Grand Canyon University Success of Healthcare System Literature Review While the implementation plan prepares students to apply their research to the probl

Grand Canyon University Success of Healthcare System Literature Review While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

Title page
Introduction section
A comparison of research questions
A comparison of sample populations
A comparison of the limitations of the study
A conclusion section, incorporating recommendations for further research Running head: PICOT QUESTION
1
PICOT Question
Name
Institution
PICOT QUESTION
2
PICOT Question
The healthcare system involves the implementation of strategies that are effective in
enhancing the delivery of quality health services. The problem of nursing burnout, however,
affects the delivery of effective and efficient health services. For example, nurses in critical care
units are faced with the challenge of burnout, which tends to affect productivity and patient
satisfaction in the essential departments (Baranda, 2017). The PICOT question will help in
evaluating the nursing and evidence-based solutions that would be effective in avoiding nursing
burnout.
PICOT Statement
How do critical care nurses (P) prevent burnout (I) through self-care (C) in enhancing
patient satisfaction (O) during clinical practices (T)?
Evidence-based Solution
Nursing burnout in critical care units can be prevented through the implementation of
evidence-based practices that are considered useful in enhancing clinical operations. The
evidence indicates that nursing burnout is caused by emotional exhaustion and depersonalization.
An evidence-based approach was used to assess the correlation between nurses’ burnout and the
intensity of critical care unit operations (Greives, 2016). For example, the evidence approach
indicated that nurses’ burnout is caused mainly by the nurse-to-patient ratios, poor evidencebased clinical practices among the nurses, and incompetence of nursing leadership (Naves,
2016). Therefore, the solutions incorporated the elements of nursing leadership, increased rates
of nurse-to-patient ratios, and implementation of evidence-based clinical practices.
Nursing Intervention
PICOT QUESTION
3
Moreover, nurses’ burnout in critical care units should be prioritized based on the
magnitude and essential operations of the department. Nurses should be keen on preventing the
burnout that may affect the quality of service in the critical care units. For example, nursing
interventions for nurses’ burnout can involve the prevention of physical and mental health of the
nurses (Greives, 2016). Nurses should welcome the elements of self-care, which is vital in
protecting one’s mental and physical health. Also, nursing interventions can involve employee
assistance programs such as on-site and off-site retreats, break-out sessions, stress-reduction
programs, mentoring programs, uses of teamwork to avoid monotonous, rewards and
recognition, offering staff support, management education and training programs, and
encouraging staff to raise their concerns in the work environment (Baranda, 2017). Nursing
interventions are created within the health organization whereby the management and the
employees collaborate to promote the work environment that would reduce burnout.
Patient Care
Furthermore, nurses’ burnout has portrayed adverse effects on the clinical operations and
the outcomes of healthcare service delivery. The results of nurses’ burnout have affected the
quality of healthcare services in many ways. For example, nurses with the problem of fatigue are
faced with the challenge of physical exhaustion, sleep deprivation, and depression, which will
affect the nurses in engaging with the patients (Rios-Risquez & Garcia-Izquierdo, 2016). Patients
in the critical care units require extensive care and attention from the nurses, and any form of
neglect can attract high rates of mortality. Nurses’ burnout will also affect the patient and family
satisfaction, which would cause withdrawals from a healthcare facility or adverse reports raised
by the patients’ family members. Nurses’ burnout also jeopardizes patient safety.
Health Care Agency
PICOT QUESTION
4
Additionally, nursing practices and the issues of burnout can be prevented by the
agencies that represent the healthcare system in policy-making procedures. Agencies such as
government health care departments and legislative representing the health system would
conduct research and recommend methods that would be deemed competent in burnout
prevention. For example, the healthcare system can ensure that the patient-nurse ratio is updated
to prevent the fatigue and to overwork of the nursing practitioners (Shenoi et al., 2018). Also,
healthcare agencies and decision-makers should avoid the shortage of human resources, enhance
the availability of healthcare practice resources, and improve management procedures that are
effective in strengthening care provisions and prevention of employee burnout.
Nursing Practice
Nurses have the mandate of preventing the problems associated with employee burnout.
Nursing practitioners should enhance and improve their work schedules and collaborate with
other professionals in strategies that would prevent burnout. For instance, nurses should increase
the approaches of engaging with healthy and physical activities, taking notes of the stressors and
evaluating procedures of avoiding them, a delegation of tasks where possible, setting boundaries
in the work environment, avoidance of frequencies and daily unhealthy activities, setting
parameters, practice gratitude and seek support from clinical leaders (Ghavidel et al., 2019). The
procedures will be useful in demonstrating the importance of evidence-based approaches to
preventing burnout and fatigue.
