Running head: LITERATURE REVIEW 1 LITERATURE REVIEW 2Daily Chlorhexidine(CHG) Bath in Oncology Patients to Prevent Hospital Acquired Infections(HAIs) Introduction Comment by Stacey Minor: This should be after the title from title age and should be bold Daily Chlorhexidine(CHG) Bath in Oncology Patients to Prevent Hospital Acquired Infections (HAIs) Health-care-associated infections (HAIs) are infection patients catch while hospitalized, are getting a mounting sum of attention. Substantial skin microbial occupation aids in the spread and growth of HAIs (Denny & Munro, 2017). According to Donskey and Deshpande, (2016), “Patients colonized or infected with health care-associated pathogens often carry the organisms on their skin. Such contamination may lead to infection when factors such as devices, catheters, and wounds provide a route for pathogens on skin to reach normally sterile sites”. For instance, Pagan, (2016) stated that approximately 250,000 CLABSIs manifest in patients with central lines every year. Expenses for treatment of CLABSI is between sixteen thousand ($16,000) to twenty-nine ($29,000) for each infection, the effect is prolonged hospitalization, and an increased percentage of death, up to 35%. Additionally, Waknine, ( 2013) also stated that notwithstanding prevalent application of evidence based practice , up to $9.8 billion is disbursed yearly for management of HAIs, hence infection from wound post operatively is the most expensive to treat..]Comment by Stacey Minor: Should have and between Nevertheless, skin infection can correspondingly be a contributory factor to the spread of pathogens because of environmental peeling and transference to the hands of employees. Consequently, there is a solid validation for efforts to diminish the problem of microorganism on skin (Donskey & Deshpande, 2016, P 17). Therefore, the aim for this work is to evaluate previously written literatures supportive of the writer’s PICOT statement “In Adult Oncology patients, does daily bathing using chlorhexidine gluconate compared to use of soap and water affect the incidence of HAIs (CLABSI) throughout period of hospitalization”. This work will also categorically identify evidences in the peer reviewed literatures. Additionally, the outline, comparing of research questions, sample populations, limitations of the study, conclusion and recommendation will be part of this work. Comparing of Research Questions In every research answering the stated research problem is the most important aspect of the study. In the literatures reviewed, the writer noted that most of the stated problems are unique in their respective ways, but all established the need for eradicating/ preventing HAIs using daily CHG bath. Climo, Yokoe, and Warren, (2013) in their study questioned effectiveness of daily bathing with chlorhexidine-impregnated washcloths on the acquisition of MDROs and the incidence of hospital-acquired bloodstream infections, the researchers us.

1. Running head: LITERATURE REVIEW 1
LITERATURE REVIEW 2Daily Chlorhexidine(CHG) Bath in
Oncology Patients to Prevent Hospital Acquired
Infections(HAIs)
Introduction Comment by Stacey Minor: This should be after
the title from title age and should be bold
Daily Chlorhexidine(CHG) Bath in Oncology Patients to
Prevent Hospital Acquired Infections (HAIs)
Health-care-associated infections (HAIs) are infection patients
catch while hospitalized, are getting a mounting sum of
attention. Substantial skin microbial occupation aids in the
spread and growth of HAIs (Denny & Munro, 2017). According
to Donskey and Deshpande, (2016), “Patients colonized or
infected with health care-associated pathogens often carry the
organisms on their skin. Such contamination may lead to
infection when factors such as devices, catheters, and wounds
provide a route for pathogens on skin to reach normally sterile
sites”. For instance, Pagan, (2016) stated that approximately
250,000 CLABSIs manifest in patients with central lines every
year. Expenses for treatment of CLABSI is between sixteen
thousand ($16,000) to twenty-nine ($29,000) for each infection,
the effect is prolonged hospitalization, and an increased
percentage of death, up to 35%. Additionally, Waknine, ( 2013)
also stated that notwithstanding prevalent application of
evidence based practice , up to $9.8 billion is disbursed
yearly for management of HAIs, hence infection from wound
post operatively is the most expensive to treat..]Comment by
Stacey Minor: Should have and between

