09 Apr NR 662: ADVANCED NURSING ROLE SYNTHESIS
PLEASE SEE ATTACHED DOCUMENT FOR INSTRUCTIONS AND RUBRIC
2 PAGES
DUE DATE APRIL 10, 2025
NO PLAGIARISM MORE THAN 10 %
SOURCES NO OLDER THAN 5 YEARS WITH IN-TEXT CITATIONS
PLEASE NOTE THAT THIS ASSIGNMENT IS THE FINAL PART OF A PREVIOUS PROJECT, I HAVE UPLOAD HERE PART 1 TO 5 , AND THEN THIS NEW ASSIGNMENT GOING TO BE PART 6 AS A CONTINUATION, AS A SEQUENCE OF THE ASSIGNMENT ATTACHED.
PLEASE CHECK THE RUBRIC PROFESSOR IS VERY EXIGENT ADN WILL GO POINT BY POINT FOR GRADE THIS ASSIGNMENT. NOTE BOLD LETTER OF THE MANDATORY SECTION THAT NEED TO BE COVER IN THIS SECTION VI.
NR 662: ADVANCED NURSING ROLE SYNTHESIS
Module 7 Assignment: MSN Project Manuscript Completion: Executive Summary & Section VI Guidelines and Rubric
TOTAL POINTS POSSIBLE: 160
ASSIGNMENT OVERVIEW This assignment will assist you with the informa3on needed to complete the MSN project manuscript for dissemina3on. In this assignment you will complete the final sec3on of your MSN project manuscript, Transla3on to Prac3ce and Evalua3on, as well as the Execu3ve Summary. In the final sec3on of the MSN Project Manuscript the student will include informa3on on:
1. Data Collec>on Methods,
2. Evalua>on
3. Dissemina>on, and
4. Conclusion of Project.
NR528 6/11/19
NR 662: ADVANCED NURSING ROLE SYNTHESIS
Please make sure to include all previous sec3ons of your MSN-Project Manuscript so that this document is complete.
ASSIGNMENT INSTRUCTIONS 1. Abide by the Chamberlain College of Nursing Academic Integrity Policy. NO MORE THAN 10%
PLAGIARISM ALLOWED.
2. Complete sec3ons VI as well as the Execu3ve Summary of the MSN project template.
3. Sources older than five years may not be used without the permission of the class professor.
4. Title page, pagina3on, subheadings, body of paper, cita3on of sources, and reference page must follow APA guidelines as found in the current edi3on of the manual.
5. Rules of grammar, spelling, word usage, punctua3on, sentence and paragraph structure are followed and consistent with formal, scholarly wri3ng as noted in the APA Manual (current edi3on).
6. SEE RUBRIC TO KNOW HOW YOU WILL BE GRADED
ASSIGNMENT CRITERIA
Assessment Criteria
Points % Descrip>on
Sec>on VI of the MSN-Project Manuscript: Data Collec>on
40 25% Complete the MSN Project template Sec3on VI Transla3on to Prac3ce and Evalua3on: Data Collec3on to Support Outcomes All areas are addressed: • Include informa3on regarding what types of data
was collected. • Include how the data was collected and if there
are any restric3ons to sharing the data • Include how the data was used to determine
outcome measurement • Include scholarly literature
NR528 6/11/19
NR 662: ADVANCED NURSING ROLE SYNTHESIS
Sec>on VI areas of the MSN- Project Manuscript Evalua>on
40 25% Complete the MSN-project Template Sec3on VI Translate to Prac3ce and Evalua3on: Evalua3on All areas are addressed:
• How effec3ve was the interven3on in improving outcomes?
• Stakeholder input in regards to effec3veness of interven3on
• Recommenda3ons for improvement based on feedback?
• Discussion on how this change project impacts nursing and future research
• Brief cost/benefit analysis • Scholarly literature is used
Sec>on VI areas of the MSN- Project Manuscript: Dissemina>on
25 16% Complete the MSN-Project Template Sec3on VI Translate to Prac3ce and Evalua3on: Dissemina3on All areas are addressed:
• Discuss how the results of the project will be shared with the stakeholders and
• Discuss the plan for sustainability of the project
Sec>on VI areas of the MSN- Project Manuscript: Conclusion and Contribu>ons to the Nursing Profession
25 16% Complete the MSN-Project Template Sec3on VI Translate to Prac3ce and Evalua3on: Conclusion and Contribu3ons to the Nursing Profession All areas are addressed:
• Discussion conclusions about your project that can be looped back to literature.