PICOT QUESTION
5
References
Baranda, M. (2017). Nurse Burnout and the effects of coping and stress management. Senior
Research Projects. 190, 1-22.
Ghavidel, F., Fallahi-Khoshknab, M., Molavynejad, S., & Zarea, K. (2019). The role of
organizational factors in nurse burnout: Experiences from Iranian nurses working in
psychiatric wards. Journal of Family Medicine and Primary Care, 8(12), 3893.
Greives, N. K. (2016). Implementation of a Nursing Workload Tool to Reduce Nurse Burnout.
Evidence-Based Practice Project Reports. 80. 17-32.
Naves, S. J. (2016). Evidence-Based Recommendations To Address Nurse Burnout: A Best
Practice Approach. University of Arizona. 1-72.
Ríos-Risquez, M. I., & García-Izquierdo, M. (2016). Patient satisfaction, stress and burnout in
nursing personnel in emergency departments: A cross-sectional study. International
journal of nursing studies, 59, 60-67.
Shenoi, A. N., Kalyanaraman, M., Pillai, A., Raghava, P. S., & Day, S. (2018). Burnout and
psychological distress among pediatric critical care physicians in the United States.
Critical care medicine, 46(1), 116-122.
Literature Evaluation Table
Student Name:
Change Topic: The aim of presenting research data on the issues of nursing burnout is coined to the approach of understanding
different perspectives of the discussion. The discussion also aims at providing evidence of nursing burnout and the implications of the
procedures that would be effective in remedying the problem. Therefore, the literature evaluation will focus on the presentation of
recommendations and strategies that are practical in preventing nursing burnout.
Criteria
Article 1
Article 2
Article 3
Article 4
Author,
Baranda, M. (2017). Nurse
Ghavidel, F., Fallahi-
Greives, N. K. (2016).
Naves, S. J. (2016).
Journal
Burnout and the effects of
Khoshknab, M., Molavynejad,
Implementation of a
Evidence-Based
(Peer-
coping and stress
S., & Zarea, K. (2019). The
Nursing Workload Tool to Recommendations To
Reviewed management. Senior
role of organizational factors
Reduce Nurse Burnout.
Address Nurse Burnout: A
), and
Research Projects. 190, 1-
in nurse burnout: Experiences
Evidence-Based Practice
Best Practice Approach.
Permalin
22.
from Iranian nurses working in
Project Reports. 80. 17-
University of Arizona. 1-72.
psychiatric wards. Journal of
32.
k or
© 2015. Grand Canyon University. All Rights Reserved.
Working
https://knowledge.e.souther Family Medicine and Primary
https://scholar.valpo.edu/c
https://repository.arizona.edu
Link to
n.edu/cgi/viewcontent.cgi?
Care, 8(12), 3893.
gi/viewcontent.cgi?article
/bitstream/handle/10150/621
Access
article=1192&context=seni
https://www.ncbi.nlm.nih.gov/
=1081&context=ebpr
959/azu_etd_mr_2016_0279
Article
or_research
pmc/articles/PMC6924250/
Article
Nurse Burnout and the
The role of organizational
Implementation of a
Title and
effects of coping and stress
factors in nurse burnout:
Nursing Workload Tool to Recommendations To
Year
management.
Experiences from Iranian
Reduce Nurse Burnout.
Address Nurse Burnout: A
Published
2017
nurses working in psychiatric
2016
Best Practice Approach
_sip1_m.pdf?sequence=1
wards.
Evidence-Based
2016
2019
Research
▪
▪
Is there a
How do organizational
▪
How does nursing
▪
What are the impacts
Questions
correlation between
factors affect the
burnout affect the
of nursing
(Qualitati
the practice of
quality of your nursing
quality of health
transformational
ve)/Hypo
stress management
care?
care services and
leadership strategies
thesis
and coping
© 2017. Grand Canyon University. All Rights Reserved.
(Quantita
strategies with
tive)
▪
▪
What are the roles of
patient
in improving self-
decreased burnout
organizational
satisfaction?
esteem of the nurses?
in working nursing
management on nurse
students?
burnout prevention?
▪
What are the
▪
What are the benefits
implications of
of self-care of self-
How effective are
using Nursing
care in prevention of
certain coping
Workload Tool
nursing burnout in
mechanisms in
assessing burnout
health care settings?
decreasing nursing
problems?
burnout?
Purposes
To assess the demographic
To examine the experiences of
To improve nursing
To provide various
/Aim of
factors that would cause
nurses in mental health
practice by reducing the
recommendations that is vital
Study
burnout in nursing practice. facilities and the role of
aspects of nursing burnout
in the prevention of nursing
The study also aims to
institutional factors in causing
based on the transfers of
burnout (Naves, 2016).
recommend strategies of
burnout (Ghavidel et al.,
patients with high risks to
coping with burnout to
2019).
a higher level of care
improve patient
(Greives, 2016).
