Nursing Burnout in skilled Nursing facilities

Directions:
Using the information already compiled in previous assignments, create a proposal of at least 8 pages (not including the Title page and Reference page) which includes:
A Title Page including a Title for your Project
A Literature Review supporting the Need for the Project
At least 5 or more peer reviewed articles supporting the proposal
Objectives and strategies for achievement of the Capstone project
Background for the proposal including supportive resources indicated throughout the course e.g. budgeting, outcomes, evaluations.
Formatting using APA style. APA 7th edition format of the American Psychological Association

Topic is about nursing burnout in skilled nursing facilities. Include education, conducting surveys to determine ways to cope with burnout.

ANSWER

Nursing Burnout in Skilled Nursing Facilities

Introduction

Nurse burnout is a global phenomenon that is characterized by a reduction in nurses’ energy. Nurse burnout occurs due to lack of motivation, emotional exhaustion, feelings of frustration, and reduced work efficacy. The unattractive nurse working conditions have led to a shortage of experienced and skilled nurses and a young nursing workforce. The nursing shortage has been linked with personal and work conditions such as increased work issues, unrealistic job goals, work demands exceeding resources, poor control over practice, and poor autonomy (Cañadas-De la Fuente et al., 2015). These conditions have increased the nurses’ feelings of burnout and dissatisfaction that generally affect the quality of nursing care. The project is a proposal on interventions that will reduce nurse burnout within skilled nursing facilities.

Problem Identification

Studies have focused on stress as the root cause of nurse burnout. Ideally, stressors are diverse and consist of long work hours, more responsibilities, and second-hand stress from grieving individuals and traumatic conditions. According to Rushton, Batcheller, Schroeder, and Donohue (2015), the majority of the nurses have experienced burnout, but the onset and prevalence vary among nursing fields. Nurses in skilled nursing facilities have experienced long working hours due to a shortage of nurses. They experience long workdays and long shifts to ensure 24-hour care. Long working hours put nurses at risk of nurse burnout due to sleep disturbances and short sleep. Insufficient sleep increases burnout, thus lowering performance, increasing risks of injuries and fatigue-associated errors that may affect health outcomes. Therefore, most of the factors that lead to nurse burnout are linked to work conditions. Taking all these factors and putting them in a single workday are some of the reasons why nurse burnout has been on the rise.

According to Rushton, Batcheller, Schroeder, and Donohue (2015), the pressure to perform from colleagues and patients, poor knowledge of handling exhaustion, long shifts, and changes in technology have increased the rates of nurse burnouts in the modern healthcare environment. While nurses can encounter burnout, those working in nursing homes, emergency departments, ontology clinics, and hospices are more vulnerable. For instance, emergency nursing is emotionally and emotionally demanding. Long shifts, patient loads, a fast-paced environment, and demanding physicians are the causes of stress within the emergency department nurses (Walton, 2018). The emergency rooms are increasingly overcrowded, resulting in a hectic environment that can impact the nurses’ physical health and emotional stability as they deal with complex health problems. Rushton, Batcheller, Schroeder, and Donohue (2015) stated that burnout among nurses has led to strong causative links with substance abuse, mental health disorders, harassment by colleagues and patients, moral distress, and workload changes.

Literature Review

Dall’Ora, Ball, Reinius, and Griffiths (2020) consider burnout a psychological state induced by job-related stressors and prolonged exposure to the working environment. Burnout entails three major features: depersonalization, emotional exhaustion, and personal accomplishment. Burnout has increasingly gained attention due to its great prevalence in healthcare providers. Dyrbye et al., (2019) indicated that in the United States, professional burnout has been alarmingly prevalent among nurses, with most studies indicating rates of 35% -45%. The burnout syndrome in nurses is characterized by cynicism, energy exhaustion, and reduced professional efficiency that arises from work-related problems. For instance, excessive workload, value conflicts, inadequate staffing, poor work settings, and lack of administrative support have increased burnout risks among nurses. Tawfik et al., (2017) stated that burnout among nurses has led to low-quality patient care, reduced willingness, healthcare-acquired infections, and reduced patient satisfaction. Mudallal, Othman, and Al Hassan (2017) stated that burnout and work stress remains a significant concern in nursing, impacting both the nurses and the organizations. For the individual nurses, stress and burnout have led to physiologic reactions that may lead to illnesses.

Stress and burnout have led to turnover and absenteeism that impact the healthcare organizations in promoting quality care (Dyrbye et al., 2019). Burnout has been encountered differently depending on the personal diversity variables. These variables include culture, gender, time, and age, which shape the context of lives and experiences of burnout. The dimensions have influenced the individual perception of work control that has a direct influence on burnout. Rachel and Francesco (2018) indicated that inadequate staffing has led to more workload, which creates the main stressor in the facilities. Inadequate staffing has led to longer shifts, extra shifts, and longer responsibilities added to the workload.

