4-2 Final Project Milestone Two: Impact on Nursing Issues NUR-300-H4098

This milestone assignment focuses on the impact of various aspects of healthcare on your chosen professional nursing practice issue. You will continue to use the issue that you chose in Milestone One. For additional details I put the rubric in the files. The resources also have to have been published in the last 5 years.

Nursing Practice Issue 

As a professional nurse, offering nursing care consistent with professional standards and principles is paramount. However, various professional nursing practice issues can impact nurses’ ability to provide high-quality care. The nursing practice issue I have chosen to investigate is the increasing incidence of nurse burnout in healthcare settings.

Nurse burnout is a state of emotional, physical, and mental exhaustion resulting from prolonged and excessive stress in the workplace. Nursing is a difficult and challenging profession and can be particularly demanding due to the long hours and high-pressure environments in which nurses work (Jun et al., 2021). As a result, nurses are increasingly experiencing burnout, which harms their physical and psychological health, job performance, and ultimately their ability to provide quality care to their patients, including compromised patient safety (Jun et al., 2021). Thus, it is important to address the potential barriers to nursing development caused by nurse burnout.

Validation of Rationale

According to a cross-sectional study by Shah et al. (2021), burnout is a major concern for the healthcare profession in the US. It has been identified as a key factor in the development of a healthy and effective especially for nursing workforce. According to the study, nurses are the frontline healthcare workers, and any negative aspect that affects their profession is detrimental to the healthcare sector. Therefore, it is important to deal with the issue of nurse burnout to maximize positive patient outcomes and job satisfaction. Shah et al. (2021) add that a poor staff-patient ratio is the major cause of nurse burnout.

Burnout can negatively affect a nurse’s effort to offer exceptional care, leading to increased absenteeism, decreased job satisfaction, and even depersonalization (Jun et al., 2021). Furthermore, burnout can adversely affect patient outcomes and satisfaction, decreasing patient satisfaction and increasing healthcare costs. Burnout is also associated with adverse organizational effects due to reduced commitment, leading to reduced productivity (Jun et al., 2021). As such, the nursing profession must address the nursing issue to ensure the health and well-being of nurses and the quality of care they can offer.

Resource Appraisal

A systematic review by Jun et al. (2021) examined the relationship between nurse burnout and its effects on organizational and patient outcomes. The review utilized primary studies about nurse burnout in hospitals; twenty were included. The review is related to the nursing issue being addressed because it tries to determine how the organization and patients are affected by nurse burnout. Some of the findings pointed out by the authors are that nurse burnout is related to negative effects such as decreased patient satisfaction, poor quality of care and patient safety incidents, and diminished commitment of nurses towards their responsibilities (Jun et al., 2021). It was also associated with several negative organizational outcomes, such as turnover intention and absenteeism.

A study conducted by Shah et al. (2021) tried to examine the prevalence and factors associated with nurse burnout in the United States. The findings showed that nurse burnout was high, with 34.1% of nurses reporting high emotional exhaustion, 31.5% reporting high depersonalization, and 43.8% reporting low personal accomplishment. The authors identified several factors significantly associated with burnout, including job demands, lack of autonomy, and inadequate supervisor support.

Scope and Standards of Professional Nursing Practice

The scope and standards of professional nursing practice are directly associated with the issue of nurse burnout. Assessing the scope and standards of professional nursing practice reveals that nurse burnout needs to be consistent with the ANA’s Code of Ethics and Standards of Practice. The nursing scope defines what nurses are expected to do and who they are in healthcare (ANA &AHNA, 2019). They are expected to provide holistic care to the clients putting into consideration self-care. Self-care about burnout is important in reducing the rate of low patient satisfaction.

The Code of Ethics emphasizes providing safe, compassionate, and competent care. At the same time, the Standards of Practice outline the expectations for professional nursing practice, including maintaining a healthy work environment and engaging in ongoing professional development (ANA &AHNA, 2019). Additionally, nurses are expected to provide quality patient care, which is part of the standards of practice not availed when they experience burnout. Therefore, addressing nurse burnout is critical to upholding professional nursing practice standards.


American Nurses Association, & American Holistic Nurses’ Association (Eds.). (2019). Holistic nursing: Scope and standards of practice. American Nurses Association. https://samples.jbpub.com/9781449651756/45632_ch02_pass1.pdf

Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119(103933), 103933. https://doi.org/10.1016/j.ijnurstu.2021.103933

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and Factors Associated With Nurse Burnout in the US. JAMA Network Open, 4(2), 1-11. https://doi.org/10.1001/jamanetworkopen.2020.36469

Related Services

DNP Capstone Project Help