• For each conclusion you make, cite the sources that support or contradict your findings
• Contribu3ons your prac3ce project has made to the body of exis3ng scien3fic knowledge on this topic
Execu>ve Summary
20 13% Each sec3on of the Execu3ve Summary is filled out and complete and is placed properly in the Manuscript aber the 3tle page. All Areas Completed:
• Title and purpose of the project • Loca3on of the project • Literature Synthesis • Summary of Implementa3on • Dissemina3on • Placed properly in Manuscript aber 3tle page
NR528 6/11/19
NR 662: ADVANCED NURSING ROLE SYNTHESIS
Graduate-level Wri>ng Style
10 5% • Correct use of spelling, grammar, punctua3on, sentence and paragraph structure
• Clarity, organiza3on, and logical flow of ideas within wri3ng
• Scholarly, professional wri3ng tone with no use of first person
• Synthesis of informa3on is present with no more than one short direct quote (15 words or less)
• Correct APA format for the following: o Font style and size o Margins and spacing o Cita3on and referencing sources o Mechanics of style (abbrevia3ons,
capitaliza3on, italics, numbers)
Total 160 100% A quality assignment will meet or exceed the above requirements.
NR528 6/11/19
GRADING RUBRIC
Assessme nt Criteria
Dis>nguished
(100%)
Exceeds
(92%)
Proficient
(84%)
Needs Improvement
(0)
Sec>on VI of the MSN- Project Manuscri pt: Data Collec>o n
40 Points 36 Points 34 Points 0 Points
Dis3nguished presenta3on of informa3on evidenced by all of the following content areas covered in a comprehensive and concise manner:
Data Collec3on to Support Outcomes All areas are addressed: • Include
informa3on regarding what types of data was collected.
• Include how the data was collected and if there are any restric3ons to sharing the data
• Include how the data was used to
Presenta3on of informa3on exceeds expecta3ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:
Data Collec3on to Support Outcomes All areas are addressed: • Include
informa3on regarding what types of data was collected.
• Include how the data was collected
Proficient presenta3on of informa3on evidenced by content covered in a limited or superficial manner in two or more of the content areas:
Data Collec3on to Support Outcomes All areas are addressed: • Include informa3on
regarding what types of data was collected.
• Include how the data was collected and if there are any restric3ons to sharing the data
• Include how the data was used to determine outcome measurement
• Include scholarly
Presenta3on of informa3on needs improvement as evidenced by content that is missing or unsa>sfactory in one or more of the content areas:
Data Collec3on to Support Outcomes All areas are addressed: • Include
informa3on regarding what types of data was collected.
• Include how the data Sec>on VI
areas of 40 Points 36 Points 34 Points 0 Points
5
Sec>on VI areas of the MSN- Project Manuscrip t Evalua>on
Dis3nguished presenta3on of informa3on evidenced by all of the following content areas covered in a comprehensive and concise manner:
Evalua3on All areas are addressed:
• How effec3ve was the interven3on in improving outcomes?
• Stakeholder input in regards to effec3veness of interven3on
• Recommenda3 ons for improvement based on feedback?
• Discussion on how this change project impacts nursing and future research
• Brief cost/
Presenta3on of informa3on exceeds expecta3ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:
Evalua3on All areas are addressed:
• How effec3ve was the interven3on in improving outcomes?
• Stakeholder input in regards to effec3veness of interven3on
• Recommenda3 ons for improvement based on feedback?
• Discussion on how this change project impacts nursing
Proficient presenta3on of informa3on evidenced by content covered in a limited or superficial manner in two or more of the content areas:
Evalua3on All areas are addressed:
• How effec3ve was the interven3on in improving outcomes?
• Stakeholder input in regards to effec3veness of interven3on
• Recommenda3o ns for improvement based on feedback?
• Discussion on how this change project impacts nursing and future research
• Brief cost/ benefit analysis
• Scholarly literature is used
Presenta3on of informa3on needs improvement as evidenced by content that is missing or unsa>sfactory in one or more of the content areas:
Evalua3on All areas are addressed:
• How effec3ve was the interven3 on in improvin g outcomes ?
