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1. Success of Healthcare System Literature Review
Success of Healthcare System Literature Review ON Success of Healthcare System
Literature ReviewWhile the implementation plan prepares students to apply their research
to the problem or issue they have identified for their capstone project change proposal, the
literature review enables students to map out and move into the active planning and
development stages of the project.A literature review analyzes how current research s the
PICOT, as well as identifies what is known and what is not known in the evidence. Students
will use the information from the earlier PICOT Question Paper and Literature Evaluation
Table assignments to develop a 750-1,000 word review that includes the following
sections:Title pageIntroduction sectionA comparison of research questionsA comparison of
sample populationsA comparison of the limitations of the studyA conclusion section,
incorporating recommendations for further researchSuccess of Healthcare System
Literature Reviewattachment_1attachment_2attachment_3Unformatted Attachment
PreviewRunning head: PICOT QUESTION 1 PICOT Question Name Institution PICOT
QUESTION 2 PICOT Question The healthcare system involves the implementation of
strategies that are effective in enhancing the delivery of quality health services. The
problem of nursing burnout, however, affects the delivery of effective and efficient health
services. For example, nurses in critical care units are faced with the challenge of burnout,
which tends to affect productivity and patient satisfaction in the essential departments
(Baranda, 2017). The PICOT question will help in evaluating the nursing and evidence-
based solutions that would be effective in avoiding nursing burnout. PICOT Statement How
do critical care nurses (P) prevent burnout (I) through self-care (C) in enhancing patient
satisfaction (O) during clinical practices (T)? Evidence-based Solution Nursing burnout in
critical care units can be prevented through the implementation of evidence-based practices
that are considered useful in enhancing clinical operations. The evidence indicates that
nursing burnout is caused by emotional exhaustion and depersonalization. An evidence-
based approach was used to assess the correlation between nurses’ burnout and the
intensity of critical care unit operations (Greives, 2016). For example, the evidence
approach indicated that nurses’ burnout is caused mainly by the nurse-to-patient ratios,
poor evidencebased clinical practices among the nurses, and incompetence of nursing
leadership (Naves, 2016). Therefore, the solutions incorporated the elements of nursing
leadership, increased rates of nurse-to-patient ratios, and implementation of evidence-
based clinical practices. Nursing Intervention PICOT QUESTION 3 Moreover, nurses’
burnout in critical care units should be prioritized based on the magnitude and essential

2. operations of the department. Nurses should be keen on preventing the burnout that may
affect the quality of service in the critical care units. For example, nursing interventions for
nurses’ burnout can involve the prevention of physical and mental health of the nurses
(Greives, 2016). Nurses should welcome the elements of self-care, which is vital in
protecting one’s mental and physical health. Also, nursing interventions can involve
employee assistance programs such as on-site and off-site retreats, break-out sessions,
stress-reduction programs, mentoring programs, uses of teamwork to avoid monotonous,
rewards and recognition, offering staff , management education and training programs,
and encouraging staff to raise their concerns in the work environment (Baranda, 2017).
Nursing interventions are created within the health organization whereby the management
and the employees collaborate to promote the work environment that would reduce
burnout. Patient Care Furthermore, nurses’ burnout has portrayed adverse effects on the
clinical operations and the outcomes of healthcare service delivery. The results of nurses’
burnout have affected the quality of healthcare services in many ways. Success of
Healthcare System Literature ReviewFor example, nurses with the problem of fatigue are
faced with the challenge of physical exhaustion, sleep deprivation, and depression, which
will affect the nurses in engaging with the patients (Rios-Risquez & Garcia-Izquierdo, 2016).
