Healthcare System Evidence Based Intervention and Change Proposal PPT Create a professional presentation of your evidence-based intervention and change pro

Healthcare System Evidence Based Intervention and Change Proposal PPT Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated Running head: PICOT QUESTION
1
PICOT Question
Name
Institution
PICOT QUESTION
2
PICOT Question
The healthcare system involves the implementation of strategies that are effective in
enhancing the delivery of quality health services. The problem of nursing burnout, however,
affects the delivery of effective and efficient health services. For example, nurses in critical care
units are faced with the challenge of burnout, which tends to affect productivity and patient
satisfaction in the essential departments (Baranda, 2017). The PICOT question will help in
evaluating the nursing and evidence-based solutions that would be effective in avoiding nursing
burnout.
PICOT Statement
How do critical care nurses (P) prevent burnout (I) through self-care (C) in enhancing
patient satisfaction (O) during clinical practices (T)?
Evidence-based Solution
Nursing burnout in critical care units can be prevented through the implementation of
evidence-based practices that are considered useful in enhancing clinical operations. The
evidence indicates that nursing burnout is caused by emotional exhaustion and depersonalization.
An evidence-based approach was used to assess the correlation between nurses’ burnout and the
intensity of critical care unit operations (Greives, 2016). For example, the evidence approach
indicated that nurses’ burnout is caused mainly by the nurse-to-patient ratios, poor evidencebased clinical practices among the nurses, and incompetence of nursing leadership (Naves,
2016). Therefore, the solutions incorporated the elements of nursing leadership, increased rates
of nurse-to-patient ratios, and implementation of evidence-based clinical practices.
Nursing Intervention
PICOT QUESTION
3
Moreover, nurses’ burnout in critical care units should be prioritized based on the
magnitude and essential operations of the department. Nurses should be keen on preventing the
burnout that may affect the quality of service in the critical care units. For example, nursing
interventions for nurses’ burnout can involve the prevention of physical and mental health of the
nurses (Greives, 2016). Nurses should welcome the elements of self-care, which is vital in
protecting one’s mental and physical health. Also, nursing interventions can involve employee
assistance programs such as on-site and off-site retreats, break-out sessions, stress-reduction
programs, mentoring programs, uses of teamwork to avoid monotonous, rewards and
recognition, offering staff support, management education and training programs, and
encouraging staff to raise their concerns in the work environment (Baranda, 2017). Nursing
interventions are created within the health organization whereby the management and the
employees collaborate to promote the work environment that would reduce burnout.
Patient Care
Furthermore, nurses’ burnout has portrayed adverse effects on the clinical operations and
the outcomes of healthcare service delivery. The results of nurses’ burnout have affected the
quality of healthcare services in many ways. For example, nurses with the problem of fatigue are
faced with the challenge of physical exhaustion, sleep deprivation, and depression, which will
affect the nurses in engaging with the patients (Rios-Risquez & Garcia-Izquierdo, 2016). Patients
in the critical care units require extensive care and attention from the nurses, and any form of
neglect can attract high rates of mortality. Nurses’ burnout will also affect the patient and family
satisfaction, which would cause withdrawals from a healthcare facility or adverse reports raised
by the patients’ family members. Nurses’ burnout also jeopardizes patient safety.
Health Care Agency
PICOT QUESTION
4
Additionally, nursing practices and the issues of burnout can be prevented by the
agencies that represent the healthcare system in policy-making procedures. Agencies such as
government health care departments and legislative representing the health system would
conduct research and recommend methods that would be deemed competent in burnout
prevention. For example, the healthcare system can ensure that the patient-nurse ratio is updated
to prevent the fatigue and to overwork of the nursing practitioners (Shenoi et al., 2018). Also,
healthcare agencies and decision-makers should avoid the shortage of human resources, enhance
the availability of healthcare practice resources, and improve management procedures that are
effective in strengthening care provisions and prevention of employee burnout.
Nursing Practice
Nurses have the mandate of preventing the problems associated with employee burnout.
