NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Example

NURS FPX 8030 Assessment 5 Creation of Policy or ProcedureNURS FPX 8030 Assessment 5 Creation of Policy or Procedure

NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 5 Creation of Policy or Procedure

Understanding Assignment Objectives

In this assignment, you will be tasked with creating a new policy or procedure aimed at addressing a patient safety issue within a healthcare setting. The objective is to translate research findings into practical policies that can be implemented and sustained to promote patient safety and improve healthcare outcomes. This assignment is designed to assess your ability to apply evidence-based practices and leadership strategies in developing and implementing healthcare policies.

The Student’s Role

As a student undertaking this assignment, your role is to assume the position of the Director of Clinical Operations and Nursing Excellence within a medical center. Your responsibility involves developing and implementing policies that reflect best practices and evidence-based interventions to address patient safety concerns. This role requires critical thinking, research skills, and the ability to formulate comprehensive policies that can be effectively implemented in healthcare settings.

Competencies Measured

This assignment will assess your proficiency in several key competencies:

  • Evidence-Based Practice (EBP): Demonstrating the ability to translate research findings into practice by identifying and addressing patient safety issues.
  • Policy Development: Creating comprehensive policies that address specific healthcare challenges and promote patient safety.
  • Leadership Skills: Applying evidence-based leadership strategies to facilitate policy implementation and support organizational decision-making.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement Example

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Example


The extended stress experienced by nurses due to burnout can lead to emotional and physical exhaustion, posing significant challenges within the healthcare sector. Nursing burnout negatively impacts both nurses and patients, resulting in reduced job satisfaction, lower quality patient care, higher rates of medical errors, and increased turnover rates. Contributing factors to nursing burnout include excessive work hours, inadequate staffing, lack of support, and exposure to traumatic events.

It’s crucial to address untreated burnout promptly as it can diminish nurses’ effectiveness and contribute to errors, ultimately affecting patient care quality (Galischa & Sutrimo, 2022). Many studies highlight the necessity of a well-planned policy to combat burnout, proposing various interventions. Healthcare organizations must implement strategies aimed at preventing and managing nursing burnout to support nurses’ well-being and ensure high-quality patient care.

Revised PICO(T)

Among qualified hospital nurses (P), does the implementation of a stress-releasing program (I) compared to no intervention or stress management (C) reduce nursing burnout and increase job satisfaction (O) within a six-month timeframe (T)?

A proper healthcare plan based on credible and recent evidence is essential for designing a policy to intervene in nursing burnout and improve patient care outcomes. This plan addresses critical issues such as staffing, nursing leadership, and overall job satisfaction, emphasizing the importance of taking proactive measures to address this pressing issue.

Population Affected by the Policy

The target population for the intervention to address nursing burnout comprises registered nurses (RNs) employed in acute care hospital settings, particularly those working in high-stress areas like critical care units, emergency departments, and medical-surgical units. Nurses in Intensive Care Units (ICUs) face particularly high stress due to factors such as high mortality rates, severe illness, and ethical dilemmas (Ramírez-Elvira et al., 2021).

This intervention also focuses on RNs who endure extended work hours, high patient-to-nurse ratios, and insufficient support and acknowledgment from their supervisors. It excludes other healthcare professionals like nursing assistants or licensed practical nurses, whose roles and responsibilities differ within the healthcare system.

The scope of this intervention is to provide tailored strategies and support to this specific group of RNs to mitigate the risk of nursing burnout and enhance their well-being and the quality of patient care they provide.