2. Nevertheless, skin infection can correspondingly be a
contributory factor to the spread of pathogens because of
environmental peeling and transference to the hands of
employees. Consequently, there is a solid validation for efforts
to diminish the problem of microorganism on skin (Donskey &
Deshpande, 2016, P 17). Therefore, the aim for this work is to
evaluate previously written literatures supportive of the writer’s
PICOT statement “In Adult Oncology patients, does daily
bathing using chlorhexidine gluconate compared to use of soap
and water affect the incidence of HAIs (CLABSI) throughout
period of hospitalization”. This work will also categorically
identify evidences in the peer reviewed literatures.
Additionally, the outline, comparing of research questions,
sample populations, limitations of the study, conclusion and
recommendation will be part of this work.
Comparing of Research Questions
In every research answering the stated research problem is the
most important aspect of the study. In the literatures reviewed,
the writer noted that most of the stated problems are unique in
their respective ways, but all established the need for
eradicating/ preventing HAIs using daily CHG bath. Climo,
Yokoe, and Warren, (2013) in their study questioned
effectiveness of daily bathing with chlorhexidine-impregnated
washcloths on the acquisition of MDROs and the incidence of
hospital-acquired bloodstream infections, the researchers used a
randomized cross over trial to determine the effectiveness of
bathing daily with CHG.
Likewise, in Choi, Park, Kim, and Park, J, (2015), the
researchers focused on determining if daily bathing with
chlorhexidine decreased hospital-acquired BSIs in critically ill
patients. Obvious similarity exists in these studies irrespective
of different HAIs there researched on, the daily use of CHG
bath helped each of their selected sample population.
Conversely, Raluji, Clay, and Yu, (2015) study determined if
daily bathing with Chlorhexidine gluconate can decrease the

3. rate of nosocomial infection in pediatric oncology patients. In
like manner, the writer’s identified statement of problem is
focusing on does daily bathing using chlorhexidine gluconate
compared to use of soap and water affect the incidence of HAIs
(CLABSI) throughout period of hospitalization. Somehow most
of these studies have some similarity in their statement of
problem.Comment by Stacey Minor: No intials
Comparing the sample population
Defining selected group of people to use in a study is a vital
step in the process of conducting a study. In comparison, all
the studies are conducted in hospital setting during admission.
Each of the study evaluating effectiveness of daily bath with
CHG in critically ill patients admitted in intensive care units
respectively. Chen et al conducted their study using Meta-
analysis of randomized controlled trials (RCTs) and quasi-
experimental studies on ICU patients with ventilator days of
27,638, while Nine ICUs and bone marrow transplantation units
in 6 hospitals were observed during their use of CHG
impregnated wipes as against soap and water. Though two of the
studies were conducted in oncology unit as this population
have not been used before, one is pediatric while the other is
adults. Nevertheless, all the study’s findings agree that daily
bath with CHG can significantly reduce as well as prevent HAIs
in their respective selected population.
Comparing the Limitations of the StudiesComment by Stacey
Minor: Heading should be bold
Discussing limitations in studies remains important as it
represent unprejudiced challenges encountered by the

4. researchers that needs to be addressed in subsequent study.
Some constraints can result to disruption of the real outcome /
findings in a study. In Raluji, Clay, & Yu, (2015), the limitation
is associated to the findings of the study which suggests that
daily bath with CHG is effective in reducing the rates of
infection in older pediatric oncology patients (from 12 years
down), unfortunately the effect was not tested on younger
oncology pediatric patients. Donskey, & Deshpande, (2016)
experienced challenges in their research as some of the ICU
patients have large abdominal wound hence making the
application of CHG a difficult task. Also, in Wang & Layon,
(2017), [patients randomized to the control group received soap
and water bath every other day, whereas those randomized to
the experimental group received CHG every other day.
However, the methods describe patients receiving “ad hocbaths”
with soap and water on an as-needed basis. For example, if a
patient needed to be cleansed of feces, urine or blood, a bath
was performed with soap and water. How many of these ad hoc
baths were performed in the soap and water vs the CHG group
was not documented]. This resulted to a twist in the result of
the studies. In all compliancy and team engagement remain the
most challenging aspect of the studies to overcome as it
increases the validity of the findings when all the necessary
variables are in placeComment by Stacey Minor: Outside of the
parenthesis this should be the word and
ConclusionComment by Stacey Minor: Make bold
Currently, improved cognizance of the illness and possible
death caused by HAIs have resulted to intense deterrence
measures. Besides the idea of preventing the problems
associated to HAIs for the sake of the patients, various nations
including United States are developed a policy that HAIs should
be, fundamentally, “never events”. In quest to use this strategy
nationwide there have been incredible improvement in HAI
stoppage, by means of evidence-based “bundles” entailing
teaching associated with insetting and removing the devices,
specifications, empowering nurses and other interdisciplinary

