Abraham Lincoln University Promoting Sleep for Hospitalized Patients Responses

Give constructive feedback specific to the GIVEN 2 poster.

Nurse Burnout
Clinical Problem:
Nurses all over the world have experienced burnout,
some factors may be:

Working long hours/consecutive shifts with lack of breaks,
which leads to risk for several chronic illnesses, burnout,
poor job satisfaction, etc.
Higher nurse to patient ratios, which are linked to poor
patient outcomes, psychological dissonance, nurse
burnout, aggression, and job dissatisfaction
Nurses mental health is negatively affected by their shift
work, overtime work and heavy workload; feelings of
depression, emotional burnout and satisfaction with their
jobs and livelihood are linked to poor patient care and
suboptimal patient outcomes
Saron Dawit, Cristina De Leon, Hiwot Gabrehawariat,
Thi Doan, Immaculate Enwerem
NSG 130 – Spring 2022
Does maintaining nurse patient ratios, limiting overtime, and providing
staff with mental health support, reduce burnout and improve the quality
of care?

Nurses are the backbone of patient care. When nurses
experience burnout, patient care is compromised. “In
fact, the World Health Organization (WHO)
recognizes nurse burnout as an occupational
phenomenon. The WHO defines burnout as resulting
from chronic workplace stress that has not been
successfully managed”. (Clark, 2020)
Enrollment into nursing schools is very low compared
to the need for high skilled nurses, and the rejection to
nursing schools is a problem due to the shortage of
instructors and clinical training sites, which then leads
to the shortage of nurses (Healthy work strategies,
Nursing burnout should be reduced for the sake of the
nurse’s mental wellbeing. “The National Academy of
Medicine (NAM) reports that at least 50% of
caretakers across medical fields report serious
symptoms of burnout including emotional
exhaustion”(Kaple, 2020).

Evidence-Based Protocol
Analysis of Evidence:
In American Academy of Nursing on Policy, long work hours are related to nurse
fatigue, sleep, and health. Long work hours are shifts with more than eight hours of
work a day or more than 40 hours of work a week. The safety risks extend to the
nurse’s family, health care organizations, and the public when tired nurses make errors
at work or home, or have vehicular crashes due to drowsy driving. Evidence shows,
however, that it is possible to limit or modify the adverse impact of SWLWH by
improving sleep and reducing fatigue. Recommendations included 1. Prevent nurses
from working overtime or making sure all tasks are completed within their shift, and
reduce shift length to less than 12 hours wherever possible. 2. Provide educational
programs covering sleep hygiene and techniques to improve sleep quality. Encourage
naps during breaks and after the shift. 3. Create mandatory breaks for nurses, which
could include naps or meals, to provide a short respite from intense work and allow for
some recovery. Promote a culture in which breaks are encouraged rather than
chastised. 4. Monitor and adjust to staff workload to maintain active but not
overworked nurses. (Alec Smith1 , Farzan Sasangohar, Anthony D. McDonald , Nena
Bonuel, Holly Shui , Christine Ouko , Lorelie Lazaro). An article in British Journal of
Community Nursing, 2021: Management of work stress and burnout among
community nurses arising from the COVID-19 pandemic, shows the way to
manage nursing burnout by steps including: Environmental, Biological, Psychiatric,
Social, and Pharmacological considerations. The managements have incorporated
trying to get enough sleep, balance diet, doing exercise, practicing Yoga, qigong, etc.
The most effective way to reduce nurse burnout is
to reduce the workload on nurses by maintaining a
safe nurse to patient ratio and that evening adding
one patient increased the death of patients by 7%
(Ratios save lives, 2017)
There is a link to working overtime to burnout
nurses. One of the most dangerous impacts of
nurse burnout resulting from being overworked is
patient safety because nurses that experience
burnout make poor decisions, make mistakes and
are disengaged with their patient. (Jean, 2021).
To improve quality care for the patients, nursing
burnout must be reduced. There are six strategies
that can decrease nursing burnout. For example,
train leaders to recognise and address burnout,
improve nurse to patient ratios, include nurses in
policy discussions, implement support programs,
involve nurses in scheduling and reduce non
clinical tasks. (Guidewaycare, 2020).
Arble, E., Arnetz, B., Arnetz, J., Goetz, C., Janisse, J., & Sudan, S. (2020). Personal protective
equipment and mental health symptoms among nurses during the COVID-19
pandemic. Journal of Occupational and Environmental Medicine, 62(11), 892-897. doi:
Baldwin, C. M., Berger, A., Caruso, C. C., Todero, C., Trinkoff, A., & Tucker, S. (2019). Policy
brief: Nurse fatigue, sleep, and health, and ensuring patient and public safety. Nursing Outlook,
67(5), 615-619.
Bonuel, N., Lazaro, L., McDonald, A.D., Ouko, C., Sasangohar, F., Shui, H., & Smith, A. (2019).
Drowsy driving among shift work nurses: a qualitative data analysis. Proceedings of the
International Symposium on Human Factors and Ergonomics in Health Care, 8(1),167-171.
Clarke, E. (2020, December 4). What is Nurse Burnout? | Nursejournal.org. NurseJournal.
Retrieved 4/1/2022 https://nursejournal.org/resources/nurse-burnout/
Guideway Care. (2020, January 14). 6 Strategies for Decreasing Nurse Burnout. Guideway
Care. Retrieved 4/1/2022 https://guidewaycare.com/6-strategies-for-decreasing-nurse-burnout/
Guo, L., Jiang, Y., Jiang, Z., Lou, J., Lu, W., Tang, H., Tong, Y., & Zhang, M. (2018). Analyzing the
mental health status and its impact factors among female nurses in China. Europe PMC,
36(2),115-118. doi: 10.3760/cma.j.issn.1001-9391.2018.02.009
Healthy care campaign (2020). Healthy care strategies.
Jean, J. (2021 November 15). Burnout: Why Nurses Need More Mental Health Days.
NurseJournal. Retrived 4/1/2022

Burnout: Why Nurses Need More Mental Health Days

Kaple, T. (2020, July 27). Top Tips From Nurses on Dealing With Burnout | NurseJournal.org.
NurseJournal. Retrieved 4/1/2022

Top Tips From Nurses on Dealing With Burnout

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