However, when a nurse suffers from burnout, the respective culture of safety and quality of care is lost. This has an effect on any number of diverse factors inclusive to failed care, errors in patient care, and harmful and/or dangerous patient outcomes. As well, the healthcare facility also suffers with poor reviews, JCO or CMS violations, or even closure. The problems arising with nurse burnout has an effect on the complexity of the healthcare system, that it is vital to recognize those factors that in fact affect the environment. PICO Table Example: P (patient/problem) Nurse burnout I (intervention/indicator) Continued education; regular health checks on all nurse staff; evidence based staffing; changing nurse to patient ratios C (comparison) Burnout; other solution; more paid time off for nurses; new shift rotation with more nurses hired O (outcome) Reduced propensity of nurse burnout occurrences PICO Question Would changing nurse to patient ratios along with evidence based staffing, and regular health checks on all nursing staff cause a decrease in nurse burnout incidences? Search Strategy Several databases including CINAHL, JSTOR, Cochrane Library, HubMed, and Google Scholar were utilized for search of published scholarly literature within the past five years. The search entailed in finding articles regarding nurse burnout and those keywords applied included nurse burnout, nurse stress, professional burnout, quality car, burnout, and nurse practice environments .
EVIDENCED BASED PRACTICES: NURSING BURNOUT 5 One articles were found, read, and analyzed for content necessary for the related assignment, the number was well over 100 articles, many cohort studies, literature reviews, and single descriptive or qualitative studies. To narrow the field, only those articles that were inclusive to randomized controlled trials were selected with the rest eliminated. Still, at this point, there were 57 articles found. The final decisive factor for article selection was based upon positive resulting outcomes which eliminated several. At this point the top five were then selected for this assignment. Two research evidence articles considered included Stimpfel, et al.’s (2012) study and Vahey, et al. (2004). The former exacted information related to how longer shifts have a correlation to burnout in nurses. The authors provided succinct evidence from studies of three common healthcare facility identifiers and used a full sample population of over 22,000 participants. However, because the study was a cross-sectional with a high amount of limitations and as it was dated in 2012, it was disregarded for other more prevalent publications. The latter, Vahey, et al. (2004), was an exemplary study of the effect an environment has for the propensity of nurse burnout with cross-sectional surveys from over 820 nurses, 621 patients in 40 healthcare facilities. The date; however, was past the five-year limitation for the current assignment. Two articles that were non-research evidentiary sources considered included Berkowitz (2016) and Wang, et al. (2013). The former, Berkowitz (2016) discussed patient satisfaction and experience from those nurses suggested to have burnout symptoms. The article was clearly a resource only based upon the author’s opinion, with no relative data establishing any substantiated evidence. As such, it was disregarded for this assignment. The latter, an article by
- Summer '17