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Nurses are the frontline in the security of the United States. Their wellbeing and retention in the workforce is of the utmost of importance. Nurses are leaving at increasing levels with just over 27% turnover rates across the nation in 2021. Organizations are experiencing increasing fiscal losses and the average loss for a nurse leaving is just over $46,000. The prioritization of nurses’ wellbeing and taking steps to address policy that promotes the sustainability of this very valuable workforce has the potential to pay high dividends for nurses individually, the security of the nation, and the good of the organization. The researcher utilized a survey to examine the correlation between nursing retention rates and resiliency to provide evidence to guide best practices in nursing retention initiatives and interventions for increasing nursing resilience. The researcher used two tools, the Casey-Fink Nurse Retention Survey and the Connor-Davidson Resilience Scale, along with a demographic section designed to collect quantitative and qualitative data to hear the nurse, gain insight, and discover interventions to meet those needs. This survey through SurveyMonkey was disseminated to members of the Army Nurse Corps and 96 returned the survey. The participants were tenured nurses with a mean years of nursing of 18.26 years. Projected outcomes include interventions for a more prepared, healthier, more resilient workforce that can meet the current and future demands or threats against our nation. Outcomes also included improved value-based care, increased nursing retention, and decreased fiscal loss at the organization-level. From evidence gained through surveying nurses, the data were analyzed using Kendall rank correlations to examine the strength of the correlation between resilience and retention variables. The findings displayed high levels of stress in this workforce, with 67.25% of nurses stating high levels of stress and only half of them having a mentor. The findings indicate the need for work conditions conducive to a healthier work-life balance, such as the positive correlation between the availability of shorter shifts and increased retention. The current healthcare environment calls for an immediate and drastic change to care for and retain the nursing workforce and has the potential to lower costs for organizations and provide quality, value-based care, holistic health and wellness for nurses, and better patient outcomes because of their wellness. Keywords: nursing retention, resiliency, nursing welfare, attrition, nurse advocacy, work- life balance
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Find out why this book is a student favorite! Providing a solid foundation in nursing research and evidence-based practice, Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, 10th Edition offers balanced coverage of both qualitative and quantitative research methodologies and an easy-to-read, easy-to-understand approach. This edition features new content on trending topics, including the Next-Generation NCLEX® Exam (NGN), as well as improved usability, user-friendly learning aids, and full-text research articles to help you better understand how to apply research to everyday clinical practice. Balanced coverage explores the nursing research process and the EBP process, as well as qualitative and quantitative research methodologies. User-friendly writing style and engaging learning aids throughout the text include full-text research examples, Helpful Hints, EBP Tips, IPE Highlights, Research Vignettes, Clinical Judgment Challenges, Critical Appraisal Criteria, and more! Innovative format integrates examples from current, high-quality, relevant full-text research articles. "All-star" team of contributors is a widely respected collection of experts in nursing research and EBP.