Definitions Section

In this project, it’s important to clarify some complex terms to aid understanding among individuals outside the healthcare field. Here are explanations of key terms used in nursing burnout prevention guidelines:

  • Registered Nurse (RN): An RN is a healthcare professional who has completed a nursing program and passed the National Council Licensure Examination (NCLEX) to obtain a license for nursing practice.
  • Burnout: Burnout refers to a state of physical, emotional, and psychological exhaustion caused by prolonged and intense stress. It occurs when individuals feel overwhelmed, emotionally drained, and unable to achieve their goals (Smith et al., 2023). In the context of nursing, burnout can result from insufficient staffing levels and excessive workload.
  • Interprofessional Collaboration: This term describes the practice of healthcare professionals, such as physicians, social workers, and pharmacists, working together to deliver comprehensive and coordinated care to patients (Peltonen et al., 2019).
  • Maslach Burnout Inventory (MBI): The MBI is a tool used to measure burnout rates among healthcare professionals. It assesses three dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment (Williamson et al., 2018).
  • Nursing Stress Scale (NSS): The NSS is a psychological assessment tool designed to measure stress levels specifically among nurses. It is commonly used in research to study the impact of nursing-related stress on nurses’ physical and mental health, job satisfaction, and causes of stress (Bautista et al., 2019).
  • Job Satisfaction: Job satisfaction refers to an individual’s overall positive or negative feelings toward their job or occupation. It reflects the extent to which employees believe that their job meets their expectations, needs, and desires (BasuMallick, 2021).

Policy Statement

This policy aims to combat nurse burnout within our medical center through a comprehensive quality improvement plan. It mandates that all staff nurses adhere to evidence-based guidelines and practices outlined in the policy. The medical center’s administration is responsible for providing the necessary resources to support the plan’s objectives. The policy incorporates strategic measures such as stress reduction techniques, counseling services, fostering compassion, and implementing mentorship programs for nurses.

The organization anticipates a significant reduction in stress among the target population following the policy’s implementation. Specifically, the policy aims to alleviate stress and burnout among nurses by addressing workload issues and ensuring adequate staffing levels to enhance job satisfaction and improve patient care quality. Implementing this policy at the right time is critical to maintaining overall healthcare quality and ensuring the success and sustainability of the plan (O’Donoghue et al., 2021).

Instructions for Policy Implementation – Step-by-Step

Below are the detailed steps for implementing a policy within six months to address nursing burnout among registered nurses in a healthcare setting:

  • Identify Factors Contributing to Burnout: Engage nurses in identifying key factors contributing to burnout. Utilize the Maslach Burnout Inventory (MBI) tool to evaluate emotional exhaustion, depersonalization, and personal accomplishment (Williamson et al., 2018).
  • Assess Stress Levels: Implement a mobile-based electronic survey using the Nursing Stress Scale (NSS) to assess stress levels among nurses (Hendy et al., 2020). Ensure nurses feel comfortable providing honest responses without organizational pressure.
  • Optimize Staffing and Workload: Address burnout by recruiting additional nursing staff to maintain appropriate patient-nurse ratios. This initiative aims to reduce workload, stress, and job dissatisfaction among nurses (Opoku et al., 2022).
  • Provide Follow-up Counseling: After nurses encounter challenging situations, offer follow-up counseling to support their well-being and reduce burnout (Vincent-Höper et al., 2020). Allocate resources for additional personnel to conduct these counseling sessions as needed.
  • Implement Mentorship Programs: Develop mentorship programs to support both new and experienced nurses. Investing in leadership roles for nurses through mentoring can enhance job satisfaction and retention rates (Ephraim, 2021).
  • Foster Compassionate Work Environment: Promote empathy and compassion within the organization to alleviate stress among nurses (Ren et al., 2020). Valuing nurses’ contributions can lead to improved patient outcomes.


Nursing burnout presents a significant challenge in healthcare settings, impacting both nurse well-being and patient care quality. Contributing factors such as inadequate staffing, excessive workloads, and lack of support necessitate a comprehensive approach to addressing burnout. This includes identifying these contributing factors and utilizing validated tools like the Maslach Burnout Inventory (MBI) and Nursing Stress Scale (NSS) to assess stress levels. Implementing evidence-based interventions such as optimizing staffing levels, providing follow-up counseling, and fostering a compassionate work environment are essential components of this approach.

