6 PAGES EXCLUDING ABSTRACT, TITLE PAGE, AND REFERENCE
For this proposal, you MUST include an ABSTRACT and A CONCLUSION. I have also attached the timeline and review of literature paper that was previously done.
ID Problem and Clinical The problem is Nurse burn out
PICOT– Among nurses experiencing burnout in a home health setting, how does introduction of a mindfulness-based program(I) as compared to no mindfulness-based program (C) affect nurse burnout(O) within 6 months (T)
The project plan aims to address the issue of burnout among home health nurses in the organization and improve their mental health and well-being, job satisfaction, retention rates, and patient care and safety.
The project's PICOT question is: Among nurses in a home health setting or an inpatient hospital experiencing burnout(P) how does the use of an introduction and mindfulness-based program(I) as compared to no intervention© affect burnout(O) within 6 months(T)?
The main participants for this project is the nurses and staff of the home health agency and stakeholders which includes the Director of Nursing, the administrative team of Mercris Home health, nursing staff, and Nurse practitioner.
CLINICAL SIGNIFICANCE OF THE IDENTIFIED PROBLEM TO ADVANCED PRACTICE NURSING
REVIEW OF LITERATURE- YOU CAN USE NEW ONES FOR NURSE BURN OUT (In two pages writes a succinct synthesis of key concepts of the representative literature related to the identified problem.) I HAVE ATTACHED STUDENT’S OLD REVIEW OF LITERATURE PAPER HERE AS WELL AS DNP SCHORLLARLY PROJECT PLANNING ONE .( The literature review focused on the issue of burnout affecting nurses, its impact on patient outcomes and nurse retention rates, and the potential of mindfulness-based interventions as a solution. The search process for this literature review involved using Northern Kentucky University’s online library to search the databases to name a few: The Cumulative Index to Nursing and Allied Health Literature (CINAHL COMPLETE), MEDLINE PLOS ONE, Routledge Taylor & Francis Group, and SAGE. There are also reputable search engines such as John Hopkins and Cincinnati Children’s evaluation sources used to find credible articles on the topic. The search terms used were “issue of burnout affecting nurses,” “cases of nursing burnout,” “stress reduction for nurses,” “the effect of large workload on nurses,” “interventions to manage nursing burnout,” and “mindfulness-based programs. “The review involved searching various academic databases and search engines to obtain 1500 articles, of which only seven were selected founded on inclusion and exclusion standards. The articles reviewed emphasized the effectiveness of mindfulness-based interventions, workload as a contributing factor to burnout, and the importance of self-compassion as a protective factor against burnout.
The first theme which emerged from the review was the effectiveness of mindfulness-based interventions in reducing burnout among nurses. The studies reviewed suggested that mindfulness-based interventions such as meditation and yoga can help minimize emotional distress and burnout in nurses (Green & Kinchen,2021). The review found that mindfulness-based stress reduction, cognitive therapy, and mindfulness-based interventions designed for nurses effectively reduced burnout symptoms.
The second theme identified in the review was the relationship between workload and burnout. Studies found that a high workload was strongly associated with an increased risk of burnout. However, the review also found that personal, social, and organizational resources could mitigate the impact of workload on burnout. This underscores the importance of addressing workload and individual, social, and organizational factors to reduce burnout among nurses (Diehl et al.,2021).
The third theme from the review was self-compassion as a protective factor against burnout (Marconi et al. 2019). Nurses who practice self-compassion are less likely to experience burnout, and self-compassion may also help lessen the relationship between burnout and compassion blockers. Studies suggest that self-compassion education could aid nurses in preventing burnout. The review found that compassion-focused, mindfulness-based training increased healthcare professionals' capacity for self-compassion, demonstrating that self-compassion-promoting therapies may be useful in lowering nursing burnout (Marconi et al. 2019).
The literature review suggests that mindfulness-based interventions, workload management, and self-compassion education can be practical tools to reduce burnout among nurses. However, it is essential to recognize that these interventions should not be viewed as a substitute for addressing the root causes of burnout. Instead, they can be combined with organizational support to promote nurses’ well-being and reduce burnout rates)
THEORETICAL FRAMEWORK/PROJECT IMPLEMENNTATION MODEL THAT SUPPORTS THE PROJECT- PDSA MODEL- The project will use a quality improvement (QI) framework and the Plan-Do-Study-Act (PDSA) cycle for ongoing quality enhancement (Tawfik et al., 2018). The QI model is a tried-and-true method for implementing changes in healthcare settings, and the PDSA cycle highlights the significance of continuous improvement. The project's expected outcomes include reduced burnout levels, increased resilience and mindfulness, and increased job satisfaction among participating nurses.
