Does Associate Degree Nursing (Adn)

110 Pages·2016·1.41 MB·English

Regis University
ePublications at Regis University
All Regis University Theses
Summer 2013
Does Associate Degree Nursing (Adn) Student
Math Competency Improve with a Math for
Nurses Session?
Michele A. Dickson
Regis University
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Recommended Citation
Dickson, Michele A., "Does Associate Degree Nursing (Adn) Student Math Competency Improve with a Math for Nurses Session?"
(2013).All Regis University Theses. 198.
https://epublications.regis.edu/theses/198
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Regis University
Rueckert-Hartman College for Health Professions
Loretto Heights School of Nursing
Doctor of Nursing Practice Capstone Project
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The Effects of an Educational Support Group Intervention on Nurse Manager Burnout
Donna Faviere
Submitted as Partial Fulfillment of the Doctor of Nursing Practice Degree
Regis University
August 5 2013
Copyright 2013 by, Donna Faviere. All rights reserved. No part of this work may be reproduced,
stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical,
photocopying, recording, or otherwise, without the author’s prior written permissions
ii
Executive Summary
The Effects of an Educational Support Group Intervention on Nurse Manager Burnout
Problem
Clinical Nurse Managers (NM) play a key role in helping organizations achieves strategic
goals and financial outcomes. These complex demands put the NM at high risk to experience
occupational stress, which may lead to burnout (Shirey, 2006). Research, although limited
demonstrate the importance of providing initiatives that strengthen NM engagement and
professional resilience needed to prevent the phenomenon of burnout (Judkins, Reid & Furlow,
2006). Based on this assessment, using the population, intervention, comparison and outcome
(PICO) format, the research question: what is the level of engagement among NMs at an acute
care facility before and after a support group intervention was developed?
Purpose
The purpose of this capstone project is to assess whether an educational support group
intervention will increase the level of engagement among NMs at an acute care facility.
Goal
The main goal is to partner with senior leadership to facilitate an educational initiative
needed to improve NM engagement and prevent the phenomenon of burnout.
Objective
The objective is to provide the NM with useful strategies that increase engagement and
professional resilience.
Plan
This capstone project followed Zaccagnini and Whites (2011) Doctor of Nursing Practice
Process Model. The plan began with identifying through a needs assessment and comprehensive
literature review that NMs at this facility were highly susceptible to burnout. This information
provided the framework which developed the goals and objectives, guided the theoretical
foundation, and initiated specific plans for the work, evaluation, and implementation once
Institutional Review Board approval was obtain from both the research facility and Regis
University.
Outcomes and Results
All eleven participants completed the pre and post Gallup Q12 survey. Despite the positive
feedback from the participants and the facilitators during and after the intervention, the overall
grand mean Gallup score did not demonstrate a statistical significant increase (p<0.5, 0.133). An
unexpected benefit was the statistical significant increase (p<.05, 0.034) in question number
three “at work l have the opportunity to do what l do best every day.” Based on Gallup’, this
question correlates with the manager’s perception of how they feel they are doing in their role
(Buckingham & Coffman, 1999). These findings, although limited, may suggest this type of
intervention has a positive impact on the NM’s perception and confidence in their ability to do
their job well.
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Dedication
I would like to dedicate this capstone project to my son Tyler Faviere, who valued the
power of higher learning, and who was so proud of me for pursing this degree at this stage of my
life; may he rest in peace.
To my wonderful husband Daniel, through thick and thin, we have survived so much.
Your love and support through this entire journey speaks volumes of how much you value my
goals of making myself the best that l can be. Your endless proof-reading of materials, and
patience when the computer was not my friend provided me with the energy to keep the
momentum going.
To my youngest son Joel Faviere, thank-you for your unconditional love and support you
gave me through this entire journey. I know it was difficult at times, but l hope l gave you
inspiration to pursue your dreams, no matter what obstacles you must overcome.
To my dad and sister, thank-you for always supporting and encouraging me. I know
mommy would be very proud.
