Introduction
The implementation of evidence-based practice (EBP) plays a pivotal role in informing nursing judgments and guaranteeing the provision of secure, proficient, and empathetic patient-focused care, particularly within the framework of the geriatric demographic. The primary objective of this literature review is to delve into a nursing clinical practice predicament that pertains to the elderly demographic. Furthermore, it seeks to scrutinize a pair of research articles that are grounded in evidence and have been sourced from esteemed nursing journals, all of which have been published within the preceding five-year period.
Research Selection and Identification
The selected academic articles center their attention on the matter of burnout among nurses working in emergency departments, a pressing concern that significantly impacts the healthcare labor force. The phenomenon of burnout not only exerts a profound impact on the overall state of well-being experienced by individuals, but also bears significant ramifications for the provision of patient care and subsequent outcomes thereof. These articles employ a quantitative research design, employing measurable data to examine the ramifications of a stress management program on the level of job satisfaction experienced by nurses working in emergency departments.
Scientific Method Utilized
Both articles employ a quantitative research methodology, placing emphasis on the utilization of quantifiable and measurable data in order to assess the efficacy of the stress management program. This particular methodology facilitates the process of quantifying the various outcomes, thereby offering a numerical foundation for assessing the efficacy of the intervention.
Problem/Question (PICOT Question)
The PICOT question guiding this review is: In emergency department nurses experiencing burnout, does implementing a stress management program compared to no intervention result in improved job satisfaction in three months? This question succinctly captures the key components: the population (emergency department nurses), intervention (stress management program), comparison (no intervention), outcome (improved job satisfaction), and time frame (three months).
Literature Review
The literature review undertakes a comprehensive exploration of the pressing matter of burnout within the realm of healthcare practitioners, specifically directing attention towards the esteemed cadre of emergency department nurses. The first academic publication authored by Karbakhsh Ravari et al. (2020) delves into an examination of the ramifications stemming from a time management workshop on the levels of occupational stress experienced by nurses working in emergency departments. In spite of the diligent implementation of an extensive 8-hour workshop, the empirical study has unveiled that the acquisition of time management skills in isolation did not yield a statistically significant reduction in occupational stress levels. The findings indicate a pressing necessity to attend to additional stressors beyond the realm of time management.
Yildirim et al. (2023) make a valuable contribution to the ongoing discourse by undertaking a comprehensive examination and meta-analysis of interventions aimed at mitigating the phenomenon of burnout among nursing professionals. The comprehensive investigation encompasses a total of 19 scholarly articles, which shed light on the efficacy of person-directed interventions, specifically those designed to mitigate the decline in personal accomplishment. Nevertheless, it is imperative to acknowledge the dearth of substantial evidence pertaining to interventions that are specifically directed towards organizations. This glaring gap underscores the pressing necessity for the implementation of all-encompassing methodologies in forthcoming research endeavors.
The research study conducted by De Oliveira et al. (2019) provides valuable insights pertaining to the implementation of preventive measures aimed at mitigating the deleterious effects of burnout syndrome among nurses. This contribution is achieved through an integrative review of the existing literature, thereby consolidating and synthesizing the knowledge in this domain. The review effectively classifies interventions according to their respective levels of implementation, namely the individual, group, and organizational domains. The preponderance of empirical investigations pertaining to group interventions consistently reveals a higher incidence and efficacy. Nevertheless, it is worth noting that three distinct interventions, namely the implementation of systematic nursing supervision, the provision of fundamental nursing care, and the incorporation of psycho-oncological training, failed to yield the desired enhancements in mitigating burnout.
Aryankhesal et al. (2019) undertake a comprehensive examination in the form of a systematic review, with the objective of elucidating interventions that may effectively mitigate the phenomenon of burnout within the medical profession, specifically among physicians and nurses. The study encompasses a diverse array of interventions, including team-based programs, training in coping and communication skills, as well as psychological interventions such as yoga and mindfulness practices. While it is widely observed that the majority of interventions yield favorable outcomes in mitigating burnout, the intricate nature of this phenomenon implies that a holistic approach involving a confluence of interventions may be imperative for achieving comprehensive amelioration.
In their seminal work, Haugland et al. (2022) put forth a compelling proposition in the form of a resilience bundle, which serves as an evidence-based practice project aimed at mitigating the pervasive issue of burnout within the realm of emergency nursing. The research underscores the efficacy of employing a comprehensive array of instruments to bolster the resilience of nurses, thereby ameliorating the deleterious effects of burnout. Resilience bundles, meticulously crafted to seamlessly assimilate into preexisting routines, exhibit superior efficacy compared to solitary strategies, particularly within the framework of the escalated burnout experienced subsequent to the COVID-19 pandemic.
The academic study conducted by Lee and Cha (2023) serves to enhance our comprehension of burnout interventions through the implementation of a meticulous systematic review and meta-analysis. The research encompasses a total of 30 scholarly articles, wherein face-to-face mindfulness group interventions emerge as the prevailing modality. The empirical evidence suggests that interventions have the potential to ameliorate burnout, particularly with regards to mitigating emotional exhaustion and depersonalization. Nevertheless, it is worth noting that these interventions do not yield substantial enhancements in terms of one’s sense of low personal accomplishment.
