Use of Nurse Burnout PICOT Question Frame: Qualitative Study

Use of Nurse Burnout PICOT Question Frame: Qualitative Study

This qualitative descriptive study investigated nurses’ burnout at their places of work and the efficiency of stress strategies in reducing burnout impact. The study whose title is “Occupational stress and job satisfaction among nurses” was conducted by Gulavani and Shinde in 2014. It is closely linked to the study problem and the PICO question because it provides important information on the effectiveness of stress strategies compared to leaving the profession to mitigate stress level and give nurses work balance. Much information in the article discusses the cause of burnout and its effects on nurses. The study utilized an explorative research approach, and the sample of 100 nurses was selected through the use of a convenient sampling technique (Gulavani & Shinde, 2014). Researchers utilized relevant and reputable sources that are up to date to back up their findings, making the information from their article reliable to use in answering the PICO question.

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The study had several findings including information on occupational stress, job satisfaction, demographics, and the relationship between job satisfaction and occupational stress among others. 88% of the participants were nurses, 50% had extreme occurrences of stress associated with death and dying, 49% reported having experienced stress, and 83% reported being satisfied with their job (Gulavani & Shinde, 2014, p. 737). Other causes of stress in the majority of the nurses included uncertainty by the concerning treatments, workload, conflicts with physicians, conflict with supervisors and other senior staff, and problems in dealing with patients and their families. Furthermore, peer conflicts and inadequate emotional preparation were identified as occasional factors that induce stress (Gulavani & Shinde, 2014, p. 737). The research found that these problems can be solved through stress strategies rather than leaving the profession, something that provides a conclusive answer to the PICO question.

Evidence-Based Practice Changes

Nurses experience different levels of stress due to the differences in their work settings. For instance, nurses working in the ICU experience higher stress levels than their colleagues in other departments. From Rushdy’s (2016) study, there are many effective stress strategies in burnout nurses compared to leaving the profession to reduce stress and give a balance of work. Since nurses the level of stress in ICU is higher than in other departments, nurse leaders and managers should rotate nurses from one unit to the other to buffer negative work experiences associated with their practice settings. In care facilities, training programs on stress coping strategies need to be implemented to help nurses to cope with both role overload and burnout. Rushdy (2016) recommends that managers should start to recognize passive coping in addition to changing leadership styles and reallocation workforce to mitigate burnout and role overload. Therefore, the hospital administration has a huge role to impact practice by adopting evidence-based practice to address stress in burnout nurses.

Moreover, nurse leaders should still work together with their juniors to identify and eliminate all stress causes. Some of the causes are death and dying, job pressures, conflicts with colleagues and patients, and workload (Gulavani & Shinde, 2014). There is a need to appreciate the work of nurses, increase staffing levels to curb increased workload, enhance good leadership and teamwork to reduce job conflicts, provide counseling services to staff who experience stress, and involve nurses in the making of decisions to increase job satisfaction and reduce burnout. Gulavani and Shinde (2014) further explain that supervision and workload are the leading causes of stress in nurses. Therefore special measures should be in place to reduce conflict with supervisors in the workplace. Nurses should also get training on how to solve conflicts and manage stress because such things may not be entirely avoided in work settings.

Conclusion

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In burnout nurses, stress strategies are the most effective way of reducing stress levels and giving a balance in work compared with leaving the profession. Nurses in ICUs are the most vulnerable to stress. Stressed nurses offer poor quality care, which does not only result in high hea