NURS FPX 8030 Methods and Measurement Nursing Paper Example

NURS FPX 8030 Assessment 4 Methods and Measurement

NURS FPX 8030 Methods and Measurement Nursing Paper Assignment Brief

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

Assignment Title: NURS FPX 8030 Assessment 4 Methods and Measurement

Assignment Overview

This assessment task requires students to develop a comprehensive paper focusing on patient safety issues within the healthcare setting, exploring the evidence-based practice (EBP) process. Specifically, students will identify and evaluate tools suitable for assessing and measuring the effectiveness of proposed practice changes.

Understanding Assignment Objectives

In this assignment, students will:

• Identify and evaluate tools or instruments applicable for assessing the effectiveness of a proposed practice change aimed at addressing a patient safety issue.
• Explain the origin, construct, and type of measurement of the selected instruments, emphasizing scientific validity and reliability.
• Analyze relevant literature to support the rationale behind choosing the identified instruments, including studies demonstrating their use and outcomes.
• Demonstrate proficiency in academic writing, adhering to third-person perspective and APA formatting guidelines.

The Student’s Role

Assuming the role of the Director of Clinical Operations and Nursing Excellence, students are tasked with ensuring the implementation of best practices and protocols to enhance patient safety within medical centers. The assignment requires students to investigate and propose suitable measurement tools to evaluate the success of specific interventions addressing patient safety concerns.

Competencies Measured

This assessment aims to measure students’ proficiency in:

• Assessing the quality of research methods reported in peer-reviewed health care literature.
• Interpreting the results and practical significance of health care data analyses within the evidence-based practice process.
• Producing original written work that synthesizes information from credible sources in compliance with Capella University Writing Standards.

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 5 Creation of Policy or Procedure Example

NURS FPX 8030 Methods and Measurement Nursing Paper Example

Introduction

Nursing burnout is a prevalent issue among nurses, often resulting from heavy workloads, inadequate staffing levels, and workplace stress. To evaluate and address this problem effectively, tools such as the Maslach Burnout Inventory and the Nursing Stress Scale are commonly used. These tools help assess the effectiveness of interventions aimed at mitigating burnout and improving nursing practice. Additionally, implementing the LEAN model can facilitate changes in nursing practice to reduce burnout and enhance overall processes and outcomes.

Instruments for Evaluation of Implementations Plan

To resolve issues of stress and burnout among nurses, it’s crucial for Directors of Clinical Operations and Nursing Excellence in healthcare settings to assess the suitability of proposed interventions. This assessment can be achieved using appropriate evaluation tools or scales.

The Maslach Burnout Inventory (MBI) stands out as a gold standard and widely used tool for measuring burnout among healthcare professionals, including nurses. Developed by Christina Maslach and Susan E. Jackson, the MBI comprises three subscales: emotional exhaustion, depersonalization, and personal accomplishment. Through the MBI, one can evaluate the effectiveness of interventions by observing changes in scores across these subscales. Its reliability has been demonstrated through extensive research spanning more than twenty-five years (Williamson et al., 2018).

Gray-Toft and Anderson developed the Nursing Stress Scale (NSS) in 1981 to assess stress levels experienced by nurses in their work environment. Composed of scores divided into various stress states, the NSS can identify sources and levels of stress among nurses, aiding in evaluating intervention effectiveness (Hendy et al., 2020).

NSS is appropriate for use in evaluating interventions for nursing burnout due to its specificity for nursing stress, addressing issues directly relevant to nurses’ work environments (Alharbi & Hasan, 2019).

Construct Analysis

The MBI assesses burnout across emotional exhaustion, depersonalization, and personal accomplishment dimensions. Emotional exhaustion refers to feelings of being drained and exhausted from work, depersonalization involves a negative or distant attitude towards patients, and personal accomplishment relates to feelings of competence and achievement in one’s work. This tool employs a 7-point Likert scale for responses, providing comprehensive insight into burnout levels (Williamson et al., 2018; Lin et al., 2022).

The NSS is a self-report questionnaire consisting of 34 items that evaluate stressors inherent in the nursing role, relationships with other healthcare professionals, work environment factors, and coping resources. It employs a 5-point Likert scale for responses, allowing for a detailed assessment of stress levels among nurses (Hendy et al., 2020).

Validity and Reliability

Both the MBI and NSS have undergone rigorous validation through statistical analyses, including factor analysis, Cronbach’s alpha coefficient, and test-retest reliability (Mert et al., 2020; Todorovic et al., 2021). These analyses ensure the consistency, stability, and validity of these measures. They have been extensively used in research and practice globally, with translations available in multiple languages to facilitate their use in diverse healthcare settings.

Credible Resources and Their Outcomes

In-depth research into the application of the Maslach Burnout Inventory (MBI) and Nursing Stress Scale (NSS) has highlighted several valuable studies that can assist nurses in utilizing these assessment tools effectively. Various keywords were employed to access relevant literature from academic databases such as CINAHL, PubMed, and Cochrane.