EVIDENCE-BASED PRACTICE PROJECT REPORT Submitted to the School of Nursing and Health Professions of Colorado Christian University Lakewood, Colorado in partial fulfillment of the requirements For the degree of DOCTOR OF NURSING PRACTICE Abstract The work of a registered nurse can be rewarding. However, nurses may experience burnout because of long hours, challenging patient situations, and a potential lack of teamwork and communication. The literature review showed that 15-40% of nurses experience burnout each year (Well-Being Index, 2018). Burnout can lead to nurses leaving their current positions or potentially leaving the nursing profession altogether. Resiliency training and support can counteract burnout and increase staff retention. A resiliency toolkit to help decrease burnout was implemented with 10 nurses on a medical-surgical unit in a mid-size acute care hospital. The toolkit contained six tools utilized over 5 weeks. The tools included mandalas (coloring sheets), a stress ball, bubbles, exercises, You Matter encouragement, and a journal with weekly prompts. Three survey tools were deployed to assess resiliency, burnout, and areas of work life. The most favored tool in the toolkit was the mandalas. Participants felt more relaxed yet more productive. The least beneficial tool was the bubbles. A two-tailed paired samples t-test showed a decrease in Maslach Burnout Inventory emotional exhaustion. Significant correlations between several variables were found with Pearson and Spearman correlational coefficient tests. Newer nurses' values were strongly correlated with organizational values. Increased depression at work was strongly correlated with years of experience in the profession. Seasoned nurses demonstrated an increase in adaptation and flexibility, but showed a decrease in coping. Lastly, nurses who hold a higher academic degree (BSN/MSN) demonstrated a decrease in personal accomplishment. This project has uncovered simple tools that will help decrease emotional exhaustion. Keywords resiliency, burnout, toolkit, journaling, mandala, evidenced-based practice, medical-surgical, registered nurse, nurse
UPDATED! Content corresponds to the LoBiondo-Wood and Haber Nursing Research, 10th Edition textbook and reflects the latest thinking on nursing research and evidence-based practice (EBP). NEW! Emphasis on the NCSBN Clinical Judgment Measurement Model helps students prepare for the Next-Generation NCLEX® (NGN) Exam. NEW! Next-Generation NCLEX® Exam–style case studies enable students to review and apply key content while preparing for the NGN.
The nursing profession is under pressure. Financial demands, student debt, the target culture, political scrutiny in the wake of major care scandals and increasing workloads are all taking their toll on professional morale and performance. This timely book considers the meaning of resilience in this adverse context and explains why measures to preserve individual nurses’ and students’ well-being are flawed if they don’t take into account wider political and organizational perspectives. Arguing that healthcare can be thought about and experienced differently, this book: provides a summary of the latest research on resilience, explaining its relevance and also limitations for nurses; considers debates about compassion and highlights the effects of policy agendas on nurse education and nursing work; re-evaluates nursing’s professional identity, including where nursing has come from and the effects of class, gender and race on its powerbase; assesses the role of politics and social media, both in driving change and feeding resistance; and introduces the idea of critical resilience as a complete framework for resisting bullying and fostering survival and change in the nursing workforce. Direct, upbeat, at times provocative and witty, this agenda-setting book enables nurses to understand why they feel the way they do. It also lists what opportunities are available to them to change, resist and survive in what has become a complex, challenging – if still deeply rewarding – line of work.
Nurses have been placed under tremendous pressure throughout their careers and the culmination of this pressure was the COVID-19 pandemic. Nurses had to remain stoic despite longer hours, heavier workloads, lack of PPE and the fear of becoming infected or infecting their families. A review of the current literature was accessed to see how nurses built their stamina to withstand those pressures and create interventions to improve patient outcomes. The research was used to evaluate ways to improve nurse retention, reduce nursing shortages, and improve job satisfaction for those nurses and future nurses. The evidence showed that nurses with support, at home and work can develop health coping strategies which lead to nurse resiliency. This integrative review focuses on analyzing, critiquing, and integrating the existing literature to define the current practices related to nursing resiliency and ways to improve or build this resilience in current and future nurses in training.
This book offers a new approach to theory and practice. The book demonstrates how this application can be achieved and includes chapters that pertain to micro and macro practice, research, oppression, and social policy.
Scientific Essay from the year 2017 in the subject Nursing Science - Miscellaneous, grade: 90%, RMIT University, course: Bachelor of Nursing, language: English, abstract: The nursing profession is considered a stressful occupation with aggressive patient management, massive workloads, shift work, and high turnover rates. The situation in Australian nursing has been studied comprehensively, although the understanding of stress and resilience is ambiguous. This literature review considers the impact of stressors and coping strategies in Australian nurses. The aim of this paper is to investigate contemporary and substantial evidence of stress factors, considering the possible coping strategies and its effectiveness in Australian nurses. Therefore, a literature search was conducted in four databases, and a total of six relevant articles were found. The studies identify stress factors and coping strategies in the Australian nursing population.
" This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "