Fluent Essays

THE TOPIC IS NURSE BURNOUT. I ATTACHED A PREVIOUS PAPER ON NURSE BURNOUT, YOU CAN USE THIS IS AS A REFERENCE IF NECESSARY.In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.Write a 500-750 word description of your proposed capstone project topic. Include the following:The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.Significance of the topic and its implications for nursing practice.A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment. picot_final.docx Unformatted Attachment Preview RUNNING HEAD: PICOT Final Statement Research Critique and PICOT Final Statement Michelle Kolibas Grand Canyon University: NRS-433V November 3, 2019 RUNNING HEAD: PICOT Final Statement Background On a patient’s road to recovery, nurses are seen as the glue that holds it together. They have a significant role in ensuring the patient’s journey to recovery is smooth and are spread in most sectors of medical practice, including private practices, clinics and hospitals. However, nurses at times suffer from job burnout which affects their attendance to patient needs. The nursing practice has a demanding nature, leading to fewer nurses in the sector and a growing sick population leading to the additional labor on nurses. Job burnout in nurses is known to affect their attendance to patients leading to medical errors and other factors that cause deterioration of the patient’s health. The problem is the increasing prevalence of job burnout in nurses is likely to affect the quality of medical care a patient gets. When patients get high-quality medical services, they tend to heal faster than patients receiving low-quality medical care. Therefore, job burnout has indirect effects on patient outcome. The purpose of this paper is to establish a relationship between job burnout in nurses and medical care. It also seeks to expound on the effects of job burnout in nurses on patient recovery rate. The objective of the study is to prove that young patients receiving medical care from nurses suffering from job burnout recover at a slower rate as compared to young patients receiving medical care from nurses not suffering from job burnout. The research question is ‘Does job burnout in nurses affect the recovery rate of young patients?’ How do these two articles support the nurse practice issue you chose? Babeiamiri’s article provides one of the reasons as to why job burnout among nurses affects their performance, i.e. it affects their mental state. Job burnout tended to exhaust the mental state of the nurse, leading them to make dire medical errors that deteriorate the health status of the patient. The article will show us how the mental state of a nurse suffering from job burnout 2 RUNNING HEAD: PICOT Final Statement affects their attendance to patients leading to negative health outcomes. Hall’s article explains why nurse burnout endangers patient safety and contributes to the poor-quality services delivered. Ribeiro’s article emphasizes on how nurse burnout is a prevalent issue in hospitals by highlighting the causes of nurse burnout. Keykaleh’s article seeks to establish a relationship between job burnout in nurses and patient safety. It seeks to expound on the effects of nurse job burnout on patient safety. These articles will answer the PICOT question by identifying the presence of job burnout in nurses and investigating its effects on patients. Hall and Keykaleh’s article will be used to investigate the impacts of job burnout on patient safety. Babeiamiri’s and Ribeiro’s articles investigate if there is a linear relationship between patient safety and job burnout. The articles compare previous articles made on the topic to find out the effects of job burnout on patient recovery (Ribeiro, 2014). Method of Study: Robeiro (2014), uses the Maslach Burnout Inventory to assess Burnout syndrome on 188 nurses. The MBI is essential in measuring the burnout levels of nurses. However, the method is only limited to measuring and identifying burnout but doesn’t consider the underlying factors causing them. Hall’s article uses a systematic research review of 46 studies. It seeks to determine whether there is a relationship between the well-being of medical personnel and patient safety. The method allows the researcher to investigate numerous studies done on the topic thus is able to give more conclusive results. However, the immense data being investigated makes the method cumbersome to use. Babeiamiri uses the qualitative research method with the data being analyzed using SPSS software. The qualitative research method uses numerical data for analysis, making it quick and understandable. However, the little data provided by the numerical figures do not provide sufficient information on the parameter under investigation. Keykaleh’s article is 3 RUNNING HEAD: PICOT Final Statement a cross-sectional study of the impacts of nurse stress on patient safety. It collects data from 198 nurses from Hamadan’s three teaching hospitals using a questionnaire. Simple random sampling was used in identifying the sample size. In the article, data analysis is done in two levels, namely analysis statistics and descriptive statistics. The cross-sectional study method allows for descriptive and analytical statistics making the process more credible (Keykaleh, 2018) Results of Study Hall’s article does a systematic review of 46 studies. The results of the review were 16/27 studies found a correlation between well-being, poor health, and patient safety, six studies found a correlation in