5. team, and the use of CHG baths (Wang &Layon, 2016). Hence
this calls for additional studies in using other sample population
such as oncology patients as most articles focused on intensive
care units. Moreover, most studies were conducted using meta-
analysis and review of other literatures, this calls for further
work to ascertain for sure that HCG bath is the end to HAIs.
References
Chen, W., Quan Cao, Li, S., Li, H., & Zhang, W. (2015). Impact
of daily bathing with chlorhexidine gluconate and ventilator
associated pneumonia in intensive care units: A meta-
analysis. Journal of Microbiology, Immunology and
Infection, 48(2), S58-S59. doi:10.1016/j.jmii.2015.02.125
Choi, E. Y., Park, D., Kim, H. J., & Park, J. (2015). Efficacy of
chlorhexidine bathing for reducing healthcare associated
bloodstream infections: a meta-analysis. Annals of Intensive
Care, 5(1). doi:10.1186/s13613-015-0073-9Comment by Stacey
Minor: CapitalizeComment by Stacey Minor: Page numbers?
Climo, M., Yokoe, D., & Warren, D. (2013). Effect of Daily
Chlorhexidine Bathing on Hospital-Acquired Infection. Journal
of Vascular Surgery, 57(6), 1719-1720.
doi:10.1016/j.jvs.2013.04.015Comment by Stacey Minor:
Capitalization is wrong
Denny, J., & Munro, C. L. (2017). Chlorhexidine Bathing
Effects on Health-Care-Associated Infections. Biological
Research For Nursing, 19(2), 123-136.
doi:10.1177/1099800416654013Comment by Stacey Minor:
Capitalization is wrong
Donskey, C. J., & Deshpande, A. (2016). Effect of
chlorhexidine bathing in preventing infections and reducing
skin burden and environmental contamination: A review of the
literature. American Journal of Infection Control, 44(5), e17-
e21. doi:10.1016/j.ajic.2016.02.024
Raulji, C. M., Clay, K., Velasco, C., & Yu, L. C. (2015). Daily
Bathing with Chlorhexidine and Its Effects on Nosocomial

6. Infection Rates in Pediatric Oncology Patients. Pediatric
Hematology and Oncology, 32(5), 315-321.
doi:10.3109/08880018.2015.1013588Comment by Stacey Minor:
Capitalization
Waknine, Y. (2013). Hospital Infections Cost Billions Study
Shows. Retrieved from
https://www.medscape.com/viewarticle/810372Comment by
Stacey Minor: Capitalization is wrong and when there is no
journal named the title should be italicized
Wang, E. W., & Layon, A. J. (2017). Chlorhexidine gluconate
use to prevent hospital acquired infections—a useful tool, not a
panacea. Annals of Translational Medicine, 5(1), 14-14.
doi:10.21037/atm.2017.01.01
Effect of Nursing Shortage and Turnover on
In-Patients
Running Head: PICOT STATEMENT PAPER
1
Effect of Nursing Shortage and Turnover on In-patients
Nursing shortage and turnover is a serious problem experienced
in the United States of America (USA) and the world at large.
Many states in the USA have inadequate nurses which end up
impairing the quality of service given to the patients especially
in-patients. The few nurses available cannot completely meet
the needs of the patients especially those who critically needs
total care and attention. The few nurses available are usually

