Nurse Burnout
Example 1 ( Robinson)
Nurse Burnout
Nurse burnout is a prevalent phenomenon comprising intellectual, emotional, and physical fatigue. Research reveals that burnout results in physical and psychological disorders among nurses, leading to increased turnover and low job satisfaction (Shah et al., 2021). The pandemic has caused even more burnout among healthcare workers.
PICOT Question
Nurses working in hospital settings (P), how does the implementation of a structured wellness program that includes regular mental health assessments, stress management training, and scheduled time for rest (I), compared to the absence of a structured wellness program (C), affect the prevalence of burnout symptoms and job satisfaction (O) over one year (T)?
Shah et al.’s (2021) article discusses the threat of burnout among nurses in the United States healthcare system, highlighting the significant proportion of nurses in the workforce and their crucial role in patient care. The authors emphasize the negative impact of demanding workloads and poor work environments on nurse burnout. The article emphasizes the need for interventions such as structured wellness programs to address burnout symptoms and improve nurses’ job satisfaction, aligning with the PICOT question. Implementing a structured wellness program, as outlined in the PICOT question, could address the factors contributing to burnout, such as workload management and organizational support discussed in the Shah Et al. (2021) article.
Jun et al.’s (2021) article provides a comprehensive overview of burnout among healthcare professionals, including nurses. The scholars emphasize that burnout has a detrimental effect on both individuals and the healthcare system. According to Jun et al. (2021), workload, communication issues, and leadership challenges are some of the individual and organizational factors contributing to burnout. Therefore, there is a need to address the issue of burnout for the well-being of nurses, patient safety, and quality of care. Jun et al.’s (2021) study highlights the need for interventions like structured wellness programs to mitigate burnout symptoms and improve job satisfaction among nurses. Hence directly relating to the PICOT question.
Therefore, both articles emphasize the need to address nurse burnout through structured wellness programs. These interventions include health assessments, stress management training, and rest periods. By addressing burnout symptoms and improving job satisfaction among nurses, structured wellness programs have the potential to impact both healthcare professionals and patient care outcomes positively.
References
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119, 103933. https://eap.partners.org/wp-content/uploads/Nurse-Article-News-Feature-Jan-2022.pdf
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469. https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2775923/shah_2021_oi_201091_1617219784.3032.pdf
Example 2 ( Victoria)
The use of opioids to treat pain is not without its challenges. Long-term opioid use increases the risk of addiction, dependence, and tolerance. Since opioid use disorder (OUD) and addiction are so serious, treating pain demands a more sophisticated strategy than in the past. Public health has irrevocably changed as OUD prevalence has reached epidemic proportions in the US and throughout the world. Sixteen million individuals worldwide and three million Americans have either battled or are now battling with an opioid use disorder (National Academies of Sciences; Engineering; and Medicine et al., 2017) (qualitative). These statistics highlight how pervasive the OUD problem is across national and cultural barrier. Since opioid abuse and opioid use disorders are on the rise, health care practitioners need to be extremely cautious.
The medicinal potential of medical marijuana and CBDs in the treatment of different kinds of pain has garnered increased attention in recent years. Tetrahydrocannabinol (THC) and cannabidiol (CBD), the two main active ingredients in cannabis, interact with the endocannabinoid system, which is essential for controlling immunological response, mood, and pain perception. Research indicates that medicinal marijuana and cannabidiols (CBDs) may provide analgesic effects for ailments such neuropathic pain, arthritis, and chronic pain syndromes (Kvamme et al., 2021) (quantitative). These drug components may offer an option for people who are unable to tolerate or do not react well to conventional analgesics since they are believed to influence pain signals differently than opioids.
As a result, there is a need to reconsider established methods and investigate substitutes that put patient safety and effectiveness first in the dynamic field of pain treatment. The growing opioid crisis, which is characterized by increased rates of addiction and overdose, emphasizes how critical it is to find other pain management techniques. As a result, research into medical marijuana and CBDs as possible opioid replacements is becoming more well-known. This investigation is necessary in order to mitigate the well-established risks associated with long-term opioid usage while yet offering patients efficient pain treatment. As a guide, the PICOT issue at the center of this investigation seeks to clarify if medical marijuana or CBDs are better and more advantageous substitutes for opioids in the treatment of pain with fewer adverse effects.
PICOT Question: Does using medicinal marijuana or CBDs (I) instead of opioids (C) provide better pain management results with fewer adverse effects in adults with chronic pain (P) within six months (T)?
References
Kvamme, S. L., Pedersen, M. M., Rømer Thomsen, K., & Thylstrup, B. (2021). Exploring the use of cannabis as a substitute for prescription drugs in a convenience sample. Harm Reduction Journal, 18(1). https://doi.org/10.1186/s12954-021-00520-5
National Academies of Sciences; Engineering; and Medicine, Health and Medicine Division, Board on Health Sciences Policy, & Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse. (2017). Pain management and the opioid epidemic: Balancing societal and individual benefits and risks of prescription opioid use. National Academies Press.
Example 3 ( Solange)
Nursing Practice Problem: Lack of effective communication between nurses and patients leading to decreased patient satisfaction.
PICOT Question: In adult patients receiving inpatient care (P), how does the implementation of bedside shift reports (I) compared to traditional shift reports at the nursing station (C) affect patient satisfaction scores (O) within a 6-month period (T)?
This qualitative study explores the experiences and perceptions of nurses and patients regarding bedside nursing handover in a Ghanaian district hospital. The findings of this study are relevant to my PICOT question as they provide insights into the potential benefits and challenges of implementing bedside shift reports, a key intervention in my question. However, Research has shown that the implementation of bedside report hasincreased patient safety and patient and nurse satisfaction. An evidence-based practice change incorporating bedside report into standard nursing care was implemented and evaluated over a four-month time on three nursing units, Patient participation in the report is paramount to delivery of safe, high quality care
This quantitative study investigates the impact of bedside shift reports on patient satisfaction in a hospital setting. The results of this study directly relate to my PICOT question as they provide empirical evidence on the effect of bedside shift reports, the intervention in my question, on patient satisfaction scores, the outcome in my question.
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