Nursing Burnout in Skilled Nursing Facilities

Write a 3-4 page paper in APA format with a minimum of 3 references.

Address the following Areas:

Project Objectives

The objectives are something you hope to achieve from doing the project
Strategies

Strategies are the method you will use to reach the objectives you have set for your project
Background Analysis

This may also be called a situation analysis. This section you will need to discuss what is happening that made you decided to do your capstone project.
For example, the nurses at a facility are making a many medication errors. For your capstone project you decide you will try to reduce the number of medication errors from 10 every week to three a week. You will have to analyze why the errors are taking place. Maybe the lighting in the medication room is poor or maybe the nurses are working 70 hours every week.
You will also need to locate peer review articles that support you analysis.

Objectives, Strategies, and Background[The introduction to the paper at least 5 sentences with one source of reference and a fully stated purpose]Objectives[Introduce the objectives using SMART goals (Specific, measurable, attainable, realistic and timeframe. This should be at least one fully formed paragraph (at least 5 sentences in length) with at least one intext citation.]Strategies[What will you actually do to address the objectives? What do will you do to create “improved outcomes”? must be at least three fully formed paragraphs (at least 5 sentences in length) with intext citations.]Background [Give a background of the problem and solutions… must be at least three fully formed paragraphs (at least 5 sentences in length) with intext citations.]
Conclusion[The conclusion to the paper is at least 5 sentences, summarizes at least 3 key points, and has one citation.]
References (All references in alphabetical order, most within the last 5 years, at least 12-15 references)

ANSWER

Nursing Burnout in Skilled Nursing Facilities

Introduction

Nursing burnout has been a consequential and deleterious syndrome that impacts not only the nurses but also the patient and the organization in which the nurses’ labor. The nursing workforce has experienced burnout with a probability of job dysfunction, personal consequence, and potential risk to the patients (Kelly, Gee, and Butler, 2021). Ideally, the nurses tend to experience burnout due to overwhelming and excessive demands in their field.  This is because nurses are constantly working in stressful working environments that require physical and mental, emotional, and spiritual strength (de Oliveira et al., 2019). The purpose of this project is to examine the impact of nurse burnout on patient care in skilled nursing facilities. Nurses that experience burnout shows less willingness and ability to deliver high-quality care.

Project Objectives

• To examine the prevalence of nurse burnout among staff nurses within skilled nursing facilities in three months during the pandemic.
• To explore the causes of burnout among nurses within skilled nursing facilities in three months during the pandemic.
• To examine solutions that will prevent and manage burnout among staff nurses within skilled nursing facilities in three months during the pandemic.

Strategies

The main objectives of this project are to draw emphasis on burnout problems among nurses, the causes of burnout, and examine what can be done to prevent and manage this problem. The project will focus on a critical exploration of the current and existing research relevant to examining the prevalence of Nurse Burnout. The research study design was adopted to provide knowledge from research articles that focus on burnout in nursing. The articles will be obtained from academic databases such as Sage and Science Direct, Cinahl, Cochrane Library, and PubMed.

The project will also rely on a cross-sectional study that will examine the causes of nurse burnout. This will examine the work-related factors as determinants of burnout among nurses on various hospital units such as maternal wards, intensive care units, and pediatric care units. The primary data will be obtained from nurses working within skilled nursing facilities and secondary data from the published information and hospital records.

The project will also use quantitative empirical studies that measure the effectiveness of coping strategies among nurses with burnouts. The studies will offer different intervention actions of burnout in Nurses. Considerably, an integrative review of literature will offer prevention strategies for burnout among nurses who will promote the health of nurses and lower burnout. Eligibility and screening steps will be conducted to include empirical studies that will effectively offer suitable prevention strategies.

Background Analysis

Over the past decades, there has been growing researches and policies that focus on how work organization characteristics have influenced the different nursing outcomes. These have defined burnout as a chronic response to work-linked stress comprising of three dimensions depersonalization, emotional exhaustion, and personal accomplishment. Burnout has been considered a nursing outcome in the nursing studies that focus on understanding the effects of inputs and context on outcomes in healthcare settings. Burnout has been characterized by negative alterations in behaviors and attitudes towards clients over time and is often linked to job satisfaction (Dall’Ora, Ball, Reinius, and Griffiths, 2020). Burnout has also been theorized as a psychological syndrome that comprises emotional exhaustion, a tendency to depersonalize client experiences, and a lower sense of personal accomplishment (Guoet et al., 2018). Burnouts have influenced the job performance of the nurses who work with physicians in challenging circumstances.

