Nurse Burnout Clinical Practice Discussion

Nurse Burnout During a Pandemic Gaylene Galbreath Terria Jackson Manoucheka Louis Lidia Metayer Luz Rodriguez Chamberlain University School of Nursing Introduction Nurses working during a pandemic can cause nurse burnout. The photo (COVID-19 Frontline Health Worker) by UN Women/Pathumporn Thongking. 2020 (https://www.flickr.com/photos/unwomenasiapacific/49749364163/in/photostream/) (Mudallal, 2017) The photo (Nursing in a pandemic) by OSEI[]KOFI. 2020 (https://commons.wikimedia.org/wiki/File:Nursing_in_a_pandemic.jpg_) Influences on the Nursing Profession ● Negative consequences with mental health ● Increased anxiety disorders, posttraumatic stress disorder (PTSD). ● Increased risk for social isolation ● Increased risk for alcohol and tobacco abuse ● Increased sick leave (Sampaio, 2020) This photo of (Burnout Bullying Matches…) by Pixaby. 2017 (https://pixabay.com/vectors/burnout-bullying-matches-fire-2326686/) Identification of The Problem Two main problems that has occured because of a burnout are: ● The well-being of a nurse and their mental health ● The effects on patient care such as: – Medication errors – Patient dissatisfaction (Mudallal, 2017) Impact on Nursing Practice ● A burnout could cause a decrease in a nurses performance level – Minimal nurse and patient interactions – Medication errors could occur – Lack of motivation (Mudallal, 2017) Research Process ➢ Identifying main problem and impact on nursing practice ➢ CINHAL and Google Scholar database ➢ Analyzing and interpreting published research studies ➢ Following required guidelines for topic searched Research Process, Continued ➢ Strength/ Success ➢ Barriers encountered ➢ What is still needed Clinical Issue in Research •Adversity of Covid 19 burdened nurses socially, mentally, and physically. •Nurses presented with elevated stress levels, anxiety, and depression. •Besides, nurses’ depression, anxiety, and stress score (DASS) showed the standard deviation of 3.8, 4, and 4.5. •Also, the low quality and quantity of PPE further exacerbated the problem. •The research suggests an adjustment of the modifiable factors. (Sampaio, 2020) Validity •According to CIAP, the study has evidence at II. •However, using snowball sampling weaken the evidence. •Ethically, the researchers obtained permits from two universities. •And, abided by the 1964 Helsinki’s guideline. •Besides, all the authors are Ph.D. holders. •Therefore, the research is valid in statistical and clinical significance. Recommended Practice Change ● Nurse Burnout Clinical Practice Discussion

Hospitals should embark on the implementation of health and wellness support programs. ●Health and wellness programs will help offer the nurses space to vent and share their struggles of working in a pandemic. ●Increasing the number of healthcare workers ●The feasibility of increasing the number of healthcare workers may be low, given that even retired nurses have gone back to work due to the pandemic. Suggestions for Implementation ●Effective implementation of a program ensures that it has a high chance of success. ●Implementing health and wellness programs should start immediately, although all stakeholders should be in on it. ●After shifts, nurses should be able to get to the health and wellness support group whose meeting place will be within the hospital. ●Psychologists, therapists, and psychiatrists should be present to take care of the nurses’ mental health needs ●Although less feasible, the increasing patient-nurse ratio could be implemented by looking for student nurses and taking them on board. Conclusion In reality a burnout can impact the health of a nurse in many ways. For example, a nurse can have anxiety, an increased risk for social isolation, and increased numbers of call – outs from work. Research that was conducted has been devoted to the understanding of the factors that led to a burnout and the effects it places on individuals and their health. Nurses should integrate strategies that promotes adequate rest and time away from the job. By working with nursing leadership, nurses should have mandatory breaks while at work. The break would allow for the nurses to regroup and gather their thoughts. References Hofmeyer, A., Taylor, R., & Kennedy, K. (2020). Fostering compassion and reducing burnout: How can health system leaders respond in the Covid-19 pandemic and beyond? Nurse education today, 94, 104502. https://doi.org/10.1016/j.nedt.2020.104502 Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. Inquiry: a journal of medical care organization, provision, and financing, 54, 46958017724944. https://doi.org/10.1177/0046958017724944 References Continued Sampaio, F., Sequeira, C., & Teixeira, L. (2020). Nurses’ mental health during the Covid-19 outbreak: A cross-sectional study. Journal of occupational and environmental medicine, 62(10), 783-787. https://journals.lww.com/joem/Fulltext/2020/10000/Nurses Mental_Health_During_the_Covid_19.2.aspx COVID-19 Frontline Health Worker (2020). UN Woman/Pathumporn Thongking. https://www.flickr.com/photos/unwomenasiapacific/49749364163/in/photostream/ Nursing in a pandemic (2020). Wikimedia Common. https://commons.wikimedia.org/wiki/File:Nursing_in_a_pandemic.jpg Nurse Burnout During a Pandemic Gaylene Galbreath Terria Jackson Manoucheka Louis Lidia Metayer Luz Rodriguez Chamberlain University School of Nursing Introduction Nurses working during a pandemic can cause nurse burnout. The photo (COVID-19 Frontline Health Worker) by UN Women/Pathumporn Thongking. 