POWERPOINT presentation explaining the key components of your research proposal.? Include the following points: A brief introduction, including your research questions and hypo

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Quantitative Research Proposal

Cristina Lopez

NURS540

03/10/2024

2

Quantitative Research Proposal

My research topic is exploring the Impact of Mindfulness-Based Interventions on Stress

Reduction among Nurses in Intensive Care Units (ICUs)

Problem statement

Intensive Care Units (ICUs) expose nurses to a highly stressful environment that poses a

considerable threat to their welfare. In ICUs, nurses often suffer burnout, reduced job satisfaction

and compromised patient care (Sasidharan & Dhillon, 2021). Despite the devastating

consequences of stress on ICU nurses, there are few effective methods for controlling it.

Mindfulness-based interventions effectively reduce stress and enhance mental health in different

healthcare professions. However, the influence of mindfulness-based interventions on nurses'

stress reduction in intensive care units has not been fully investigated (Kriakous et al., 2020).

Thus, this misinformation hinders the development of specific mental health and resilience

policies for pressured nurses. There is a pressing need to determine if mindfulness-based

therapies reduce ICU nursing stress. This study examines how MBIs reduce stress in ICU nurses

by discussing critical aspects that can help develop targeted therapies for improved nurse

wellbeing and patient outcomes.

Research Questions

1. What are the perceived effects of mindfulness-based interventions (MBIs) on stress levels

among nurses working in Intensive Care Units (ICUs)?

2. How do ICU nurses perceive the feasibility and acceptability of integrating MBIs into

their daily routine?

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3. What are the potential barriers and facilitators to successfully implementing MBIs for

stress reduction in ICU nursing staff?

Significance to Nursing

Mindfulness-based therapies for ICU nurses' stress reduction have major implications for

nursing practice, education, and policy. Studying MBIs' stress-reduction effects can help build

evidence-based therapies for ICU nurses. Providing nurses with appropriate coping methods can

reduce burnout, improve job satisfaction, and boost well-being, creating a more resilient

workforce that can provide high-quality patient care (Wang et al., 2023). Understanding the

elements that affect MBI implementation in ICUs can help healthcare organizations create nurse

engagement and retention-friendly cultures. This research advances nursing knowledge and

promotes well-being in critical care settings, protecting nurse welfare and patient outcomes.

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References

Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2020). The effectiveness of mindfulness-

based stress reduction on the psychological functioning of healthcare professionals: a

systematic review. Mindfulness, 12(1). https://link.springer.com/article/10.1007/

s12671-020-01500-9

Sasidharan, S., & Dhillon, H. (2021). Intensive care unit stress and burnout among healthcare

workers: The wake-up call is blaring! Indian Journal of Psychiatry, 63(6), 606. https://

doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_464_21

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

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Research Proposal Project: Literature Review

Cristina Lopez

NURS540

03/24/2024

2

Literature Review Draft

The nurses’ well-being is significantly challenged by the demanding and high-pressure

environment of Intensive Care Units (ICUs). A highly stressful environment is what nurses in

ICUs are exposed to, which poses a threat to their welfare. In ICUs, burnout among nurses is

common and this reduces job satisfaction as well as patient care quality. Various mindfulness-

based interventions have been found to reduce stress and enhance mental health for different

healthcare professionals. This literature review therefore examines on how mindfulness-based

therapies decrease stress amongst ICU nurses, while at the same time critically evaluating

scholarly sources that appraise the efficacy of mindfulness therapies and their applicability to

specific causes of stress among ICU nursing staff.

Effectiveness of MBIs in Reducing Stress

Fadzil et al. (2021) discovered that nurses practicing a MBI program had considerably

lower stress perception scores. If this technique is combined with monthly practice sessions

and daily online reminders, it could go a long way in reducing stress among nurses.

Mindfulness may also help to avoid disturbing thoughts and emotions and minimize post-

treatment anxiety levels. Depression scores did not decrease. A study by Fadzil et al. (2021)

shows that nurses who took part in a mindfulness training program felt a lot less stressed.

