Date of Award


Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Mary Brann, DNP

Second Advisor

LaQuita Moore, DNP, FNP-C

Third Advisor

Sarah M. I. Cartwright, DNP, MSN-PH, BAM, RN-BC, CAPA, FASPAN


Practice Problem: Nurse burnout adversely affects nurses, patients, and healthcare organizations. Implementing changes to address key contributors to burnout can effectively reduce and prevent burnout.

PICOT: The PICOT question that guided this project was: In outpatient clinic nurses (P), how does implementing a bundled strategy (I) compared to not providing interventions (C) affect nurse burnout (O) within eight weeks (T)?

Evidence: Evidence from an extensive literature review showed that there is no single cause for burnout and therefore no single intervention to reduce or prevent it. The primary themes in the literature to address burnout include practicing mindfulness, building resilience, and changing the environment.

Intervention: The intervention for the change project included bringing nurses together to build their community within the practicum site, teaching nurses about mindfulness and leading nurses through mindfulness exercises, educating nurses on building resilience, and empowering nurses to change their environments.

Outcome: The interventions resulted in a statistically significant decrease in Emotional Exhaustion, one of the three domains of burnout. There were also improvements in the two other domains of burnout, Depersonalization and Personal Accomplishment. While there was not a statistically significant improvement in those domains, a decrease in Patient Safety events demonstrated the clinical significance of the change project.

Conclusion: The project outcome demonstrates that interventions to address burnout have a positive effect on the three domains of burnout, Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Burnout among the nurses improved while patient safety improved as well.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

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This work is licensed under a Creative Commons Attribution 4.0 License.