Medicine and Health Sciences Commons^™

Improving Nurse Resilience, Brandon Hedgspeth

Doctor of Nursing Practice Projects

The national average nurse turnover rate was 18.2% in 2017 (Ackerson & Stiles, 2018). A contributing factor for nursing turnout rates was nurse burnout and compassion fatigue (Barratt, 2018; Cleary, Kornhaber, Thapa, West, & Visentin, 2018; Cope, Jones, & Hendricks, 2016; Magtibay, Chesak, Coughlin, & Sood, 2017; Delaney, 2018; Manomenidis, Panagopoulou, & Montgomery, 2019; Poulsen, 2015). Improvement in nurse resilience was revealed to reduce burnout and compassion fatigue in nurses (Ackerson & Stiles; Delaney). The primary goal of this quality improvement project was to evaluate the use and impact of resiliency education on the resiliency of nurses in the hospital …

Three Good Things To Extinguish Caregiver Burnout, Justin Haley

Master's Projects and Capstones

Caregiver burnout is a widespread issue in healthcare and institutions should be increasingly concerned about burnout because of the significant impact on quality of patient care, employee health, and financial stability. Many interventions and studies regarding burnout are focused on improving systems issues or removing negative stressors on caregivers. Although such interventions may be necessary to attempt, comprehensive systems-wide changes can be cumbersome and expensive, while removing negative stressors may be an unrealistic goal in a fast-paced, demanding healthcare environment. The Three Good Things method is an evidence-based, effective, simple, low-cost intervention to improve feelings of caregiver burnout in which …

In-Basket Teamwork: Divide The Work And Multiply The Success The Registered Nurse Role In Ambulatory Clinic Ehr In-Basket Management, James Smoot

Master's Projects and Capstones

Electronic Health Record (EHR) in-basket results (e.g., lab results, pathology reports, etc.) must be reviewed and acted upon in a timely manner by clinical staff in order to provide safe and effective care to ambulatory patients. Delays in reading results are significant contributors to medical errors. A large backlog of in-basket results that have never been appropriately filed is both a safety concern and a symptom of other clinical workflow issues. EHRs have shifted a greater proportion of administrative and triage roles onto providers, contributing to provider burnout. This paper synthesizes some of the best evidenced-based practices available for the …

Mindfulness-Based Intervention Program For Nurses, Monica Savage

MSN Capstone Projects

Currently, in most health care facilities across the country, they are experiencing a shortage of nurses. Nurses are taking on heavy loads of patients that are only getting sicker. Many nurses are experiencing symptoms of burnout such as depression and anxiety. Many are also contemplating leaving the bedside because they are unable to cope with the stress they are experiencing.

Although most organizations have employee assistance programs for support, they are not being utilized. Implementing a mindfulness-based program will give nurses the tools they need at a moment’s notice when they need it. Giving nurses the tool to properly take …

Burnout And Fatigue: A Potential Downside Of The Critical Care Nursing Profession, Samantha L. Ford

MSN Capstone Projects

Studies show that burnout and fatigue increase healthcare cost and decreases organizational profit due to increased rates of employee turnover, decreased employee satisfaction, a decrease in the quality of care provided to patients, and the development of a toxic work environment. The three principal factors of job-related burnout and fatigue will be addressed within the context of this paper including emotional exhaustion, depersonalization, and personal accomplishment.

Critical care nurses suffer from feeling emotionally depleted to the point they feel as though they can no longer give anymore of themselves to the patients they care for, which is a result of …

Effect Of A Self-Care And Self-Awareness Education Program On Resilience To Burnout And Depression In Clinically Experienced Nursing Students, Andrew Taylor

Undergraduate Honors Theses

The purpose was to examine the effect of a self-care educational intervention on nursing student resilience and thus the potential for compassion fatigue, depersonalization, burnout, depression, and inadequate self-care. A one-group pretest-posttest research design was applied to a convenience sample of 104 nursing students near the end of their last semester in a baccalaureate nursing program. The measurements were demographics, a psychometric resilience scale, program evaluation, and reflection question. The intervention was a standardized, intensive 30 min training program on the high degree of stress and burnout nurses face and the core self-care methods that can promote resilience to these …

Use Of The Cameo Ii Acuity Tool To Decrease Burnout For Nurses Working In A Pediatric Intensive Care Unit, Frances Lynn Feria-Clement

Electronic Theses and Dissertations

The World Health Organization (WHO) reported registered nurse burnout is an occupational hazard resulting in serious consequences for patients, healthcare organizations, and individual registered nurses (Woo et al., 2020). The purpose of this project was to see if the Complexity Assessment and Monitoring to Ensure Optimal Outcomes II (CAMEO II) Acuity Tool, used as an intervention for staffing and scheduling, would have a positive effect against nurse burnout in a pediatric critical care setting in a pediatric medical center. Maslach’s Burnout Inventory- Human Services Survey for Medical Personnel (MBI-HSSMP) was used as a pre- and postsurvey to measure the emotional …

