Date of Award

Fall 12-6-2024

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Dr. Hilary Morgan, PhD, CNM, CNE

Second Advisor

Dr. Viji George, DNP, MA, RN, RNC-NIC, NEA-BC

Abstract

Practice Problem: Nursing burnout is a significant problem with far-reaching consequences. High levels of stress, emotional exhaustion, and reduced job satisfaction among nurses contribute to poor patient outcomes, increased medical errors, and high turnover rates. There is a high prevalence of burnout among nurse executives, consequences of which include extreme stress, emotional anguish, and a desire to quit, which points to a larger problem with burnout affecting the nursing profession (Martin et al., 2023). Fostering resilience among nurses can help to mitigate these outcomes by enhancing physical, mental, and social health through building purpose, positive emotions, and effective stress management. Resilience can be fostered through training by encouraging and promoting self-compassion, strength-based development, and mindfulness among nurses (Prochaska & DiClemente, 1983).

PICOT: In nurses working in an acute care hospital (P), does participation in a one-day resiliency training for healthcare professionals facilitation program (I) compared to voluntary web-based self-check-in (C) result in changes in coping responses of participants as measured using the Self-Compassion Scale–Short Form (SCS-SF) scale (O) over six weeks (T)?

Evidence: Evidence gathered from numerous literature reviews acknowledged positive effects of well-being programs such as those focused on resiliency to enhance nurses’ general well-being.

Intervention: This was an evidence-based practice change project. This project involved pre-test and post-test survey analysis. Education on coping mechanisms was provided via segmented lectures. An immediate post-test survey and subsequent survey at 6 weeks were conducted using the Self-Compassion Scale-Short Form (SCS-SF) to evaluate effectiveness of the intervention.

Outcome: While post-test results showed no significant statistical change (t(10)=0.09, p=.929), 27% of participants reported that tools learned were beneficial and 73% of the participants reported the program was very beneficial, which points to the clinical significance of the project.

Conclusion: By creating and executing a resilience training program for nurses in direct patient care, the project provides crucial knowledge in enhancing holistic health for nurses and significantly improving patient outcomes.

Comments

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.

Creative Commons License

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

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