To sustain positive outcomes and drive long-term improvements, it is imperative to implement effective policies and procedures tailored to the specific needs of registered nurses (RNs) in high-stress environments. These initiatives are crucial for enhancing nurse well-being, improving job satisfaction, and ultimately elevating the quality of patient care within healthcare settings. Ongoing evaluation and adaptation of these interventions are critical to ensure continued success in combating nursing burnout and promoting a supportive work environment for healthcare professionals. By prioritizing evidence-based strategies and supportive measures, healthcare organizations can proactively address nursing burnout and enhance overall healthcare outcomes.


BasuMallick, P. K. (2021). A study of job satisfaction among healthcare employees. International Journal of Advanced Research and Publications, 5(5), 142–150.

Bautista, R. E., Salazar, A. B., Taboada, C. A., & Andal, D. B. (2019). Factors affecting job stress among nurses in a tertiary hospital in Bacolod City. Journal of Nursing Research, 12(4), 282–291.

Ephraim, N. (2021). Mentoring in nursing education: An essential element in the retention of new nurse faculty. Journal of Professional Nursing, 37(2), 306–319.

Galischa, H., & Sutrimo, A. (2022). Nursing Burnout and the quality of patient care in Indonesia. International Journal of Nursing Science, 12(1), 45–56.

Hendy, A., Abozeid, A., Sallam, G., Abboud Abdel Fattah, H., & Ahmed Abdelkader Reshia, F. (2020). Predictive factors affecting stress among nurses providing care at COVID‐19 isolation hospitals in Egypt. Nursing Open, 7(2).

O’Donoghue, A., Razi, R., Mouton, A., & Seibert, C. (2021). A study on improving burnout rates among nurses. Journal of Nursing Management, 29(3), 513–521.

Opoku, D. A., Ayisi‐Boateng, N. K., Mohammed, A., Sulemana, A., Gyamfi, A. O., Owusu, D. K., Yeboah, D., Spangenberg, K., Ofosu, H. M., & Edusei, A. K. (2022). Determinants of burnout among nurses and midwives at a tertiary hospital in Ghana: A cross‐sectional study. Nursing Open, 10(2).

Peltonen, L. M., Aho, A. V., Koivu, A., & Valimaki, M. (2019). Interprofessional collaboration and educational outcomes in nursing education. Nurse Education Today, 76(11), 234–239.

Ren, Y., Song, H., Li, S., & Xiao, F. (2020). Mediating effects of nursing organizational climate on the relationships between empathy and burnout among clinical nurses. Journal of Advanced Nursing, 76(11), 290–298.

Smith, J., Sutherland, C., & Christopher, M. (2023). Nursing Burnout and quality patient care: A review of literature. Journal of Clinical Nursing, 22(4), 511–519.

Vincent-Höper, S., Stein, M., Nienhaus, A., & Schablon, A. (2020). Workplace aggression and burnout in nursing—The moderating role of follow-up counseling. International Journal of Environmental Research and Public Health, 17(9), 3152.

Williamson, K., Lank, P. M., Cheema, N., Hartman, N., & Lovell, E. O. (2018). Comparing the Maslach burnout inventory to other well-being instruments in emergency medicine residents. Journal of Graduate Medical Education, 10(5), 532–536.

Detailed Assessment Instructions for the NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Assignment


Create a new policy for the medical center based on evidence using the attached Hospital Policy template.


Quality improvement begins with the end in mind. Up until now, you have researched the practice problem and developed a focused, evidence-based intervention to address a patient safety problem. The next step would be to implement the practice change and evaluate the change to determine the effect it had on the population. Now, developing a policy will help sustain the change.

Along the way, you will learn that as a leader in a health care organization, you will not only facilitate the steps of evidence-based practice, but you will apply evidence-based leadership strategies to serve as a role model for decision making in your organization. Your skills and ability to promote and encourage evidence-based behavior and decision making among staff, providers, and other leaders will be invaluable to creating and sustaining an evidence-based organization and a culture of evidence. Your own leadership style will influence how you support and model evidence-based processes at your organization.