When a group of our employees went through a one-day class, monthly group practice

meetings, and daily online prompts, we finally saw some results. Even worse, the sadness

scores wouldn't go down. This could mean that there are problems with the answer or that

more work needs to be done.

Impact of Mindfulness Interventions on Sleep Quality in ICU Nurses

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According to a study by Mugdemir et al. (2023), nurses who participated in a

mindfulness-based training program felt less stressed by more than 20%. The people who took

part in our training learned what was really going on, which helped them spot stressful

situations and find better ways to deal with them. Mindfulness exercise helps people think

more positively about themselves, stop thinking badly about themselves, and remember their

worries less after they've happened. The study shows that MBI rebuilds a body that can handle

stress and improves the work of providers. MBI helps people with compassion fatigue and

stress feel better. According to a study by Othman in 2023, the nurses who received

mindfulness-based training had a much lower stress score. Because of this, people stopped

losing their cool and getting stressed over small things. Instead, they decided to deal with their

current problems and the stress that came with them in a good way. The experiment also

showed that these kinds of mind-body treatments might help lower the real reaction and boost

the sympathetic system, which could, among other things, help lower compassion fatigue.

Effectiveness of Mindfulness-Based Interventions in Alleviating Burnout and Enhancing

Self-Compassion Among Critical Care Nurses

In 2023, Wang and his team said that mindfulness-based treatments (MBIs) can help

nurses deal with stress, sadness, and other mental health problems. According to the results, the

areas of stress and burnout had the best benefits right away and after a short time. MBSR can

help people who are dealing with sadness and worry more than it can help people who are

having problems. In a critical review paper published in 2023 by Wang et al., they stressed that

different studies had shown that MBIs help nurses deal with stress and burnout. There were a

lot of studies that showed the exercise helped with stress, but not as many that showed it

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helped with worry and sadness. To fully understand how MBI affects different mental health

problems, we need to learn more about what parts of MInT cause sadness, anxiety, etc.

Examining the Role of Mindfulness-Based Interventions in Improving Psychological Well-

being of Nurses

A study by Sulosaari et al. (2022) says that a good mindfulness-based intervention

(MBI) can help a nurse feel better mentally and less worried. The results of this study showed

that MBI was good for their mental health. Most of the people who took part in the study said

they felt better about themselves. The study shows that these methods help nurses feel less

burned out and more satisfied with their jobs. This makes me think that mindfulness could be

used to help hospital staff who work in critical units. According to a study by Sulosaari et al.

(2022), MBIs may help nurses feel less stressed and have better mental health. However, many

people do not know what health effects come from using MBIs. One bad thing that can happen

at work in an ICU setting may be lessened by MBI, as shown by nurses who are healthier and

more adaptable.

Impact of MBIs on Sleep Quality and Compassion Fatigue

According to Hayajneh et al. (2024), ICU nurses don't sleep much and are always

worried, which makes it hard for them to do their jobs. According to the researchers' first

findings, people who got Mindfulness-Based Interventions (MBIs) had much less chronic

stress signs than people in the control group who only watched mindfulness movies. With the

help of MBIs, this can be done, even though the high-level hospital setting is busy and

stressful. These devices work to reduce the stress of nurses and improve the quality of their

sleep. These results show that nurse managers who use mindfulness-based care in nursing will

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help nurses deal with stress better and improve their health as a whole. "24," on the other hand,

was about how MBI affected the nurses' sleep in an ICU. It was shown that treatments that

focused on mindfulness lowered stress a lot more than therapy pictures that only focused on

this skill. The results showed that MBIs may help nurses whom work in difficult jobs feel less

stressed and sleep better, which is good for their health.