Patients in the critical care units require extensive care and attention from the nurses, and
any form of neglect can attract high rates of mortality. Nurses’ burnout will also affect the
patient and family satisfaction, which would cause withdrawals from a healthcare facility or
adverse reports raised by the patients’ family members. Nurses’ burnout also jeopardizes
patient safety. Health Care Agency PICOT QUESTION 4 Additionally, nursing practices and
the issues of burnout can be prevented by the agencies that represent the healthcare system
in policy-making procedures. Agencies such as government health care departments and
legislative representing the health system would conduct research and recommend
methods that would be deemed competent in burnout prevention. For example, the
healthcare system can ensure that the patient-nurse ratio is updated to prevent the fatigue
and to overwork of the nursing practitioners (Shenoi et al., 2018). Also, healthcare agencies
and decision-makers should avoid the shortage of human resources, enhance the
availability of healthcare practice resources, and improve management procedures that are
effective in strengthening care provisions and prevention of employee burnout. Nursing
Practice Nurses have the mandate of preventing the problems associated with employee
burnout. Nursing practitioners should enhance and improve their work schedules and
collaborate with other professionals in strategies that would prevent burnout. For instance,
nurses should increase the approaches of engaging with healthy and physical activities,
taking notes of the stressors and evaluating procedures of avoiding them, a delegation of
tasks where possible, setting boundaries in the work environment, avoidance of frequencies
and daily unhealthy activities, setting parameters, practice gratitude and seek from clinical
leaders (Ghavidel et al., 2019). The procedures will be useful in demonstrating the
importance of evidence-based approaches to preventing burnout and fatigue. PICOT
QUESTION 5 References Baranda, M. (2017). Nurse Burnout and the effects of coping and
stress management. Senior Research Projects. 190, 1-22. Ghavidel, F., Fallahi-Khoshknab,
M., Molavynejad, S., & Zarea, K. (2019). The role of organizational factors in nurse burnout:

3. Experiences from Iranian nurses working in psychiatric wards. Journal of Family Medicine
and Primary Care, 8(12), 3893. Greives, N. K. (2016). Implementation of a Nursing
Workload Tool to Reduce Nurse Burnout. Evidence-Based Practice Project Reports. 80. 17-
32. Naves, S. J. (2016). Evidence-Based Recommendations To Address Nurse Burnout: A
Best Practice Approach. University of Arizona. 1-72. Ríos-Risquez, M. I., & García-Izquierdo,
M. (2016). Patient satisfaction, stress and burnout in nursing personnel in emergency
departments: A cross-sectional study. International journal of nursing studies, 59, 60-67.
Shenoi, A. N., Kalyanaraman, M., Pillai, A., Raghava, P. S., & Day, S. (2018). Burnout and
psychological distress among pediatric critical care physicians in the United States. Critical
care medicine, 46(1), 116-122. Literature Evaluation Table Student Name: Change Topic:
Success of Healthcare System Literature ReviewThe aim of presenting research data on the
issues of nursing burnout is coined to the approach of understanding different perspectives
of the discussion. The discussion also aims at providing evidence of nursing burnout and the
implications of the procedures that would be effective in remedying the problem. Therefore,
the literature evaluation will focus on the presentation of recommendations and strategies
that are practical in preventing nursing burnout. Criteria Article 1 Article 2 Article 3 Article
4 Author, Baranda, M. (2017). Nurse Ghavidel, F., Fallahi- Greives, N. K. (2016). Naves, S. J.
(2016). Journal Burnout and the effects of Khoshknab, M., Molavynejad, Implementation of a
Evidence-Based (Peer- coping and stress S., & Zarea, K. (2019). The Nursing Workload Tool
to Recommendations To Reviewed management. Senior role of organizational factors
Reduce Nurse Burnout. Address Nurse Burnout: A ), and Research Projects. 190, 1- in nurse
burnout: Experiences Evidence-Based Practice Best Practice Approach. Permalin 22. from
Iranian nurses working in Project Reports. 80. 17- University of Arizona. 1-72. psychiatric
wards. Journal of 32. k or © 2015. Grand Canyon University. All Rights Reserved. Working
https://knowledge.e.souther Family Medicine and Primary https://scholar.valpo.edu/c
https://repository.arizona.edu Link to n.edu/cgi/viewcontent.cgi? Care, 8(12), 3893.
