Posted: May 1st, 2025

HLT 490 Reviewing the Literature

CAPESTONE project: Nursing Burnout.

The final capstone project is a series of written research-based assignments completed throughout this course that culminate in a final evidenced-based proposal paper and presentation. Students are encouraged to share their completed proposals with a health care organization that could benefit from the proposal. For this second assignment, you will analyze current research to support your evidence-based intervention project.

Use the “Reviewing the Literature” worksheet to complete this two-part assignment. For Part 1, the Literature Evaluation Table, you will locate and organize information from 10-12 peer-reviewed articles for your literature review. In Part 2, the Literature Analysis, you will analyze the articles you selected and write a review of the literature. Use the information from your Literature Evaluation Table to ensure the inclusion of key information in your narrative.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Reviewing the Literature
Student Name:
Summary of Clinical Issue (200-250 words):
PICO Question:
Part 1: Literature Evaluation Table
Locate a minimum of 10-12 peer-reviewed articles that support your proposed topic. Eight of the 10-12 peer-reviewed articles must be
research-based (i.e., a study which is qualitative, quantitative, descriptive, or longitudinal).
Begin your search for literature by utilizing the databases located in the GCU Library. Contact your instructor, the librarian, or library
staff for additional researching tips and keyword suggestions.
Preview each of the articles chosen by reading the article abstracts and summaries. Article abstracts and summaries provide a concise
description of the topic, research outcomes, and significance of findings.
© 2024. Grand Canyon University. All Rights Reserved.
Criteria
Article 1
Article 2
APA-Formatted Article
Citation With
Permalink
How Does the Article
Relate to the PICO
Question?
Quantitative,
Qualitative (How do
you know?)
Purpose Statement
Research Question
Outcome
Setting
(Where did the study
take place?)
Sample
Method
Key Findings of the
Study
Recommendations of
the Researcher
2
Article 3
Criteria
Article 4
Article 5
APA-Formatted Article
Citation With
Permalink
How Does the Article
Relate to the PICO
Question?
Quantitative,
Qualitative (How do
you know?)
Purpose Statement
Research Question
Outcome
Setting
(Where did the study
take place?)
Sample
Method
Key Findings of the
Study
Recommendations of
the Researcher
3
Article 6
Criteria
Article 7
Article 8
APA-Formatted Article
Citation With
Permalink
How Does the Article
Relate to the PICO
Question?
Quantitative,
Qualitative (How do
you know?)
Purpose Statement
Research Question
Outcome
Setting
(Where did the study
take place?)
Sample
Method
Key Findings of the
Study
Recommendations of
the Researcher
4
Article 9
Criteria
Article 10
Article 11
APA-Formatted Article
Citation With
Permalink
How Does the Article
Relate to the PICO
Question?
Quantitative,
Qualitative (How do
you know?)
Purpose Statement
Research Question
Outcome
Setting
(Where did the study
take place?)
Sample
Method
Key Findings of the
Study
Recommendations of
the Researcher
5
Article 12
Part 2: Analysis of Literature
In 750-1,000 words, write a review of the literature. This section should comprehensively summarize previous research related to your
topic and demonstrate support for your PICO question.
Remember, you are building an argument to for your proposed evidence-based project; this is not simply an article review.
Appraise each article and answer the following questions for each (one to two sentences is sufficient to answer each question):
o
Summarize the purpose of the article or research.
o
Describe how the article or research relates to the health care problem or issue you selected.
o
Explain how the evidence in the article or research supports your proposed intervention.
6
1
Nursing Burnout
Holly M. Lasso
Grand Canyon University
HLT 490: Professional Capstone Project
Ashley Hartman
23 June 2024
2
Nursing Burnout: An Evidence-Based Intervention Proposal
Healthcare Issue: Nursing Burnout.
Nursing burnout is considered to be a crucial aspect affecting the medical sector, especially
in acute healthcare settings. Nursing burnout is characterized by three main features: cynification,
burnout, depersonalization and decreased sense of personal accomplishment (Khatatbeh et al.,
2021). The problem is widespread in the nursing discipline as a result of the increasing incidences
and significant impact on both patient care and medical facilities.
Factors like high patient-nurse ratios, long working hours, emotional demands of client
care, and inadequate or lack of existing support systems have increased the issue of burnout among
nurses. The COVID-19 pandemic has increased these stressors, thus resulting in unprecedented
levels of burnout in the nursing workforce.