METHODS SECTION
STUDY PARTICIPANTS- NURSES WITH AT LEAST 2 YEARS OF EXPERIENCE
SETTING- HOME HEALTH OFFICE FOR THE IMPLEMENTATION-
INTERVENTION- The proposed intervention involves creating “The Space of Mindfulness” at Mercris Home Health, where nurses can relax after a hard day's work or stop by when they are overwhelmed. The mindfulness-based program will be implemented for six months, and critical participants will be nurses working in the facility for over two years. The mindfulness-based program will be implemented for a total of six months however in 12-week cycles, and critical participants will be nurses that have worked for the company for at least two years
TOOL – WE WOULD BE USING THE MBI-HSS, FFMQ-SF, SELF COMPASSION SCALE AND PROQOL
PERMISSION FOR TOOL-MBI-HSS REQUIRED LICENSE TO BE PURCHASED @mindgarden.com NOT SURE ABOUT THE REMAINING 3 LISTED ABOVE WHETHER WE NEED PERMISSION AND PAYMENT BUT MBI WE NEED TO PAY 2.50 PER ONE SURVEY
INDICATE NEED FOR IRB- SITE PERMISSION,
EVALUATION METHOD-DATA COLLECTED, STATISTICAL TESTS – ( Methods and Instruments for Data Collection and The Evaluation Plan
The data collection process will utilize surveys like the Maslach Burnout Inventory (MBI) and the Five Facet Mindfulness Questionnaire (FFMQ-SF), to gather data on burnout and mindfulness levels (Furr et al., 2018). After six weeks of the cycle repetition in “the mindfulness room,” To analyze the first result, lessened nursing burnout, using the Maslach Burnout Inventory (MBI) which consists of three subscales: emotional exhaustion, depersonalization, and reduced personal accomplishment. The MBI will be administered to participants before and after the mindfulness-based program to assess if burnout levels have decreased statistically. A decrease in scores on the emotional exhaustion and depersonalization subscales and an increase in scores on the reduced personal accomplishment subscale will indicate a reduction in burnout levels (Wolf et al., 2021). The MBI has been shown to be a well-validated and frequently used tool used to quantify burnout (Wolf et al., 2021, p. 323). Another tool to measure the outcomes would be the Professional Quality of Life (ProQOL) Scale -this will be used to gauge levels of burnout. In all three facets of professional quality of life ranging from compassion Satisfaction, Burnout, and Secondary Traumatic Stress (Wolf et al., 2020, p.328).
The second outcome, enhanced mindfulness, and self-compassion will be evaluated using two validated instruments: the FFMQ and the Self-Compassion Scale (SCS). The FFMQ is a 24-item questionnaire that has good validity and psychometric characteristics that assesses five facets of mindfulness: observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience (Bohlmeijer et al., 2019).
The SCS is a 26-item questionnaire that measures the degree to which individuals have compassion for themselves in times of difficulty. We will administer the FFMQ and SCS to participants before and after the mindfulness-based program to determine whether self-compassion and mindfulness have statistically improved during the training (Furr et al., 2018).
The validated Job Satisfaction Survey (JSS) will evaluate the third outcome, improved job satisfaction. The JSS is a 36-item questionnaire that assesses nine facets of job satisfaction, including pay, promotion opportunities, supervision, and co-workers. We will administer the JSS to participants before and after the mindfulness-based program to determine whether there have been any changes in job satisfaction levels. Increased scores on the JSS will indicate improved job satisfaction (Tawfik et al.,2018).
The evaluation plan will provide a comprehensive and rigorous assessment of the outcomes of the mindfulness-based program, using recognized and validated tools to measure burnout, mindfulness, self-compassion, and job satisfaction (Tawfik et al.,2018). The pre-and post-intervention comparisons will allow us to determine whether the program has effectively reduced burnout and promoted well-being among nurses (Shapiro et al.,2018).
SUSTAINABILITY OF PROJECT FOR THE FUTURE- FORMAT ACCORDING TO THE JOURNAL OF CHOICE
