Date of Graduation

Summer 8-4-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

Kaiser cohort MSN capstone

First Advisor

Sara Horton-Deutsch

Second Advisor

Liesel Buchner

Abstract

Abstract

Background: This quality improvement project, a beacon of hope in the face of nurse burnout, examined its effects and how nurse leader engagement and the transformative Joy in Practice Initiative can promote wellness, joy in practice, and significantly improve patient outcomes. Problem: According to the Institute of Healthcare Improvements (IHI) 2019 National Forum on Quality Improvement in Healthcare (IHI, 2019), burnout can be characterized by depersonalization, emotional exhaustion, and lack of personal accomplishment. Since the COVID-19 pandemic, nurse burnout rates have been at an all-time high, posing a significant threat to patient care. This has revealed alarming results: Nurse burnout and compassion fatigue directly affect bedside staff and patients, resulting in a noticeable decline in the quality of care. The implications of this are profound, as it not only impacts the well-being of nurses but also jeopardizes the health and safety of patients (Archer, 2022).

Interventions: From April through June 2024, a twelve-week initiative was implemented to lessen the effects of nurse burnout and compassion fatigue in the workplace. Evidence-based interventions included nurse leader engagement, self-care practices, team engagement, positive reinforcement, and employee recognition.

Outcome Measures: A survey was performed pre- and post-implementation to assess reported levels of burnout. Quality metrics such as medication errors, falls, absenteeism, and workplace injuries were measured for effectiveness. This project aimed to decrease reported levels of nurse burnout by 20% of baseline scores, a significant step towards a healthier and more joyful nursing profession.

Results: Post-intervention results showed a 44% decrease in the overall burnout rate, a 32% reduction in depersonalization, and a 48% reduction in reduced personal achievement.

Conclusion: The implementation of the Joy in Practice Initiative was successful in reducing reported levels of burnout, improving workplace morale, and improving the overall quality of patient care.

Keywords: Nurse burnout, depersonalization, personal achievement, absenteeism

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