gi/viewcontent.cgi?article /bitstream/handle/10150/621 Access
article=1192&context=seni https://www.ncbi.nlm.nih.gov/ =1081&context=ebpr
959/azu_etd_mr_2016_0279 Article or_research pmc/articles/PMC6924250/ Article Nurse
Burnout and the The role of organizational Implementation of a Title and effects of coping
and stress factors in nurse burnout: Nursing Workload Tool to Recommendations To Year
management. Experiences from Iranian Reduce Nurse Burnout. Address Nurse Burnout: A
Published 2017 nurses working in psychiatric 2016 Best Practice Approach
_sip1_m.pdf?sequence=1 wards. Evidence-Based 2016 2019 Research ? ? Is there a How do
organizational ? How does nursing ? What are the impacts Questions correlation between
factors affect the burnout affect the of nursing (Qualitati the practice of quality of your
nursing quality of health transformational ve)/Hypo stress management care? care services
and leadership strategies thesis and coping © 2017. Grand Canyon University. All Rights
Reserved. (Quantita strategies with tive) ? ? What are the roles of patient in improving self-
decreased burnout organizational satisfaction? esteem of the nurses? in working nursing
management on nurse students? burnout prevention? ? What are the ? What are the
benefits implications of of self-care of self- How effective are using Nursing care in
prevention of certain coping Workload Tool nursing burnout in mechanisms in assessing

4. burnout health care settings? decreasing nursing problems? burnout? Purposes To assess
the demographic To examine the experiences of To improve nursing To provide various
/Aim of factors that would cause nurses in mental health practice by reducing the
recommendations that is vital Study burnout in nursing practice. facilities and the role of
aspects of nursing burnout in the prevention of nursing The study also aims to institutional
factors in causing based on the transfers of burnout (Naves, 2016). recommend strategies of
burnout (Ghavidel et al., patients with high risks to coping with burnout to 2019). a higher
level of care improve patient (Greives, 2016). © 2017. Grand Canyon University. All Rights
Reserved. satisfaction (Baranda, 2017). Success of Healthcare System Literature
ReviewDesign Quantitative research A quantitative research Qualitative research
Quantitative research (Type of method approach method methods Setting/ Evidence
obtained from 15 nurses working in Response from Registered Nursing practice literature
Sample literature with the citation psychiatric wards Nurse surveys on burnout and
burnout research issues evidence Quantitati ve, or Type of Qualitativ e) of burnout in
nursing Methods: Coworker Attention to mental health Therapy interventions Nursing
engagements Interventi Exercise/physical activities Addressing personal problems
Educating the physicians Nurse residency program Family Motivation Increase awareness
Personality dimensions © 2017. Grand Canyon University. All Rights Reserved. on/Instru
Positive attitude Effective HR management Nursing workload tool Agreeability and
openness ments Religion/spirituality Analysis The analysis used aimed at Data analysis was
based on the The use of Nursing The data analysis was based reviewing various research
evaluation of organizational Workload Tool was on the use of literature articles that
demonstrates factors that causes nursing examined based on its review in examining the
the problem of nursing burnout. The data was importance in predicting prevalence of
nursing burnout and strategies of analyzed and collected through the causes of burnout and
burnout and the creation of coping with the problem in-depth analysis (Ghavidel et
preventive measures recommendations (Naves, (Baranda, 2017). al., 2019). (Greives, 2016).
2016). Key Stress management lowers Shortage of Human resources Nursing workload
causes Physical activities reduces Findings nursing burnout causes burnout burnout
burnout Spirituality helped in Shortage of standard facilities Increased staffing is Active
involvement in creating connection with causes burnout effective in reducing medical
procedures reduces peers (Baranda, 2017) Effective management burnout (Greives, 2016)
the cases of burnout approaches reduces the risks of © 2017. Grand Canyon University. All
Rights Reserved. nursing burnout (Ghavidel et Managerial , Self-care such as enough al.,
2019) nurse-doctor relationships, sleep, emotional balance, and and nurses’ involvement
balanced diets will help in in hospital decision reducing the risks of burnout making helps in
reducing (Naves, 2016) the risks of burnout Recomm Personality assessments Improve the
management Enhance nursing staffing Increase engagement with endations Improve
working procedures Reschedule the nurses’ nursing professionals conditions Enhance
human resource working timetables Improve the motivational Enhance patient-staff ratio
management and staffing Effective management of strategies Goal-setting and planning
Provision of nursing work nursing personnel Effective management will help nurses in
resources Proper placement of procedures will improve preventing burnout Increase

5. nursing staffing patients in different nursing practice (Naves, Education and training on
(Ghavidel et al., 2019) departments to reduce 2016) strategies of identifying overworking
(Greives, 2016) © 2017. Grand Canyon University. All Rights Reserved. stress and
compassion fatigue (Baranda, 2017) Explanati The article demonstrates The article
provides insights The author enhances the The article compiles various on of the elements
of nursing on the issue of nursing burnout understanding of the recommendations and How
the burnout intervention as it provides evidence from various procedures of suggestions
that are crucial in Article procedures such as the role nursing experiences in nursing
burnout preventing nursing burnout. s of nurses and psychiatric medical facility in
intervention programs. The evidence is obtained EBP/Cap organizational management Iran.
The article demonstrates from a variety of peer stone personnel. The author also the
aspects of using reviewed scientific journals Project compiles varieties of Nursing Workload
Tool to through literature reviews. evidence from the problem help in predicting nursing
statement. burnout. Criteria Article 5 Article 6 Article 7 © 2017. Grand Canyon University.
All Rights Reserved. Article 8 Author, Ríos-Risquez, M. I., & Shenoi, A. N., Braga, S. S., de
Adimando, A. (2018). Journal (Peer- García-Izquierdo, M. (2016). Kalyanaraman, M., Pillai,
Carvalho, M. L. N., Preventing and alleviating Reviewed), Patient satisfaction, stress and A.,
Raghava, P. S., & Pimentel, B. L., da compassion fatigue through and burnout in nursing
personnel Day, S. (2018). Burnout Conceição Sacramento, self-care: an educational
Permalink or in emergency departments: A and psychological distress R., de Oliveira, I. M.