Oncology Nurse Compassion Fatigue Benchmark Project, Jessica R. Hayward

MSN Capstone Projects

Oncology nurses provide care to patients during some of the toughest times in their lives. This care places nurses at risk of developing compassion fatigue which can have negative long-term health impacts. There is currently no formal compassion fatigue education offered to oncology nurses. This lack of training leaves nurses vulnerable to the impacts of unmanaged stress, burnout, and compassion fatigue. This benchmark project was completed to bring awareness to the need for a mindfulness-based compassion fatigue course. This course will provide oncology nurses with the knowledge and skills necessary to manage these difficult emotions.

Compassion Fatigue And The Emergency Department, Alexandra Myers

Dissertations

Problem The emergency department (ED) is a high-stress environment. Nurses exposed to this stress for prolonged periods are subject to compassion fatigue (CF). The purpose of this quality improvement project was to identify and reduce the level of CF in ED nurses by implementing Real Time Transformative Response^© (RTR). RTR^© is a technique that uses combinations of neurofeedback response awareness, biofield therapy intervention, and clearing of unwanted energy.

Method A purposeful sample of ED nurses working at a moderately-sized, suburban, Midwestern hospital ED who were scheduled to work 24-hours or more per week completed a Professional Quality of …

The Effect Of Empathy On Compassion Fatigue And Quality Of Life On Bachelor Of Science Nursing Students, Parker E. Intonato

Honors College Theses

Empathy is a skill that nurses and nursing students must use with their patients to provide high quality care and build rapport with patients. Although, the prolonged use of empathy has been shown to increase compassion fatigue in nurses and decrease quality of life. Empathy has been described as the ability to feel and understand what another is experiencing. Compassion fatigue can be described as the natural response of emotions and behaviors that occur after experiencing and suffering the traumatic experiences of others. The effects of compassion fatigue call into question quality of life (QOL) issues. Quality of life includes …

Using Provider Education About Self Care To Reduce Compassion Fatigue Among Nurses, Priscella Caron

Doctor of Nursing Practice Scholarly Project

Many have scrolled through Facebook and news stories highlighting nurses as “heroes” of the current coronavirus pandemic. Pictures of nurses in personal protective equipment while at work or clips of nurses making fun tiktok video’s celebrating recovered COVID -19 patients. Social media does not capture the sheer emotional, physical, and spiritual wear that nurses experience providing compassionate care to patients facing light threatening illness or events. Health care organizations are under pressure to control cost, increase productivity, and increase patient satisfaction scores, all while facing a pandemic crisis. This type of pressure can create inadequate staffing and increase clinical responsibilities …

Unaddressed Challenges For The “Most Honest And Ethical Profession:” A Pilot Study Of Web-Based Learning Strategies To Prevent Moral Distress, Kelly Straight

Doctor of Nursing Practice (DNP) Projects

Background: Nurses and nurse practitioners (NPs) face greater responsibility to address the ethical challenges that present during the course of patient care, due to advances in medical technology and pharmaceutical innovation, and because of widening disparities within the U.S. healthcare system. These ethical questions, which arise during the course of routine patient care, are increasing in both number and complexity in nearly every patient care setting. Even with codified ethical standards, unresolved and/or ongoing ethical questions and dilemmas pose further issues such as the development of moral distress. This pilot project was designed to help NPs and other healthcare workers …

The Watson Room: Mitigating Compassion Fatigue In Oncology Nurses, Patricia A. Viscardi

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Aim: The aim of this project was to plan, develop, and implement “The Watson Room” or “Quiet Room” in an inpatient oncology nursing population and evaluate changes in Professional Quality of Life (ProQOL).

Background: Oncology Nurses are at high risk for compassion fatigue (CF), burn-out (BO), and secondary traumatic stress (STS) related to the effects of living the traumas of oncology patients and their families through their cancer journey and the innate stress in a complex and intense workplace. High levels of compassion fatigue, burn-out, and secondary traumatic stress that are poorly managed reduces the nurse’s ability to self-regulate their …

Moral Distress: Unaddressed Challenges For The “Most Honest And Ethical Profession”, Kelly Straight