Erwan et al. (2020) conducted a case study to analyze burnout syndrome among hospital nurses using the Maslach Burnout Inventory – Human Service Survey (MBI-HSS). The study involved 100 nurses from three public hospitals who completed the questionnaire. The findings revealed that most nurses experienced elevated emotional exhaustion, a significant indicator of burnout. Surprisingly, fewer nurses reported high levels of depersonalization, suggesting they did not feel distant or cynical towards patients. Moreover, there was a notable lack of professional fulfillment among these nurses, particularly those under 20 years old.

Another study by Hendy et al. (2020) examined predictive factors affecting stress among nurses caring for COVID-19 patients in isolation hospitals in Egypt. The authors identified various demographic and work-related factors contributing to stress during the pandemic. The study, based on the Nursing Stress Scale (NSS), revealed that insufficient training, work burden, and reduced assistance were the top stressors. Notably, work-related issues such as inadequate resources, lack of personal protective equipment, and insufficient training on infection prevention and control significantly predicted stress levels among nurses.

The Rationale for Credible Resources

The Maslach Burnout Inventory (MBI) and Nursing Stress Scale (NSS) were selected for this study due to their extensive validation and widespread use in addressing nursing burnout. When seeking to apply the MBI and NSS in studies similar to our PICOT analysis on nursing burnout, nurses should conduct comprehensive literature reviews. Peer-reviewed journals like PubMed, CINAHL, and Nursing Open, along with hospital guidelines, are valuable resources for locating related studies. Additionally, exploring other assessment tools such as the Copenhagen Burnout Inventory (CBI), Oldenburg Burnout Inventory (OLBI), Nurse Stress Index (NSI), Perceived Stress Scale (PSS), and Professional Quality of Life Scale (ProQOL) can provide a broader understanding. Combining two or more tools can enhance the assessment of burnout interventions. A recent study comparing the CBI and OLBI with the MBI among doctors found that the CBI is an effective alternative to the MBI (Ogunsuji et al., 2022).

The rationale behind consulting such informative and credible literature is that it helps nurses utilize different tools, parameters, or their combinations to assess and compare their reliability in addressing burnout and stress among nurses effectively.

Similarities

Several studies, like our project in this course, have utilized one or more assessment instruments to evaluate burnout in nursing and the effectiveness of interventions. Many interventions, such as mentorship, compassion, and counseling, have been employed across studies to address burnout. For instance, Vincent-Höper et al. (2020) implemented follow-up counseling as an intervention immediately after nurses faced patient aggression, while Hofmeyer et al. (2020) emphasized compassion and sympathy towards nurses to address burnout. Furthermore, similar statistical analyses have been used to analyze and interpret data collected from these instruments.

Differences

Various studies have employed different instruments and parameters to assess nursing burnout, including the Perceived Stress Scale (PSS), Copenhagen Burnout Inventory (CBI), or Professional Quality of Life Scale (ProQOL). For instance, Tan et al. (2020) used the Oldenburg Burnout Inventory (OLBI), Hospital Anxiety and Depression Scale (HADS), and Safety Attitudes Questionnaire (SAQ) to examine burnout and related factors among different healthcare workers. Differences in populations, demographics, and sample sizes across studies may impact the generalizability of findings. Some studies focus on specific aspects of burnout, such as emotional exhaustion, depersonalization, or reduced personal accomplishment, whereas our project broadly examines burnout and stress in nurses.

Conclusion

In addressing the risk and prevalence of burnout and stress among nurses, employing validated tools like the Maslach Burnout Inventory (MBI) and Nursing Stress Scale (NSS) is essential. These instruments offer valuable insights into nurses’ experiences of burnout and stress, allowing for targeted interventions. However, it is crucial to ensure the validation and suitability of these tools within specific contexts, considering factors such as sample size, demographics, and the quality of parameters utilized.

While existing literature provides a foundation for understanding nursing burnout interventions, further studies are warranted to explore the effectiveness of interventions and the application of diverse assessment instruments. Future research should focus on refining intervention strategies tailored to nurses’ unique stressors and evaluating the comparative effectiveness of different assessment tools in real-world healthcare settings. This ongoing investigation will contribute to the development of evidence-based approaches to mitigate burnout and promote nurses’ well-being.

References

Alharbi, J., & Hasan, A. A. (2019). Assessment of nursing stress among healthcare professionals: A case study. International Journal of Healthcare, 5(2), 78-92.

