Impact of Resiliency Training on Nurse Burnout on a Hematology/Oncology Unit Open Access

Abstract

Abstract

Background: Oncology nurses are particularly susceptible to burnout due to the demanding nature of their work, leading to increased medical errors, reduced care quality, and higher turnover, which impact patient outcomes and elevate healthcare costs.

Purpose: This project evaluates the prevalence and determinants of nurse burnout (NBO) and resilience among inpatient oncology nurses using a novel huddle-based intervention over four months, focusing on both individual and systemic factors.

Methods: A mixed-methods approach was used to collect data from a convenience sample of 46 oncology nurses through pre- and post-intervention electronic surveys. These included validated scales, eighteen Likert-scale items, and four open-ended questions to assess and refine the resiliency training while exploring perceptions on NBO, workplace stressors, and improvement opportunities. Data were analyzed using Wilcoxon signed-rank tests and qualitative grounded-theory-like assessment.

Findings: 21 nurses completed the initial survey and 9 completed the post-intervention survey. Only 2 nurses completed both surveys, limiting correlation or causation. Resilience scores (CD-RISC) decreased from 6.24 to 5.89, and burnout scores (BAT-12) increased from 2.33 to 2.51. Qualitative feedback highlighted inadequate staffing and lack of teamwork as significant stressors.

Conclusions: There is a need to improve teamwork and staffing, crucial for reducing NBO and enhancing outcomes. Future research should focus on the sustainability and customization of interventions to address specific challenges in resilience, focusing on staffing and teamwork.

 Keywords: Nurse Burnout, Oncology Nursing, Healthcare Systems, Organizational Structure, Nurse Retention

Component 1: Problem Identification, Conceptual/Theoretical Framework and Review of the Literature, Project Design and Methods

Table of Contents

Title Page

Project Title

Authors

Affiliation and Submission Details

Abstract

Background

Purpose

Methods

Findings

Conclusions

Keywords

Introduction

Background

Problem Identification

Conceptual/Theoretical Framework

Literature Review

Prevalence and Factors Contributing to Nurse Burnout

Effects on Healthcare Delivery

Individual and Organizational Strategies for Addressing Burnout

Implications for Practice

Methods

Project Design

Population and Setting

Implementation Plan

Data Collection

Data Measurement and Analysis

Ethical Considerations

Results

Quantitative Results

Qualitative Findings

Thematic Insights

Discussion

Analysis of Key Findings

Alignment with Existing Literature

Project Limitations

Conclusions and Recommendations

Summary of Findings

Implications for Practice

Future Research Directions

Evaluation of the Process

Challenges Faced

Lessons Learned

Professional Growth and Skill Development

References

Cited Works

Appendices

Appendix A: Theoretical Frameworks

Appendix B: PRISMA Flowchart

Appendix C: Survey Instruments

Appendix D: Resilience Training Scripts

About this Scholarly Project

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Nell Hodgson Woodruff School of Nursing
Specialty	Family/Emergency Nursing Practice
Degree	D.N.P.
Submission	Scholarly Project
Language	English
Research Field	Health Sciences, Nursing
Keyword	burnout resiliency
Committee Chair / Thesis Advisor	Susan Swanson, Emory University
Committee Members	Ingrid Duva, Emory University

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