course materials

1. Discussion: Nurse Burnout Issue in Healthcare Paper
Discussion: Nurse Burnout Issue in Healthcare Paper ON Discussion: Nurse Burnout Issue
in Healthcare PaperAttached is a copy of my PIP (so it can be fixed like you did the other PIP
one). I have also attached her copy so you can see how it flows and how mine needs to look.
I have also attached additional resources and copies of PIPs from other universities to try
and help and make mine look better. Please let me know if there are any questions so we
can work on this project together.
PLEASE!rebolledojnurseburnoutpip_studycopy.docd91a0cfe8a8eba48dc9379b110c72b4a7
.pdfpip_diabetic_criteria_copUnformatted Attachment PreviewRunning 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). Discussion: Nurse Burnout Issue in Healthcare
PaperThus, 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,

2. 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. 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. Discussion: Nurse
Burnout Issue in Healthcare PaperSignificance 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

3. professionals should thus be prioritized in all healthcare settings as it could be a key
solution to the reduction of healthcare costs and medical errors as well as improvement of
patient safety, quality of care, healthcare outcomes, patient experiences, and satisfaction of
the nurses and other professionals. Burnout is one of the most prevalent problems among
nurses and other healthcare professionals. As reported earlier, there are numerous risks
that nurses encounter in their profession that exposes them to burnout. As such, many of
them may experience this problem at any one time if healthcare professionals do not
adequately monitor their practices and implement sufficient controls. A recent study
showed extremely high Maslach Burnout Inventory (MBI) scores of nurse burnout among
10.1% of the nurses in Sao Paulo and a high propensity among 55.4% of all the nurses
(Ribeiro, Filho, Valenti, Ferreira … Ferreira, 2014). The same study also cited this problem
as one of the reasons that most of the nurses in these NURSE BURNOUT PRACTICE
INTERVENTION PROJECT 5 regions are childless women past 35 years. While presenting
their solutions to the problems, the authors insisted that the prevention of nurse burnout
should be prioritized as it is more effective than other forms of management. These
assertions are consistent with a report by Hall et al. (2016) that termed nurse burnout as
one that can easily turn into a permanent problem if inadequately unaddressed. With the
emergence of reliable tools to test nurse burnout rates and potential solutions, healthcare
organizations should work collaboratively with the nurses as one of the ways to address
nurse burnout and create an improvement at both personal and organizational level.
Discussion: Nurse Burnout Issue in Healthcare PaperThere are several studies that have
broken down this topic into the distinct forms of burnout. In this case, emotional exhaustion
has been found to vary from 28% to 31% depersonalization at 15% to 21% and low
personal accomplishment at from 31% to 39% (Monsalve-Reyes, San Luis-Costas, Gómez-
Urquiza, Albendín-García … Cañadas-De la Fuente, 2018; Pradas-Hernández, Ariza, Gómez-
Urquiza, Albendín-García, De la Fuente & Cañadas-De la Fuente, 2018). From these two
studies, it is clear that nurse burnout has an effect on both patient experience and the ability
of nurses. This is in the sense that a nurse will have poor performance while the patients
will experience poor quality health that is also of low safety standards. As such, addressing
nurse burnouts could serve as a key solution to both personal and professional problems in
nursing practice, which could eventually improve the healthcare sector from all areas.
Nurse burnout is a significant issue among nurses because it leads to detachments and
dulled emotions among nurses. Also, organizations must take nurse burnout with
seriousness because it undermines motivation among the nurses, leading to a sense of
hopelessness among the nurse staff. Burnout cascades to the patients and thus healthcare
organizations must prioritize the quality of healthcare provided to the patients (Jennings,
2016). A high rate of burnout among nurses will thus lead to negative reviewed and
feedback from patients to the NURSE BURNOUT PRACTICE INTERVENTION PROJECT 6 low
patient satisfaction with the quality of healthcare they receive. Therefore, nursing burnout
is an issue that must worry about all stakeholders in the healthcare sector. Quality
Measures Every program should have a set of measures that should help in evaluating its
effectiveness. In this practice intervention project, the focus is on early peer education as a
solution for nurse burnout. As has been identified in the section above, this is a problem of