The Effects of Mindfulness-Based Interventions on Stress and Burnout in Nurses

It was suggested by Tripathi and Mulkey (2023) that adding mindfulness-based

exercises to shift huddles might help ease the stress and sadness that come from seeing a

terrible event. It was revealed by the nurses that they take a moment or two to calm down from

the stress of the job when they are taking over from someone else. These results show that even

short-term mindfulness-based treatments can help nurses become more sensitive, which also

makes them less likely to get compassion fatigue. Tripathi and Mulkey's (2023) study on

compassion fatigue nurses found that those who took part in mindfulness-based shift group

treatments were less burned out and had less major stress after just two weeks of sessions. I

didn't know how to add these awareness tools to my job because they weren't usually there. I

thought they would make caring people happy and less stressed.

Conclusion

Mindfulness-based Interventions (MBIs) have been shown to help reduce stress among

ICU staff. Mindfulness training will help nurses in medical areas deal with trauma less because

it makes things less stressful, boosts mental health, and keeps them mentally strong. With the

help of online notes and practice lessons that happen after MBIs, they can also lessen their

worry levels. Also, what they do to help treat sadness is also very important. Care can help us

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deal with worry and tiredness, which can lead to health problems in general. They may even

help with stress, sleep, and feeling emotionally worn out. The study suggests that doctors be

taught how to use mindful techniques in their daily lives. These techniques should also be used

in the ICU, which is known for being one of the most difficult places to work. Not only nurses,

but also a lot of other people can use mindfulness-based techniques to help them deal with

problems at work and provide better care to patients.

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References

Fadzil, N. A., Heong, W. O., Kueh, Y. C., & Phang, C. K. (2021). The effect of a

mindfulness- based intervention on nurses in Kelantan, Malaysia. The Malaysian

Journal of Medical Sciences: MJMS, 28(6), 121–128. https://doi.org/10.21315/

mjms2021.28.6.12

Hayajneh, A. A., Al-Younis, M. O., & Rababa, M. (2024). The effect of a mindfulness

intervention (MI) on sleep disturbance (SD) among nurses. Scientific Reports,

14(1), 5084. https://doi.org/10.1038/s41598-024-55748-5

Othman, S. Y., Hassan, N. I., & Mohamed, A. M. (2023). Effectiveness of mindfulness-

based interventions on burnout and self-compassion among critical care nurses

caring for patients with COVID-19: a quasi-experimental study. BMC Nursing,

22(1). https:// doi.org/10.1186/s12912-023-01466-8

Sulosaari, V., Unal, E., & Cinar, F. I. (2022). The effectiveness of mindfulness-based

interventions on the psychological well-being of nurses: A systematic review. Applied

Nursing Research, 64, 151565. https://doi.org/10.1016/j.apnr.2022.151565

Tripathi, S., & Mulkey, D. (2023). Implementing brief mindfulness-based interventions to

reduce compassion fatigue. Critical Care Nurse, 43(5), 32–40. https://doi.org/10.4037/

ccn2023745

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

1

Research Proposal Project: Design

Cristina Lopez

NURS540

03/31/2024

2

The research proposal focuses on employing mindfulness-based interventions to reduce

stress among ICU nurses. Stress causes burnout and job dissatisfaction among ICU nurses. MBIs

may lower stress, improve sleep, minimize burnout, and increase self-compassion among

healthcare professionals, especially ICU nurses, according to research. This section discusses

sampling, reliability, and validity to ensure study credibility and validity. Sampling information

will contain demographics, sample size, and selection criteria. The consistency and dependability

of the data gathering procedure and measurement instrument will be examined. Additionally, the

research's validity will be tested, including the sample and measuring equipment. These factors

will be extensively examined to provide the groundwork for studying MBIs' effects on ICU

nurses' stress and well-being, improving critical care patient care.