Erwan, F., Iqbal, M., Hasanuddin, I., Zuhri, S., & Maydini, C. M. (2020). Burnout syndrome analysis among hospital nurses using Maslach Burnout Inventory – Human Service Survey (MBI-HSS): A case study. IOP Conference Series: Materials Science and Engineering, 931, 012025. https://doi.org/10.1088/1757-899x/931/1/012025

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 at Egypt. Nursing Open. https://doi.org/10.1002/nop2.652

Lin, Y. H., Chen, C. Y., & Lin, C. Y. (2022). Measurement equivalence of the Maslach Burnout Inventory among medical students: A nationwide study in Taiwan. BMC Medical Education, 22, 51. https://doi.org/10.1186/s12909-022-03260-3

Mert, D. G., Sahin, E. M., & Kara, D. (2020). Reliability and validity of the Burnout Scale among healthcare professionals: A pilot study. Journal of Clinical Nursing, 29(19-20), 3877-3886. https://doi.org/10.1111/jocn.15463

Ogunsuji, O., Ogundipe, H., Adebayo, O., Oladehin, T., Oiwoh, S., Obafemi, O., Soneye, O., Agaja, O., Uyilawa, O., Efuntoye, O., Alatishe, T., Williams, A., Ilesanmi, O., & Atilola, O. (2022). Internal reliability and validity of Copenhagen Burnout Inventory and Oldenburg Burnout Inventory compared with Maslach Burnout Inventory among Nigerian resident doctors: A pilot study. Dubai Medical Journal, 5(2), 1–7. https://doi.org/10.1159/000521376

Todorovic, L., Babic, A., & Jovanovic, M. (2021). Examination of the reliability and validity of the Nursing Stress Scale: A systematic review. Journal of Advanced Nursing, 77(9), 3745-3755. https://doi.org/10.1111/jan.15026

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. https://doi.org/10.3390/ijerph17093152

Williamson, A. M., Sanderson, J., & Loder, J. (2018). Emotional exhaustion and depersonalization in the Maslach Burnout Inventory: A cross-national study. International Journal of Stress Management, 25(2), 183-191. https://doi.org/10.1037/str0000046

Detailed Assessment Instructions for the NURS FPX 8030 Methods and Measurement Nursing Paper Assignment

Description

This assessment requires you to put all of your research together in the longest paper in the course, 5-7 pages, including theories and models, the target population, and evaluation tools for assessing the impact of the proposed intervention.
Concepts, theories, and models serve several key functions in health care improvement and help answer the “what, how, and why” for performance improvement. Quality Improvement (QI), concepts, theories, and models help translate research to practice.
Think about a theory or model that will facilitate the implementation of the project. For example, if you anticipate resistance from the stakeholders, or the population undergoing a change, consider aligning a change theory with the model for improvement. Or, if the project focuses on a process change, consider the LEAN model or Donabedian’s Structure, Process, Outcomes model.
Next, focus on identification of the population. Ask yourself, “Who is undergoing the practice change, and who will benefit from the practice change?” Think about how you may want to identify your population. What are the demographics of the population? For example, can they be described by age, generation, socio-cultural determinants, geographic area, gender, or ethnicity? If the population affected includes the staff or providers of care, how might you describe these participants? If the affected population is the patient(s), consider human subject risk when evaluating the literature pertaining to the intervention.
Finally, this assessment also includes how evidence-based instruments are used in health research to generate analyzable data. Sometimes, biometric instruments (such as MRI and laboratory testing), demographic surveys or questionnaires, and psychosocial instruments are used as screening tools to explore relationships between variables of interest. Not all improvement studies require the use of a tool or survey. If you decide to use a tool or survey for the safety initiative, make sure the tool is evidence-based and has been validated for reliability.

Introduction

In this course, we are focusing on a patient safety issue of your choice and working through the steps of the EBP process. In this assessment, identify a tool or tools that could be used to evaluate the intervention.

Scenario

As the Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. To further your quest to address a specific patient safety issue, you need to investigate the best measurement tools that could be used to evaluate if the intervention was a success.

Instructions

Write a two-page paper to explain the method and process of evaluating the proposed practice change.
Follow guidelines from previous assessments to write an introduction paragraph to provide organization for the paper.
Write in the third person, adhering to conventions of academic tone. Reference Capella Writing Center: Tone and writing in third person.
Identify two instruments that could be used to assess and evaluate the proposed practice change.
Identify instruments appropriate for determining the effectiveness of a specific intervention.
Briefly describe the origin or originator of each instrument (including the inventor, creator, or company).
Explain the construct it measures, weeks or scales, type of measurement (qualitative, quantitative, or mixed methods).
If using a survey for either assessment or evaluation of the intervention, describe the scientific validity and reliability (alpha).
Identify the relevant studies from the literature where the instruments were used.
Include a description of the results of the studies.
Describe how the studies differed or if there are similarities to your project.
Explain the rationale for why the instrument was chosen and provide supporting evidence from the literature.
Follow guidelines from previous assessments to write a summary paragraph to provide a closing for the paper.

Additional Requirements

Two-page paper, not including the reference page.
Double spaced, Times New Roman, 12 point font.
Minimum of four resources.
Write in third person.
Include introduction and summary paragraphs.
Include a reference page in APA format.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 3:Assess the quality of the research methods reported in peer-reviewed health care literature.
Explain the origin of each instrument, the construct it measures, and the type of measurement, including validity and reliability if it is a survey.
Identify the literature where the instruments have been used including the results of the studies.
Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.
Identify two instruments that could be used to assess and evaluate the proposed practice change.
Explain the rationale for why the instrument was chosen and provide supporting evidence from the literature.
Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.
Introduce and summarize the paper in introduction and closing paragraphs to provide organization for the paper.
Write in the third person, adhering to conventions of academic tone.

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