Abstract

Occupational stress in nursing leads to poor patient and staff satisfaction making it essential to address stress among nursing staff and improving patient satisfaction. The purpose of this quantitative quasi-experimental quality improvement (QI) project was to determine to what degree evidence-based relaxation techniques, including music, deep-breathing, progressive muscle relaxation and guided imagery, using the transactional model would reduce stress levels among nursing staff and improve nurse-patient communication on a medical-surgical unit in a community hospital. Lazarus and Folkman's theory of stress and coping best explains stress levels and the need for alternate solutions. Data to evaluate stress levels was collected with the Perceived Stress Scale (PSS)-10 before and after intervention from the nursing staff, (n = 40). Nurse communication data was obtained from patients, (n = 456) using a digital rounding tool, on two questions from the nurse communication domain: respect and courtesy, and nurse listening. A paired t-test showed statistically significant improvement in staff's stress levels after intervention (p = 0.0032). A chi-square test for nurse communication indicated statistical significance for the respect and courtesy question (p = 0.02), but not for the nurse listening (p = 0.2). Recommendations include continued use of relaxation techniques among nursing staff and extending the project to other nursing units, as results indicated reduced stress levels after intervention. Even though results for nurse communication were not statistically significant, more positive patient responses were encouraging, suggesting project replication to improve patient satisfaction.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27994793; ProQuest document ID: 2418164310. The author still retains copyright.

Author Details

Deborah Samuel, DNP, MA, HN-BC

Sigma Membership

Nu Upsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Relaxation Techniques, Mindfulness, Perceived Stress, Nursing Communication

Advisor

Merri Morgan

Second Advisor

Danielle McQuigg

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2020

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-09

Full Text of Presentation

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