Nursing practitioners should enhance and improve their work schedules and collaborate with
other professionals in strategies that would prevent burnout. For instance, nurses should increase
the approaches of engaging with healthy and physical activities, taking notes of the stressors and
evaluating procedures of avoiding them, a delegation of tasks where possible, setting boundaries
in the work environment, avoidance of frequencies and daily unhealthy activities, setting
parameters, practice gratitude and seek support from clinical leaders (Ghavidel et al., 2019). The
procedures will be useful in demonstrating the importance of evidence-based approaches to
preventing burnout and fatigue.
PICOT QUESTION
5
References
Baranda, M. (2017). Nurse Burnout and the effects of coping and stress management. Senior
Research Projects. 190, 1-22.
Ghavidel, F., Fallahi-Khoshknab, M., Molavynejad, S., & Zarea, K. (2019). The role of
organizational factors in nurse burnout: Experiences from Iranian nurses working in
psychiatric wards. Journal of Family Medicine and Primary Care, 8(12), 3893.
Greives, N. K. (2016). Implementation of a Nursing Workload Tool to Reduce Nurse Burnout.
Evidence-Based Practice Project Reports. 80. 17-32.
Naves, S. J. (2016). Evidence-Based Recommendations To Address Nurse Burnout: A Best
Practice Approach. University of Arizona. 1-72.
Ríos-Risquez, M. I., & García-Izquierdo, M. (2016). Patient satisfaction, stress and burnout in
nursing personnel in emergency departments: A cross-sectional study. International
journal of nursing studies, 59, 60-67.
Shenoi, A. N., Kalyanaraman, M., Pillai, A., Raghava, P. S., & Day, S. (2018). Burnout and
psychological distress among pediatric critical care physicians in the United States.
Critical care medicine, 46(1), 116-122.
Running head: LITERATURE REVIEW
1
Literature Review
Cynthia Mixson
Grand Canyon University NRS-493
7/2/20
LITERATURE REVIEW
2
Literature Review
Introduction
The success of the healthcare system has involved the productivity and the commitment
of healthcare professionals. Nurses and health practitioners work tirelessly to promote health
outcomes as well as enhance the delivery of high-quality healthcare services. Nursing burnout
has been a significant problem in the healthcare system, and various programs have been
implemented to reduce the issue. For instance, self-care has been suggested as a remedy to
reduce the effects and incidences of nursing burnout. The literature review will focus on the
identification of research questions, a comparison of sample populations, the limitations of the
study, and the identification of recommended approaches that would help in reducing nursing
burnout through self-care.
Comparison of Research Questions
Self-care procedures have been identified as optimum approaches to preventing and the
treatment of nursing burnout. Various researchers have outlined the practical criteria for the
usage of self-care towards the abolishment of nursing fatigue in medical settings. For instance,
Wei et al. (2020) presented evidence on the effectiveness of self-care to fight burnout among
pediatric acute care nurses. The study followed the research question, “what are the insights of
self-care approaches that help in combating professional burnout within the pediatric critical care
settings? The focus of the research was to evaluate how the nurses in critical medical settings
perceive self-care approaches in reducing and preventing nursing burnout. Also, Orellana-Rios et
al. (2018) concentrated on the elaboration of the efficiency of mindfulness and compassionoriented practices in decreasing burnout issues in palliative care. The study tried to respond to
the research query, “What are the impacts of mindfulness and compassion help in enhancing
LITERATURE REVIEW
3
self-care processes of palliative care teams in reducing distress?” The article, therefore,
promotes the understanding of the importance of self-care through mindfulness and compassion
in reducing the impacts of nursing burnout. Halm (2017) further demonstrates the importance of
mindfulness in the process of enhancing the procedures of self-care for nurses. The article
reflects the need for self-care in the prevention of nursing burnout. The focus of the article is
based on answering the research question, “how is caring for yourself important in caring for
others?”
Comparison of Sample Populations
The approach of evaluating the significance of self-care in the prevention of nursing
fatigue focuses on the evaluation of the effectiveness of the program in different medical
settings. Researchers focus on the assessment of the self-care program to nursing professionals.
For instance, Halm (2017) retrieved eleven studies that evaluated the effectiveness of self-care.
