Date of Award

Summer 8-1-2022

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Dr. Robin Kirschner

Second Advisor

Dr. Eleanor Eberhard


Practice Problem: Since COVID-19, nurses have felt the pressure from the pandemic on their shoulders. The practice problem has helped nurses manage stressors to decrease the symptoms of burnout.

PICOT: In critical care nurses (P), how does the implementation of HeartMath techniques for stress management (I) compared to standard practice (C) affect rates of absenteeism, request for assignment transfer, and resignations (O) over 8-weeks (T)?

Evidence: The evidence that guided this project change is based on the Johns Hopkins nursing evidenced-based-practice model.

Intervention: The intervention assisted critical care nurses in dealing with stress and fatigue by using HeartMath to support mindfulness to decrease burnout.

Outcome: The available statistical evidence suggests that the measurement basis of the scales and subscales of the new POQA-R4 framework appears to be psychometrically sound and produced a significant positive change. Absenteeism, requests for transfers to other units, and resignations were all remarkably decreased.

Conclusion: This DNP project has decreased the effects of stress by using HeartMath stress management in critical care nurses. The project was implemented and analyzed the findings to establish clinical significance and suitability.


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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