Nursing burnout has severe consequences on the overall well-being of the nurses as it not
only impacts the mental health of the employees but also takes a toll on their physical health. This
is a negative impact because it compromises the safety of the patients and the quality of care that
the patients are subjected to. Burnout is associated with rising medical errors, a decrease in the
satisfaction levels of the patients, and increased rates of nosocomial infections (Khatatbeh et al.,
2021). Moreover, it leads to greater turnover rates in nursing, thus causing a rise in staffing
shortages and increased medical costs for healthcare facilities.
Target Population
The targeted population to benefit from this measure are nurses employed in acute
healthcare facilities, hospitals, and emergency units. The population is specifically vulnerable to
burnout as a result of the nature of the high level of stress in the work environment (Kelly et al.,
3
2020). Acute healthcare nurses encounter unpredictable workloads, critically sick patients, and
emotionally challenging circumstances on a daily basis.
Burnout impacts the population in various ways, and they are likely to experience
symptoms like chronic fatigue, anxiety, insomnia, and depression. Based on professional practice,
burnout leads to a reduction in satisfaction at the workplace, a drop in work engagement, and a
rise in absenteeism. In severe cases, it is likely to make nurses leave the profession altogether, thus
contributing to the long-term nursing shortage (Kelly et al., 2020). Moreover, the impacts of
burnout on such populations have a ripple impact throughout the medical systems. When acute
healthcare nurses encounter burnout, it results in a reduction in the quality of patient care, longterm medical errors, and decreased patient satisfaction. It affects client outcomes and the overall
performance and reputation of medical facilities.
PICO Question
This question has been developed for the proposed evidence-based measure based on the
PICO format. In acute healthcare settings (P), would it be more effective to use mindfulness-based
stress reduction programs (I) compared to other common stress management programs, or no
program at all (C), in order to reduce burnout symptoms (O)?
The core components of this issue include:
•
Population (P): Hospital-employed nurses that practice in acute care.
•
Intervention (I): Training and use of mindfulness-based stress reduction programs.
•
Comparison (C): Usual stress management programs; or no intervention.
•
Outcome (O): Reduction in burnout, which will be determined by burnout scales of
the organization.
4
The chosen mindfulness-based stress reduction (MBSR) programs as a measure is as per
the emerging evidence proposing its success in the reduction of stress and burnout symptoms
among medical providers. The key features of the MBSR programs include medication, knwoedge
related to body system, and yoga-like movements designed to assists in enhancing drop in the
stress levels (Kriakous et al., 2020). The process of comparing the standard stress management
programs or no intervention informs about the effectiveness of the MBSR. The comparison of the
interventions are effective in the determination of whether MBSR offers significant advantages
over the current practices or absence of the structured interventions.
The results related to the reduced symptoms of the burnout is calculated through the use of
standardized burnout scales like the Malach Burnout Inventory (MBI) or the Copenhagen Burnout
Inventory (CBI). These scales helps in the quantification of data linked emotional fatigue,
individual success, and depersonalization which enable objective assessment regarding the
impacts of the measures (Fadare et al., 2021). The PICO question guides the process of designing
the execution of the plan which helps in tackling the burnout problems in the acute care settings.
The of the MBI helps in ensuring that such projects aims in offering evidence-based strategies
focused on the reduction of the burnout signs, thus improving the well-being of the nurses.
5
References
Fadare, O. O., Andreski, M., & Witry, M. J. (2021). Validation of the Copenhagen Burnout
Inventory in Pharmacists. INNOVATIONS in Pharmacy, 12(2), 4.
https://doi.org/10.24926/iip.v12i2.3699
Kelly, L. A., Gee, P. M., & Butler, R. J. (2020). Impact of Nurse Burnout on Organizational and
Position Turnover. Nursing Outlook, 69(1), 96–102.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532952/
Khatatbeh, H., Pakai, A., Al‐Dwaikat, T., Onchonga, D., Amer, F., Prémusz, V., & Oláh, A.
(2021). Nurses’ burnout and quality of life: A systematic review and critical analysis of
measures used. Nursing Open, 9(3). https://doi.org/10.1002/nop2.936
Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2020). The Effectiveness of
Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare
Professionals: a Systematic Review. Mindfulness, 12(1).
https://link.springer.com/article/10.1007/s12671-020-01500-9