health practice are based on how this healthcare problem can negatively affect the individual and collective wellness of both healthcare practitioners and patients.

Conclusion

Based on the PICOT question, this paper sought to highlight weather coping and stress management intervention can help to reduce the problem of nursing burnout when implemented in an hospital setting over a six month period. The findings argued that appropriate stress coping strategies can prove instrumental in tackling nurse burnout and alleviating the negative effects and consequences associated with this healthcare problem on patients, practitioners and healthcare organizations. Theoretical Foundations of Nursing practice Essay

References

Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Behzadifar, M., Sohrabi, R., & Farhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical Journal of the Islamic Republic of Iran. https://doi.org/10.47176/mjiri.33.77

De Oliveira, S. M., De Alcantara Sousa, L. V., Vieira Gadelha, M. D., & Do Nascimento, V. B. (2019). Prevention actions of burnout syndrome in nurses: An integrating literature review. Clinical Practice & Epidemiology in Mental Health, 15(1), 64-73. https://doi.org/10.2174/1745017901915010064

Garcia, C., Abreu, L., Ramos, J., Castro, C., Smiderle, F., Santos, J., & Bezerra, I. (2019). Influence of burnout on patient safety: Systematic review and meta-analysis. Medicina, 55(9), 553. https://doi.org/10.3390/medicina55090553

Maresca, G., Corallo, F., Catanese, G., Formica, C., & Lo Buono, V. (2022). Coping strategies of healthcare professionals with burnout syndrome: A systematic review. Medicina, 58(2), 327. https://doi.org/10.3390/medicina58020327

Merlo, G. (2021). Stress, burnout, and coping strategies. Principles of Medical Professionalism, 179-196. https://doi.org/10.1093/med/9780197506226.003.0010

Oducado, R. M. (2021). Influence of self-esteem, psychological empowerment, and empowering leader behaviors on assertive behaviors of staff nurses. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3842481

Stemley, M. (2022). Reignite: Fighting burnout with a virtual resiliency program for nurse leaders. Nurse Leader. https://doi.org/10.1016/j.mnl.2022.04.002 Theoretical Foundations of Nursing practice Essay

ISP Instructions

Use this form to develop your Individual Success Plan (ISP) for this Nurse Educator Student Teaching (NEST) training course. An individual success plan maps out what you, the MSNEd student, needs to accomplish in order to be successful as you work through this course and complete the capstone portion of your program. You will also share this with your facilitator at the conclusion of the first week of this training.

In this ISP, you will identify all of the objectives, tasks, and/or assignments relating to the 36 training hours you need to complete to successfully complete your NUR-665E course. Specify the dates by which you will complete each tasks and/or assignments. Your plan should include a self-assessment of how you met all applicable GCU Domains & Competencies (see Appendix A).  Theoretical Foundations of Nursing practice Essay

General Requirements

Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

• Use the Individual Success Plan to develop a personal plan for completing your training hours and self-assess how you will meet the course objectives related to this training.

Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (Appendix A). Theoretical Foundations of Nursing practice Essay

By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty and/or program director.

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Assessment Description
Create a Literature Review containing two peer-reviewed, Evidence-Based Practice (EBP) sources that align with your own ISP and PICO(t) with appropriate APA format.

A literature review analyzes how current research supports the ISP and PICO(t), as well as identifies what is known and what is not known in the evidence. Students will use the information from their ISP and PICO(t) Statement Paper to develop a 500-minimum word count literature review that includes a title page, introduction section, a comparison and contrasting of two peer-reviewed Evidence-Based Practice (EBP) sources that align with their own ISP and PICO(t), a conclusion section, and is prepared according to the guidelines found in the APA style Guide. Theoretical Foundations of Nursing practice Essay

Grading Rubric – Literature Review

Proper APA title page and APA formatting 20%

Introduction section 20%

Compare and contrast two peer-reviewed EBP sources 20%

Reference and citation of two peer-reviewed EBP sources 20%

Conclusion section 20%

I will up load my ISP as well as My PICOT.
My PICOT however is about Nurse Burnout. Theoretical Foundations of Nursing practice Essay