Name :MARY FRANCES L.

PASTRANA Date : OCTOBER 5,2023

Class Schedule : SAT 12PM-4PM Teacher :DR.TANAGAN

Worksheet No. 1
Think at least three tentative research topics and titles that you would want to
investigate based on your readings and personal experiences in your field of
specialization. Remember the acronym SMART.

Tentative Topic Tentative Title

1. Mitigating Burnout in Nursing Staff: The "Nursing Staff Burnout and Coping
Role of Organizational Support and Mechanisms: A Survey on Contributing
Professional Development. Factors and Job Satisfaction."

2. The Role of Communication in Improving The Impact of Communication on Patient

Patient Safety: Perspectives of Nurses and Safety in Nursing Practice
Patients
3.The Effect of Preoperative Anxiety and Fear "From Fear to Relief: Addressing Pre-
on Postoperative Pain Perception and Operative Anxiety's Impact on Pain
Management: A Cross-Sectional Study Perception and Recovery."

Worksheet No. 2
Answer the following questions:
1. What was I studying?
1. Specifically look into the effects of organizational elements including
workload, leadership support, work-life balance, and job satisfaction on
nursing staff burnout. To be able to do some researching on how professional
development opportunities, like mentorship, education, and training, might
help nurses feel more engaged and fulfilled in their work while avoiding
burnout. Overall, this research may seek to pinpoint efficient tactics and
remedies for nursing staff burnout and to advance general wellbeing.

2. The study may look into how ineffective communication among healthcare
professionals or between healthcare providers and patients might result in
medical errors, adverse events, and patient damage. Inadequate handoff
communication, a lack of teamwork and collaboration, or language hurdles
are just a few examples of the various communication breakdowns that can
happen in healthcare settings. The study may also look at the ways in which
clear and succinct communication, effective listening, and appropriate
information exchange between patients and healthcare professionals can all
increase patient safety. To develop a more thorough understanding of how
communication affects patient safety, it may be taken into account from both
the nurses' and the patients' viewpoints. The study's overall goal is to find
efficient ways to boost communication in medical settings in order to increase
patient safety and enhance patient outcomes.
 3. I will be researching about the connection between surgical patients'
preoperative anxiety and terror, postoperative pain perception, and pain
management. The study may look into how preoperative worry and anxiety
can affect a patient's experience of pain after surgery and how this can affect
how postoperative pain is managed. Preoperative anxiety and fear may be
influenced by a variety of circumstances, including prior surgical experiences,
the uncertainty of the results, and terror of the actual surgical operation. The
study may also look at how postoperative pain is perceived and handled
differently in individuals with preoperative worry and fear than it does in
patients without these symptoms. Analyzing the usage of painkillers, pain
management methods, and other interventions that are used to treat pain
may be part of this.

2. Why was this topic important to investigate?

Topic 1. Burnout is a serious issue in the healthcare industry, especially among

nursing personnel, so it is vital to look into this subject. High turnover rates,
decreased job satisfaction, and worse patient care can all be consequences of
burnout. Therefore, reducing burnout is essential to enhancing nurse wellbeing
and patient outcomes. A review of relevant literature and recent studies shows
that there is a growing body of evidence showing the detrimental effects of
burnout on nursing personnel. Nurses were found to be the second-highest
group of healthcare professionals at risk for burnout, according to a study by
Shanafelt et al. (2016). Burnout was linked to more medical errors and lower
patient satisfaction, according to a different study by Shanafelt et al. (2015). The
literature also implies that professional growth and organizational support might
help reduce burnout. According to a comprehensive review by Bagnasco et al.
(2018), organizational support, like support for leadership, team development,
and resources are useful in lowering burnout. According to Lako et al. (2018),
professional growth, which includes training opportunities, can also result in
higher job satisfaction and less burnout. In conclusion, the research shows that
burnout is a serious issue for nursing staff and can have a severe impact on both
nurses' and patients' results. Potential solutions to reduce nursing staff burnout
and enhance well-being and patient outcomes include organizational support and
professional development. Therefore, investigating the role of organizational
support and professional development in mitigating burnout in nursing staff is
important in developing effective strategies to improve the workplace
environment for nurses and enhance patient care.

