PIP Intervention Discussion

PIP Intervention Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON PIP Intervention Discussion PLEASE SEE DOCUMENT THAT SAYS WRITING-OBJECTIVES ( THIS IS HOW THE INSTRUCTOR WANTS THEM DONE ) I have attached a copy of the PAPER, PPT, POSTER All PIP interventions must have at least five (5) learning objectives. University of Phoenix NURS6247 PIP Intervention Discussion, These must be at the beginning of your PP slides. For those doing posters, you should include them at the very beginning (left column). These objectives should be part of your program evaluation form. An evaluation process must be submitted for approval. Some students do a pre-/post test and/or a program evaluation. Remember, you need to include the five (5) objectives on a program evaluation as part of what you will be evaluated on. You can then add others such as “presenter was knowledgeable”, “materials used were useful”, etc., etc., Also, the program evaluation must be a 5-Point Likert scale with the following assessments: PIP Intervention Discussion Strongly Agree Agree Neutral Disagree Strongly Disagree All evaluation process and deliverables (unless they are copyright) should have UTRGV logo, PIP title, your name, credentials, MSN-FNP program information.

PIP Intervention Discussion rebolledojnurseburnout.pptx rebolledojposterpresentationpip.pptx rebolledojpip.doc writing_objectives.pdf PIP Intervention Discussion. for Nurses Jesus G Rebolledo The University of Texas at Rio Grande Valley NURS 7302 LET Dr. Lilia A. Fuentes Nurses are susceptible to burnout. Burnout is characterized by: Low personal accomplishment; IN TR O D U C TI ON Impaired emotions; Detachment with patient and peers. It is amongst the worst problems in nursing practice. It affects them physically, mentally, and emotionally. It impairs their communication with patients and other collaborations. It can be tested through the Maslach Burnout Inventory (MBI). It is a self-assessment survey. It tests: Depersonalization/detachment Personal achievement Emotional exhaustion It can help in detecting burnout and designing interventions. ? Fatigue results to poor quality services. ? Detachment impairs communication. ? It doubles the chances of preventable medical errors. ? It raises the costs of care. ? It creates hopelessness among nurses. ? It can be transferred to patients. ? It results to poor results and health outcomes. ? Both nurses and facilities may receive negative reviews. ?

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Nurse burnout affects more than 10% of all SIGNIFICANCE OF THE PROBLEM: CONT’D nurses. ? It contributes to childlessness among nurses. ? It can escalate into a permanent problem. ? It reduces performance of nurses. ? It lowers the standards of care. ? Affected nurses are demotivated and dissatisfied with their jobs. ? It negatively affects patient experience. The National Academy of Medicine • It provides data regarding nurse burnout and patient safety. The Center for Medicare • It provides data related to patient safety and problems affecting nurses. and Medicaid Services The Center for Disease Control and Prevention The American Nurses Association (ANA) • It extensively studies emerging issues in healthcare and solutions. • It provides data related to issues affecting nurses. Occasional on-site surveys and patient reviews. Health outcomes in hospitals and the prevalence of preventable errors. Nurse schedules and attendance lists.

MBI self-test results. DESCRIPTION OF THE PROGRAM Education and awareness. To be conducted on the pediatric floor. It will help in identifying the departments that are most affected or at risk. It will focus on early detection and prevention. Nurses who are at risk will also be identified. Additional interventions will be implemented based on risks and prevalence. ? Organizations will identify means to motivate DESCRIPTION OF THE PROBLEM CONT’D nurses. ? MBI results will help organizations identify areas to prioritize. ? The program will be implemented by a solid team. ? The team will bring together many stakeholder groups. ? Nurses will have 15-minute breaks for peer support. ? The program will also encourage self-care. The theory of Nursing as Caring is relevant to peer education. • Every human is naturally caring. • Nursing services focus on beneficence. • It encourages attachment and collaboration between nurses and patients. Social leaning theory • Human behavior can elicit change.University of Phoenix NURS6247 PIP Intervention Discussion PIP Intervention Discussion. • It promotes social learning/learning from peers. Theory of reasoned action.

• It supports mentorship and influential persons. • Influential persons can help change behavior among nurses. • Nurses should be encouraged to learn from one another. Theory of diffusion • Opinion leaders can influence behavior change. • Successful nurses can share their values and tactics to excel. • They can empower junior nurses. Physical, emotional, and psychological exhaustion. LITERATURE REVIEW: DEFINING NURSE BURNOUT A nurse may suffer from any combination of the three. Burnout is tested through the MBI scale. The problem highly prevalent among nurses. Nurses face more stressors than other professionals. General nurse burnout => 36%. Emotional exhaustion => 26-31%. Detachment => 15-26%. Low personal accomplishment => 26-39%. Nurse burnout should be addressed with urgency. It impairs nursepatient relationships. It reduces empathy among nurses. It doubles the chances for preventable medical errors. It lowers job satisfaction and retention. It impairs collaboration and teamwork. High cases of absenteeism. Nurses suffer psychologically. Musculoskeletal problems are also common. Some nurses suffer from gastrointestinal problems.