7. stressed and in a hurry trying to care for a high number of
patients which is usually impossible. This situations adds stress
to them and increase their chances of quitting the job. Nurses
play a pivotal role in caring for these patients especially the
ones admitted in long term acute care facilities (LTAC) since
they continuously monitor the patients in critical conditions and
provide necessary treatments and medicine to save the lives of
the patients (Stone et al., 2006). There are various reasons
which can be associated with the nurses' shortage and turnover
and these include inadequate nursing educators, inequitable
distribution of nurses, high turnover rate and aging workforce to
name but a few. These problems can be solved by investing in
the development of nurses to make them happy and well
equipped with the knowledge and skills required to handle their
tasks. This can be through training them regularly, giving them
a chance to further their education as they work, paying them
well and giving them appropriate compensations among other
key strategies.
PICOT Statement
Considering the patients in long term care facilities, do
effective investment in the development of nurses compared to
the current standards of nurse staffing in the USA essential in
improving the quality of care of the in-patients?
Clinical problem
The shortage and turnover of nurses is an issue that has raised a
lot of concern as far as the health of the patients is concerned.
This issue has resulted in long patients stay in hospitals,
increased bloodstream infections and increased fatalities. The
patients in acute long term care units require total attention and
monitoring than any other patients requiring basic care. This is
to ensure that their conditions are kept in control. In fact, one
nurse should only handle three or four patients maximum
because of the criticality of these patients. The inadequate of
nurses in the section makes each nurse to handle more than five

8. patients and this decreases the quality of care given to these
patients and increases fatalities or longer stays. (Thompson et
al., 2013). It is therefore vital for the government and
healthcare departments to effectively invest in the development
of nurses to increase their number, education, abilities, and
motivation. There should be adequate schools and nursing
educators to educate and train all the nursing students. As well,
nurses should undergo regular training and education to ensure
they have the necessary skills and education required in their
work. They should be compensated properly and provided with
a conducive working environment which will increase their
working morale (Chandra, & Willis, 2005).
Evidenced-based
Solution
The evidence-based solution to increase the number of nurses
and prevent their turnover is effectively investing in the
development of nurses. Proper investment in the development
of nurses includes increasing nurse educators, allowing nurses
to further their education when they are still working, regularly
training them, providing them with proper compensations to
increase their motivation to work and ensuring there is a
conducive working environment. These strategies will increase
the number of nursing students, make nurses happy, motivated
and comfortable when working and will, therefore, reduce their
shortage and turnover. As a result, the quality of care given to

9. in-patients will improve and the deaths, infections and longer
stays of the patients will also decrease (Thompson et al., 2013).
Nursing Intervention
The role of nurses is very important when it comes to caring for
in- patients. In fact, nurses are termed as “hearts and souls“ of
the hospitals. They are referred to as patients advocates since
they are the ones who spend most of the time with the patients.
They are the ones who administers and evaluate the treatment
given to the patient. According to the research, nurses play an
instrumental role in treating and following the patients to
ensure that they are well and healthy and that their condition is
in control (Butcher et al., 2018). They do research on the best
practices for the patients and also educate the patients and their
families on the ways to keep their conditions in control and live
healthy lives. LTAC nurses continuously assess and monitor
their in- patients to ensure that they provide quality and timely
care to safeguard the lives of the patients. They can change
treatments where necessary to better meet the requirements of
the patients. LTAC is a demanding section and requires
adequate nurses to effectively care for the patients. According
to AACCN (American Association of Critical Nurses), each ICU
nurse should only serve one or two patients (Nursing.com,
2018) this also goes for LTAC patients who are high acuity
patients and also require a high level of care.

