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Running head: PICOT QUESTION AND LITERATUREPICOT Question and LiteratureNRS-433V
PICOT QUESTION AND LITERATUREBackgroundStress is not inherently deleterious, however. Each individual’s cognitive appraisal, their perceptions and interpretations, gives meaning to events and determines whether events are viewed as threatening or positive. Personality traits also influence the stress equation because what may be overtaxing to one person may be exhilarating to another. Numerous recent studies have explored work stress among health care personnel in many countries. Investigators have assessed work stress among Registered nurses (RNs) were the dominant focus.3Burnout, which is defined as chronic work-related stress, within the workplace has become an increasingly prevalent issue among employees. Those in the healthcare field have been especially prone to burnout due to the excessive and overwhelming demands required in this field. Among these healthcare personnel at particularly increased risk for burnout are nursesDay to day nursing is full of potential physical stressors, including frequent lifting and bending, changeable shifts or rosters, noisy work environments, and long hours. Nurses working night-shift may also suffer from disruption to their natural circadian rhythms, which in turn, can predispose them to illness. As well, many nurses face exposure to infection and toxic substances on a regular basis. The sheer anxiety of contracting a disease, especially in the face of rising resistance, can also play on a nurse’s mind. Finally, with the current median age of a nurse being 45, many are simply not as physically resilient as they were in their younger years.Difficult or tragic situations, such as caring for and communicating with a person who is dying, also present emotional challenges for nurses. While societal changes, such as the increased risk of violent or aggressive patients, has also created greater stress. Nursing units can often be short-staffed, leading to many stating that they do not have enough time to do their jobs well—ultimately, they cannot provide good care.2
PICOT QUESTION AND LITERATUREUsing the steps of Evidence Based Practice, an assessment was done to identify a problem; in this instance, the problem(s) identified: increased burnout and poor job satisfaction, increased stress and work-related anxiety among nurses. An answerable question was formulatedaddressing the problem areas, and research was done to find both qualitative and quantitative studies that were relevant. P: Population – bedside nurses and nursing studentsI: Intervention – identifying stressors and coping mechanismC: Comparison - Bedside nurses working in units with no knowledge about stressors and how to reduce stressO: Outcome - Improve nurse job satisfaction, reduce stress and burnoutT: Time - To be determinedPICOT Question: A PICO question was formulated to guide the research of this paper.