The process involved the assessment of controlled trials that included nonrandomized trials and
observational studies. The population studied was not mentioned, but the study was conducted in
ten years. The results indicated that the research was useful as it helped in improving self-care
procedures based on the use of various mindfulness processes such as meditation, hatha yoga,
compassion, appreciation, and self-empathy (Halm, 2017). Also, Orellana-Rios et al. (2018)
elaborated on the impacts of mindfulness and concern in the treatment and prevention of nursing
burnout. The article further demonstrated the methods of assessing twenty-eight nursing staff
members in a ten-week training program. The sample population participated in filling out the
questionnaires, which helped in understanding the impacts of mindfulness and compassion in the
self-care program. Wei et al. (2020) also performed a qualitative expressive study that helped in
understanding the implications of self-care in nursing exhaustion prevention. The article focused
LITERATURE REVIEW
4
on the research of 20-bed pediatric ICUs and 8-bed intermediary care units in a children’s
hospital. The study involved 20 participants who helped in understanding the impacts of self-care
in the inhibition of nursing burnout.
Comparison of the Limitations of the Study
The study reflected the significance of self-care in the prevention of nursing exhaustion.
The study examined various procedures that are coined to self-care, such as mindfulness,
compassion, and attention awareness. However, the research was faced with several limitations
that should be addressed in future studies. For example, Orellana-Rios et al. (2018) indicated the
need for the interpretation of data that has been thoroughly examined. The research involved a
five-week training program, which was not enough in helping nurses in understanding the
importance of self-care programs. Also, Halm (2017) examined research articles that have
identified the impacts of mindfulness in the prevention of nursing burnout. Wei et al. (2020)
focused on the research of evaluating the self-care strategies that are effective in the prevention
of nursing burnout. The study, however, was limited based on the use of a few sample
populations, which was narrowed to 20 participants. The outcomes would have been different
and broad if the sample size was more extensive than twenty. Therefore, the study was limited
based on the population, and future research should be widened to accommodate broad
categories of self-care strategies.
Conclusion and Recommendations
Burnout in clinical settings has been a major problem affecting the delivery of highquality care and patient satisfaction. Stress and burnout affect the majority of nurses and medical
professionals in different sectors, such as critical care units. The processes and research articles
have identified effective procedures that would help in the intervention of burnout. For instance,
LITERATURE REVIEW
5
Panagioti, Geraghty, & Johnson (2018) discuss the importance of cultivating nurses’ wellness
through the combined efforts of time and resources in the healthcare system. The intervention
strategies will involve individual self-care practices that will help in burnout prevention. Moss et
al. (2016) also suggest that the healthcare system should create a healthy working environment
for healthcare professionals in the process of reducing burnout. Wei et al. (2020) demonstrate the
elements of self-care in burnout prevention. Mindfulness and compassion have been suggested as
strategies that will help in the attainment of self-care as well as emotional regulation and
management of work-related distress (Orellana-Rios et al., 2018). Therefore, the outcomes of the
research provide nursing burnout interventions as well as the self-care strategies that are
effective in the success of the healthcare practices.
LITERATURE REVIEW
6
References
Halm, M. (2017). The role of mindfulness in enhancing self-care for nurses. American journal of
critical care, 26(4), 344-348.
Moss, M., Good, V. S., Gozal, D., Kleinpell, R., & Sessler, C. N. (2016). A critical care societies
collaborative statement: burnout syndrome in critical care health-care professionals. A
call for action. American journal of respiratory and critical care medicine, 194(1), 106113.
Orellana-Rios, C. L., Radbruch, L., Kern, M., Regel, Y. U., Anton, A., Sinclair, S., & Schmidt,
S. (2018). Mindfulness and compassion-oriented practices at work reduce distress and
enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job
“program. BMC palliative care, 17(1), 3.
Panagioti, M., Geraghty, K., & Johnson, J. (2018). How to prevent burnout in cardiologists? A
review of the current evidence, gaps, and future directions. Trends in Cardiovascular
Medicine, 28(1), 1-7.
Wei, H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020). Self-care Strategies to
Combat Burnout Among Pediatric Critical Care Nurses and Physicians. Critical Care
Nurse, 40(2), 44-53.
