C361 redo (3) - essay for the course c361 for the course PDF

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C361-MLM1 1

PERFORMANCE ASSESSMENT 1-C361-MLM1 Problem Impact on the Patient The topic of concern I feel is one that is very problematic in healthcare today is nurse burnout. Nurse burnout can eventually lead to compassion fatigue, which in return can then lead to impaired judgement and lack of the attention to needed detail on the medical professional’s part. This results in unnecessary neglect in aspect of patient care, which leads to unsafe surroundings, mistakes, poor outcomes on patient’s behalf. Problem Impact on the Organization Patients can be harmed with nurse burnout, which leads to very costly legal issues. Family members and patients serve the rights to file legal matters against the hospital facility for negligence or malpractice if need be. If the matter is won, the hospital facility must pay the fine directly to the state board, the families involved, as well as all other agencies involved. This matter can cause the hospital to lose certain accreditations. This can cause a negative reputation on the hospital throughout the community and the state, which in turn can cause a decrease in business to the hospital by elective and non-emergent circumstances. PICO Identity Component P- Burnout of the Nurses I- Evidence based training and mindfulness C- The lack of training O- Amount of reduction in hospital nurse burnout

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Evidence Based Practice Question Responding to nurses, does the action of application of attentive evidence-based training, compared to the lack of or no training at all, reduce the amount of nurse burnout there would be in the hospital? Research Article Luken, M., & Sammons, A. (2016). Systematic Review of Mindfulness Practice for Reducing Job Burnout. The American journal of occupational therapy: official publication of the American Occupational Therapy Association, 70(2), 7002250020p1–7002250020p10. https://doi.org/10.5014/ajot.2016.016956 Background Introduction The goal of this article is to show the mindful evidence-based effectiveness of study of training and how it affects the amount of nurse burnout that is developed. Methodology The study was a detailed review of multiple other methodical studies. The researcher referred to these databases: LILACS, Medline, PHD, CINAHL, and Health and Med Complete. The Writers also used what is known as PRISMA statement guidelines and completed the research in 2019 using search equivalence. Evidence Level The level of evidence in this article would be a level III.

C361-MLM1 3 Data Analysis The T-Test was used for accumulation of information by means of data groups which was used for the discovery of the information. Ethical Considerations This study being methodical review and systematic review of past studies, there was not any ethical consideration or approval from the board of review that was needed. The research study did not have any human applicants and thus no ethical review was needed for this study. Conclusions/Analysis of Results This article reveals how mindful evidence is effective intervention that reduces nurse fatigue and burnout of the nurses and medical staff. It was also shown that there was a reduction in the level of emotional exhaustion caused from burnout, and that mindfulness has allowed nurses to have higher levels of achievements. Non-Research Article Vaclavik, E. A., Staffileno, B. A., & Carlson, E. (2018). Moral Distress: Using Mindfulness-Based Stress Reduction Interventions to Decrease Nurse Perceptions of Distress. Clinical journal of oncology nursing, 22(3), 326–332. https://doi.org/10.1188/18.CJON.326-332

Background Introduction The purpose of this quality improvement initiative was to explore the impact of using mindfulness interventions to reduce moral distress in various patient populations.

C361-MLM1 4 Evidence Type This article is in the quality improvement category and is considered to be nonresearch criteria. Evidence Level This article is considered to be a level V quality improvement style article and meets non-research criteria. Quality Rating The quality rating of this article is a B. With a rating of a B, it shows that the article has a well-defined objective with the quality improvement initiative in a certain situation. The article situation is limited to the oncology unit in question, with the purpose being exclusive to the full time RN’s on that unit mentioned. Recommendation of Author Conclusion of this article, the study presented that the mindfulness therapy was indeed an active exercise that was able to decrease the total amount of nursing burnout in the oncology unit. With this training, the nurses were able to feel a sense of support, empowerment, and allowing a questioning outlet as well. This training therapy allowed for an area abundant with strength, confidence, and spirit of the nurses and staff. Largely, this helped in the reduction of the nurse burnout by resulting in a much less stressful environment to work in.

Recommendation of Practice Change Based on Evidence Based Practice Question My recommendation for the mindful evidence-based practice changes would be to institute an exercise-based program for training as a way to reduce the risk of nurse burnout at work. Research shows this ending in a positive result, with majority of the mindfulness programs

C361-MLM1 5 concluding in decreased nursing fatigue (Vaclavik, Staffileno, &Carlson, 2018). These changes help encourage nurses to feel empowered and supported in their current working environment that will evolve into trust and flexibility. This feeling will guarantee that nurses are able to work in less stressful environment and have more positive outcomes that increase the positive care that is given to their patients (Vaclavik, Staffileno, &Carlson, 2018). Key Stakeholders The financial department, nurses, and nurse educator are the key stakeholders in this situation. The bedside nurse has the role of being the active participant at the bedside of the patient, educating the patient, and determining the effectiveness of the training program, all while giving feedback. The nurse educator role is to generate the teachings and then apply that to the program. Finally, the financial dept. has the role of distributing the funds to allow the project being created by budgeting to let the application of grants be created. Implementation Barriers Financial barriers could be a downfall to creating the program. The implementation team could perhaps be cautious of the cost overall involving training and supplies needed. Strategies to Overcome Implementation Barriers One of the strategies that could be communicated with the financial department would be the need for obtaining grants to help with the cost of the project. Indicator of Measurement Outcome Determine the way of the program that is efficient and needs to communicate with the quality improvement department to assess the outcomes beforehand and afterwards the instituting of the platform. The nurses and staff would be capable of comprehensive surveys that

C361-MLM1 6 gauge gratification due to the new program versus the prior program that had been applied. With the surveys, they then can collect and determine by comparison the staffs’ satisfaction with the program, as well as the disapproval of things by the nurses and staff. Patients can also be given surveys to fill out for staff recognition.

References: Luken, M., & Sammons, A. (2016). Systematic Review of Mindfulness Practice for Reducing Job Burnout. The American journal of occupational therapy: official publication of the American Occupational Therapy Association, 70(2), 7002250020p1–7002250020p10. https://doi.org/10.5014/ajot.2016.016956 Vaclavik, E. A., Staffileno, B. A., & Carlson, E. (2018). Moral Distress: Using Mindfulness-Based Stress Reduction Interventions to Decrease Nurse Perceptions of Distress. Clinical journal of oncology nursing, 22(3), 326–332. https://doi.org/10.1188/18.CJON.326-332

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