The shortage of healthcare professionals has been a global concern. The World Health Organization has repeatedly focused on the issue of care provider shortage, especially the nurses. The shortage of nurses has interfered with the international and national efforts to improve the well-being and health of the global population (Tawfik et al., 2017). Ideally, nurses carry out the most significant tasks in the medical field, serving healthcare in different clinical settings. Nurse burnout has been linked to psychological, emotional, and physical exhaustion linked to the job. Professional and personal stressors have been the leading causes of nurses’ burnout which in the long run impacts patient satisfaction and nurse turnover. Some of the symptoms of burnout include depression, short attention span, anxiety, reduced employee loyalty, low sense of professional accomplishment, reduced job satisfaction, and depersonalization.

Rushton, Batcheller, Schroeder, and Donohue (2015) stated that Nurses experiencing burnout have found it challenging to work, stay awake, or be fully focused on their tasks. They feel easily frustrated, hopeless, desensitized, and chronically negative. These symptoms have a negative effect on the overall performance of nurses. For instance, the combination of emotional exhaustion and sleep deprivation can lead to some nurses making errors and mistakes in their clinical judgments.

Nurse perceptions have about their work environments have also been shown to affect burnout. Internal perceptions include depersonalizing patients, feeling unappreciated by the patients, excessive workflow, and inadequate time to conduct duties properly (Walton, 2018). The external perceptions entail negative patient feelings and attitudes towards nurses. Nurses reported that patients want the duties to be completed on their time schedules. Nurses also indicated that moral distress is a part of burnout. For instance, dealing with patients that return to emergency departments, sadness over the death of a patient, and other stressful conditions have led to nurse burnouts (Walton, 2018).

Project Proposal

Burnout has been an extreme stress response characterized by depersonalization of patients, emotional exhaustion, and a reduced sense of individual accomplishment. The traditional interventions to reduce burnout among nurses in skilled facilities aim at stress management approaches through workshop programs (Henry, 2013). However, this proposal focuses on the use of digital technologies to eliminate burnout. Over the last few years, digital interventions have been on the rise in the healthcare system to improve health outcomes and services. Digital technologies can prevent burnouts by using electronic health records to monitor health work patterns, coordinate schedules, and address the risk of overburdening nurses. Awareness and counseling can also be done through digital platforms such as apps and social media platforms, thus offering context-specific approaches to preventing burnout. Due to high assistance demands, professional engagements should be implemented through digital devices such as phones to offer psychological support services.

Research Support

Henderson J. (2015). The effect of the hardiness of education on hardiness and burnout on registered nurses. Nursing Economics, 204-209.http://web.b.ebscohost.com

Henderson focused on the effect of staff education as a major intervention for burnout. The study population was invited to acquire education via email communication. Each participant had a personalized report that contained the MBI scale scores and recommendations and information about treating burnout. The participants were provided with power-points and interactive questions to engage participants.  The study results indicated that hardiness education plays an essential role in reducing the effects of burnout and stress among nurses. The nurse executives and managers should offer the nurses validated tools that will enhance hardiness education to reduce unmanaged stress and burnout.

Velana, M., & Rinkenauer, G. (2021). Individual-Level Interventions for Decreasing Job-Related Stress and Enhancing Coping Strategies Among Nurses: A Systematic Review. Frontiers in Psychology, 12, 2970.

Velana and Rinkenauer (2021) focused on individual-level interventions to lower job-associated stress among nurses. Nurses have been experiencing large amounts of pressure due to increased global health challenges. The study focused on a systematic review of relevant articles that were published from 2000 to 2020. The study found 27 relevant articles, with some indicated technology-driven interventions for stress management and relaxation. According to Velana and Rinkenauer (2021), there is a wide range of interventions for burnout among nurses, but there is a need to consider stress management programs that will lower human contacts in the workplace due to the current pandemic restrictions. Therefore, innovative interventions linked to digital technology such as virtual reality will combat the detrimental impacts of stress among nurses.

Kraft, P., & Yardley, L. (2009). Current issues and new directions in Psychology and Health: What is the future of digital interventions for health behavior change?.

Kraft and Yardely (2009) explored the utilization of future digital interventions to control health behavior change. Digital technology entails mobile phones, internet devices, personal computers, and tablets. The article noted that the digital environment is increasingly becoming a vital part of human life, offering a great means of sustaining the health of individuals through a wealth of information and linking dispersed communities of professionals and peers. The study involved a meta-analysis of 75 studies that offered support on the use of digital interventions and their effectiveness in health promotion. The digital interventions offer timely feedback and monitoring, which increases engagement and use. Interventions that require weekly modules, emails, chat sessions, and coaching improve the quality of the approach.

Cowpertwait, L., & Clarke, D. (2013). Effectiveness of web-based psychological interventions for depression: a meta-analysis. International Journal of Mental Health and Addiction, 11(2), 247-268.

Cowpertwait and Clarke (2013) focused on web-based psychological treatments for depression. Web-based psychological interventions aim to increase accessibility and effectiveness for the treatment of depressed adults. The study relied on a meta-analytic approach and examined the moderating impacts of these interventions. The findings indicated a medium impact of the web-based interventions and huge reduction in depression and improved well-being. The study concluded that web-based interventions are essential means of treating depression and improving well-being through personal engagement.