Sampling Information

ICU nurses from different healthcare institutions will be sampled for this research,

ranging in age, gender, and experience. ICU nurses who have worked in critical care for at least a

year will be included in the research. The sample size will be based on statistical power analysis,

aiming for a large sample to discover important effects while considering time and resource

restrictions. Correct statistical procedures will be used to calculate sample size for statistical

power. Relevance to the research topic and aims makes the sample suitable for the study. ICU

nurses are suitable for studying the stress-reduction effects of mindfulness-based therapies

because they are immediately exposed to the high-stress situation. The inclusion of nurses from

different demographics and experience levels will further improve the study's generalizability to

ICU nurses. The chosen sample is well-suited to fulfill the study goals and provide useful

insights into MBIs' stress-reduction effects on ICU nurses.

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Reliability

Several methods will ensure data collecting reliability. To ensure data collecting

consistency, standardized processes will be created and executed. To reduce data collecting

variability, research assistants and participants will get explicit instructions. Staff will also

receive frequent training on data collecting tools and methods to ensure they can accurately

administer assessments and record data. Data will be collected at consistent times and under

similar settings to reduce extraneous variables that could affect measurement results. Periodic

inter-rater reliability tests will verify data collection consistency between observers or raters to

improve reliability. The ICU nurse stress assessment instrument will undergo comprehensive

psychometric validation to ensure reliability. Izah et al. (2023) will analyze internal consistency

using Cronbach's alpha coefficient, which measures instrument item correlation. Test-retest

reliability shows measurement stability by giving the same people the instrument twice and

comparing their responses (Soltani et al., 2023). To improve reliability, the measurement tool's

validity will be evaluated to verify it measures the construct of interest. The study uses rigorous

data collection methods and trustworthy measurement devices to provide consistent and accurate

data to evaluate mindfulness-based therapies for ICU nurses' stress.

Validity

Verifying sample validity assures population representation and research aims. Determine

which ICU nurses are directly exposed to the high-stress situation under study. Participants' job

and critical care experience will be confirmed to ensure study relevance. Generalizability will be

improved by recruiting a diverse age, gender, and experience sample. Selecting participants from

multiple hospitals reduces sample biases and avoids overreliance on one. Complete psychometric

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testing will evaluate the tool's ICU nurse stress measurement validity. Content and face validity

will be checked to ensure that the instrument's items accurately represent the topic and that target

participants find it relevant and understandable. Comparing the measurement instrument to

validated questionnaires or clinical stress assessments will assess construct validity (Roy et al.,

2023). The measuring tool's scores will be compared to ICU nurses' self-reported symptoms or

objective stress outcomes to determine contemporaneous and predictive validity. Mindfulness-

based therapies' stress-reduction benefits on ICU nurses will be rigorously investigated to assure

sample selection and measurement validity.

Conclusion

Mindfulness-based interventions (MBIs) may lower ICU nurse stress, according to one

study. This study reviewed relevant literature and considered sampling, reliability, and validity to

find that MBIs may increase ICU nurses' well-being. The initiative targets a large sample of

nurses and uses strong data collection methods to verify that MBIs reduce stress and improve

mental health in critical care providers. Beyond nurse well-being, these findings may alter

intensive care patient treatment. By integrating mindfulness into nursing practice, healthcare

organizations can minimize ICU nurse stress and burnout, improving work conditions and

patient outcomes.

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References

Izah, S. C., Sylva, L., & Hait, M. (2023). Cronbach’s alpha: A cornerstone in ensuring reliability

and validity in environmental health assessment. ES Energy & Environment, Volume 23

(March 2024) In Progress(0), 1057. https://www.espublisher.com/journals/articledetails/

1057

Roy, R., Sukumar, G. M., Philip, M., & Gopalakrishna, G. (2023). Face, content, criterion and

construct validity assessment of a newly developed tool to assess and classify work–

related stress (TAWS– 16). PLOS ONE, 18(1), e0280189. https://doi.org/10.1371/

journal.pone.0280189

Soltani, T., Flynn, J. M., Ang, D., & Cendán, J. (2023). Reliability study. Elsevier EBooks, 261–

265. https://doi.org/10.1016/b978-0-323-90300-4.00104-x

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Research Proposal Project: Implementation Plan

Cristina Lopez

NURS540

04/07/2024

2

Ethical mindfulness-based interventions (MBIs) to decrease ICU nurse stress studies

preserve participants' rights and well-being. All participants must provide informed consent.