10. Patient Care
Patient’s families must be totally involved in the LTAC section
as to be in a position to make important decisions pertaining to
their family member admitted in LTAC especially the vent
patients who do not have advanced directives. The patient’s
families should be given the necessary education to ensure that
they know the need for the provided treatments and
interventions in helping their loved one(s) recover. The success
of the intervention will only be realized if the patient’s family
comply with the medical guidelines and effectively collaborate
with the nurses. The nurses regularly assess the patients to
know whether to change or add additional treatments to improve
patients care.
Health Care Agency
Vibra long term acute care care hospitals are out to ensure that
patient live a healthy life. They carry out research regarding
various illnesses and injuries all with the aim of ensuring that
they provide quality care to the patients and help them recover.
The success of the LTAC units is gauged using the rate of
survival for the patients and their stay in the facility. The
research conducted by the clinic shows that after admission to
the LTAC, the patients should undergo physical and
rehabilitation therapy and services to increase their chances of

11. survival. The research also showed that early mobility services
to the patients after going to the LTAC is vital in decreasing
their stay, the cost of the care, patients and anxiety and as well
improve their strength and functional abilities. The nurses in
Vibra hospital collaboratively work together with the doctors
and specialists in different areas such as speech, language, and
respiratory therapies to ensure they provide the best care to the
patients. In order to provide these patients with the best
interventions, medical services, and therapies, nurses must be
adequate to properly meet these requirements.
Nursing Practice
It is the nurses’ responsibility to provide a safe, secure and
conducive environment for the patients to ensure that they live
healthy lives. As well, they should assist the patient’s family to
understand their conditions and the importance of the provided
medications, therapies and interventions (Maier-Lorentz, 2008).
The nurses have a pivotal role in ensuring that the patients stay
in the LTAC is reduced, reduce infections probable to the
patients, reduce fatalities and as well help the patients recover
and have a normal life. When the nurses effectively collaborate
with the patient’s family and other care specialists, it will be
possible to prevent deaths and minimize in-patients stay.
Conclusion

12. PICOT STATEMENT PAPER
2
The United States has a massive nursing shortage, and the
problem is only set to grow. Due to an influx of patients into
our health system, the retirement of baby boomers, and
educational bottlenecks, nursing positions aren’t being filled
fast enough to keep up with demand ("Shocking Truth about the
Nursing Shortage in the United States," 2018). Currently,
Vibra hospital of Springfield is experiencing a high level of
nursing shortage and turn over , this is hugely because of
unstable patient census. When patient census decreases, nurses
are being called off and this affects their pay checks seriously,
when it persists for a long time some nurses can no longer
handle it making them go seek employment elsewhere. When
eventually patient census comes up like it has at the moment,
there will not be enough nurses to take care of these patients
adequately. Many at times the patient to nurse ratio goes up to
8:1 which makes it difficult to give these patients the best care
they deserve.

13. References
Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., &
Wagner, C. (2018). Nursing Interventions Classification (NIC)-
E-Book. Elsevier Health Sciences.
Chandra, A., & Willis, W. K. (2005). Importing nurses:
Combating the nursing shortage in America. Hospital Topics,
83(2), 33-37.
Maier-Lorentz, M. M. (2008). Transcultural nursing: Its
importance in nursing practice. Journal of cultural diversity,
15(1), 37-43.
Nursing.com (2018). What Does an ICU Nurse Do? Retrieved
from: https://www.bestmasterofscienceinnursing.com/faq/what-
does-an-icu-nurse-do/
Stone, P. W., Larson, E. L., Mooney-Kane, C., Smolowitz, J.,
Lin, S. X., & Dick, A. W. (2006). Organizational climate and
intensive care unit nurses’ intention to leave. Critical care
medicine, 34(7), 1907-1912.
The Shocking Truth about the Nursing Shortage in the United
States (2018). Retrieved from
https://getreferralmd.com/2017/12/on-the-verge-of-a-nursing-
shortage/
Thompson, D. A., Hsu, Y. J., Chang, B. H., & Marsteller, J. A.
(2013). Impact of nursing
staffing on patient outcomes in the intensive care unit.
Journal of Nursing Care, 2(128),

14. 2167-1168.
Literature Evaluation Table
Change Topic (2-3 sentences): Effect of Nursing Shortage and
Turnover on in-patients
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Austin, C. L., Saylor, R., & Finley, P. J.
Psychological Trauma: Theory, Research, Practice, and Policy
http://psycnet.apa.org/buy/2016-52569-001
Galletta, M., Portoghese, I., Carta, M. G., D'aloja, E., &
Campagna, M.
Research in nursing & health

