Date of Award

Summer 7-26-2021

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Theresa M. Pape, PhD, RN, CNOR-E, CNE

Second Advisor

Danyel Germain, DNP, RN, CHSE

Abstract

Practice Problem: Nurse turnover is a rapidly growing problem that affects the healthcare industry worldwide. Nursing shortages created by increased turnover have a negative effect on patients and staff and create a financial strain on healthcare organizations.

PICOT: For registered nurses within a select pilot group, does implementation of a mindfulness-based resiliency (MBR) intervention, compared to no intervention, reduce nurse intent to quit over an eight-week period?

Evidence: The positive impact of resiliency on turnover was best described in eight articles and two doctoral papers. Studies using MBR interventions have been shown to improve the coping skills of nurses, and to decrease stress and reduce intention to quit.

Intervention: The implementation of a MBR intervention was the selected intervention completed over an eight-week period. Participants completed a Personal and Organizational Quality Assessment-(POQA-R4) designed to measure personal and job‐related constructs pre and post intervention.

Outcome: “Intent to quit” did not show a statistically significant change post-implementation of the MBR intervention. The result of the two-tailed paired samples t-test” was not significant (p=.179, alpha=0.05). However, clinical significance was achieved with reduction of stress for the 10 project participants.

Conclusion: Reducing the intention to quit achieved clinical significance by promoting nurse well-being. Consideration should be given for implementation of the MBR intervention with a larger group of nurses.

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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