© 2017. Grand Canyon University. All Rights Reserved.
satisfaction (Baranda,
2017).
Design
Quantitative research
A quantitative research
Qualitative research
Quantitative research
(Type of
method
approach
method
methods
Setting/
Evidence obtained from
15 nurses working in
Response from Registered
Nursing practice literature
Sample
literature with the citation
psychiatric wards
Nurse surveys on burnout
and burnout research
issues
evidence
Quantitati
ve, or
Type of
Qualitativ
e)
of burnout in nursing
Methods:
Coworker support
Attention to mental health
Therapy interventions
Nursing engagements
Interventi
Exercise/physical activities
Addressing personal problems
Educating the physicians
Nurse residency program
Family support
Motivation
Increase awareness
Personality dimensions
© 2017. Grand Canyon University. All Rights Reserved.
on/Instru
Positive attitude
Effective HR management
Nursing workload tool
Agreeability and openness
ments
Religion/spirituality
Analysis
The analysis used aimed at
Data analysis was based on the
The use of Nursing
The data analysis was based
reviewing various research
evaluation of organizational
Workload Tool was
on the use of literature
articles that demonstrates
factors that causes nursing
examined based on its
review in examining the
the problem of nursing
burnout. The data was
importance in predicting
prevalence of nursing
burnout and strategies of
analyzed and collected through
the causes of burnout and
burnout and the creation of
coping with the problem
in-depth analysis (Ghavidel et
preventive measures
recommendations (Naves,
(Baranda, 2017).
al., 2019).
(Greives, 2016).
2016).
Key
Stress management lowers
Shortage of Human resources
Nursing workload causes
Physical activities reduces
Findings
nursing burnout
causes burnout
burnout
burnout
Spirituality helped in
Shortage of standard facilities
Increased staffing is
Active involvement in
creating connection with
causes burnout
effective in reducing
medical procedures reduces
peers (Baranda, 2017)
Effective management
burnout (Greives, 2016)
the cases of burnout
approaches reduces the risks of
© 2017. Grand Canyon University. All Rights Reserved.
nursing burnout (Ghavidel et
Managerial support,
Self-care such as enough
al., 2019)
nurse-doctor relationships, sleep, emotional balance, and
and nurses’ involvement
balanced diets will help in
in hospital decision
reducing the risks of burnout
making helps in reducing
(Naves, 2016)
the risks of burnout
Recomm
Personality assessments
Improve the management
Enhance nursing staffing
Increase engagement with
endations
Improve working
procedures
Reschedule the nurses’
nursing professionals
conditions
Enhance human resource
working timetables
Improve the motivational
Enhance patient-staff ratio
management and staffing
Effective management of
strategies
Goal-setting and planning
Provision of nursing work
nursing personnel
Effective management
will help nurses in
resources
Proper placement of
procedures will improve
preventing burnout
Increase nursing staffing
patients in different
nursing practice (Naves,
Education and training on
(Ghavidel et al., 2019)
departments to reduce
2016)
strategies of identifying
overworking (Greives,
2016)
© 2017. Grand Canyon University. All Rights Reserved.
stress and compassion
fatigue (Baranda, 2017)
Explanati
The article demonstrates
The article provides insights
The author enhances the
The article compiles various
on of
the elements of nursing
on the issue of nursing burnout
understanding of the
recommendations and
How the
burnout intervention
as it provides evidence from
various procedures of
suggestions that are crucial in
Article
procedures such as the role
nursing experiences in
nursing burnout
preventing nursing burnout.
Supports
of nurses and
psychiatric medical facility in
intervention programs.
The evidence is obtained
EBP/Cap
organizational management Iran.
The article demonstrates
from a variety of peer
stone
personnel. The author also
the aspects of using
reviewed scientific journals
Project
compiles varieties of
Nursing Workload Tool to through literature reviews.
evidence from the problem
help in predicting nursing
statement.
burnout.
Criteria
Article 5
Article 6
Article 7
© 2017. Grand Canyon University. All Rights Reserved.
Article 8
Author,
Ríos-Risquez, M. I., &
Shenoi, A. N.,
Braga, S. S., de
Adimando, A. (2018).
Journal (Peer- García-Izquierdo, M. (2016).
Kalyanaraman, M., Pillai,
Carvalho, M. L. N.,
Preventing and alleviating
Reviewed),
Patient satisfaction, stress and
A., Raghava, P. S., &
Pimentel, B. L., da
compassion fatigue through
and
burnout in nursing personnel
Day, S. (2018). Burnout
Conceição Sacramento,
self-care: an educational
Permalink or
in emergency departments: A
and psychological distress
R., de Oliveira, I. M. C.,
workshop for nurses. Journal
Working
cross-sectional study.
among pediatric critical
de Oliveira, B. D., … &
of Holistic Nursing, 36(4),
Link to
International journal of
care physicians in the
Ferreira, I. P. (2020).
