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Nurse managers are essential in mitigating burnout among staff nurses; however, they are also susceptible to burnout due to overwhelming workloads and emotional exhaustion. This study examines the effectiveness of interventions designed to increase burnout awareness among nurse managers and promote proactive strategies to combat it.
The study aimed to enhance nurse managers' awareness of burnout using a technology-based solution and assess the impact of targeted interventions.
Data were collected over 8 months utilizing self-report assessment, reflective journaling, a pre–post burnout survey (MBI-GS), individual coaching, and postintervention focus groups.
Postintervention analysis showed improvement across all MBI-GS subscales and a notable improvement in burnout awareness. Twenty-eight percent of nurse managers remained unaware or blocked postintervention, compared to 43% preintervention. Overall, burnout awareness improved by 21%.
This study highlights the importance of burnout awareness for nurse managers, demonstrating that a technology-based solution, combined with targeted human-centered interventions, supports technology adoption, burnout awareness, and the development of adaptive behaviors.
Over the past three decades, research studies on nurses' engagement in evidence-based practice (EBP) have been widely reported, particularly in high-income countries, with studies from these countries dominating literature reviews. As low- and middle-income countries (LMICs) continue to join the EBP movement, primary research has emerged over the past decade about nurses' engagement with EBP.
The aim of this scoping review was to identify the types and extent of published research regarding nurses' knowledge, skills, attitudes, beliefs, and implementation of EBP in LMICs.
The JBI scoping review methodology was used. Eight databases were searched up to November 2023. The review included primary studies (quantitative, qualitative, and mixed methods) that reported the knowledge, skills, attitudes, beliefs, or implementation of EBP among nurses in LMICs. Included studies focused on registered nurses in all healthcare settings within LMICs. Studies published in English were included with no limit on publication date. Two independent reviewers screened titles, abstracts, and full-text articles of published studies. Data were analyzed quantitatively using frequencies and counts. Textual data from qualitative studies were analyzed using descriptive content analysis.
Fifty-three publications were included, involving 20 LMICs. Studies were published between 2007 and 2023, with over 60% published in the past 7 years. Studies that evaluated familiarity/awareness of EBP showed that in general, nurses had low familiarity with or awareness of EBP. Most studies (60%) described nurses' attitudes toward EBP as positive, favorable, or high, and 31% as moderate. However, over 60% of studies described nurses' EBP knowledge/skills as moderate, low, or insufficient. Approximately 84% of studies described EBP implementation in healthcare settings as moderate, low, poor, or suboptimal.
Studies on nursing EBP have been increasing in LMICs for the past two decades, with findings highlighting opportunities for advancing EBP in nursing within LMICs. Health systems and healthcare organization leaders in LMICs should equip nurses with EBP knowledge and skills while providing the needed resources and support to ensure consistent implementation of EBP to improve health outcomes.
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