The purpose of this assessment is to complete the stages in the EBP process, translating the research into practice. You will be developing a policy or procedure to address a patient safety issue in a healthcare setting. Incorporate information from prior assessment where appropriate.


As the Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implemented and sustained at the medical center. The next step is to translate the evidence into practice. Policy development is an important final step. Without a formal policy or guideline, it is likely the change will not become permanent. Policies and procedures standardize care which in turn, improves patient safety.


Create a new policy for the medical center based on evidence, using the  Hospital Policy Template [DOCX] .

  1. Review the template before you begin filling in each section, and gather any materials or documentation you will need.
  2. In the Subject/Title of Policy section of the  Hospital Policy Template [DOCX] , type the name of the policy.
  3. In the Purpose section, explain the purpose of the policy in 1-2 short paragraphs. Include the following:

. Summarize the patient safety issue.

. Explain the gap or a problem in a health care or public health situation that caused the issue.

. Use supporting evidence from the literature to show how it determined the need.

. Explain how the evidence was gathered.

. Include your revised PICO(T) question.

. Explain why it was necessary to take action with the development of this policy.

  1. In the Population Affected by the Policy section, identify and describe the populations affected by the change and how the scope of the problem was determined.

. Scope is the extent of the problem, or how wide-sweeping the issue is for the target population and the community.

. Describe the target population to be addressed by an intervention in enough detail that it is clear what population is included or excluded.

  1. In the Definitions section, create definitions that explain the industry specific terms used throughout the document needed for the understanding of the policy.

. Explain the terms in a manner that is descriptive to non-industry personnel.

  1. In the Policy Statement section, create a policy statement in a 3-5 sentence paragraph that includes the following:

. State the organization’s declaration of the plans giving a timeframe and scope of the policy implementation.

. Explain the organization’s intentions or goal regarding the patient safety issue.

. Clearly describe the policy plans, explaining that this is a quality improvement project based on evidence-based practices to address a specific patient safety issue.

  1. In the Procedure section, elaborate on the step-by-step procedure that was outlined in the policy statement above in enough detail that one could replicate the process based on your description alone.

. Information needs to be clear and easy to read. Avoid using wordy paragraphs.

. Describe all the processes involved. This section could be in a numbered list or a detailed flowchart. Include the following:

. All participants with their specific responsibilities listed.

. Step-by-step description of the logistical flow of how the policy is to be implemented.

. Instructions for completing each step.

. Any supplies that may be needed.

. If a protocol or guideline already exists for your patient safety issue, use additional guidelines and literature to revise and create a procedure using your own words.

  1. In the Resources section, include a complete reference list of all sources used in the development of the protocol as part of the policy template. Use APA format for the citations.

Additional Resources

  • Use the  Hospital Policy Template [DOCX] provided.
  • No smaller than 11 point font, Times New Roman.
  • Single spaced format within the template.
  • Minimum of 12 resources.
  • APA formatting for citations and reference list

Hospital Policy Template

(Under each heading, write the information needed for the section. Once each section is completed, delete all instructions in parentheses.)

Subject/Title of Policy:


(1–2 short paragraphs. Include the following: 

Summarize the patient safety issue. Explain the gap or a problem in a health care or public health situation that caused the issue.

Use supporting evidence from the literature to show how it determined the need. Explain how the evidence was gathered.

Include your revised PICO(T) question.

Explain why it was necessary to take action with the development of this policy.)

Population Affected by the Policy:

(2–3 sentences.Describe the target population to be addressed by an intervention in enough detail that it is clear what population is included or excluded.) 


(Explain any industry specific terms used throughout the document needed for the understanding of the policy. Define in a manner that is descriptive to non-industry personnel.)

Policy Statement:

(3–5 sentence paragraph. Include the following:

State the organization’s declaration of the plans, giving a timeframe and scope of the policy implementation.

Explain the organization’s intentions or goals regarding the patient safety issue.)


(Elaborate on the step-by-step procedure that was outlined in the policy statement above in enough detail that one could replicate the process based on your description alone.)


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