• Stakehold er input in regards to effec3ven ess of interven3 on
• Recomme nda3ons Sec>on
VI areas 25 Points 23 Points 21 Points 0 Points
6
Sec>on VI areas of the MSN- Project Manuscri pt: Dissemin a>on
Dis3nguished presenta3on of informa3on evidenced by all of the following content areas covered in a comprehensive and concise manner:
Dissemina3on All areas are addressed:
• Discuss how the results of the project will be shared with the stakeholders and
• Discuss the plan for
Presenta3on of informa3on exceeds expecta3ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:
Dissemina3on All areas are addressed:
• Discuss how the results of the project will be shared with
Proficient presenta3on of informa3on evidenced by content covered in a limited or superficial manner in two or more of the content areas:
Dissemina3on All areas are addressed:
• Discuss how the results of the project will be shared with the stakeholders and
• Discuss the plan for sustainability of the project
Presenta3on of informa3on needs improvement as evidenced by content that is missing or unsa>sfactory in one or more of the content areas:
Dissemina3on All areas are addressed:
• Discuss how the results of the project 25 Points 23 Points 21 Points 0 Points
7
Sec>on VI areas of the MSN- Project Manuscrip t: Conclusio n and Contribu> ons to the Nursing Profession
Dis3nguished presenta3on of informa3on evidenced by all of the following content areas covered in a comprehensive and concise manner:
Conclusion and Contribu3ons to the Nursing Profession All areas are addressed:
• Discussion conclusions about your project that can be looped back to literature.
• For each conclusion you make, cite the sources that support or contradict your findings
• Contribu3ons your prac3ce project has made to the body of exis3ng
Presenta3on of informa3on exceeds expecta3ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:
Conclusion and Contribu3ons to the Nursing Profession All areas are addressed:
• Discussion conclusions about your project that can be looped back to literature.
• For each conclusion you make, cite the sources that support or contradict your findings
• Contribu3ons your prac3ce
Proficient presenta3on of informa3on evidenced by content covered in a limited or superficial manner in two or more of the content areas:
Conclusion and Contribu3ons to the Nursing Profession All areas are addressed:
• Discussion conclusions about your project that can be looped back to literature.
• For each conclusion you make, cite the sources that support or contradict your findings
• Contribu3ons your prac3ce project has made to the body of exis3ng scien3fic knowledge on this topic
Presenta3on of informa3on needs improvement as evidenced by content that is missing or unsa>sfactory in one or more of the content areas:
Conclusion and Contribu3ons to the Nursing Profession All areas are addressed:
• Discussio n conclusio ns about your project that can be looped back to literature.
• For each conclusio n you make, 20 Points 18 Points 16 Points 0 Points
8
Execu>ve Summary
Dis3nguished presenta3on of informa3on evidenced by all of the following content areas covered in a comprehensive and concise manner:
Each sec3on of the Execu3ve Summary is filled out and complete and is placed properly in the Manuscript aber the 3tle page. All Areas Completed:
• Title and purpose of the project
• Loca3on of the project
• Literature Synthesis
• Summary of Implementa3o n
• Dissemina3on • Placed
properly in
Presenta3on of informa3on exceeds expecta3ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:
Each sec3on of the Execu3ve Summary is filled out and complete and is placed properly in the Manuscript aber the 3tle page. All Areas Completed:
• Title and purpose of the project
• Loca3on of the project
• Literature Synthesis
Proficient presenta3on of informa3on evidenced by content covered in a limited or superficial manner in two or more of the content areas:
Each sec3on of the Execu3ve Summary is filled out and complete and is placed properly in the Manuscript aber the 3tle page. All Areas Completed:
• Title and purpose of the project
• Loca3on of the project
• Literature Synthesis
• Summary of Implementa3on
• Dissemina3on • Placed properly
in Manuscript aber 3tle page
Presenta3on of informa3on needs improvement as evidenced by content that is missing or unsa>sfactory in one or more of the content areas:
Each sec3on of the Execu3ve Summary is filled out and complete and is placed properly in the Manuscript aber the 3tle page. All Areas Completed:
• Title and purpose of the project
• Loca3on of the 10 Points 9 Points 8 Points 0 Points
9
Graduate Level Wri>ng Style