Cases of insomnia are high. Burnout causes distraction. LITERATURE REVIEW: PREVENTION OF NURSE BURNOUT ? Job redesign to reduce overworking. ? Improved task allocation. ? Reduction of workload. ? Improving time management. ? Regular team and shift-passage meetings ? Training of nurses. ? Peer education. ? Peer education is an effective intervention of burnout. LITERATURE REVIEW: PEER EDUCATION AS A SOLUTION ? It is endorsed by American Nurses Association. ? It promotes interaction among nurses. ? It promotes behavior change. ? Leaders should design psycho- education programs to guide the project. ? It is a proactive solution. ? Alligood, M. R. (2014). Nursing theorists and their work. Amsterdam: Elsevier. ? Calisi, C. C. (December 01, 2017). The Effects of the Relaxation Response on Nurses’ Level of Anxiety, Depression, Well-Being, Work-Related Stress, and Confidence to Teach Patients. J ournal of Holistic Nursing, 35(4), 318-327. Doi: 10.1177/0898010117719207 ? Cañadas-de la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & Emilia, I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International journal of nursing studies , 52(1), 240-249. ? Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PloS one, 11(7), e0159015. doi:10.1371/journal.pone.0159015 ? Hunt, P. A., Denieffe, S., & Gooney, M. (March 01, 2017). Burnout and its relationship to empathy in nursing: a review of the literature. J ournal of Research in Nursing, 22, 7-22. ?

Jackson, J., Vandall-Walker, V., Vanderspank-Wright, B., Wishart, P., & Moore, S. L. (October 01, 2018). Burnout and resilience in critical care nurses: A grounded theory of Managing Exposure. Intensive & Critical Care Nursing, 48, 28-35. ? Jennings, B. M. (2016). Work stress and burnout among nurses: Role of the work environment and working conditions. In -Patient safety and quality: An evidence-based handbook for nurses . Agency for Healthcare Research and Quality (US). ? Kravits, K., McAllister-Black, R., Grant, M. & Kirk, C. (2008). University of Phoenix NURS6247 PIP Intervention Discussion Self-care strategies for nurses: A psychoeducational intervention for stress reduction and the prevention of burnout. Applied nursing research 23(3), 130-138. ? Loera, B., Converso, D., & Viotti, S. (2014). Evaluating the psychometric properties of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) among Italian nurses: how many factors must a researcher consider?. PloS one, 9(12), e114987. doi:10.1371/journal.pone.0114987 ? Maslach, C. (2017). Burnout: A multidimensional perspective. In Professional burnout (pp. 19-32). Routledge. ? Mohammadi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health promotion perspectives , 8(1), 25–32. doi:10.15171/hpp.2018.03 ? Monsalve-Reyes, C. S., San Luis-Costas, C., Gómez-Urquiza, J. L., Albendín-García, L., Aguayo, R., & Cañadas-De la Fuente, G. A. (2018). Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis. BMC family practice, 19(1), 59. doi:10.1186/s12875-0180748-z ? Panagioti, M., Geraghty, K., Zhou, A., Hodkinson, A., Esmail, A., Johnson, J., Panagopoulou, E., … Riley, R. (April 01, 2019). Association between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis.

J ama Internal Medicine, 179(4), 1317-1330. ? Pereira, S. M., Fonseca, A. M., & Carvalho, A. S. (January 01, 2012). Burnout in nurses working in Portuguese palliative care teams: a mixed methods study. International J ournal of Palliative Nursing, 18(8), 373-383. ? Pradas-Hernández, L., Ariza, T., Gómez-Urquiza, J. L., Albendín-García, L., De la Fuente, E. I., & Cañadas-De la Fuente, G. A. (2018). Prevalence of burnout in paediatric nurses: A systematic review and meta-analysis. PloS one, 13(4), e0195039. doi:10.1371/journal.pone.0195039 ? Rezaei, S., Karami, M. B., Hajizadeh, M., Soroush, A., & Nouri, B. (September 01, 2018). Prevalence of burnout among nurses in Iran: a systematic review and meta-analysis. International Nursing Review, 65(3), 361-369. ? Ribeiro, V. F., Filho, C. F., Valenti, V. E., Ferreira, M., de Abreu, L. C., de Carvalho, T. D., … Ferreira, C. (2014). Prevalence of burnout syndrome in clinical nurses at a hospital of excellence. International archives of medicine, 7, 22. doi:10.1186/1755-7682-7-22 ? Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., & Mata, D. A. (2018). Prevalence of Burnout among Physicians: A Systematic Review. J AMA, 320(11), 1131–1150. doi:10.1001/jama.2018.12777 ? Rushton, C. H., Batcheller, J., Schroeder, K., & Donohue, P. (2015). Burnout and resilience among nurses practicing in high-intensity settings.

