Picot statement and literature search gcu

PICOT Question And Literature Search

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the "Literature Evaluation Table" to complete this assignment.

Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
The PICOT question will provide a framework for your capstone project.
Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Stress and burnout syndrome in hospital urses: a descriptive study. Online braz j nurs [internet] 2016 Oct [cited year month day]; 15 (suppl.):518-520. Available from: http://www.objnursing.uff.br/index.php/nursing/ article/view/5525

ISSN: 1676-4285

518

Stress and burnout syndrome in hospital nurses: a descriptive study Clarissa Maria Bandeira Bezerra1, Milva Maria Figueiredo De Martino1

1 Federal University of Rio Grande do Norte

ABSTRACT Aim: to check stress levels and the presence of the burnout syndrome in a population of nurses on day and night shifts in a hospital. Method: descriptive cross-sectional study with a quantitative approach, performed at the Hospital of Federal University of Rio Grande do Norte. Consists in applying questionnaires to nurses to obtain data through the form of socio-demographic data, then the instruments: the Bianchi scale to quantify the level of stress, and the Maslach Burnout Inventory (MBI) to identify the presence of the burnout syndrome. The organization of data will involve the use of the Microsoft Windows Excel 2010 spreadsheets and will be analyzed using the Statistical Package for the Social Sciences version 20.0. The data will be organized in tables and charts, and analyzed according to descriptive and inferential statistics.

Descriptors: Occupational Stress; Burnout; Nursing.

519 Bezerra CMB, Martino MFF. Stress and burnout syndrome in hospital urses: a descriptive study. Online braz j nurs [internet] 2016 Oct [cited year month day]; 15 (suppl.):518-520. Available from: http://www.objnursing.uff.br/index.php/nursing/ article/view/5525

THE THEMATIC CONTEXTUALIZATION AND RESEARCH PROBLEM

Changes in work practices in the health ser- vice occur daily. Nursing as a component of the area is subject to improvements as technological advancement, but also arise dissatisfactions - in- creased demand for services, competitiveness, and long working hours. These factors trigger stress and emotional changes that can directly affect the care provided to patients and the worker’s own health(1).

Stress is defined as a set of sensibilities, and feelings of hate and nuisance that the subject feels and that can affect his psychological health, affecting his judgment and even his understan- ding of events. The change has both a psycho- logical and a physical impact. Stress at work is defined as occupational or work-related stress, and appears in the worker’s body because of the difficulty in developing his activities, added to the requirements of the service, becoming detrimental to his health and quality of life(2).

When work-related stress exceeds the adaptive levels and becomes chronic, it is given the name of the burnout syndrome. The term comes from the English ‘burn’ and ‘out’, and me- ans someone who does not have more energy, is the collapse of the adaptive capacity of the individual, it has reached the limit of his efforts, no longer works, and is finally burned out. What characterizes this syndrome is the exhaustion of emotion, the loss of identity and the reduced relevance of work(3).

The nursing profession is stressful because of the requirements placed on staff, reduced num- ber of staff in the team, long working hours (often double), daily contact with sick individuals, and death. With all these factors, the team area has been developing mental disorders in the last few years. The nurse, being responsible for the group, is a major cause for concern in this respect(3).

Thus, this study seeks to check the stress level of nurses and if there are disorder of profes- sionals due to stress and the burnout syndrome among workers of different hospital shifts.

Given the above, it is appropriate that the importance of the study focuses on the health worker, who could be hit by mental disorders such as stress and the burnout syndrome, the- reby endangering the health of teammates and of patients receiving their care. At the end of this research it is intended that we can create confronting strategies that will make the daily workload less stressful, contributing to the advancement of scientific knowledge in this subject, and strengthen the profession.

OBJECTIVES

General

Check the level of stress and the presence of burnout syndrome in nurses on day and night shifts in the hospital context.

Specific

• Sample sociodemographic data; • Analyze the stress levels of nurses on day and

night shifts; • Identify the presence of burnout syndrome

and relate it to the stress levels in nursing staff on day and night shifts.

METHOD

This is a descriptive study cross-sectional type, with a quantitative approach. Data col- lection will occur through the use of structured instruments for obtaining sociodemographic data, checking levels of stress (Bianchi Scale)

520 Bezerra CMB, Martino MFF. Stress and burnout syndrome in hospital urses: a descriptive study. Online braz j nurs [internet] 2016 Oct [cited year month day]; 15 (suppl.):518-520. Available from: http://www.objnursing.uff.br/index.php/nursing/ article/view/5525

and the presence of the burnout syndrome (Maslach Burnout Inventory - Human Services Survey, which uses the criteria of high levels in the dimensions “emotional exhaustion” and “depersonalization”, and low level in terms of “personal fulfillment”). The location will be the University Hospital Onofre Lopes, with a poten- tial study population of 118 nurses. As inclusion criteria they must be employed as a nurse at the hospital. The were excluded who were on vacation or in any license or sick leave at the time of data collection. The collection occurred between January and April 2016. The organi- zation of the data will occur involve the use of Microsoft Excel spreadsheets Windows® 2010 version, and then analyzed using the Statistical Package for the Social Sciences version 20.0. The descriptive analysis will be used to evaluate the collected results and provide a sample profile according to the variables studied. Frequency tables will be developed for categorical varia- bles (gender and work shift, for example) with absolute frequency values (N) and percentages (%). For the comparison of categorical variables (double shifts and physical activity, for example) the Mann-Whitney test will be used in case of a lack of normal distribution, and the ANOVA test to observe the variability among the samples (sectors and stress, for example). The level of statistical significance adopted for the statistical tests to be considered significant is p <0.05. The project was approved by the Ethics Committee of the Federal University of Rio Grande do Norte, under number 1313575.

REFERENCES

1. Aiken L, Sermeus W, Van den Heede K, Sloane D, Busse R, McKee M, et al. Patient safety, satisfac-

tion, and quality of hospital care:cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ [internet] 2012 [Cited 2016 March 1]; 344: 1717. Available from:http://www.bmj.com/content/344/bmj. e1717.short

2. Schimidt D. Modelo Demanda-Controle e estresse ocupacional entre profissionais de enfermagem: revisão integrativa. Rev. bras. en- ferm. [internet] 2013. [cited 2016 mar 1]; 66(5). Available from:http://www.scielo.br/pdf/reben/ v66n5/20.pdf

3. Grazziano E, Bianchi E. Impacto do stress ocu- pacional e Burnout para enfermeiros. Enferm. glob. [internet] 2010 [cited 2016 mar 2] 30(18). Available from: http://scielo.isciii.es/pdf/eg/n18/ pt_revision1.pdf

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Received: 03/23/2016 Revised: 04/26/2016 Approved: 04/26/2016

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