This assignment will require you to do the following in parts:
1. Part 1-read through the nursing situation and create a PICO(T) question using the box provided and using the Nursing Situation Provided here.
2. Provide a brief description of the highlighted databases and why these would be appropriate to answer the PICOT question you identified from the nursing situation (1-2 sentences max for each database)
3. Complete the Table using your PICOT table ensuring to include the following:
a. Use descriptors
b. Identify each of the areas of the table including the descriptors and number of journal articles located in the various databases
4. Include a citation using the Level of Evidence Table-identify 1-2 articles that you located and how it fits the criteria outlined in the Levels of Evidence Hierarchy. Ensure to use APA -NOT A SUMMARY ONLY A CITATION AND WHY IT MEETS THE EVIDENCE TABLE CRITERIA (Use the Level of Evidence Table from your textbook on p. 92
5. One paragraph about theory (The general idea is to recognize and understand how does nursing theory impact EBP?
6. One paragraph about what you learned
Nursing burnout and workload is a complicated issue with far-reaching effects. Nursing burnout and inappropriate nursing workload have been linked to increased risk of urinary tract infection, respiratory infections, decreased patient satisfaction, decreased quality and safety of care, and increased mortality.
The purpose of the project was to decrease nursing burnout on a Medical Progressive Care Unit (MPCU) by moving patients with high workloads and medical instability to a higher level of care. Within this project, Rosabeth Kanter’s Theory of Structural Power was used for the theoretical framework, and the Stetler Model guided the implementation. The intervention consisted of a presentation to Intensive Care Unit (ICU)/ Pulmonary physicians on the correlation between workload, burnout, and other issues pertinent to MPCU such as current turnover rates and the inexperience of the nurses. The project also included a daily workload tool for each patient in the progressive care unit for the first two months in order to gather reliable data for the submitted proposal to improve nurse: patient ratios. The last four weeks of the project consisted of identifying patients at risk for transfer to the ICU due to their medical instability and then calculating the Nursing Activities Score (NAS). The NAS is a validated ICU level nursing workload tool utilized for this project. If the patient reached an ICU level workload of 54 and was deemed ICU appropriate, the goal was to move patients due to their workload and acuity. If the patient could not be moved due to extraneous factors such as lack of nursing staff in the ICU, then the pulmonary consult team, if appropriate, would consult. The Maslach Burnout Inventory (MBI) was utilized to measure burnout