American J ournal of Critical Care, 24(5), 412-420. ? Salvagioni, D., Melanda, F. N., Mesas, A. E., González, A. D., Gabani, F. L., & Andrade, S. M. (2017). Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PloS one, 12(10), e0185781. doi:10.1371/journal.pone.0185781 ? Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC nursing, 16, 5. doi:10.1186/s12912-016-0200-4. University of Phoenix NURS6247 PIP Intervention Discussion ? Vander, E. T., Cavents, C., Daneels, K., Johannik, K., Baillien, E., Van, . B. A., & Godderis, L. (January 01, 2016). Job demands-resources predicting burnout and work engagement among Belgian home health care nurses: A cross-sectional study. Nursing Outlook, 64(6), 542-556. ? Vermeir, P., Blot, S., Degroote, S., Vandijck, D., Mariman, A., Vanacker, T., Peleman, R., … Vogelaers, D. (October 01, 2018). Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study. Intensive and Critical Care Nursing, 48, 21-27. Logo Why Nurse Burnout is a Real Issue in Healthcare and What Organizations Can Do about It Logo The University of Texas Rio Grande Valley Jesus Rebolledo, BSN, RN Characterized by: ?Low person accomplishment; ?Impaired emotions; ?Detachment with patient and peers. ?Testing done through Maslach Burnout Inventory (MBI) survey Significance of Burnout ?Fatigue results to poor quality services. ?Detachment impairs communication. ?

It doubles the chances of preventable medical errors. Quality Measures ?Data from the National Academy of Medicine ?Statistics from the Center for Medicare and Medicaid Services. ?Study results from the Center for Disease Control and Prevention ?Data from the American Nurses Association (ANA) ?Occasional on-site surveys and patient review ?Health outcomes in hospitals and the prevalence of preventable errors ?Nurse schedules and attendance lists. ?MBI self-test results Program Description ?Peer education and awareness ?On pediatric floor. ?To help identifying affected department Theoretical Framework Nursing as Caring ?All humans are naturally caring ?Nursing services focus on beneficence ?It encourages attachment and collaboration between nurses and patients. Social Learning Theory ?Human behavior can elicit change. ?Promotes social learning/learning from peers Theory of Reasoned Action ?It supports mentorship and influential persons. ?Influential persons can help change behavior among nurses ?Nurses encouraged to learn from one another. Theory of diffusion ?Opinion leaders can influence behavior change ?Successful nurses can share their values and tactics to excel ?They can empower junior nurses Prevalence of Burnout ?It raises the cost of care. ?It creates hopelessness among nurses. ?It can be transferred to patients. ?It results to poor results and health outcomes. ?Both nurses and facilities may receive negative reviews. ?Nurses burnout affects more than 10% of all nurses. ?It contributes to childlessness among nurses. ?It can escalate into a permanent problem. ?Reduces nurses performance. ?

Low standards of care. ?It negatively affects patient experience. www.postersession.com ?Overall nurse burnout =>36% ?Emotional exhaustion =>26-31% ?To focus on early detection/prevention. ?To identify nurses at risk ?Organizations to identify means to motivate nurses. ?MBI results to help identify priority areas ?To be implemented by a solid team ?To bring together many stakeholder groups ?Nurses to have 15 minute breaks for peer support ?Detachment => 15-26% ?Programs to encourage self-care. ?Low personal accomplishment => 26-39% Effects of Burnout Other effects ?High cases of absenteeism ?Nurses suffer psychologically. University of Phoenix NURS6247 PIP Intervention Discussion ?Musculoskeletal problems are also common ?Some nurses suffer from gastrointestinal problems ?Cases of insomnia are high ?Burnout causes distraction Peer Education as a Solution ?An effective intervention ?Endorsed by ANA ?Promotes interaction among nurses ?Promotes behavior change ?Leaders should design psychoeducation programs to guide the project ?It is a proactive solution ?It can be organized during breaks ?Nurses take charge ?Nurses can identify and discuss more relevant issues Running head: NURSE BURNOUT PRACTICE INTERVENTION PROJECT Why Nurse Burnout is a Real Issue in Healthcare and What Organizations Can Do about It Jesus G Rebolledo The University of Texas at Rio Grande Valley NURS 7302 LET Dr. Lilia A. Fuentes 07/24/2019 1 NURSE BURNOUT PRACTICE INTERVENTION PROJECT 2 Introduction Nursing is a field that allows no margin for error.