304-317.
Access
nursing studies, 59, 60-67.
United States. Critical
Self-Care of Intensivist
https://sci-
Article
https://sci-
care medicine, 46(1), 116- Nursing Professionals as
hub.tw/https://doi.org/10.1016 122.
a Strategy to Prevent
/j.ijnurstu.2016.02.008
Burnout Syndrome.
https://sci-
hub.tw/10.1097/CCM.000 International Journal of
0000000002751
Advanced Engineering
Research and Science,
7(6).
© 2017. Grand Canyon University. All Rights Reserved.
hub.tw/https://doi.org/10.117
7/0898010117721581
https://ijaers.com/upload
s/issue_files/6IJAERS05202038-Self-Care.pdf
Article Title
Patient satisfaction, stress and
Burnout and
Self-Care of Intensivist
Preventing and alleviating
and Year
burnout in nursing personnel
psychological distress
Nursing Professionals as
compassion fatigue through
Published
in emergency departments: A
among pediatric critical
a Strategy to Prevent
self-care: an educational
cross-sectional study.
care physicians in the
Burnout Syndrome.
workshop for nurses.
2016
United States.
2020
2018
2018
Research
▪
▪
What are the
What are the
▪
Can injuries
▪
How do nurses
Questions
perceptions of nursing
effects of physical
incurred in
caring for chronically
(Qualitative)/
burnout in the
burnout and
intensive care
ill patients incur
Hypothesis
healthcare system?
psychological
units cause
compassionate
What are the
distress of nurses
physical and
fatigue and burnout?
correlation of nursing
towards the
mental health to
stress and burnout and
healthcare system?
nurses?
(Quantitative)
▪
© 2017. Grand Canyon University. All Rights Reserved.
▪
How does self-care
improve
the perceptions of
▪
▪
How are self-care
compassionate
conflicts increase
processes
fatigue towards
the risks of
effective in
nurses?
nursing burnout?
preventing
clinical procedures?
Can work-home
nursing burnout?
Purposes/
The analysis of the
Estimation of the
To report the importance
Aim of Study
relationship between patient
prevalence of nursing
of education for self-care the risk factors for
satisfaction and the perception burnout and distress in
practices in healthcare
compassionate fatigue in
of work stress and burnout to
critical care units (Shenoi
professional in
nursing practice (Adimando,
the nurses (Rios-Risquez &
et al., 2018).
preventing burnout
2018).
Garcia-Izquierdo, 2016).
Design (Type
of
To increase the awareness of
Qualitative research method
(Braga et al., 2020).
Quantitative research
Qualitative research
Both qualitative and
method
method
quantitative research
Quantitative,
methods were used
or Type of
Qualitative)
© 2017. Grand Canyon University. All Rights Reserved.
Setting/
148 nursing professionals and
253 pediatric critical care
11 nursing professionals
Nurses aged 18 years and
Sample
390 patients
physicians
Methods:
Short-stay patient services
Management of work
Self-care procedures
Empathic emotional support
Intervention/I
Improved occupational
situations
Management of emotion
Self-care procedures
nstruments
environment (Rios-Risquez &
Problem resolution tactics
and frustrations
(Adimando, 2018)
above
Garcia-Izquierdo, 2016)
Recognizing signs and
symptoms of stress
Analysis
The analysis was conducted
Nursing burnout is
Self-care data analysis
Compassion fatigue data was
based on the use of
prevalent in critical care
indicated that nurses can
used to identify the causes of
questionnaires that provided
units and can affect the
prevent burnout based on stress and nursing burnout in
data of burnout prevalence in
delivery of quality health
the use of self-care
emergency departments
care service delivery
strategies.
(Rios-Risquez & Garcia-
(Shenoi et al., 2018).
Izquierdo, 2016).
© 2017. Grand Canyon University. All Rights Reserved.
the medical settings.
Key Findings
Negative perceptions of
Burnout is prevalent in
Conflicts with family
Compassion fatigue is
nursing practice can cause
pediatric departments
and social life causes
caused by cumulative and
burnout
Physical demands of work high risks of burnout
unresolved stress
Short stay services helps in
can cause burnout
Identification of
Educational workshop can
enhancing patient satisfaction
Regular exercise and self-
stressors is crucial in
be effective in burnout
which is crucial in preventing
care helps in preventing
preventing burnout
prevention (Adimando,
burnout (Rios-Risquez &
burnout
(Braga et al., 2020)
201…
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