The purpose of this proposal is to describe the main parts of the quality improvement project that is oriented to improving nurses’ practice, performance, and the quality of care while using effective stress management strategies to address possible burnout. The problem statement is presented in the proposal with a focus on potential outcomes of non-resolving the issue. The discussion of the problem, as well as the analysis of possible ways to address it, is supported by the review of the recent literature on the topic. To implement the project, it is necessary to focus on integrating the intervention into a working process of the selected facility and analyze the pre- and post-intervention data. A detailed discussion of the findings is required to make certain recommendations for nurses.
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The number of nurses who experience stress associated with their working environments is very high (Khamisa, Oldenburg, Peltzer, & Ilic, 2015). Triggers of stress can include particular aspects of nursing practice, communication with patients, and the necessity of making decisions in problematic cases among other factors (Sarafis et al., 2016).
As a result, occupational stress often leads to nurses’ burnout, and it can be characterized by low concentration levels, low productivity, and general decreases in performance (Laschinger & Fida, 2014). Those nurses who experience emotional pressure and report stress are inclined to demonstrate the decreased quality of care. The purpose of this proposal is to discuss the problem identified for the quality improvement project, present a review of the recent literature on the issue, describe methods which will be used to implement the change, discuss methods to analyze changes in the quality of care, and predict potential outcomes.
While analyzing the situation in nurses’ workplaces, it is possible to identify the following problem: in spite of experiencing occupational stress on a daily basis, many nurses do not know how to cope with this challenge, and their burnout potentially leads to negative changes in their productivity, performance, and quality of care, resulting in adverse effects on patients’ outcomes.
If nurses cannot manage their stress, and organizations do not support nurses in their attempts to overcome the pressure and avoid burnout, it is possible to expect high turnover levels and significant decreases in the quality of the provided care (Laschinger & Fida, 2014; Mohamed, 2016). In order to guarantee that nurses are able to cope with stress and deliver high-quality care, it is important to educate them regarding the use of specific stress management techniques which are effective to reduce burnout, resulting in improved patients’ experiences and outcomes.
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To find scholarly articles that present the results of studies on the problem of nurses’ burnout and the use of stress management strategies, it was important to search such databases as PubMed, ScienceDirect, ProQuest, and EBSCOHost. The review of the retrieved articles indicates that studies can be divided into those which describe how nurses’ stress and burnout influence the quality of their care and those which explain how the use of stress management strategies can influence nurses’ performance.
According to Khamisa et al. (2015), many nurses experience fatigue in their workplace, and the quality of their care decreases because nurses do not realize how they can face everyday challenges without being exhausted. Moreover, Laschinger and Fida (2014) claimed in their research that nurses can experience so high levels of stress and fatigue that they become unable to provide effective care for patients, and this situation creates a range of challenges for healthcare facilities.
Those nurses who suffer from emotional pressure and burnout are inclined to make more medical errors and cause delays in working with patients (Khamisa, Peltzer, & Oldenburg, 2013). Thus, studies show that nurses’ burnout and exhaustion are key causes of injuries and ineffective decisions made regarding patients’ treatments (Khamisa et al., 2013; Laschinger & Fida, 2014). In their study, Cañadas-De la Fuente
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