Critical Appraisal of the Evidence Performed

Critical Appraisal of the Evidence Performed
Rapid critical appraisal checklists were used to evaluate the validity, reliability, and applicability to practice (Melnyk & Fineout-Overholt, 2015) for each of the studies found from the search. These articles help to explain that burnout has physical, emotional, and behavioral effects. Physical symptoms include feeling tired and drained, lowered immunity, frequent illnesses, frequent headaches or muscle pain, and a change in appetite or sleeping habits. The emotional symptoms may include, a sense of failure and self-doubt, feeling helpless, trapped, defeated, and detached, feeling alone in the world, a loss of motivation, having a more cynical and negative outlook, and a decreased satisfaction. Behavioral symptoms include withdrawing from responsibilities, isolating yourself from others, procrastinating, moving slower to go things, using food, drugs, or alcohol to cope, taking out their frustrations on others, and skipping work or coming in late and leaving early. The articles also explained that due to lowered immunity, employees are at higher risks of infection and injury. “Burnout syndrome is a common and important problem among health professionals that also has adverse effects on people’s daily life, especially increasing the incidence of infection and trauma” (Yates, 2019). All articles explain how burnout can negatively affect overall health.

Evidence Integrated & Practice Change Implemented
All of the studies synthesized used questionnaires to conduct and analyze the research. This researcher decided to use an anonymous questionnaire study that would allow for the most honest and accurate information from the participants. Participants went through a series of questionaries over the time span 3 months. An initial questionnaire was used to group the nurses into different categories based on their time in their position, satisfaction level in their position, outside factors such as family support or responsibilities, and type of facility or level of responsibility/position held. Then they were assessed through questions to focus on their overall health status. Each group was assessed and compared to each other to determine which group had the most serious health conditions.

Outcome Evaluated
After performing the initial study, based on the PICOT question, the researcher evaluated using the plan below:
The researcher developed a baseline of evidence on how nurse’s health is negatively impacted based on the environment they work in from the results of the initial analyzed questionnaire.
The researcher reviewed the outcome and data of the study with the employer/leadership. It is important to help them to understand from the evidence provided, that the strain in the healthcare workplace takes a toll on the nurses, which can negatively affect their health in multiple ways, and in turn affect the care the patients receive.
The employer/leadership was able to implement changes that will facilitate and promote a healthier and happier or more pleasant work environment.
After having the changes in place for 6 months, the researcher will perform a repeat of the study through questionnaire to identify the impact the changes have made on the nurse’s health and overall risks.
The researcher can again meet with the employer or leadership to update them on the progress that their changes have made or suggest other processes that can be implemented to facilitate a healthy work environment and reduce burnout.

Project Dissemination
The researcher believes that information from this research would best be presented to the healthcare leadership group and employers through a PowerPoint presentation. Initially, this research evidence shows the effects on the overall health of nurses, once the evidence is acknowledged and changes implemented, the nurses would benefit. The patients they care for would also benefit from healthier nurses caring for them. The employers would also benefit from being able to retain nurses and run a healthy and effective healthcare system. This evidence would greatly impact all healthcare settings from hospitals, to rehabs, to ALFs, to hospice agencies, to home health agencies, to contracting agencies, and any setting that employs nurses.

The end goal of the research is to identify and eliminate the factors that cause nurses to experience burnout and to promote healthier happy work environments that will allow nurses to be healthy enough to provide safe and adequate care to their patients. Simple changes can help to eliminate a lot of strain on the whole healthcare system where nurses can stay in a position and assist other nurses and relieve a lot of burnout domino effects.
The researcher would like healthcare leadership to be aware of how work environments can lead to added stress on employees and in turn lead to burnout. Burnout can seriously affect the employee’s overall health. Measures can then be taken to ensure work environments are as pleasant as possible while still being able to safely care for patients. Then nurses can truly enjoy what they are doing, love it even more, and continue to be healthy enough to care for others safely.

All Answers Ltd. (November 2018). Prevention of Burnout Among Nursing Staff: a Literature Review. Retrieved from
Blackwater, A. (2021, February 19). Types of burnout: Know your stress. Patients Rising. Retrieved from
Cabarkapa, S., Nadjidai, S. E., Murgier, J., & Ng, C. H. (2020). The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review. Brain, Behavior, & Immunity – Health, 8.
Dynamed . (2021, September 2). Retrieved from

References Cont.
Kirsch, D. (2021, May 7). Burnout is now an official medical condition. The American Institute of Stress. Retrieved from
Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017, January 1). Nurses’ burnout: The influence of leader empowering behaviors, work conditions, and demographic traits. Inquiry : a journal of medical care organization, provision and financing. Retrieved from
Prior, R. (2019, May 27). Burnout is an official medical diagnosis, World Health …Retrieved from

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