Education Plan for Nurse Burnout at North Mountain Medical The current issue at North Mountain Medical is nursing burnout, which is caused by various factors including inadequate staffing, increased workload, long working hours, poor working environment, and inadequate time to complete a task effectively. The proposed change project to address this issue is an educational plan that targets nursing burnout, particularly workplace stress management. In this regard, the practicum education project focuses on training nurses at North Mountain Medical on nursing burnout, particularly workplace stress management. Through the insights obtained from this course, nurses in this facility will be able to implement evidence-based strategies on workplace stress management and preventing/dealing with nursing burnout.
Learning Objectives or Outcomes
As shown in the educational plan in Appendix A, this practicum education project seeks to accomplish three major objectives. Each of these learning objectives or learning outcomes was developed using Bloom’s Taxonomy, which is a helpful…...

Nursing burnout
Although both methodologies of quantitative and qualitative studies are present in the fields of medicine and nursing, the two approaches are occasionally pitted against one another. Quantitative studies are data-driven and numerical. They usually make use of an experimental or quasi-experimental study design and include both a control and an experimental group in terms of how they are structured. Qualitative studies, in contrast, usually are focused on small populations. Unlike quantitative studies which make use of the deductive method (generalized principles based upon a larger population which can then be applied to individual cases) qualitative studies make use of the inductive method, using a small population to create a theory which may then be generalized to others (or not, given that some qualitative studies are so focused on tiny subpopulations they may only have relevance to a very narrow subgroup). "Whereas quantitative research counts occurrences (eg, estimates prevalence,…...

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References

Curry, L., Nembhard, I., Bradley, E. (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation. 119: 1442-1452.

Retrieved from:

 http://circ.ahajournals.org/content/119/10/1442.full?viewType=Print&viewClass=Print 

Deary, I., Watson, E., & Hogston, R. (2003). A longitudinal cohort study of burnout and attrition in nursing students. Journal of Advanced Nursing (Impact Factor: 1.69). 08/2003;

Nursing Burnout: A Crisis in Healthcare
The phenomenon of nursing burnout has become a significant concern within the healthcare industry. Defined as a state of emotional, mental, and often physical exhaustion caused by prolonged and excessive stress, burnout amongst nurses is not only detrimental to their health but also impacts patient care and the efficiency of healthcare systems worldwide (Maslach & Jackson, 1981). As frontline workers in patient care, nurses are subjected to high levels of stress due to the nature of their job, which involves making critical decisions, frequent encounters with suffering and death, and often working long hours with inadequate resources (Mealer et al., 2009).

The reasons behind nursing burnout are multifaceted. A key contributor is the high patient-to-nurse ratios that leave nurses feeling overworked and underappreciated. The more patients a nurse is responsible for, the less time they have to devote to each individual's care, leading to a lower…...

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References

Maslach, C., Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113.

Mealer, M., Jones, J., Newman, J., McFann, K. K., Rothbaum, B., & Moss, M. (2009). The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: Results of a national survey. International Journal of Nursing Studies, 46(3), 292-301.

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2012). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288(16), 1987-1993.

Potter, P., Deshields, T., Divanbeigi, J., Berger, J. A., Cipriano, D., Norris, L., & Olsen, S. (2010). Compassion fatigue and burnout: Prevalence among oncology nurses. Clinical Journal of Oncology Nursing, 14(5), E56-E62.

HEALTH AND NURSING Health and Nursing: Practicum on Caregiver Role Strain and Nurse BurnoutThe role strain principally refers to the incompatibility of the social role that an individual has to face when expectations and obligations have to be met. A similar situation could occur in the nursing profession when patients expectations are not fulfilled when nurses feel stressed out emotionally and physically and experience a strain with their single social role towards society and humanity (Ndugbu & Uzoma, 2020). This paper aims to design the final comprehensive action planning and interdisciplinary team collaboration to address the selected clinical issue.Clinical IssueIt is common to be emotionally and physically burnt out at some point in life when a prolonged involvement in a job, which could be stressful, inflicts additional disengagement gradually. Nursing also experiences such feelings in their profession that directly impact the patients health outcomes, deeming it to be a major…...