Explain the study's purpose, procedures, risks, and benefits to participants in straightforward

words. Participants must know they may exit the study at any time without penalty. Second,

privacy and trust need participant secrecy and anonymity. Research data, including survey and

questionnaire responses, must be protected. For participant confidentiality, published results or

reports should employ pseudonyms or aggregate data. The research follows regulatory ethical

standards with IRB approval. The IRB evaluates participant recruitment, informed consent, data

collection, and participant dangers for ethical considerations (Orimadegun, 2020). The research

tackles these ethical difficulties and promotes beneficence, nonmaleficence, autonomy, and

justice to increase ICU nurses' well-being.

Recruitment Practices

ICU nurses will be recruited for stress-reduction study using several ethical methods to

ensure fairness and openness. To ensure sample diversity and capture ICU nurses' unique

perspectives and experiences, eligible participants will come from different healthcare

institutions. Avoiding institutional overrepresentation increases research generalizability and

decreases bias. Recruitment efforts will involve collaborating with hospital administrations and

nursing managers to locate volunteers with critical care nursing expertise.

To assist participants decide, the study objective, methodology, and risks will be

explained. Written leaflets, information sheets, consent forms, and spoken explanations during

recruitment sessions or individual meetings will do this. The study's aims, mindfulness-based

treatments, duration, dangers, and discomforts will be discussed. It will also emphasize the

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voluntary nature of participation and reassure participants that quitting the study at any time

would not be harmful. Participants will also learn about research confidentiality and anonymity.

By letting people choose to engage in the study, voluntary involvement is guaranteed.

Recruitment materials and interviews will emphasize that participation is voluntary and that

individuals may leave the study without consequence. Before joining the study, participants may

ask questions and clarify any details. Time and participation rewards won't distort participants'

choices. Participants will get incentives as a thank-you for their time and work, not to join. They

won't use study findings. These recruitment methods increase autonomy, informed consent, and

participant rights while maintaining research integrity and validity.

Data Collection Plan

The ICU nurses' stress reduction research on mindfulness-based interventions (MBIs)

includes a thorough quantitative data collection plan. Stress will be measured using validated

ICU nurse stress assessment instruments. These stress evaluation techniques have been well

tested for this group. MBI participants will complete pre- and post-intervention stress

assessments or questionnaires. This longitudinal method evaluates ICU nurses' stress-reduction

benefits from therapy. Data collection shall follow procedures for uniformity and reliability.

Research assistants and participants will get clear test-giving and data-recording instructions,

decreasing variability and errors. Data reliability is improved by periodic inter-rater reliability

testing of data collection consistency between observers or raters. The psychometric instruments'

reliability and validity will be evaluated. Cronbach's alpha assesses internal consistency, whereas

test-retest reliability indicates instrument stability across time (Faherty et al., 2020). This data

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collection plan uses robust quantitative data to accurately quantify MBIs' stress-reduction

benefits on ICU nurses and verify their reliability and validity.

Informed Consent Template

You are being invited to participate in a research by [Researcher's Name] to explore the

effects of mindfulness-based interventions (MBIs) on ICU nurses' stress levels. Know why the

study is being done and your role before participation. Please take your time and read this form

carefully. If you have any questions, please do not hesitate to ask.

Study Purpose:

The purpose of this study is to evaluate the effectiveness of mindfulness-based treatments

in reducing stress among intensive care unit nurses. This research will reveal how mindfulness

may benefit high-stress healthcare personnel.

Study Procedures:

If you participate, stress surveys will be administered before and after mindfulness-based

therapy. They may include mindfulness meditation, breathing exercises, and other relaxation

methods. You will get instructions on how to participate in these treatments over a certain time.

Risks and Benefits:

While participation in this research carries little risk, you could feel uncomfortabl

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