The academic research conducted by Wang et al. (2023) delves into the intricate realm of mindfulness-based interventions and their potential impact on stress and burnout among nurses. This investigation takes the form of a meticulous systematic review and meta-analysis, employing rigorous methodologies to synthesize existing literature and draw insightful conclusions. The research encompasses a total of 15 trials, which effectively illustrate that the practice of mindfulness training yields a moderate level of efficacy in mitigating stress levels. Furthermore, it is noteworthy that this training exhibits a significant impact in diminishing burnout, specifically in relation to emotional exhaustion and depersonalization. The enduring enhancement in stress levels within a limited timeframe underscores the prospective advantages of interventions rooted in mindfulness.
In a notable development, Scholarworks and McCue (2022) have presented a commendable endeavor wherein they undertake a quality improvement project centered around the utilization of mindfulness-based stress reduction techniques. The primary objective of this project is to effectively mitigate the prevalent issue of burnout among emergency nurses. The empirical data suggests that implementing such interventions can effectively mitigate workplace stress associated with burnout, with a particular emphasis on the pragmatic utilization of mindfulness techniques within healthcare environments.
In essence, the academic literature elucidates a nuanced and comprehensive strategy for mitigating burnout within the cadre of healthcare practitioners, with a specific focus on the esteemed cohort of emergency department nurses. While the utilization of time management skills, person-directed interventions, and resilience bundles exhibits potential, the amalgamation of various strategies, encompassing mindfulness-based interventions, may present a more holistic approach to alleviate burnout within the healthcare workforce.
Clinical Environment and Purpose of the Study
Both studies were conducted within the confines of emergency department settings, duly acknowledging the distinctive hurdles encountered by nurses amidst the rapid and dynamic nature of this environment. The primary objective of this research endeavor is to evaluate the ramifications of a stress management program on the level of job satisfaction experienced by emergency department nurses. The ultimate aim is to gather empirical evidence that supports the implementation of interventions geared towards augmenting the overall well-being of these healthcare professionals.
Conclusion/Evaluation of the Study
In summation, these articles elucidate the salient matter of burnout amidst emergency department nurses. The implementation of a stress management program presents itself as a viable remedy to enhance job satisfaction and mitigate the effects of burnout. As a diligent scholar pursuing a career in nursing, the seamless integration of research discoveries into the realm of clinical practice necessitates a profound appreciation for the imperative nature of mitigating nurse burnout. Moreover, it entails a resolute commitment to championing the adoption of interventions grounded in empirical evidence, thereby fortifying the overall welfare of healthcare practitioners.
References
Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Behzadifar, M., Sohrabi, R., & Farhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical Journal of the Islamic Republic of Iran, 33(77), 77. https://doi.org/10.34171/mjiri.33.77
de Oliveira, S. M., de Alcantara Sousa, L. V., Vieira Gadelha, M. do S., & do Nascimento, V. B. (2019). Prevention Actions of Burnout Syndrome in Nurses: An Integrating Literature Review. Clinical Practice & Epidemiology in Mental Health, 15(1), 64–73. https://doi.org/10.2174/1745017901915010064
Haugland, W. A., Crenshaw, J. T., & Gilder, R. E. (2022). Implementing a Resilience Bundle for Emergency Nurses: An Evidence-Based Practice Project. Journal of Emergency Nursing, 49(1). https://doi.org/10.1016/j.jen.2022.08.009
Karbakhsh Ravari, A., Farokhzadian, J., Nematollahi, M., Miri, S., & Foroughameri, G. (2020). The Effectiveness of a Time Management Workshop on Job Stress of Nurses Working in Emergency Departments: An Experimental Study. Journal of Emergency Nursing, 46(4), 548.e1–548.e11. https://doi.org/10.1016/j.jen.2020.03.013
Lee, M., & Cha, C. (2023). Interventions to reduce burnout among clinical nurses: systematic review and meta-analysis. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-38169-8
Scholarworks, S., & Mccue, D. (2022). Mindfulness-Based Stress Reduction to Decrease Burnout in Mindfulness-Based Stress Reduction to Decrease Burnout in Emergency Nurses: A Quality Improvement Project at an Emergency Nurses: A Quality Improvement Project at an Academic Medical Center Academic Medical Center. https://scholarworks.boisestate.edu/cgi/viewcontent.cgi?article=1043&context=dnp
Wang, Q., Wang, F., Zhang, S., Liu, C., Feng, Y., & Chen, J. (2023). Effects of a mindfulness-based interventions on stress, burnout in nurses: a systematic review and meta-analysis. Frontiers in Psychiatry, 14, 1218340. https://doi.org/10.3389/fpsyt.2023.1218340
Yildirim, N., Hande Yeşilbaş, & Filiz Kantek. (2023). Interventions to reduce nurses’ burnout: A systematic review and meta‐analysis. Japan Journal of Nursing Science. https://doi.org/10.1111/jjns.12542
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