C361 EBP Task One - EBP and Applied Research PDF

Preview

Summary

EBP and Applied Research...

Description

Running head: TASK ONE

1

Task One LAZ WGU

TASK ONE

2

Task One I mpa c to ft hePr o bl e mo nt hePa t i e nt Work-related stress and fatigue experienced in the nursing profession is often defined as nurse burnout. Patients are negatively impacted by nurses that are experiencing nurse burnout as they do not receive the highest quality of care from a nurse that is emotionally and physically exhausted. This results in decreased patient satisfaction and less than optimal healthcare outcomes. I mpa c to ft hePr o bl e mo nt heOr g a ni z a t i o n Medical centers, hospitals, and healthcare systems are all organizations that strive to foster a healthcare environment where patients get highest quality of care and best possible healthcare outcomes. In doing this a reputation is created and trust is strengthened between healthcare professionals and their patients. However, nurse burnout works against such progress. Nurse burnout contributes to mistakes in the healthcare environment. Not only can these mistakes facilitate a negative healthcare experience, but they can also impact healthcare outcomes, number of days in the hospital, and the likelihood of a lawsuit. This can lead to a tarnished reputation for the organization, and loss of trust by patients. Identify the PICO components P- nurses I- routine practice of mindfulness techniques C- no routine practice of mindfulness techniques O- decreased stress and associated nurse burnout Evidence Based Practice Question

TASK ONE

3

In nurses working full-time in patient-care environments, will routine mindfulness techniques compared to no routine mindfulness techniques reduce work-related stress and burnout? Research Article Background Information In pursuit of decreasing burnout and stress for nurses and increasing best patient care, researchers chose to study the effect of mindfulness techniques on oncology nurses from two different hospitals (Duarte & Pinto-Gouveia, 2016). Researchers hypothesized that mindfulness-based meditation practices would decrease burnout and compassion fatigue while building better emotional regulation to improve capacity to give high quality patient care (Duarte & Pinto-Gouveia, 2016). Methodology Through a non-randomized trial, researchers studied the effects of mindfulness on 48 oncology nurses (Duarte & Pinto-Gouveia, 2016). These nurses were split into two groups, one group receiving interventions and the other serving as a comparison group (Duarte & PintoGouveia, 2016). The interventional group completed 6 weeks of mindfulness-based stress reduction sessions, daily homework, and journaling (Duarte & Pinto-Gouveia, 2016). Questionnaires were given to participants prior to the 6-week mindfulness-based stress reduction program, directly after finishing the program, and 3 months after the program had finished (Duarte & Pinto-Gouveia, 2016). The questionnaires included the Professional Quality of Life Scale Version 5, Depression, Anxiety, Stress Scale, Acceptance and Action Questionnaire, Ruminative Responses Scale-Short, Five Facets of Mindfulness Questionnaire, Self-Compassion Scale, and Satisfaction with Life Scale (Duarte & Pinto-Gouveia, 2016).

TASK ONE

4

Level of Evidence The data measure in this research article is quantitative, where the level of evidence can be defined as quasi-experimental. Data Analysis Chi-squared analyses were used to compare the interventional group and control group in terms of gender and marital status (Duarte & Pinto-Gouveia, 2016). To analyze data from the intervention and non-intervention groups, researchers used the 2 x 2 ANOVA and ANCOVAs tests to assess outcomes of stress-related symptoms for participants, most notably burnout and compassion fatigue (Duarte & Pinto-Gouveia, 2016). The Sidak correction was also used to analyze data between pre- and post-questionnaires from the interventional and control groups (Duarte & Pinto-Gouveia, 2016). Ethical Considerations With regards to ethical considerations, researchers were sure to abide by The Helsinki Declaration of 1975 for the protection of its participants (Duarte & Pinto-Gouveia, 2016). Money was not exchanged by researchers and participants (Duarte & Pinto-Gouveia, 2016). Additionally, ethical approval was granted by both hospitals that employed the nurse participants (Duarte & Pinto-Gouveia, 2016). Quality Rating The quality rating for this quantitative, quasi-experimental, level II research article is good quality. Analysis of the Results/ Conclusions Researchers found that nurses that went through the mindful-based stress reduction program had reported notable reduction in compassion fatigue, burnout, and stress than nurses