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References

Alqarni, A.S. (2018). Designing a simulation intervention to reduce stress among new graduate registered nurses in intensive care units in Saudi Arabia: A mixed-methods design [Doctoral of Philosophy Degree, School of Nursing]. Adelaide Research and Scholarship.  https://digital.library.adelaide.edu.au/dspace/bitstream/2440/117808/2/Alqarni2018_PhD.pdf 

Anderson, N., Pio, F., Jones, P., Selak, V., Tan, E., Beck, S., Hamilton, S., Rogan, A., Yates, K., Sagarin, M., McLeay, A., MacLean, A., Fayerberg, E., Hayward, L., Chiang, A., Cadzow, A., Moran, S. & Nicholls, M. (2021). Facilitators, barriers and opportunities in workplace well-being: A national survey of emergency department staff. International Emergency Nursing, 57.  https://doi.org/10.1016/j.ienj.2021.101046 

Bruschwein, H. & Gettle, L.S. (2020). Multi-pronged intervention for reducing burnout and increasing resiliency in an interdisciplinary care team. BMJ Open Quality, 9(4). bmjoq-2020-001015https://doi.org/10.1136/

North Mountain Medical is a super sniff facility as they specialized in high acuity level patient. The patient structure is respiratory, with staff trained in tracheostomy care and ventilator management. In house hemodialysis, in house physical therapy. This facility has been in operation since 2004. Patients in this facility do not self-diagnose. Patient diagnoses are from Medical doctors and Nurse Practitioners that work on site. Patient in the facility are cared for by interdisciplinary team. Certified nursing assistants that care for patient will normally report a Change in patient’s condition to the nurse. Nurse completes an assessment and report changes immediately to the doctor. In the event of an emergency patients are send to emergency room for further evaluation and treatment. Health is a right in this facility. Yes, most of the patient’s life style has impacted the health of the patient. Noncompliance with medication regimen and diet changes. Patients…...

Nurse BurnoutIntroductionAmong the various factors contributing to nursing shortages and high turnover, nurse burnout stands out as significant (McDermid et al., ). Indeed, burnout is a serious problem because it impairs individual nurses\\\' health, reduces their job satisfaction, and has wide-ranging repercussions on patient safety, healthcare costs, legal compliance within medical facilities (Jun et al., 2021; Kelly et al., 2021; Sullivan et al., 2022; Zakeri et al., 2021). This paper examines the various impacts of nurse burnout, discusses its consequences, and proposes evidence-based solutions that can reduce its prevalence and improve the state of nursing today.The IssueNurse burnout is a severe and pervasive issue characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment, leading to decreased effectiveness at work. This phenomenon is particularly prevalent among nurses, who face high-stress environments, long working hours, and frequent exposure to patient suffering and critical situations. Burnout affects the mental and…...

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ReferencesBartmess, M., Myers, C. R., & Thomas, S. P. (2021, July). Nurse staffing legislation: Empirical evidence and policy analysis. In Nursing forum (Vol. 56, No. 3, pp. 660-675).Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International journal of nursing studies, 119, 103933.Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing outlook, 69(1), 96-102.Linton, M., & Koonmen, J. (2020). Self-care as an ethical obligation for nurses. Nursing ethics, 27(8), 1694-1702.McDermid, F., Mannix, J., & Peters, K. (2020). Factors contributing to high turnover rates of emergency nurses: A review of the literature. Australian critical care, 33(4), 390-396.Sullivan, V., Hughes, V., & Wilson, D. R. (2022). Nursing burnout and its impact on health. Nursing Clinics, 57(1), 153-169.Zakeri, M. A., Bazmandegan, G., Ganjeh, H., Zakeri, M., Mollaahmadi, S., Anbariyan, A., & Kamiab, Z. (2021). Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross?sectional study. Nursing Open, 8(1), 354-363.

Nursing Burnout
Polikandrioti M.( 2009). Burnout Syndrome. etrieved March 24, from 2014 http://www.hsj.gr/volume3/issue4/340.pdf

This article is on burnout syndrome which is described as a complex phenomena on the rise associated with a stressful work environment.it was described by Freudenberger in the mid-1970s and ever since it has been a subject of discussion. According to the article, the burnout syndrome is characterized using three dimensions; emotional exhaustion which refers to the depletion of emotional resources when it comes to contact wit other people. The second dimension is depersonalization which includes negative feelings and a cynical attitude towards someone who is receiving care. The third dimension is reduced personal accomplishment which involves the tendency of evaluating one self in a negative way especially when it comes to work. The article sites a pronounced impact of the burnout syndrome as the reduction in the performance of an employee and their quality of service delivery. Those…...