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Acknowledgements
A special thank you to my capstone chairs, and, to my capstone mentor, Carrie Ogilvie;
without your patience and understanding, l could never have completed this work. You have
always been supportive and have been instrumental in helping me succeed in this program. I will
never forget this and hope my future endeavors will make you proud.
To my very best friend, Norma Kelley; thank-you for always listening, using a blue pen
and not a red pen when proof-reading and for always being there when l was the most frustrated.
I would like to thank all of the facilitators, who supported my project, and provided your
wisdom to me when l needed it the most.
I would like to thank my colleagues who participated in my project. I truly appreciated
your support and encouragement shown to me during this entire project.
I would like to thank each of the professors’ l encountered at Regis University, your
valuable insight, and level of knowledge provided the right atmosphere to help me grow both
personally and professionally.
Thank-you Marlene for your endless patience on the phone, and your encouragement
when l was most frustrated. Without your partnership, this program would have been much more
difficult to complete.
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Table of Contents
Preliminary Pages ................................................................................................................................. i
Copyright Page .................................................................................................................................. i
Executive Summary.........................................................................................................................ii
Dedication........................................................................................................................................iii
Acknowledgements.........................................................................................................................iv
Table of Contents.............................................................................................................................v
List of Figures................................................................................................................................vii
List of Tables..................................................................................................................................vii
List of Appendices.........................................................................................................................vii
Problem Recognition and Definition...................................................................................................8
Statement of Purpose........................................................................................................................8
Problem Statement...........................................................................................................................9
PICO Statement and Research Question......................................................................................11
Project Significance, Scope and Rationale...................................................................................12
Theoretical Foundation of Project and Change............................................................................18
Systematic Literature Review.......................................................................................................21
Market/Risk Analysis..........................................................................................................................25
Project Strengths, Weaknesses, Opportunities, and Threats.......................................................25
Driving and Restraining Forces....................................................................................................27
Stakeholders and Project Team.....................................................................................................29
Cost-Benefit Analysis....................................................................................................................30
Project Objectives...............................................................................................................................33
Mission ............................................................................................................................................ 33
Vision 33
vi
Capstone Project Goals..................................................................................................................33
Objectives........................................................................................................................................ 34
Evaluation............................................................................................................................................35
Population/Sampling Parameter....................................................................................................35
Methodology and Measurements.......................................................................................................36
Protection of Human Subjects Rights..........................................................................................38
Instrumentation Reliability/Validity and Intended Statistics.....................................................39
Data Collection and Intervention Protocol...................................................................................39
Timeframe.......................................................................................................................................40
Budget and Resources.........................................................................................................................41
Project Findings and Results..............................................................................................................42
Demographics................................................................................................................................. 42
Project Findings..............................................................................................................................43
Discussion.......................................................................................................................................44
Limitations, Recommendations, Implications for Change..............................................................48
Limitations.....................................................................................................................................48
Recommendations..........................................................................................................................48
Implication for Change...................................................................................................................50
Conclusion...........................................................................................................................................51
References............................................................................................................................................53
Appendices...........................................................................................................................................59
vii
List of Figures
Logic Model........................................................................................................................................35
List of Tables
Strengths, Weaknesses, Opportunities, Threats...............................................................................26
Time Frame.........................................................................................................................................41
Budget Analysis.................................................................................................................................42
List of Appendices
A. Educational Intervention Objectives...........................................................................................59
B. Educational Sessions Preparation References.............................................................................60
C. Systematic Literature Review......................................................................................................61
D. Invitation to Participate .................................................................................................................90
E. Informed Consent ..........................................................................................................................91
F. Gallup Q12 Engagement Survey ..................................................................................................92
G. Survey Tool Approval...................................................................................................................95
H. Research Facility IRB Approval ..................................................................................................96
I. Regis University IRB Approval....................................................................................................98
J. CITI Training Certificate...............................................................................................................99
K. Research Facility Authorization.................................................................................................100
L. Descriptive Statistics...................................................................................................................101