Date of Graduation

Summer 8-9-2024

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

Cathy Coleman DNP, MSN, CPHQ, CNL

Second Advisor

Carla Martin DNP, RN, CIC, CNL, NEA-BC, FACHE

Abstract

Problem

According to Membrive-Jimenez et al. (2020), 29% of nursing managers experience emotional exhaustion due to work overload, conflict mediation, and a lack of support from senior leadership. In a central California hospital, front-line nurse managers struggle to meet organizational goals and support their teams, with 64% indicating dissatisfaction in their roles in fall 2023. This highlights the need to improve job satisfaction and retention.

Context

A large healthcare system in Northern California has implemented Caring Science (Foss et al., 2015) and HeartMath® (HeartMath, 2023) techniques in a rural hospital to improve nurse manager retention and job satisfaction. The project involved training assistant nurse managers and house supervisors in HeartMath® techniques to build a resilient and caring culture.

Intervention

A clinical nurse leader (CNL) student and HeartMath® certified trainer taught three HeartMath® educational modules, which included three HeartMath® techniques.

Measures

The primary outcome measure was the participants’ (N=6) job satisfaction and resilience level, measured using two validated and publicly available surveys conducted at pre- and post-educational training.

Results

The resiliency post-survey revealed that the front-line nurse managers sustained their baseline high level of resilience at 100%. The post-survey results showed a 25% increase in overall job satisfaction.

Conclusions

Front-line nurse managers in healthcare organizations face high rates of burnout and turnover. Applying Caring Science principles and techniques like HeartMath® can increase resiliency while creating a supportive culture and psychologically safe work environment. Disseminating these practices to more nurse managers is crucial to supporting their well-being and improving organizational effectiveness.

Comments

Front-Line Nurse Manager, Caring Science

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