NUR 720 Assignment 7.1 Synthesis of Evidence

Assignment 7.1: Levels of Evidence Evaluation Table

Yes, burnout will be fine for this course.

Dr. Judy Walloch at Tue Sep 13, 2022 7:09amat Tue Sep 13, 2022 7:09amBurnout as an issue is appropriate. Whether or not uninterrupted breaks is included in your bundle of interventions will be for the literature to guide you. My bet is that your bundle of interventions will need to include more than breaks.

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NUR 720 Assignment 7.1 Synthesis of Evidence Sample

While it can be and should be argued that burnout is a profession wide dilemma, emergency room nurses has been found to experience higher levels of burnout than most other specialties (Trinkoff et al., 2006). In a traditional job, taking breaks is a part of a normal shift, let alone a 12-hour shift. However, with emergency room nurses, they tend to put patient’s need first and end up exhausting themselves, which jeopardize patient safety. Emergency room nursing comes with a high degree of unpredictability and requires nonstop constant care. Many times, that care does not fit neatly into a schedule or routine. A final concern that has been associated with nurses’ fatigue is a lack of meal and non-meal breaks during the course of their shifts (Witkoski & Dickson, 2010). NUR 720 Assignment 7.1 Synthesis of Evidence Less compassionate, distant, and cold in front of patients, medication errors, late medication administration, noncompliant with infection control protocols, etc. are some attributes that tend to manifest because of nurses’ fatigue, which can compromise patient outcomes and safety. Rogers et al. (2004) found that nurses had no opportunities to sit down for a break during 10% of their work shifts. Furthermore, in 43% of their work shifts, nurses were not free from patient-care responsibilities during breaks, leading to frequent interruptions of their breaks. On average, the total amount of time that nurses spent on break was only 26 minutes during their entire 12-hour shift. NUR 720 Assignment 7.1 Synthesis of Evidence While the idea of a guaranteed lunch break implies that a nurse would be eating during this time, some nurses may not choose to utilize this time for eating (Arias, 2021). Trougakos et al. (2014) found when individuals felt more autonomous with the way they chose to use their break time, they felt less fatigue. Therefore, my selected practice issue for focus in this project is to determine the effect of guaranteed uninterrupted breaks on nurse performance and patient safety compared to taking little or no breaks.

Foreground Question

In the emergency department, does guaranteed uninterrupted breaks for nurses reduce burnout and improve patient outcomes compared to taking little or no break?

NUR 720 Assignment 7.1 Synthesis of Evidence References

Arias, S. (2021). Reducing Burnout through Guaranteed Breaks in Nurses in the Reducing Burnout through Guaranteed Breaks in Nurses in the Acute Care Setting: A Benchmark Study Acute Care Setting: A Benchmark Study. Retrieved September 13, 2022, from https://scholarworks.uttyler.edu/cgi/viewcontent.cgi?article=1162&context=nursing_msn

Rogers, A. E., Hwang, W.-T., & Scott, L. D. (2004). The Effects of Work Breaks on Staff Nurse Performance. JONA: The Journal of Nursing Administration, 34(11), 512–519. https://journals.lww.com/jonajournal/Abstract/2004/11000/The_Effects_of_Work_Breaks_on_Staff_Nurse.7.aspx

Trinkoff, A., Geiger-Brown, J., Brady, B., Lipscomb, J., & Muntaner, C. (2006). CE Credit: How Long and How Much Are Nurses Now Working? The American Journal of Nursing, 106(4), 60–72. http://www.jstor.org/stable/29744399

Trougakos, J. P., Hideg, I., Cheng, B. H., & Beal, D. J. (2014). Lunch breaks Unpacked: The role of autonomy as a moderator of recovery during lunch. Academy of Management Journal, 57(2), 405–421. https://doi.org/10.5465/amj.2011.1072

Witkoski, A., & Dickson, V. V. (2010). Hospital Staff Nurses’ Work Hours, Meal Periods, and Rest Breaks: A Review from an Occupational Health Nurse Perspective. AAOHN Journal, 58(11), 489–497. https://doi.org/10.1177/216507991005801106  NUR 720 Assignment 7.1 Synthesis of Evidence