15. https://onlinelibrary.wiley.com/doi/abs/10.1002/nur.21733
Hayward, D., Bungay, V., Wolff, A. C., & MacDonald, V.
Journal of clinical nursing.
https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.13210
Kutney-Lee, A., Germack, H., Hatfield, L., Kelly, M. S.,
Maguire, M. P., Dierkes, A., ... & Aiken, L. H.
The Journal of nursing administration.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5117656/
Article Title and Year Published
Impact on professional quality of life and turnover.
2017
The effect of nurse‐physician collaboration on job satisfaction,
team commitment, and turnover intention in nurses.
2016
A qualitative study of experienced nurses' voluntary turnover:
learning from their perspectives.
2016
Nurse engagement in shared governance and patient and nurse
outcomes.
2016.
Research Questions (Qualitative)/Hypothesis (Quantitative), and
Purposes/Aim of Study

16. What impact does moral distress in physicians have on the
professional quality of life and turnover?
The main purpose of the article is to look into moral distress
and the effects that it has on the professional lives of the
physicians
What is the Effect of Nurse‐Physician Collaboration on Job
Satisfaction, Team Commitment, and Turnover Intention in
Nurses?
The main aim of the research was to look into the effects that
affect the job satisfaction levels of both the nurses and the
doctors
What are the factors that contribute to the turnover of
experienced nurses' including their decision to leave practice
settings and seek alternate nursing employment?
The main aim of the research was to look into some of the
factors that impact the turnover of experienced nurses.
Nurses’ governance has effects on the satisfaction of patients.
Design (Type of Quantitative, or Type of Qualitative)
Quantitative research design
Quantitative
Qualitative Research Design
Quantitative Research Design
Setting/Sample

17. Physicians and nurses but the numbers were not disclosed.
Registered nurses were randomly selected from long term acute
care unit
12 registered nurses
The sample consisted of icu nurses and med/surg nurses
Methods: Intervention/Instruments
A group of nurses and physicians was selected where it was
used as the research sample. The specific time that the whole
process took was not indicated.
Not Indicated
Interviews were conducted where the participants were the 12
registered nurses.
A cross-sectional observational study was used where three
secondary data sources were utilized. A Patient Safety Survey
was also conducted.
Analysis
Not indicated
Voluntary turnover has a significant effect on the shortage of
nurses in most of the institutions. On the other hand, job
satisfaction comes in place to affect voluntary turnover.
Not indicted
The characteristics of the hospital were compared, and they
were based on the engagement of nurses.

18. Key Findings
Results show that moral distress has effects on the performance
of nurses and physicians.
Managerial strategies affect the satisfaction of the employees.
In turn, the satisfaction of the employees dictates if they will
continue working for an organization or not.
The working environment dictates whether a nurse wants to
leave a hospital or not. Some of the factors include gaps in
leadership, relationships between nurses and doctors, and high
patient acuity.
42% of the nurses were found to be engaging with their
counterparts and the patients. 36% were moderately engaged,
and 19 were somewhat engaged. The rest 3% were least
engaged.
Recommendations
It would be essential to implementing emotional wellness
activities. This would help the nurses to overcome the effects
thus affect the turnover rate.
Managers need to look into ways of boosting the satisfaction of
the employees because this directly affects employee turnover.
There is a need for hospitals to look into ways of reducing
turnover and retain wealth. Experienced employees are wealth,
and good care should be taken to them.