Dis3nguished graduate-level wri3ng style is evidenced by mee3ng all of the following criteria with 0-1 errors total: • Correct use of
spelling, grammar, punctua3on, sentence and paragraph structure
• Clarity, organiza3on, and logical flow of ideas within wri3ng
• Scholarly, professional wri3ng tone with no use of first person
• Synthesis of informa3on is present with no more than one short direct quote (15 words or less)
• Correct APA format for the following: o Font style and
size o Margins and
spacing
Graduate-level wri3ng style exceeds expecta3ons as evidenced by mee3ng the following criteria with 2-4 errors total: • Correct use of
spelling, grammar, punctua3on, sentence and paragraph structure
• Clarity, organiza3on, and logical flow of ideas within wri3ng
• Scholarly, professional wri3ng tone with no use of first person
• Synthesis of informa3on is present with no more than one short direct quote (15 words or less)
• Correct APA format for the following: o Font style and
size o Margins and
spacing o Cita3on and
referencing
Proficient graduate- level wri3ng style is evidenced by mee3ng the following criteria with 5-7 errors, total: • Correct use of
spelling, grammar, punctua3on, sentence and paragraph structure
• Clarity, organiza3on, and logical flow of ideas within wri3ng
• Scholarly, professional wri3ng tone with no use of first person
• Synthesis of informa3on is present with no more than one short direct quote (15 words or less)
• Correct APA format for the following: o Font style and
size o Margins and
spacing o Cita3on and
referencing sources
o Mechanics of style
Graduate-level wri3ng style needs improvement as evidenced by mee3ng the following criteria with 8 or more errors, total:
• Correct use of spelling, grammar, punctua3on, sentence and paragraph structure
• Clarity, organiza3on, and logical flow of ideas within wri3ng
• Scholarly, professional wri3ng tone with no use of first person
• Synthesis of informa3on is present with no more than one short direct quote
10
- Total Points Possible: 160
- Assignment Overview
- Assignment Instructions
- Assignment Criteria
- Grading Rubric
,
Nurse Burnout
Student: Byron Gonzalez
Institution: Chamberlain College of Nursing
Course: Advanced Nursing Role Synthesis
Instructor: Dr. Mary Naccarato
Date: March 26, 2025
Executive Summary
Purpose: The purpose of the Nurse Burnout improvement project was to implement a 30 minute uninterrupted lunch break reduce in nurse burnout and fatigue.
Project Location: The Nurse Burnout project was completed on the hematology and transplant clinic at a medical center.
Synthesis of Literature and Evidence: Nurses who do not take a 30-minute uninterrupted lunch break, nurse staff satisfaction has deceased, and patient outcomes have shown a negative decline. Further, interventions to reduce nurse burnout have been implemented at the microsystem and macrosystem levels to ensure nursing staff take appropriate breaks.
Implementation: A nurse burnout in-service education was completed to explain the nurse burnout intervention of an uninterrupted lunch break to the hematology and transplant clinic nursing staff. Nursing staff utilized team nursing to take a 30 minute uninterrupted lunch break during each shift. Weekly timesheets were used to record the 30 minute lunch breaks. A pre/post intervention survey was completed to measure the incidence of nurse burnout, fatigue, and nurse staff satisfaction. 35 hematology and transplant clinic nurses participated in the nurse burnout project.
Dissemination: The nurse burnout project results were disseminated internally and externally. Internally, the nurse burnout project results were presented to the hematology and transplant clinic nursing staff, at shared governance meetings. Externally, the nurse burnout project results were presented to nursing students for the purpose of teaching the nursing g students the value of taking lunch breaks.
Nurse Burnout Prevention Project
Many nurses would agree that break time is frequently missed (Gifkins, et al., 2020). Nurses not taking a break during the work shift was the identified problem in a hematology and transplant clinic unit. The purpose of the nurse burnout project was to reduce nurse burnout and fatigue by providing staff with a 30-minute uninterrupted lunch break (Appendix A). Currently, many nurses indicate not taking the 30 minute uninterrupted lunch break; which means a high occurrence of nurses do not receive a lunch break. Literature has shown the inability to take adequate breaks can lead to nurse burnout and fatigue (Gifkins et al., 2020). Further, Gifkins and colleagues (2020) has shown a correlation between missing patient care and compromising patient safety when nurses are unable to take breaks.