4. great significance in nursing practice, and that should be prioritized by all healthcare
providers aiming at improving the satisfaction of their staff, improving the quality of their
services, enhancing patient safety, and improving the general outcomes of care. Discussion:
Nurse Burnout Issue in Healthcare PaperHowever, every program that an organization
implements should be closely monitored against a set of goals and objectives to ensure that
it yields the desired results. The performance and quality measures should provide a clear
view of the improvements that have been achieved and its impact on various elements of
patient care. One of the most important quality measures is the National Academy of
Medicine (NAM). This is a non-profit agency that was widely known as the Institute of
Medicine (IOM) before it was renamed to NAM. This agency is an important source of data
regarding nurse burnout programs and particularly in relation to patient safety and the
occurrence of preventable medical errors. As mentioned earlier, research has shown that
when addressing the physical, emotional, and mental exhaustion known as burnout, this
could reduce medical errors by 50%. “To Err is Human,” which is a popular report
published by IOM attributed a maximum of 98,000 annual deaths to preventable medical
errors (Makary & Daniel, 2016). Data from the agency regarding the prevalence of medical
errors could thus be an important quality measure for peer education as a solution for
nurse burnout. The project will be guided by three critical quality measures of the MBI tool
alongside other measures like the prevalence of preventable errors, patient satisfaction,
absenteeism, NURSE BURNOUT PRACTICE INTERVENTION PROJECT 7 productivity, and
changes in the cost of care, among others. The three core MBI measures are emotional
exhaustion, personal accomplishment, and depersonalization. As explained by Loera,
Converso and Viotti (2014), emotional exhaustion is measured through a series of nine
items from the MBI scale that test the emotional outcomes from one’s work. The peer
education program’s outcomes will be measured in the changes in the MBI scores of a nurse
before and after its implementation. On the other hand, depersonalization will be measured
through a series of items along the MBI scale that tests the impersonal response of a nurse
towards the patients. The scores of the nurses are expected to decline if the program is
successful. Regarding the third measure, the personal accomplishment of a nurse is
important as it measures how competent nurses consider themselves. According to Heeb
and HabereyKnuessi (2014), this is particularly important as it also helps to understand the
perception that nurses have on their job, which could then be used to improve their
experience and satisfaction in their work. Discussion: Nurse Burnout Issue in Healthcare
PaperThis measure will thus be used for improvement in areas outside the burnout
boundaries. Nurse burnout is the mental physical and emotional state that nurses
experience after chronic overwork and a sustained lack of support and job fulfillment at
their workplace. The symptoms of nurse burnout include emotional and physical
exhaustion having a low sense of personal accomplishment at work, and cynic related to
their work. Untreated burnout may advance into clinical depression manifesting itself as
unaddressed symptoms. The Center for Medicare and Medicaid Services (CMS), the Center
for Disease Control and Prevention (CDC), and the American Nurses Association (ANA)
would also be important quality measures. These agencies track health outcomes and
clinicians’ welfare data. They also fund several research studies related to nurse burnout