19. The engagement of the nurses has an effect on the patients.
Therefore, to promote quality services, there is a need for
patients to be engaged.
Explanation of How the Article Supports EBP/Capstone Project
The article has focused on an issue that touches on the research
topic. Therefore, it means that the article comes in place to
support the capstone project.
The article has touched on the aspect of employee turnover in
the medical field, and that is an indication that the article has
focused on the research topic.
The article has connected employee turnover to the medical
field. Therefore, the article is within the line of the research
topic.
The research topic has concentrated on who the patients are
impacted. Looking at the content, it is apparent that some of the
content answers the research question.
Criteria
Article 5
Article 6
Article 7
Article 8
Author, Journal (Peer-Reviewed), and

20. Permalink or Working Link to Access Article
Hong, E., & Lee, Y. S.
International journal of nursing practice.
https://onlinelibrary.wiley.com/doi/abs/10.1111/ijn.12493
Han, K., Trinkoff, A. M., & Gurses, A. P.
Journal of clinical nursing.
https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.12987
Han, S. S., Han, J. W., An, Y. S., & Lim, S. H.
Japan Journal of Nursing Science.
https://onlinelibrary.wiley.com/doi/full/10.1111/jjns.12067
Hart, P. L., Brannan, J. D., & De Chesnay, M.
Journal of nursing management.
http://www.sciedu.ca/journal/index.php/jha/article/view/6487
Article Title and Year Published
The mediating effect of emotional intelligence between
emotional labour, job stress, burnout, and nurses' turnover
intention.
2016
Work‐related factors, job satisfaction and intent to leave the
current job among United States nurses.
2015

21. Effects of role stress on nurses' turnover intentions: The
mediating effects of organizational commitment and burnout.
2015.
Resilience in nurses: an integrative review.
2014.
Research Questions (Qualitative)/Hypothesis (Quantitative), and
Purposes/Aim of Study
What is the mediating effect of emotional intelligence between
emotional labour, job stress, burnout, and nurses' turnover
intention?
The main aim is to know how emotional intelligence affects the
performance of an employee.
What are Work‐related factors, job satisfaction and intent to
leave the current job among United States nurses? The main aim
of the research was to identify job factors that affect employee
satisfaction in nursing.
Stress has effects on nurses’ retention.
The study was aimed at identifying the factors that affect the
retention of nurses.
Nurse staffing, patient turnover, and safety climate have an
association with in-patient falls and injurious falls
On medical acute care units.
The aim of the study is to look at the associated between the
prevalence of the injuries and nurse staffing.

22. Design (Type of Quantitative, or Type of Qualitative)
Quantitative research design.
A cross‐sectional secondary data analysis.
Survey-based study
Cross-sectional design.
Setting/Sample
Questionnaires were used to collect data from 4th to 22nd of
August.
registered nurses were randomly selected.
A sample of 500 participants was taken. The targeted
participants were the nurses who worked in a long term acute
care hospital.
Nurses in long term acute care units
Methods: Intervention/Instruments
Questionnaires were the instruments that were used to collect
the data.
Not indicated
The questionnaires were utilized in this case.
Not Indicated
Analysis
Not indicated

23. Not indicated
SPSS Version 20.0 was utilized. The tool was used for the
purpose of analyzing the demographics of the participants.
The staffing of the nurses was likely to have an effect on the
falls
Key Findings
Emotional intelligence reduces job stress, and this comes in
place to affect the employees’ turnover.
Nurses who are dissatisfied prove to provide services of lesser
quality.
The means scores were 2.9 when it came to the variables of
interest. When it came to the role for conflict, a mean score of
2.4 was discovered.
The turnover of the patients and the safety climate were not
associated with falls.
Recommendations
The working environment should be made stress free to make
sure that turnover is reduced.
The future research should focus on looking for ways to deal
with the current factors.
To make sure that the retention of nurses is promoted, there is a
need for hospitals to look into some of the factors that affect the
nurses.

24. There is a need to make sure that the next research looks into
how patient turnover can be reduced.
Explanation of How the Article Supports EBP/Capstone
Explanation of How the Article Supports EBP/Capstone
The article touches on employee turnover, and that shows that
its content will be of benefit to the research.
Job satisfaction and employee turnover are two different things
that are connected, and that shows that the article partly
answers the research question.
The article has focused on factors that affect retention.
Retention is the opposite of turnover, and that means that there
is a connection between the article and the research topic.
The article has touched on a matter that has an effect on the
paints and the nurses as far as the matter of retention is
concerned. Therefore, the content is likely to have significant
effects on the research topic.
© 2015. Grand Canyon University. All Rights Reserved.