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Research Critique and PICOT Statement Final Draft College of Nursing and Health Care Professionals, Grand Canyon University NRS-433VN- Introduction to Nursing Research Carnita Evans, MSN May 12, 2021 1
Introduction Nursing is a highly respected and rewarding career. Nurses have the opportunity to make a difference in the lives of others, while also having a career that provides personal fulfillment, job security, and flexibility. There are also many difficult aspects of the nursing profession. Nurses are often required to work long hours, in stressful and understaffed situations. These are the main causes contributing to nursing burnout. Burnout is a condition of physical, mental, and emotional exhaustion (Ericksen, 2018). It often leaves nurses feeling disengaged, unmotivated, and hopeless. Other symptoms can manifest such as insomnia, physical pain, gastrointestinal distress, high blood pressure, palpitations, chest pain, anxiety, and depression. Nurses may also turn to drugs and alcohol to cope with the feelings of burnout. According to the American Nurses Association, up to 10% of the nursing workforce may be dependent on drugs and alcohol due to work-related stressors. (Starr, 2015). Burnout can also lead to patient dissatisfaction, lack of quality of care, and poor patient outcomes. This essay will evaluate the current nursing practice problem and identify various qualitative and quantitative research articles that support the proposed PICOT question. Nursing Practice Problem and PICOT Question Nursing burnout is not a new phenomenon in the healthcare industry, in fact it has been around for many years. Unfortunately, the COVID-19 pandemic has exacerbated this problem. Nurses are experiencing higher rates of burnout and mental health problems due to the COVID- 19 pandemic. Work-related stress is increased because of the uncertainty and fear of the virus, lack of personal protective equipment, higher acuity patients, larger nurse-patient ratios, lack of staff, and longer work hours. Nurses are also having to cope with an increase of patient mortality rates caused by the pandemic. It is important for nurses to be aware of the risk of burnout and 2
take steps to mitigate these risks before they have symptoms. The PICOT question within this study states: for nurses caring for COVID-19 patients, does one-week mandatory time off reduce signs and symptoms of burnout and improve mental health problems compared to current scheduling practices? Having a mitigation strategy such as this will not only improve patient satisfaction and quality of care, but this will also improve the physical and mental health of the nurses, along with job satisfaction and job retention. P (patient or population): Nurses caring for COVID-19 patients I (Interventions): Mandatory one-week scheduled time off C (Comparison): Compared to current scheduling practices O (Outcome): Decrease sign and symptoms of burnout and mental health problems T (Time): Measured in a six-month period Background of Study

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