5. and its impact on health outcomes. Data from these sources could be used together with
results from the evaluation of nurse burnout through the MBI scale. Evaluation results that
show nurse burnout rate that is higher than that NURSE BURNOUT PRACTICE
INTERVENTION PROJECT 8 recorded by the above agencies would be an indication that an
intervention program has failed. Additionally, related outcomes including the prevalence of
preventable health outcomes will also be analyzed against data provided by these agencies.
They are thus some of the most important quality measures in the sector. Among the major
ways through which nurse burnout may be addressed by first of all studying and
understanding the stressors that cause the burnout. Depending on whether the cause of the
nurse burnout is emotional, physical, or environmental stress, the burnout should be
addressed by solving the exhaustion among the nurses (Cañadas-De la Fuente, Vargas, San,
2015). Once these symptoms of exhaustion are identified and addressed before the nurse
becomes overwhelmed, the nurse should be advised to take remedial and break form the
nurse activities to relieve self from such stressors. Recognizing the warning signs would
thus enable various agencies to initiate necessary intervention measures to prevent the
situation by facilitating the evaluation of nurse burnout through the MBI scale (Jennings,
2016). Prioritizing authentic leadership will help in measuring the strain of burnout, thus
identifying the areas of stress that need attention. Discussion: Nurse Burnout Issue in
Healthcare PaperGiving the nurses a positive wellness program will help the nurses to
confide in professionals who can help them overcome the burnout (Erickson & Grove,
2007). Nurses should also give priority to their health and pay attention to control their
health. Managing stressful emotion and protecting one’s passion would also help nurses
overcome burnout. Resilience, self-care, recognizing triggers and stressors, as well as
creating a strong relationship with co-workers also help overcome burnout. Most nurses
experience nurse burnout due to work-related issues going by the findings of the Center for
Medicare and Medicaid Services (CMS). Regularly, nurses work in an environment where
they deal with life and death, thereby facing an emotional strain of losing their patients.
CMS (nd) also notes that the nurses may experience burnout as a result of the NURSE
BURNOUT PRACTICE INTERVENTION PROJECT 9 emotional distress of helping the grieving
family members to overcome the pain of losing their loved one. Also, CMS (nd) notes that
nurses in the emergency and critical care department are the most affected group because
they get overwhelmed with the stressful environment which makes them susceptible to
these burnout symptoms. The Center for Disease Control and Prevention (CDC) argue that
nurses may suffer burnout as a result of the long shifts that last for more than 12 hours
leading to stress and exhaustion. While these causes of nurse burnout are work-related,
CDC (nd) also notes that the individual personality of the nurses may also be a major
contributing factor to burnout. The collaborative work environment of nurses makes nurses
lack independence when it comes to clinical decision-making (Erickson & Grove, 2007).
Also, the nurses are always under constant pressure to meet the expectation of the patients
and their families, thus making them susceptible to mental exhaustion. Discussion: Nurse
Burnout Issue in Healthcare PaperIf a nurse gets into the professional with a sole aim of
providing help to patients and their families, the chances of experiencing nurse burnout are
very high because they tend to get personal with their success or failure at work. The

6. American Nurses Association (ANA) argues that nurse burnout may arise out of the
relationship that nurses such as those in the oncology department form with patients. The
time that nurses spend with patients as they battle chronic conditions leads to an emotional
attachment which makes the nurses develop an acute feeling of loss in case the patients
pass away (Holdren Paul, David & Coustasse, 215). The greater sense of urgency with which
nurses in the emergency departments are required to attend to the patients also exposes
the nurses to more risks of experiencing burnout. The nurses also experience burnout as a
result of the pressure they face regularly and the exceptionally large volume of patients that
these nurses, especially those in the emergency department handle (Rushton, Batcheller,
Schroeder & Donohue, 2015). Also, the shortage of NURSE BURNOUT PRACTICE
INTERVENTION PROJECT 10 nurses in the market has contributed to the overwhelming of
nurses as they attend to patients, thereby leading to stressful situations that develop into
burnout. Discussion: Nurse Burnout Issue in Healthcare PaperDescription of the Program
The planned resolution is to implement education and awareness on the pediatric floor
within a nursing organization to detect and obtain information on the prevalence of nurse
burnout. Nurse burnout is a global phenomenon that has led to turnover, job dissatisfaction,
poor quality of work and essentially decreased patient outcomes. A survey conducted in
2017 by Kronos, Inc uncovered that 93 percent of nurses reported feeling mentally and or
physically tired at the end of the workday, 90 percent had considered leaving the hospital
they worked at to find something more balanced, 37 percent of nurses reported that they
worried about how their fatigue could increase the chance of making mistakes and 11
percent actually admitted to making mistakes as well as 28 percent who admitted to calling
in sick just to get some time to rest. Understanding these statistics represents the dire need
of an education program to be implemented in the United States as well as in different
countries within organizations to identify employees who are potentially at risk for
burnout, and employees who are indeed burned out. Early identification of burn out can
help the nurse individually as well as organizationally. Individually because the nurse is
able to seek and obtain help and organizationally because of the cost of an organization
losing nurses to burnout. With the implementation of a strong education and awareness
program the need for an appropriate scale to measure and analyze is required. The MIB is a
tool that will be administered to nurses to self-assess and provide information as to
whether they may be at risk for burn out, which is essential in this education program. The
Maslach Burnout Inventory (MBI) is a vital tool in covering three major components which
include exhaustion, depersonalization and personal achievement and should be placed in
organizations where ever nurses work. Using the Masl