TASK ONE

5

that did not take part in the program (Duarte & Pinto-Gouveia, 2016). Additionally, nurses that were in the interventional group reported increases in life satisfaction (Duarte & Pinto-Gouveia, 2016). The PICO question above asks whether or not the intervention of mindfulness practice in nurses will decrease stress and burnout opposed to nurses that do not take part in mindfulness practices. This study aims to address this very question, and its findings prove that mindfulness practices may have a significant role in reducing burnout and stress in nurses. Non-Research Article Background Introduction Mindfulness meditation and mindfulness-based stress reduction have become a hot topic among researchers and there is a wide range of evidence to suggest that these practices are highly beneficial for healthcare professionals (van der Riet et al., 2018). Researchers are finding that mindfulness-based practices such as meditation and yoga align with a better capacity to cope with stressful situations, anxiety, and ultimately burnout amongst healthcare professionals (van der Riet et al., 2018). The goal of this literature review was to assess the current evidence on this subject to see if these practices could truly be beneficial to nurses and nursing students (van der Riet et al., 2018). Type of Evidence This non-research article is an integrative literature review. Using the Critical Appraisal Skills Program checklist and the McMaster’s Critical appraisal form on 1,703 articles related to the relevant subject matter, only 16 articles were deemed acceptable for integrative review (van der Riet et al., 2018). Of these studies reviewed, most were quantitative, but also included qualitative and mixed method (van der Riet et al., 2018).

TASK ONE

6

Level of Evidence The level of evidence for this non-research article is a level V. Quality Rating The quality rating of this article would fall under good quality. Author’s Recommendations After completing an integrative review, the author recommends incorporation of mindfulness meditation and yoga for the purposes of decreasing burnout. More specifically, the author recommends starting mindfulness practices upon the start of nursing school (van der Riet et al., 2018). Additionally, the author mentions other beneficial outcomes of mindfulness practices such as a decrease in stress, anxiety, and depression as well as an increase in life satisfaction and empathy (van der Riet et al., 2018). Recommended Practice Change Based on Evidence Based Practice Questions Based on the evidence discussed in the research and non-research articles above, it seems that it would be reasonable to implement mindfulness-based practice education for nurses to decrease stress and burnout in nurses as well as increase quality of patient care for better patient outcomes. Key Stakeholders Three stakeholders that would be involved in the decision to incorporate mindfulnessbased education for nurses would be nurse educators, nursing administration, and nurses. Nurse educators would need to get together to decide how to implement mindfulness-based practices into nursing practice. They would need to choose how nurses would learn mindfulness-based practices including teaching methods, content, presentation, how/when teaching would be offered, and whether or not mindfulness education would be made mandatory. Nurse

TASK ONE

7

administration, such as floor managers would need to find room in floor budgets for the necessary funding that would need to be put towards mindfulness education. Nurses would be a key stakeholder as well seeing that nurses would be the ones learning and incorporating mindfulness-based teaching and principles into their own practice. Without a willingness to learn and adapt to mindfulness practices by nurses, the point of mindfulness education with be obsolete. Barrier to Implementation One barrier to implementation could be nurses’ willingness to participate in the teaching and willingness to incorporate mindfulness principles into their self-care. A strategy to combat this barrier would to effectively teach nurses the benefits of mindfulness practices on nurses themselves as well as patient outcomes. Indicator to Measure the Outcome To measure the outcome of the education given to nurses on mindfulness, I would want to see how the education altered nurses’ perceived burnout. To evaluate this I would want to have nurses take a survey related to nursing related burnout and stress before and after education was given. Analyzing the survey results would assist in identifying the outcome of the implemented mindfulness education.

TASK ONE

8 References

Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses' burnout and compassion fatigue symptoms: A non-randomized study. International journal of nursing studies, 64, 98–107. https://doi.org/10.1016/j.ijnurstu.2016.10.002 van der Riet, P., Levett-Jones, T., & Aquino-Russell, C. (2018). The effectiveness of mindfulness meditation for nurses and nursing students: An integrated literature review. Nurse education today, 65, 201–211. https://doi.org/10.1016/j.nedt.2018.03.018...