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Considerations and Challenges for Implementation

The project manager has planned and prepared for barriers to impact project implementation. Implementing mindfulness will require leadership and staff support to be successful long term. The staff has endured a two-year pandemic, and staffing resources are limited. The lack of nurses will limit the amount of time the team will be available for training. The facility does not have a solid shared governance structure, and the staff may be resistant to change initially. The culture is established, and the nurses work well together and respect the more experienced nurses. The project manager will identify unit champions and leverage their rapport to gain participants to change the culture.

Outcomes

The Figley Compassion Fatigue Scale will be utilized as the pretest and post-test. The data will be collected electronically using Survey Monkey. The nurses will answer the same 41-questions that were asked during the pretest. The data will be analyzed and compared. The Compassion fatigue scale was created in 1995 and has been validated. The nurse will respond to each question, rating it 0-5. The zero represents never, and five means very often. The nurse with points more significant than 36 will be identified as high risk for compassion fatigue (Kelly & Lefton, 2017).

The test will be completed in 30 minutes or less. The project manager will not collect demographic data and will identify each nurse by the same number on the pre and post-test. The data will be abstracted from the post-test and compared to the pretest answer following the intervention. The subscale scores for each observation (baseline and post-intervention) will be calculated using the associated scoring rubric for the CFS (Beaumont et al., 2018). The CFS will be administered at baseline before the intervention is provided to each participant and then again at the end of the intervention to see a significant change in the subscale scores. Because the outcome variables are subscales yielded from a validated instrument, the values will be considered as being continuous level measures. All analyses will be performed using SPSS Version 28 (Armonk, NY: IBM Corp.), and statistical significance will be assumed at an alpha value of 0.05 (Sinclair et al., 2017).

References

Beaumont, E., Durkin, M., Hollins Martin, C. J., & Carson, J. (2018). Measuring relationships between self-compassion, compassion fatigue, Burnout and well-being in student counsellors and student cognitive behavioural psychotherapists: A quantitative survey. Counselling and Psychotherapy Research, 16(1), 15–23. https://doi.org/10.1002/capr.12054

Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013). PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: Randomized controlled clinical trial of efficacy. The Journal of Clinical Endocrinology & Metabolism, 98(7), 2984–2992. https://doi.org/10.1210/jc.2012-3742

Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9–24. https://doi.org/10.1016/j.ijnurstu.2017.01.003

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