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and autonomy in their current role. The qualitative data was analyzed through qualitative data, and a grounded theory approach was utilized in the study. Variousjob stressors were identified, and they included workload as well as administrativeconcerns. The most significant self-care strategies among the group were found tobe physical activities, and most of the participants were quite satisfied with the work they performed, yet nearly half of this study population think about quitting some or all of the time related to dissatisfaction with the work environment. The data within this article and form the survey closely relates to the PICO(T) question because it again, is looking specifically at hospice nurses, allowing for comparison with other nurses who may likely have less burnout and job dissatisfaction. Melvin, C., (2017). Historical Review in Understanding Burnout. Journal of Hospice & Palliative Nursing, 17(1), 66-72. doi:-org.ezproxy.snhu.edu/10.1097/NJH.0000000000000126This article, a literature review of various types of research, is one that looks at the various terms which impact a nurses job satisfaction including; compassion fatigue, burnout, and what is known as "secondary traumatic stress disorder,"
4-3 MILESTONE THREE - ANNOTATED BIBLIOGRAPHY11particularly within the area of hospice and palliative care nursing. The article explains, compares, and contrasts the various terms. The term traumatic stress disorder is more specifically related to how nurses respond to the trauma associated with seriously ill, or death, and dying encountered daily in the lives of hospice nurses. The article also discusses the importance of early detection, the signs, and symptoms, of the various terms mentioned above. Approaches to the burnout, compassion fatigue, and trauma stress disorder are intended to promote ones’ ability to cope with stress related to the symptoms. The strategies include things such as developing support networks, increasing awareness, while also improving ones’ ability to respond and rebound from the stress related to their work. Additionally, educating on and reinforcing the need for self-care strategies, the value of debriefing meetings for events that require more than the typical bereavement opportunities through the team meetings, and also upon ones’ spirituality and representatives who may be able to encourage or educate further in this area. While it is also essential for nurses to know that they can say no, however that may be difficult for some, and reinforcing this from the department'sleaders can be valuable. This article supports the PICO(T) question in various ways, however; it specifically looks at the issues from a Hospice perspective as opposed to all nursing, which one key factor for the PICO(T) question.