Pospos, S., Young, I. T., Downs, N., Iglewicz, A., Depp, C., Chen, J. Y., … & Zisook, S. (2018). Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Academic psychiatry, 42(1), 109-120.

Pos-pos et al., 2018 focused on using web-based tools and mobile applications to eliminate suicidality, depression, and burnout among healthcare professionals and students. Considerably, becoming a healthcare professional demands practice and training that can lead to serious psychological, personal, and interpersonal health problems and chronic distress. The rates of burnout, suicide rates, and depression have been on the rise. Mobile and web-based applications have proved to mitigate depression, stress, and burnout among healthcare professionals. The study examined various studies on burnout, stress and depression intervention, and prevention among healthcare providers. The study’s findings indicated that digital health strategies are significant in coping with stressors among healthcare professionals since they focus on web-based cognitive behavioral therapy that fosters wellness.

Objectives and Strategies for Achievement of the Capstone Project

The main objective of this project is to implement intervention approaches that will counter burnout. It’s significant to improve the organizational measures that will have a lasting impact and reduce physician burnout (Kraft and Yardley, 2009). A variety of interventions have been offered to mitigate and address the costs of burnout. The main aim of the digital intervention is to reduce burnout and chronic stress, which is common among nurses. Staff education through digital technologies will avoid burnout and created balance to promote employee well-being.

The proposal will focus on Focused Acceptance and Commitment Therapy for Work Engagement and Burnout (FACT-WEB). This is a digital intervention that connects an SIT framework with cognitive-behavioral techniques of acceptance and commitment therapy. The digital intervention is designed to reinforce conceptualizations provided for engagement, burnout, and awareness. The intervention will boost the psychological flexibility of the nurses through increasing awareness, openness, and acceptance to prevent distressing experiences (Pospos et al., 2018). After implementing the digital intervention, Maslach Burnout Inventory 9 will be used to measure burnout in three dimensions personal accomplishment, depersonalization, and emotional exhaustion. Measuring burnout will indicate the effectiveness of the digital intervention to reduce burnout among nurses in skilled facilities.

Background for the Proposal.

Technology has improved and increased within society. Digital interventions reduce burnout through implementing mechanisms to promote and prompt organizational level changes. Digital interventions provide an opportunity to provide autonomous and instant feedback, cost-effective means, and enhance the network to disburse information (Pospos et al., 2018). The connectivity allows timely feedback to administrators, thus enabling responses to damage factors to the work environment. The ease of developing digital interventions is also improving due to increased knowledge of computers and mobile applications. Burnout occurs when individuals fail to use the right coping strategies. The digital intervention will influence new preventive and treatment programs through features that handle stress and burnout in skilled nursing facilities.

References

Cañadas-De la Fuente, D. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240–249.

Cowpertwait, L., & Clarke, D. (2013). Effectiveness of web-based psychological interventions for depression: a meta-analysis. International Journal of Mental Health and Addiction, 11(2), 247-268.

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

Dyrbye, L. N., Shanafelt, T. D., Johnson, P. O., Johnson, L. A., Satele, D., & West, C. P. (2019). A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC nursing, 18(1), 1-8.

Henderson J. (2015). The effect of hardiness of education on hardiness and burnout on registered nurses. Nursing Economics, 204-209.http://web.b.ebscohost.com

Henry, B. J. (2013). Nursing burnout interventions: What is being done? Clinical Journal of Oncology Nursing, 18(2), 211–214.

Kraft, P., & Yardley, L. (2009). Current issues and new directions in Psychology and Health: What is the future of digital interventions for health behavior change?.

Mudallal, R. H., Othman, W. A. M., & Al Hassan, N. F. (2017). Nurses’ burnout: the influence of leader empowering behaviors, work conditions, and demographic traits. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 0046958017724944.

Pospos, S., Young, I. T., Downs, N., Iglewicz, A., Depp, C., Chen, J. Y., … & Zisook, S. (2018). Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Academic psychiatry, 42(1), 109-120.

Rachel, H., & Francesco, S. (2018). Factors associated with and impact of burnout in nursing and residential home care workers for the elderly. Acta Bio Medica: Atenei Parmensis, 89(Suppl 7), 60.

Rushton, C. H., Batcheller, J., Schroeder, K., & Donohue, P. (2015). Burnout and resilience among nurses practicing in high-intensity settings. American Journal of Critical Care, 24(5), 412–420.

Tawfik, D. S., Phibbs, C. S., Sexton, J. B., Kan, P., Sharek, P. J., Nisbet, C. C., … Profit, J. (2017). Factors associated with provider burnout in the NICU. Pediatrics, 139(5).

Velana, M., & Rinkenauer, G. (2021). Individual-Level Interventions for Decreasing Job-Related Stress and Enhancing Coping Strategies Among Nurses: A Systematic Review. Frontiers in Psychology, 12, 2970.

Walton, A. (2018). The cost of caring: Emergency department nurses, compassion fatigue, and the need for resilience training. Educational Specialist, 125.