Running head: LITERATURE REVIEW
1
Literature Review
Literature Review
Introduction
LITERATURE REVIEW
2
The success of the healthcare system has involved the productivity and the commitment
of healthcare professionals. Nurses and health practitioners work tirelessly to promote health
outcomes as well as enhance the delivery of high-quality healthcare services. Nursing burnout
has been a significant problem in the healthcare system, and various programs have been
implemented to reduce the issue. For instance, self-care has been suggested as a remedy to
reduce the effects and incidences of nursing burnout. The literature review will focus on the
identification of research questions, a comparison of sample populations, the limitations of the
study, and the identification of recommended approaches that would help in reducing nursing
burnout through self-care.
Comparison of Research Questions
Self-care procedures have been identified as optimum approaches to preventing and the
treatment of nursing burnout. Various researchers have outlined the practical criteria for the
usage of self-care towards the abolishment of nursing fatigue in medical settings. For instance,
Wei et al. (2020) presented evidence on the effectiveness of self-care to fight burnout among
pediatric acute care nurses. The study followed the research question, “what are the insights of
self-care approaches that help in combating professional burnout within the pediatric critical care
settings? The focus of the research was to evaluate how the nurses in critical medical settings
perceive self-care approaches in reducing and preventing nursing burnout. Also, Orellana-Rios et
al. (2018) concentrated on the elaboration of the efficiency of mindfulness and compassionoriented practices in decreasing burnout issues in palliative care. The study tried to respond to
the research query, “What are the impacts of mindfulness and compassion help in enhancing
self-care processes of palliative care teams in reducing distress?” The article, therefore,
promotes the understanding of the importance of self-care through mindfulness and compassion
LITERATURE REVIEW
3
in reducing the impacts of nursing burnout. Halm (2017) further demonstrates the importance of
mindfulness in the process of enhancing the procedures of self-care for nurses. The article
reflects the need for self-care in the prevention of nursing burnout. The focus of the article is
based on answering the research question, “how is caring for yourself important in caring for
others?”
Comparison of Sample Populations
The approach of evaluating the significance of self-care in the prevention of nursing
fatigue focuses on the evaluation of the effectiveness of the program in different medical
settings. Researchers focus on the assessment of the self-care program to nursing professionals.
For instance, Halm (2017) retrieved eleven studies that evaluated the effectiveness of self-care.
The process involved the assessment of controlled trials that included nonrandomized trials and
observational studies. The population studied was not mentioned, but the study was conducted in
ten years. The results indicated that the research was useful as it helped in improving self-care
procedures based on the use of various mindfulness processes such as meditation, hatha yoga,
compassion, appreciation, and self-empathy (Halm, 2017). Also, Orellana-Rios et al. (2018)
elaborated on the impacts of mindfulness and concern in the treatment and prevention of nursing
burnout. The article further demonstrated the methods of assessing twenty-eight nursing staff
members in a ten-week training program. The sample population participated in filling out the
questionnaires, which helped in understanding the impacts of mindfulness and compassion in the
self-care program. Wei et al. (2020) also performed a qualitative expressive study that helped in
understanding the implications of self-care in nursing exhaustion prevention. The article focused
on the research of 20-bed pediatric ICUs and 8-bed intermediary care units in a children’s
LITERATURE REVIEW
4
hospital. The study involved 20 participants who helped in understanding the impacts of self-care
in the inhibition of nursing burnout.
Comparison of the Limitations of the Study
The study reflected the significance of self-care in the prevention of nursing exhaustion.
The study examined various procedures that are coined to self-care, such as mindfulness,
compassion, and attention awareness. However, the research was faced with several limitations
that should be addressed in future studies. For example, Orellana-Rios et al. (2018) indicated the
need for the interpretation of data that has been thoroughly examined. The research involved a
five-week training program, which was not enough in helping nurses in understanding the
importance of self-care programs. Also, Halm (2017) examined research articles that have
identified the impacts of mindfulness in the prevention of nursing burnout. Wei et al. (2020)
focused on the research of evaluating the self-care strategies that are effective in the prevention
of nursing burnout. The study, however, was limited based on the use of a few sample
populations, which was narrowed to 20 participants. The outcomes would have been different
and broad if the sample size was more extensive than twenty. Therefore, the study was limited
based on the population, and future research s…
Purchase answer to see full
attachment