Problem Background
Nurses who do not take an adequate lunch break has been linked to patient errors, high nurse turnover rates, and nurse burnout or fatigue (Youssef & Senbel, 2018). In contrast,Adequate rest breaks has been shown to improve nurse wellbeing and positive behaviors (Youssef & Senbel, 2018). Also, the positive nurse outcomes when taking adequate rest breaks, has been linked to a reduction of medical errors and missed patient care. Huang and colleagues (2017) reported similar results from inadequate rest breaks; which indicated occurrence of depersonalization that can lead to nurse burnout and fatigue. Further, the missed rest breaks can reduce or eliminate the time to decompress during an assigned shift.
The literature indicated many factors that influence a nurse not taking a rest break. The most common factors are: inadequate staff coverage, patient-care priority over self-care, and consuming food quickly or while working (Johannes Wendsche, 2017). In addition, social norm or workplace culture can alter a nurse’s decision to take a rest break (Johannes Wendsche, 2017).
.
Stakeholders
The nurse burnout project identified four major stakeholders, the hematology and transplant clinic nursing staff, float pool nursing staff, unit manager and administration are the major stakeholders. Thus, engagement of the nursing staff can influence the success of the nurse burnout project implementation. The float pool nursing staff, who frequently supplement the core nursing staff, will also be included in the nurse burnout project participation. Additionally, the unit manager involvement can expedite project approval and serve as a role model for practice change. Administration, specifically, the director of evidenced-based practice will provide access to base line data about the current nursing staff not using rest breaks .
PICOT Question
The PICOT Model was used to formulate an improvement project PICOT question that guided the literature search and development of an improvement project (Dang & Dearholt, 2017). The PICOT question was: Among nurses in the hematology and transplant clinic, will a 30-minute uninterrupted lunch breaks, decrease nurse fatigue and burnout, in four weeks? The identified nurse burnout project population were nurses working on the hematology and transplant clinic unit. The proposed intervention was a 30-minute uninterrupted lunch break. The outcome was a measurement of nurse fatigue and burnout signs/symptoms, using a pre/post intervention questionnaire.
Review of Literature
The literature review that follows discusses evidence-based practices to minimize burnout in nursing staff. A systematic search was conducted on databases such as PubMed, CINAHL, and PsycINFO using keywords such as "nursing burnout," "relaxation techniques," and "educational interventions." The search was filtered for peer-reviewed articles from 2021 to 2025.
Burnout Prevalence
Current studies have reconfirmed that burnout remains a critical issue among nursing professionals. Han & Yeun's (2023) systematic review identifies nurses' burnout levels as 35% to 55%, depending on healthcare settings and work pressure. The study observes that stress extends emotional exhaustion, depersonalization, and decreased personal accomplishment, finally impacting patient care outcomes.
Educational Interventions
Education programs and training sessions have been shown to enhance nurses' coping strategies and awareness. Burleson et al. (2023) reviewed a scoping study that identified cognitive-behavioral training and education through peer support as effective interventions. The review revealed that formal education sessions not only enhanced nurses' knowledge regarding burnout but also helped reduce symptoms of stress.
Relaxation Techniques
Meditation, mindfulness-based stress reduction (MBSR), and progressive muscle relaxation (PMR) have effectively reduced burnout symptoms in healthcare workers. Wong et al. (2024), conducting a systematic review of randomized controlled trials, identified that nurses undergoing relaxation training experiences showed significant psychological well-being and job satisfaction improvement. The interventions also positively affected cortisol levels as well as sleeping habits.
Outcome Measurement
Quantifying the performance of burnout interventions is necessary for validation and further development. A systematic review by Lee & Cha (2023) assessed various intervention results based on pre- and post-intervention questionnaire surveys. Their findings showed evidence of intervention impacts through programs that measured self-reported stress levels, heart rate variability, and burnout scales. The review emphasizes the need for long-term follow-ups so benefits will be maintained.
Synthesis of Evidence
The evidence from the literature is overwhelmingly in favor of using educational interventions and relaxation strategies to minimize burnout in nurses. Cognitive-behavioral training and peer education efficiently increase awareness and knowledge, while mindfulness-based approaches such as guided meditation and progressive muscle relaxation reduce stress levels and improve well-being. Based on available evidence, using these interventions to inform nursing practice will likely yield beneficial effects in workforce maintenance and patient care quality.
Proposed Intervention