some MBI scales and one study found a correlation different from the other findings. Results of thirty studies showed a correlation between job burnout and patient safety with twenty-one studies getting a statistically significant correlation between the two variables (Hall, 2016). Majority of the studies showed poor well being and nurse burnout as causing the most harmful patient safety outcomes. Babeiamiri’s article found a strong correlation between mental health and job burnout in nurses of 0.37. The mental health of nurses is negatively correlated to their perceived social support of (-0.53) with α=0.01. The R-squared measures the degree the dependent variable can be explained by the independent variable. Babeiamiri’s article has an R-squared value of 0.549 which means 54.9\% of nurse’s mental health can be explained by perceived social support, psychological hardiness, and job burnout (Babeiamiri, 2016). Keykaleh’s article showed the mean of job stress has a mean of 1.75 and a standard deviation of 0.114. There is a linear relationship between patient safety and job stress. However, the spearman’s correlation coefficient establishes there isn’t a relationship between patient safety and job stress. Its results were r=0.007 and p=0.919. The population characteristics investigated by the article showed a relationship between nurse stress and marital status. Single personnel 4 RUNNING HEAD: PICOT Final Statement tended to use work as a distraction leading to overworking while others took numerous shifts to be able to meet their current needs. Hall and Babeiamiri’s studies show a significant correlation between nurse burnout and wellbeing. Nurse well-being encompasses the mental state of the nurse. When a nurse is not well, they tend to make medical errors that lead to the deterioration of the patient’s health and slow recovery. Keykaleh’s and Ribeiro’s results show the prevalence of job burnout in nursing practice. They show the underlying factors causing job burnout among nurses and their resultant effects on the health of the patient Ethical Considerations The ethical considerations enforced in a study ensure they are conducted in a proper manner that highlights the respondent’s rights. When conducting research, one should consider the use of informed consent, respect, fidelity, and trust. These factors ensure that the study is conducted ethically. Informed consent contains the right to autonomy of the respondent. It dictates that the respondent has the right to opt if they can or cannot go through with the study by signing or not signing it. Before signing the respondent is taken through the benefits, risks, procedure and objective to make sure they are fully aware of the study and the commitments that come with undertaking them. The study might contain sensitive patient information that can be used against them, thus the high need for non-disclosure. The articles don’t contain any defining personal information, such as names, to protect their anonymity and confidentiality (Grady, 2018). These four studies enforce ethical considerations in conducting research. Keykaleh refers to the sample size for 198 nurses in grouped terms. Personal information, such as the gender and marital status of the respondent, is also grouped. Hall’s studies are generalized in terms of 5 RUNNING HEAD: PICOT Final Statement cumulative numbers. The results of the study are also added as seen when he writes ‘16/27 studies showed a positive correlation between well-being and patient health status’. Babeiamiri and Ribeiro give an informed consent form to the participants to sign before starting the study. The consent form gives the respondent the free will to choose whether to undertake the study or not. Before starting the study, the authors give a short summary of the benefits, implications, objectives and goals of the study on themselves and the population as a whole. Outcomes Comparison The PICOT question’s outcome was the recovery rate of patients being attended to by nurses suffering from burnout was slower than those of nurses not suffering from burnout. The question seeks to explore the negative effects of burnout on the patient’s health. Hall, Babeiamiri and Keykaleh articles show burnout having negative effects on the health status of the patient. Nurses suffering from job burnout caused by lack of mental health, general wellbeing and long work shifts tend to make medical mistakes when attending to their patients, thus the negative health outcomes. 6 RUNNING HEAD: PICOT Final Statement References Babeiamiri, N. (2016). Predicting Nurses’ Mental Health Based on Their Job Burnout, Perceived Social Support, and Psychological Hardiness. Modern Care Journal, In Press (In Press). doi: 10.17795/modernc.8856 Grady, C. (2018). Ethical principles in clinical research. In Principles and practice of clinical research (pp. 19-31). Academic Press Hall, L., Tsipa, A., & O’Connor, D. (2016). Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLOS ONE, 11(7), e0159015. doi: 10.1371/journal.pone.0159015 Kaykaleh, M. S., Safarpour, H., Yousefian, S., Faghisolouk, F., Mohammadi, E., & Ghomian, Z. (2018). The relationship between the Nurse’s Job Stress and Patient Safety. Open access Macedonian journal of medical sciences, 6(11), 2228 Ribeiro, V., Francisco, N., & Ferreira, C. (2014). Prevalence of burnout syndrome in clinical nurses at a hospital of excellence. International Archives Of Medicine, 7(1), 22. doi: 10.1186/1755-7682-7-22. 7 ... Purchase answer to see full attachment