DNP Qualifying Manuscripts

Nurses and nurse practitioners (NPs) face greater responsibility to address the ethical challenges that present during the course of patient care, due to advances in medical technology and pharmaceutical innovation, and despite widening disparities within the U.S. healthcare system. These ethical questions, which arise during the course of routine patient care, are increasing in both number and complexity in nearly every patient care setting. Unresolved and/or ongoing ethical questions and conflicts encountered in patient care pose further issues such as the development of moral distress. The literature demonstrates that moral distress contributes to dissatisfaction, disengagement, and burnout which negatively affects …

Mitigating Burnout In The Pediatric Intensive Care Unit, Katelyn O. Mcgaughy

MSN Capstone Projects

Burnout is defined as a “prolonged response to chronic emotional and interpersonal stressors on the job leading to a combination of physical and emotional exhaustion” (Lachman, 2016). The effects of burnout syndrome among nurses are well documented in the literature. Burnout is associated with an increased incidence of a variety of physical and psychological symptoms, including weight loss or gain, lethargy, headaches, sleep issues, anxiety, depression, and difficulty concentrating (Lachman, 2016). As a result of these symptoms, nurses experiencing burnout are more prone to provide poorer quality care to patients and are at heightened risk of commission of errors in …

Trauma Informed Care, Grace Allen, Samantha Brown, Regan Schoeman

Nurse Presentations

This team studied whether the application of trauma informed care minimizes Secondary Traumatic Stress and impacts the rate of compassion satisfaction and burnout.

Decreasing Nurses’ Stress In The Emergency Room Utilizing Mindfulness Meditation, Andrea L. Entus

Student Theses, Dissertations and Capstones

Background: Emergency Room (ER) nurses are challenged both physically and emotionally, and are repeatedly exposed to severe occupational stress (d'Ettorre & Greco, 2016; Duffy et al., 2015). For example, some stressors are demands from patients and physicians, long hours, complex diagnoses, and a fast pace (Hunsaker et al., 2015). A considerable number of nurses experience work-related interpersonal conflict, secondary traumatic stress, and other stress disorders, which negatively affects the quality of patient care they deliver (Westphal et al., 2015). Purpose: The purpose of this evidence-based practice project was to implement a mindfulness meditation intervention to decrease emergency room nurses’ stress. …

Gratitude Journaling As Intervention To Combat Nurse Burnout In Cardiac Surgery Intensive Care Nurses, Melinda Simpson

Master of Science in Nursing Theses and Projects

As a practicing registered nurse in the intensive care setting, this researcher witnessed an episode of burnout characterized by a public meltdown, crying, and yelling. This sparked an interest in an intervention to combat nurse burnout. Literature was found on gratitude which has been found to increase resiliency. An increase in resiliency, in various populations, has been found to decrease perceived stress and feelings of burnout. This researcher investigated the use of gratitude journaling for 21 days as means to decrease perceived stress and feelings of burnout while increasing gratitude and resiliency. The PSS, GQ, BRS, & BBI tools were …

Preparing The Nurse Aide I Student For The Workplace: Combating Burnout And Compassion Fatigue, Patrice Staley

Master of Science in Nursing Theses and Projects

Abstract not available

A Comparative Analysis Of Job Satisfaction, Burnout, And Intent To Leave Among Nurses, Randall Lee Mcelreath

Walden Dissertations and Doctoral Studies

There is a significant shortage of qualified registered nurses in the United States which, in part, is due to a lack of job satisfaction and burnout with an intent to leave nursing, especially among nurses who work in specialty areas such as intensive care. There is limited research as to how job satisfaction and burnout contribute to intent to leave among the specialty areas of nursing working at the bedside in an acute care environment. The purpose, guided by the modeling and role modeling theory, was to determine the relationship that exists between burnout, job satisfaction, and intent to leave …

Exploring The Different Factors Associated With Burnout, Natassja J. Debra

Honors Undergraduate Theses

Maslach and Leiter determined burnout to be caused by three major components: exhaustion, cynicism, and inefficiency. This literature review focuses on factors that directly contribute to new graduate nurse burnout. Major factors discussed in this paper are differences in expectations versus reality, influences from past education, developing professional identity, and the effect of the workplace environment on new graduate transition. Interventions to combat burnout are discussed along with recommendations for future research.

Compassion Satisfaction, Burnout, And Intent To Stay Among Nurse Leaders, Lisa Denile Surby

Walden Dissertations and Doctoral Studies

Nurses in leadership roles have a substantial influence on the quality of the work environment and on safety, quality, and patient outcomes. However, compassion satisfaction (CS) and burnout (BO) have historically been understudied, and evidence is lacking regarding the existence of a relationship between CS, BO, and intent to stay among nurse leaders. The purpose of this cross-sectional descriptive study, guided by Stamm's theory of CS and compassion fatigue (CF), was to determine if there was a relationship between CS and BO and intent to stay among nurse leaders. An anonymous online survey was conducted using the Professional Quality of …