Doctor of Nursing Practice
Dr. Carol Wahl, DNP, MBA, RN, FACHE, NEA-BC, FPPC
Dr. Liane Connelly PhD, RN, NEA-BC
Dr. Beth Culross PhD, RN, GCNS-BC, CHSE
Background: Registered nurses are leaving the bedside at alarming numbers with many of them suffering from burnout, a decrease in compassion satisfaction, a lack of joy in work, and/or lack of work-life balance. It is critical these issues within nursing are identified and mitigated in order to reduce the number of nurses planning on leaving the bedside as 33% of nurses are currently considering leaving their role or reducing their hours. This statistic does not help with the current nursing shortage and its prediction to continue to grow with employment needs for nurses expected to increase 9% more than any other occupation in the United States.
Purpose: The purpose of this project was to determine the effectiveness of the IHI’s Joy in Work Framework among registered nurses at the bedside. The specific aims were: 1. An overall improvement in joy in work, 2. An improved ability to maintain a work-life balance, 3. An improvement in compassion satisfaction among staff, and 4. A reduction in burnout among staff. These aims were used to respond to the question, among registered nurses, what is the effect of implementing the IHI Joy in Work Framework on joy, burnout, compassion satisfaction, and work-life balance in an acute care setting during a four-month study?
Design: A pre-post study design was used to assess the specific aims of the study: 1. An overall improvement in joy in work, 2. An improved ability to maintain a work-life balance, 3. An improvement in compassion satisfaction among staff, and 4. A reduction in burnout among staff.
Methods: Sixty-five registered nurses were asked to participate in this project by taking a pre- survey, working through the Joy in Work Framework, and taking a post-survey during a four- month period.
Conclusion: The short timeline and underpowered sample size impeded this study; however, there were still findings that are useful for the unit and organization. With the implementation of three small changes over a four-month study, there was a slight improvement in compassion satisfaction and burnout.
Vonnahme, Jezlynn M., "Evaluation of the Effectiveness of the IHI Joy in Work Framework Among Nurses" (2023). Doctor of Nursing Practice Projects: College of Nursing. 21.