Ideally, nursing has been one of the most exhausting professional practices in a highly stressful environment. Some of the nurses have tried to manage and deal with burnouts. However, insufficient nurses, long-term working conditions, and poor communication have led to working environments that lead to emotional and physical worn-outs (Wint, 2021). Nurses encounter the dilemma of empathy, being human, and sensitive to many responsibilities to patient care.

In response to Covid-19, a survey on acute care nurses in Alabama has shown high levels of nurse burnout which has been a great predictor of medication errors (Khosravi, Ghiasi, and Ganjali, 2021). All types of burnout, such as work-related, burnout, and client-related, have been linked to medication administration errors (Montgomery et al., 2021). The pandemic has made things worse with increased demand for nursing care services, leading to the nursing shortage. The pandemic has also increased the stress levels of the nursing staff in Alabama. Increased workload has directly impacted performance and productivity, causing fatigue, absenteeism, and turnover (Ali, Astin Cole, and Sa’d Hamasha, 2020).

Various strategies can be employed to lower burnout among nurses. Magtibay, D. L., Chesak, Coughlin, and Sood (2017) reported that training programs that consist of teaching professional techniques of dealing with cognitive behaviors and challenges in the nursing profession could help in reducing stress. These programs should focus on developing positive professional thinking, professional self-image, and professional goals that increase job satisfaction, thus reducing turnover and absenteeism due to burnout (Zhang, Song, Jiang, Ding, and Shi, 2020). Changes in the working environment that favor professional practice can lead to low burnout rates (Aryankhesal et al., 2021). Programs such as Nurses living fit that involve physical activities can effectively increase a healthy lifestyle for nurses, thus reducing burnout (Davidson et al., 2020).

Conclusion

Burnout is one of the major concepts that have sustained the interest of researchers and nurses for several decades. The burnout concept has been highly relevant to the general workforce and particularly the nurses. Studies have indicated that nurse burnout has been a great prediction of medical errors and poor quality care. Burnout has been linked to the highly stressful working environment, mental exhaustion of nurses, high workload, and low staffing, which increase the prevalence of burnout. Health facilities should rely on coping strategies such as changing the nurses’ working environment, training, and programs that reduce work-related stress and increase job satisfaction.

References

Ali, H., Astin Cole, A. A., & Sa’d Hamasha, G. P. (2020). Major Stressors and Coping Strategies of Frontline Nursing Staff During the Outbreak of Coronavirus Disease 2020 (COVID-19) in Alabama. Journal of Multidisciplinary Healthcare, 13, 2057.

Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Behzadifar, M., Sohrabi, R., & Farhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical journal of the Islamic Republic of Iran, 33, 77.

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human resources for health, 18, 1-17.

Davidson, J. E., Accardi, R., Sanchez, C., Zisook, S., & Hoffman, L. A. (2020). Sustainability and outcomes of a suicide prevention program for nurses. Worldviews on Evidence‐Based Nursing, 17(1), 24-31.

de Oliveira, S. M., de Alcantara Sousa, L. V., Gadelha, M. D. S. V., & do Nascimento, V. B. (2019). Prevention actions of burnout syndrome in nurses: an integrating literature review. Clinical practice and epidemiology in mental health: CP & EMH, 15, 64.

Guo, Y. F., Luo, Y. H., Lam, L., Cross, W., Plummer, V., & Zhang, J. P. (2018). Burnout and its association with resilience in nurses: A cross‐sectional study. Journal of clinical nursing, 27(1-2), 441-449.

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.

Khosravi, M., Ghiasi, Z., & Ganjali, A. (2021). Burnout in hospital medical staff during the COVID-19 pandemic: Diagnosis, treatment, and prevention. Journal of Natural Remedies, 21(12 (1)), 36-44.

Magtibay, D. L., Chesak, S. S., Coughlin, K., & Sood, A. (2017). Decreasing stress and burnout in nurses: efficacy of blended learning with stress management and resilience training program. JONA: The Journal of Nursing Administration, 47(7/8), 391-395.

Montgomery, A. P., Azuero, A., Baernholdt, M., Loan, L. A., Miltner, R. S., Qu, H., … & Patrician, P. A. (2021). Nurse burnout predicts self-reported medication administration errors in acute care hospitals. The Journal for Healthcare Quality (JHQ), 43(1), 13-23.

Wint, M. (2021). Reducing Stress and Burnout in Hospice and Palliative Care Through Education.

Zhang, X. J., Song, Y., Jiang, T., Ding, N., & Shi, T. Y. (2020). Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses. Medicine, 99(26).