For nurses to provide services that guarantee high-quality and patient safety, it is essential that they are at their best physical, psychological, and physiological state. Unfortunately, nurses are susceptible to physical, mental, and emotional strain that arises from working for long hours and their inability to handle these pressures. This results in nurse burnout, which is defined as the physical, emotional, and psychological stress or strain that affects nurses, and which leads to dulled emotions, detachment, and low levels of motivation in one’s work (Van Bogaert, Peremans. Van Heusden, Verspuy … Franck, 2017). This is a problem that affects both nurses and patients. In nursing practice, the relationship and interaction between nurses and patients are vital as it has a major influence on the quality and relevance of services that these nurses offer. In this regard, research has shown that nurse burnout negatively affects the satisfaction of both the nurses and the patient often leads to poor health outcomes and high chances of errors (Hall, Johnson, Watt, Tsipa & O’Connor, 2016). Thus, it is important that every healthcare facility strives to resolve any cases of nurse burnout as a way of raising its quality of services and improving the welfare of the patient. Nurses encounter many risks of burnout than most other professions.

Watching the patients suffer, striving to ensure the recovery of all patients, having busy schedules, putting others ahead of oneself, and having to work for extended hours, among others, not only expose nurses to physical strain and stress, but they also expose them to high risks of emotional and mental stress (Ribeiro, Filho, Valenti, Ferreira, de Abreu … Ferreira, 2016). In the past, many healthcare organizations did not clearly understand the concept, diagnosis, effects, and measures to address the problem of nurse burnout. Despite increased research and awareness of the problem, Van Bogaert et al. (2016) reports that many facilities still fail to mitigate the problem. In return, this negatively affects service delivery and the welfare of the NURSE BURNOUT PRACTICE INTERVENTION PROJECT 3 patients and the nurses alike. However, ongoing research and increased attention in this field present healthcare providers with a solution and an opportunity to design projects or programs that can address this problem. University of Phoenix NURS6247 PIP Intervention Discussion The purpose of this practice intervention project (PIP) is to help healthcare organizations understand nursing burnout, explore the significance, its characteristics, and identify this condition to help prevent this phenomenon. With the use of Maslach Burnout Inventory (MBI) self-assessment survey healthcare organizations can implement this tool to increase awareness of who is at risk. The application of this survey will not only empower organizations to learn to recognize and become aware but also rethink its structure and examine recommendations to lessen employee exhaustion, depersonalization, and aid in personal achievement development.

Significance of the Problem Patient safety and quality of care have always been guiding factors in nursing practice and other healthcare fields. Unfortunately, these values have been ignored in the past, and they have never been accorded the attention that they deserve. In 1999, a study report by the Institute of Medicine (IOM) that was corroborated by many other studies showed that the healthcare industry lacked the necessary measures to address the problem of patient safety. In its report, IOM attributed between 44,000 and 98,000 annual deaths to preventable medical errors (Makary & Daniel, 2016). Surprisingly, this number exceeded many of the leading causes of death at the time despite medical errors not being recognized as a major cause of death or an inhibitor of patient safety and quality care. As such, healthcare providers were tasked with formulating measures that could uphold these two values in their practice through the prevention of unnecessary medical errors. Nurse burnout is one of the key inhibitors of quality services and patient safety as it directly inhibits the attachment between nurses and the patients while also raising the chances of errors. As Ribeiro et al. (2016), the emotional health of nurses is important as it enhances NURSE BURNOUT PRACTICE INTERVENTION PROJECT 4 communication among themselves and between themselves, physicians, and patients. In this case, detachment results in poor relations that may negatively affect the welfare of the patients.

This is more so the case in vital sections of healthcare, such as primary care that requires personal engagement and interaction between nurses and patients. Burnouts impair communication and collaboration among healthcare providers. In this regard, nursing practice is a field that demands critical concentration and collaboration among different parties. Any breakdown in communication can lead to errors that could be costly for a healthcare provider. Studies have shown that, besides the close to 98,000 patients who die due to preventable medical errors, between $73.5 and $98 billion are directly associated with these errors each year (Makary & Daniel, 2016). The relevance of nurse burnout in medical errors is too high as it is ranked as a key cause of these errors. For instance, a recent study reported that addressing nursing and physician burnouts could reduce medical errors by 50% (Panagiotis, Geraghty, Zhou, Hodkinson … Riley, 2019). Addressing burnout among nurses and other healthcare professionals should thus be prioritized in all healthcare … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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