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References

Polikandrioti M., ( 2009). Burnout Syndrome. Retrieved March 24, from 2014  http://www.hsj.gr/volume3/issue4/340.pdf 

ScienceDaily, LLC., (2012). Long shifts lead to nurse burnout and dissatisfied patients. Retrieved March 24, from  http://www.sciencedaily.com/releases/2012/11/121106114046.htm 

Helpguide.org, (2010). Preventing Burnout. Retrieved March 24, from 2014  http://www.helpguide.org/mental/burnout_signs_symptoms.htm

739, p=0.009, e?=0.727). This study clearly highlighted that sleep shortage and work fatigue poses a threat to patient safety and that nurse self-care is warranted.[Dorrian et.al, (2006)]
Nurse Support Services

An earlier Australian study by Moore KA (2001) which observed 201 nurses working in three different hospitals had concluded that organizational restructuring policies and the consequent work overload was a high stressor for nurses and this was made worse by the poor communication style (top -- down approach instead of consultative style) that only contributed more to nurse burnout. [Moore KA, (2001)]. Given the high levels of occupational stress and burnout among nurses, it is important that nurse self-care interventions are prioritized. A recent literature review on the subject of work stress and coping methods among Australian nurses revealed that 'work load ', 'role conflict' and 'expression of aggression' were the three main stressors. The literature study also revealed 'seeking support', 'problem…...

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Bibliography

1) Linda H. Aiken, 'Image of Nursing Global Trends', retrieved Sep 4th 2010, from,  http://www.fpnl.co.za/downloads/Presentations/Presentations/Prof%20Linda%20Aiken%20-%20Image%20of%20Nursing%20-%20Global%20Trends.pdf 

2) Jillian Dorrian, Nicole Lamond & Cameron Van del Heuvel et.al (Oct 2006), 'A Pilot study of the Safety Implications of Australian Nurses' Sleep and Working Hours', Chronobiology International, Vol 23, Issue 6, pg 1149-1163

3) Lim J, BOGOSSIAN F. & AHERN K. (2010), ' Stress and coping in Australian nurses: a systematic review. International Nursing Review 57, 22-31

4) Moore KA, (2001), 'Hospital restructuring: impact on nurses mediated by social

Nurse Study eview
Vahey et al. (2004) research indicated the importance of investigating the role of environment and clinical situation for both nurse performance and patient satisfaction. This study is a quantitative approach to investigating these topics as it sought to find correlations between these variables.

The article is premised on the idea that nurses employed in hospitals are experiencing greater workloads resulting in career fatigue and burnout. The article incorporated past research on these topics and suggested that "Indeed, more than 40% of hospital staff nurses score in the high range for job-related burnout, and more than 1 in 5 hospital staff nurses say they intend to leave their hospital jobs within 1 year. The understaffing of nurses and the overwork of health professionals in hospitals are ranked by consumers as major threats to patient safety, and more patients are bringing their own caregivers to the hospital with them."

The significance to…...

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References

Vahey, D.C., Aiken, L.H., Sloane, D.M., Clarke, S.P., & Vargas, D. (2004). Nurse burnout and patient satisfaction. Medical care, 42(2 Suppl), II57.

Nursing Staff Levels Affect Patient Mortality
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

Litvak, E., Buerhaus, P.I., Davidoff, F., Long, M.C., McManus, M.L. & Berwick, D.M.

Date of publication: June 2005

Examination of the operational issues affecting health care delivery, including patient driven peaks in demand and effects of nursing shortages or inadequate staffing on clinical outcomes for patients.

esearch question and/or hypothesis:

In this study the researchers propose that increases in adverse clinical outcomes occur when hospital nurse staffing is inadequate. Further the researchers suggest that increases in census rates increase the potential for serious stresses for patients and nurses working in the field. Lastly the researchers suggest that if hospitals reduce unnecessary variability of staff levels in a hospital, the hospital can reduce the probability of negative patient outcomes, improve safety for patients and improve the overall quality of care.

Sample and Sample Size:

In this study the…...

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References:

Aikan, L.H., Clarke, S.P., Sloane, D.M, Sochalski, J. & Silber, J.H. (2002 -- Oct).

"Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction." JAMA, 288(16): 1987-93.

Halm, M., Peterson, M., Kandels, M., Sabo, J., Blalock, M., Braden, R., Gryczman, A.,

Krisko-Hagel, K., Larson, D., Lemay, D., Sisler, B., Strom, L., Topham, D. (2005 -- Sept). "Hospital nurse staffing and patient mortality, emotional exhaustion and job dissatisfaction." Clin Nurse Spec, 19(5): 241-5.

