QUIP Part 3: Presentation

Hello, my name is Alexis and I'm a graduate student at Suny Delhi.

I'm a critical care registered nurse and I'm here

today to present my improvement project to you.

It is so important that we adjust and improve throughout

the organization to better improve patient care and nurse satisfaction.

I'm so very thankful for you taking the time out

of your busy day to be here for my presentation.

Thank you.

The COVID-19 pandemic has had an impact on nursing burnout syndrome

and the number of nurses leaving the bedside has increased.

This resulted in an ongoing nursing shortage within hospitals nationwide.

Too much stress exhaustion and low job satisfaction can lead to burnout syndrome.

As seen at mid Hudson Regional Hospital. Over the past few years,

one of the medical surgical units that was discussed during an interview with

the nurse executive Kristen Lawton had lost over 90% of their staff.

Therefore,

most of the nursing staff on this unit are brand new and are

unfortunately having to care for upwards of 10 patients on some shifts.

The way the assignments are created are not zoned.

This means that the nurses may have patients scattered all throughout the unit

not only causing a stressful shift but also placing patients at risk.

By zoning. The patients,

nurses would be able to provide better care

to their patients while improving patient safety,

decrease adverse events.

And perhaps improving the nurse's job satisfaction.

Zoning patients would mean that a nurse's assigned patient load

are all within the same area on the unit.

If patients are not receiving adequate care,

this can affect the organization's reputation when shared with the public,

resulting in financial losses due to the community

seeking health care interventions at other nearby facilities.

Burnout is work related and caused from the work environment.

This is leading to decreased job satisfaction of nurses,

poor patient care and unfortunately has negatively impacted

nurse retention rates on the medical surgical units.

The turnover rates are extremely high as mentioned earlier,

with over 90% of the medical surgical registered nurses leaving the bedside.

This has resulted in new staffing being hired and

the need for change to occur within the facility.

If things are not changed and improved within the work environment,

more nurses will continue to suffer from burnout and

ultimately leave their position as a med search nurse

by zoning the patient load.

Among these units,

the nurses can have an improved workload and improve

the care that is being provided to their patients.

The aim of this study is to reduce medical

surgical nursing burnout rate by 25% within six months.

The burnout rates will be measured within all the medical surgical units.

At Mid Hudson Regional Hospital.

The three objectives training on burnout for employees,

mentorship program for registered nurses and zoning.

The units will be explained in detail on the next few slides

since nurses are among one of the

highest risk professions to experience burnout due

to providing care to sick and dying

patients while working in stressful environments.

It is very important to educate the staff on their own risks.

The working conditions can affect nurses mental and their emotional

health which may increase the risk of experiencing burnout.

The approaches to address stress and prevent further burnout.

According to evidence based practice

includes educating and making providers aware of their own potential,

promoting positive mental health and creating environments

with controlled stress.

Laurie head of education will assist in

creating the curriculum to provide the education

for the staff

using yoga to prevent and manage stress and burnout among health

care workers has been proven by systemic reviews of literature.

Yoga has been proven to be effective

in managing stress and improving physical emotional

and mental health among nurses which therefore

can decrease the occurrence rate of burnout

by increasing yoga and meditation.

Healthcare workers can be aided in achieving a stable psycho physical well being

which enhances their value within the workplace environment

by assigning patients within a zone.

Nurses can work in a safer less stressful

environment while working together as a team.

The wasted time spent by nurses walking across

the unit contributes to increased fatigue workload and

stress which therefore can lead to higher levels

of burnout and negatively affect job satisfaction.

These unnecessary movements impair the overall

performance of nurses on the units.

It was determined that environmental influences the nurse's

satisfaction and therefore impacts the patient care provided.

The nurse educators would not cost any additional money for this

study since their role is part of their usual duties.

This is true for the librarian,

nurse manager and the registered nurses involved as well.

Therefore, the only additional cost would be the yoga or meditation instructor

which would cost approximately $3840 for six months

overall.

This project is relatively affordable.

Most of the resources and individuals are available within the hospital setting.

The cost of the project just under $4000 is worth it because retaining nurses and

providing nurses with a less stressful work environment

is necessary to prevent nursing burnout rates.

It is important to implement change within the

workplace to have change among the turnover of staff

by improving the workplace environment

and decreasing stress, perhaps burnout will be decreased.

And the goal of reducing nurse burnout rates will be achieved.

Barriers must always be taken into consideration

when creating a timeline for implementation.

Although we have dates set for each objective and associated actions,

it is known that they may have to be altered

a barrier we may encounter would be a cancellation a

cancellation of the meeting with stakeholders which

may delay the start of our project.

Also, if the educational trainings and curriculum are not completed on time,

this may also delay the start of the project.

The burnout rates among the medical surgical nurses will be assessed

throughout this project to assess the impact of zoning assignments.

Perhaps these rates will be assessed monthly to keep

an ongoing assessment on the changes within the organization.

Both the short term and long term effectiveness

of creating zones within the medical surgical units will

have to be assessed throughout the project and at

the completion of the project to assess the effectiveness

since the change will not only have the impacts on the nursing staff

but also the patients being cared for on the medical surgical units.

It would be beneficial to also conduct surveys among this population.

This project supports the mission vision and

value statements of Mid Hudson Regional Hospital

to provide the highest quality care to residents,

the nursing staff must be available and if nurses continue to leave the bedside,

this will not be possible.

Therefore, by improving the workplace environment,

nurses will continue to work at the bedside and

provide patients with the highest level of care.

In order to be the provider of choice for health care,

patients must be satisfied with the care provided.

And by creating zones on the medical surgical units,

patients will receive more adequate and timely care. While hospitalized.

Lastly, the value statements, emphasize innovating and improving the network,

which is the main focus of this project presented here today,

multiple methods and platforms of communication

will be used throughout this project.

This project will be presented on the internet,

the internet

that is internal

for the staff here at mid Hudson regional Hospital.

Emails will also be sent out to all the nursing employees within the facility.

And in each patient care room,

there will be a small postcard explaining the changes that are occurring

and encouraging patients and their family members

to provide their support feedback and suggestions

with contact information for the nurse manager.

There will be a monthly meeting throughout the project to

discuss project success and where improvements may be needed.

There will be multiple surveys conducted and even

private interviews with nurses on the units.

The work environments are stressful and nurses are

leaving the bedside at an increased rate.

This is resulting in organizations to spend more

money on hiring and training the new staff.

This project is necessary

to improve the work environment for nurses to lead

to better retention rates and lower the burnout rates.

Among these nurses,

we need the nursing staff to provide patients with care.

Please join us at the next meeting

in two weeks to discuss the initiation of the zoning on the medical surgical units.

Once again,

I appreciate your time here today and I look forward

to working with you all over the next several months.

To better the organization.

If there are any questions, I would be happy to answer them. Now.

Thank you.

Here is a brief list of the references that were used during this presentation.

Thank you again.

QUIP Part 3: Presentation

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