MILESTONE THREE -ANNOTATED BIBLIOGRAPHY
Milestone Three: Annotated Bibliography
Jacqueline Blount
Southern New Hampshire University
NUR-440-J3332 Research & Evidence-Based Practice
Ms. Strouse, MSN, RN
January 26, 2020
MILESTONE THREE - ANNOTATED BIBLIOGRAPHY
2
PICO (T) Question: Are nurses that work in environments where they do not receive adequate
support or trainings or have to work with inadequate staffing ratios at an increased risk of
developing nurse burnout compared to nurses that receive adequate training, support and work
with adequate staffing ratios and are there other aggravating factors present in a nurse developing
burnout?
Annotated Bibliography
Bakhamis, L., Paul III, D. P., Smith, H., & Coustasse, A. (2019). Still an epidemic: The burnout
syndrome in hospital registered nurses.
Health Care Manager
,
38
(1), 3–10. -
org.ezproxy.snhu.edu/10.1097/HCM.0000000000000243
The subject of this article was addressing burnout syndrome in registered nurses in
hospital settings.
This article looks at the causes and consequences of nurse burn-out. In
this article, nurse burnout refers to a state of emotional exhaustion that can make an
individual feel overwhelmed by work, to the point that they feel fatigued leaving them
unable to face the demands on the job and effecting their ability to engage with others
(Bakhamis et al., 2019). The research for this article was attained in a qualitative study
literature review in which 53 articles , original articles, reviews , and research studies
using primary and secondary data were reviewed , of these 43 were included in this
article. All articles reviewed in this article were chosen from the electronic databases of
PubMed, Academic Search Premier, ProQuest, EBSCO Host, CINAHL, and Google
Scholar (Bakhamis et al., 2019).
This article supports the original PICO(T) question in
noting that there is a direct correlation between nurse burnout and nurse turnover and
nurse-to-patient ratios that create workload increases which contributes to burnout.
MILESTONE THREE - ANNOTATED BIBLIOGRAPHY
3
Flanders, S., Hampton, D., Missi, P., Ipsan, C., & Gruebbel, C. (2020). Effectiveness of a staff
resilience program in a pediatric intensive care unit.
Journal of Pediatric Nursing
,
50
, 1–
4.
The focus of this article is compassion fatigue and secondary traumatic stress which
includes nurse burnout, the project was to evaluate the impact of a staff resilience
program on nursing turnover, employee engagement and compassion satisfaction among
nurses in a PICU.
A r
etrospective pre-test and post-test design was used in this study.
Different resilience strategies used were formal and informal debriefing, art, music and
pet therapy. Formal debriefings were held bi-annually, informal debriefings were held
every other month. Music and art therapy were offered every other month and pet therapy
was provided every week. Other team building activities were held throughout the course
of the study. Data was collected electronically by means of a staff survey and from the
human resource department. Data from this study was compared against the previous