2020 (https://www.flickr.com/photos/unwomenasiapacific/49749364163/in/photostream/) (Mudallal, 2017) The photo (Nursing in a pandemic) by OSEI[]KOFI. 2020 (https://commons.wikimedia.org/wiki/File:Nursing_in_a_pandemic.jpg_) Influences on the Nursing Profession ● Negative consequences with mental health ● Increased anxiety disorders, posttraumatic stress disorder (PTSD). ● Increased risk for social isolation ● Increased risk for alcohol and tobacco abuse ● Increased sick leave (Sampaio, 2020) This photo of (Burnout Bullying Matches…) by Pixaby. 2017 (https://pixabay.com/vectors/burnout-bullying-matches-fire-2326686/) Identification of The Problem Two main problems that has occured because of a burnout are: ● The well-being of a nurse and their mental health ● The effects on patient care such as: – Medication errors – Patient dissatisfaction (Mudallal, 2017) Impact on Nursing Practice ● A burnout could cause a decrease in a nurses performance level – Minimal nurse and patient interactions – Medication errors could occur – Lack of motivation (Mudallal, 2017) Research Process ➢ Identifying main problem and impact on nursing practice ➢ CINHAL and Google Scholar database ➢ Analyzing and interpreting published research studies ➢ Following required guidelines for topic searched Research Process, Continued ➢ Strength/ Success ➢ Barriers encountered ➢ What is still needed Clinical Issue in Research •Adversity of Covid 19 burdened nurses socially, mentally, and physically. •Nurses presented with elevated stress levels, anxiety, and depression. •Besides, nurses’ depression, anxiety, and stress score (DASS) showed the standard deviation of 3.8, 4, and 4.5. •Also, the low quality and quantity of PPE further exacerbated the problem. •The research suggests an adjustment of the modifiable factors. (Sampaio, 2020) Validity •According to CIAP, the study has evidence at II. •However, using snowball sampling weaken the evidence. •Ethically, the researchers obtained permits from two universities. •And, abided by the 1964 Helsinki’s guideline. •Besides, all the authors are Ph.D. holders. •Therefore, the research is valid in statistical and clinical significance. Recommended Practice Change ●Hospitals should embark on the implementation of health and wellness support programs. ●Health and wellness programs will help offer the nurses space to vent and share their struggles of working in a pandemic. ●Increasing the number of healthcare workers ●The feasibility of increasing the number of healthcare workers may be low, given that even retired nurses have gone back to work due to the pandemic. Suggestions for Implementation ●Effective implementation of a program ensures that it has a high chance of success. ●Implementing health and wellness programs should start immediately, although all stakeholders should be in on it. ●After shifts, nurses should be able to get to the health and wellness support group whose meeting place will be within the hospital. ●Psychologists, therapists, and psychiatrists should be present to take care of the nurses’ mental health needs ●Although less feasible, the increasing patient-nurse ratio could be implemented by looking for student nurses and taking them on board. Conclusion In reality a burnout can impact the health of a nurse in many ways. For example, a nurse can have anxiety, an increased risk for social isolation, and increased numbers of call – outs from work. Research that was conducted has been devoted to the understanding of the factors that led to a burnout and the effects it places on individuals and their health. Nurses should integrate strategies that promotes adequate rest and time away from the job. By working with nursing leadership, nurses should have mandatory breaks while at work. The break would allow for the nurses to regroup and gather their thoughts. References Hofmeyer, A., Taylor, R., & Kennedy, K. (2020). Fostering compassion and reducing burnout: How can health system leaders respond in the Covid-19 pandemic and beyond? Nurse education today, 94, 104502. https://doi.org/10.1016/j.nedt.2020.104502 Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. Inquiry: a journal of medical care organization, provision, and financing, 54, 46958017724944. https://doi.org/10.1177/0046958017724944 References Continued Sampaio, F., Sequeira, C., & Teixeira, L. (2020). Nurses’ mental health during the Covid-19 outbreak: A cross-sectional study. Journal of occupational and environmental medicine, 62(10), 783-787. https://journals.lww.com/joem/Fulltext/2020/10000/Nurses Mental_Health_During_the_Covid_19.2.aspx COVID-19 Frontline Health Worker (2020). UN Woman/Pathumporn Thongking. https://www.flickr.com/photos/unwomenasiapacific/49749364163/in/photostream/ Nursing in a pandemic (2020). Wikimedia Common. https://commons.wikimedia.org/wiki/File:Nursing_in_a_pandemic.jpg …