Nursing is a challenging profession where nurses take care of patients dealing with mental or physical illness. Nurses are the primary contact points for the patients since they are the ones who check patients' vital signs before giving them appointments to the physician or professional doctor. In this paper, the healthcare stressor would be discussed in detail so that its competing needs are determined, and a policy should be recommended to reduce the stressor. Moreover, the ethical considerations would also be debated for the policy application and its strengths and issues. The two competing needs that impact nurse's burnout are increased demand for patient care and administrative procedures. The physical health problems in the form of anxiety, depression, insomnia, etc., adversely affect the nurse's health and cause burnout (Salyers et al., 2017). Nurses' functioning is negatively affected as they are forced to take frequent breaks due to tiredness, lethargy, staying absent…...

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References

American Nurse. (2016, April 7). A conversation about the ethics of staffing. Retrieved from  

Chen, Y., Guo, Y., Chin, W., Cheng, N., Ho, J. & Shiao, J. (2019). Patient-nurse ratio is related to nurses\\\\' intention to leave their job through mediating factors of burnout and job dissatisfaction. International Journal of Environmental Research and Public Health, 16(23), 4801. DOI: 10.3390/ijerph16234801

Griffiths, P.D., Ball, J.E., Drennan, J., Dall\\\\'Ora, C., Jones, J., Maruotti, A., Pope, C., Recio, A. & Simon, M. (2016). Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for National Institute for Health and Care Excellence safe staffing guideline development. International Journal of Nursing Studies, 63. DOI: 10.1016/j.ijnurstu.2016.03.012

Salyers, M.P., Bonfils, K.A., Luther, L., Firmin, R.L., White, D.A., Adams, E.L. & Rollins, A.L. (2017). The relationship between professional burnout and quality and safety in healthcare: A meta-analysis. Journal of General Internal Medicine, 32(4), 475-482. DOI: 10.1007/s11606-016-3886-9

Scott, P.A., Harvey, C., Felzmann, H., Suhonen, R., Habermann, M., Halvorsen, K., Christiansen, K., Toffoli, L. & Ppastavrou, E. (2018). Resource allocation and rationing in nursing care: A discussion paper. Nursing Ethics, 26(5), 1528-1539.  https://doi.org/10.1177/0969733018759831 

https://www.myamericannurse.com/conversation-ethics-staffing/ 

ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional…...

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Bibliography

Aiken, L.H., & Patrician, P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49, 146-153.

Aiken, L.H., & Sloane, D.M. (1997). Effects of organization innovation in AIDS care on burnout among urban hospital nurses. Work Occupation, 42, 453-477.

Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [Electronic version]. JAMA, 288, 1987-1993.

Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R.A., Clarke, H., Giovanetti, P., Hunt, J., Rafferty, a.M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries [Electronic version]. Health Affairs, 20, 43-53.

Nursing Documentation
Importance of the Issue

Nurse need to keep the records and specific information about their patients. The services in the hospitals require that every detail of the patients be kept in the records. For patients whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in the hospital where they are kept physically or electronically. Records are essential because they indicate whether…...

Nurse Communication
Communication is one of the most important aspects of nursing, as the case study of the student and the instructor indicates. The student nurse failed to communicate to the instructor the patient's abnormal oxygen saturation reading -- a reading that could have had very serious consequences for the patient. An entire week going by before this information is relayed to another nurse is highly unacceptable, considering how much emphasis is placed upon preventing medical errors from occurring (Cimiotti, Aiken, Sloane, Wu, 2012). Thus, it is imperative that student nurses appreciate the ramifications of failures in communication -- ramifications that could be potentially fatal for patients and, by extension, legally adverse for the health care facility. Stressing the crucial importance of nurse to nurse communication is vital to the well-being both of the health care organization and the well-being of the patient.

Importance of Nurse to Nurse Communication

The importance of nurse…...

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References

Cimiotti, J., Aiken, L., Sloane, D., Wu, E. (2012). Nurse staffing, burnout, and health care -- associated infection. American Journal of Infection Control, 40(6): 486-490.

Dall'Ora, C., Griffiths, P., Ball, J. (2016). 12-hour shifts: burnout or job satisfaction?

Nursing Times, 112(12/13): 1-2.

Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., Aiken, L. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9): e008331.

Nursing Shortage
eview On Nurses Shortage

The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute, of the…...

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References

American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.

Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.

Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37

Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.