C., workshop for nurses. Journal Working cross-sectional study. among pediatric critical de
Oliveira, B. D., … & of Holistic Nursing, 36(4), Link to International journal of care physicians
in the Ferreira, I. P. (2020). 304-317. Access nursing studies, 59, 60-67. United States.
Critical Self-Care of Intensivist https://sci- Article https://sci- care medicine, 46(1), 116-
Nursing Professionals as hub.tw/https://doi.org/10.1016 122. a Success of Healthcare
System Literature ReviewStrategy to Prevent /j.ijnurstu.2016.02.008 Burnout Syndrome.
https://sci- hub.tw/10.1097/CCM.000 International Journal of 0000000002751 Advanced
Engineering Research and Science, 7(6). © 2017. Grand Canyon University. All Rights
Reserved. hub.tw/https://doi.org/10.117 7/0898010117721581
https://ijaers.com/upload s/issue_files/6IJAERS05202038-Self-Care.pdf Article Title
Patient satisfaction, stress and Burnout and Self-Care of Intensivist Preventing and
alleviating and Year burnout in nursing personnel psychological distress Nursing
Professionals as compassion fatigue through Published in emergency departments: A
among pediatric critical a Strategy to Prevent self-care: an educational cross-sectional
study. care physicians in the Burnout Syndrome. workshop for nurses. 2016 United States.
2020 2018 2018 Research ? ? What are the What are the ? Can injuries ? How do nurses
Questions perceptions of nursing effects of physical incurred in caring for chronically
(Qualitative)/ burnout in the burnout and intensive care ill patients incur Hypothesis
healthcare system? psychological units cause compassionate What are the distress of nurses
physical and fatigue and burnout? correlation of nursing towards the mental health to
stress and burnout and healthcare system? nurses? (Quantitative) ? © 2017. Grand Canyon
University. All Rights Reserved. ? How does self-care improve the perceptions of ? ? How are
self-care compassionate conflicts increase processes fatigue towards the risks of effective in

6. nurses? nursing burnout? preventing clinical procedures? Can work-home nursing burnout?
Purposes/ The analysis of the Estimation of the To report the importance Aim of Study
relationship between patient prevalence of nursing of education for self-care the risk
factors for satisfaction and the perception burnout and distress in practices in healthcare
compassionate fatigue in of work stress and burnout to critical care units (Shenoi
professional in nursing practice (Adimando, the nurses (Rios-Risquez & et al., 2018).
preventing burnout 2018). Garcia-Izquierdo, 2016). Design (Type of To increase the
awareness of Qualitative research method (Braga et al., 2020). Quantitative research
Qualitative research Both qualitative and method method quantitative research
Quantitative, methods were used or Type of Qualitative) © 2017. Grand Canyon University.
All Rights Reserved. Setting/ 148 nursing professionals and 253 pediatric critical care 11
nursing professionals Nurses aged 18 years and Sample 390 patients physicians Methods:
Short-stay patient services Management of work Self-care procedures Empathic emotional
Intervention/I Improved occupational situations Management of emotion Self-care
procedures nstruments environment (Rios-Risquez & Problem resolution tactics and
frustrations (Adimando, 2018) above Garcia-Izquierdo, 2016) Recognizing signs and
symptoms of stress Analysis The analysis was conducted Nursing burnout is Self-care data
analysis Compassion fatigue data was based on the use of prevalent in critical care indicated
that nurses can used to identify the causes of questionnaires that provided units and can
affect the prevent burnout based on stress and nursing burnout in data of burnout
prevalence in delivery of quality health the use of self-care emergency departments care
service delivery strategies. (Rios-Risquez & Garcia- (Shenoi et al., 2018). Izquierdo, 2016).
© 2017. Grand Canyon University. All Rights Reserved. the medical settings. Key Findings
Negative perceptions of Burnout is prevalent in Conflicts with family Compassion fatigue is
nursing practice can cause pediatric departments and social life causes caused by
cumulative and burnout Physical demands of work high risks of burnout unresolved stress
Short stay services helps in can cause burnout Identification of Educational workshop can
enhancing patient satisfaction Regular exercise and self- stressors is crucial in be effective
in burnout which is crucial in preventing care helps in preventing preventing burnout
prevention (Adimando, burnout (Rios-Risquez & burnout (Braga et al., 2020) 201 …Success
of Healthcare System Literature Review