Topic 2:
Investigation into this subject is necessary since inadequate communication
might result in unfavorable events and patient harm in the healthcare industry.
Patient safety has received more attention in recent years, and communication
has been named as one of the major areas that requires improvement. Analysis
of linked literature and studies from 2018 and later revealed that communication
 disruptions frequently result in unfavorable events in the healthcare industry.
According to a study by Makary et al. (2016), patient damage was frequently
brought on by poor communication. Baker et al. (2018) discovered in a different
study that ineffective communication contributed significantly to hospital
readmissions. Furthermore, studies have shown how crucial it is for patients and
healthcare professionals to communicate effectively. According to a systematic
review by Street et al. (2018), patient outcomes, such as patient satisfaction,
adherence to treatment, and health outcomes, can be improved by
communication treatments such patient-centered communication, shared
decision-making, and health literacy. As nurses frequently spend the most time
with patients and have a considerable impact on patient outcomes, nurse-patient
communication is very important. The benefits of effective nurse-patient
communication on patient safety have been shown in numerous research. Better
nurse-patient communication, for instance, has been linked to decreased
mortality rates and fewer postoperative complications, according to a study by
Aiken et al. (2018).

Topic 3
It was crucial to look into this subject because preoperative anxiety and fear have
been found to have a major impact on how postoperative pain is perceived and
managed. Preoperative anxiety has been linked to greater postoperative pain
and reduced pain management, which can result in longer hospital stays and
delayed recovery. Additionally, preoperative worry and panic might result in
detrimental psychological effects like depression and a lower quality of life. As a
result, recognizing and treating preoperative fear and anxiety can enhance
postoperative pain control and patient outcomes. This research can also shed
light on preventative strategies, like as soothing techniques or psychological
interventions, that can be used to lessen preoperative anxiety and terror.

3. What did we know about this topic before I did this study?
Topic 1
It was crucial to look into this subject because nurse burnout has become a
major issue in healthcare, impacting not just the wellbeing of nurses but also
patient outcomes and the general standard of care. Prior studies had suggested
that professional development and organizational support could be extremely
important in reducing burnout among nursing workers. According to a review of
related literature and research, organizational support for nurses, such as fair
pay, a welcoming workplace, and sufficient staffing, can lower burnout and boost
job satisfaction. Additionally, nurses' sense of autonomy and control can be
strengthened through professional development, including training and
educational opportunities, which will increase job satisfaction and lessen burnout.

Topic. 2
The failure of communication in healthcare settings was already recognized as a
major contributor to medical errors and adverse events prior to the study on the
 function of communication in enhancing patient safety. Numerous studies have
shown the detrimental effects of poor patient-provider communication, including
misdiagnosis, prescription errors, and inappropriate therapies, which can lead to
morbidity, mortality, and higher healthcare expenditures. It was also
acknowledged that encouraging patient-centered treatment and fostering patient
satisfaction depended heavily on effective communication. There was a void in
the literature, though, addressing nurses' and patients' viewpoints on the
importance of communication for patient safety. In order to close this gap, this
study examined nurses' and patients' perspectives on communication practices
that can improve patient safety..

Topic 3.
I myself had undergone 2 major surgeries. I also experienced anxiety and panic
pre-operatively, especially on the first one. However, there is already a
sizable body of data, based on research that has been published that
preoperative worry and fear negatively affect postoperative pain
perception and treatment. Prior research has demonstrated that patients
who have preoperative anxiety typically score more painfully, stay in
hospitals longer, and use more painkillers following surgery. Preoperative
anxiety may potentially result in opioid dependence and higher medical
expenses, according to some research. Preoperative anxiety and dread
must therefore be recognized and treated in order to improve patient
outcomes and lower healthcare costs.

4. How will this study advance new knowledge or new ways of understanding?
Topic 1:
This study can contribute to new knowledge in a number of ways by studying
how organizational support and professional development can help nursing
personnel avoid burnout. First, it will give a thorough overview of the various
organizational support mechanisms and professional development techniques
that can be useful in reducing nursing staff burnout. Healthcare organizations can
create specialized interventions that cater to the particular needs of their nursing
staff by identifying and analyzing particular sorts of support and development.
Second, this research can help us better understand how organizational support,
professional growth, and burnout in nursing personnel relate to one another. We
can better understand the underlying mechanisms that lead to burnout and
create more practical solutions to alleviate it by examining how these elements
interact with one another.

Finally, by offering evidence-based suggestions for healthcare organizations to

implement long-lasting and successful measures for reducing burnout among
nursing staff, this study can inform policy and practice. Organizations can
enhance patient outcomes, the efficiency of the healthcare system as a whole,
and the quality of care delivered by supporting the well-being of healthcare
professionals.
Topic 2:
This study can contribute to fresh knowledge and understanding in a number of
ways regarding the role of communication in enhancing patient safety. First of all,
it will shed light on the views of both nurses and patients in regards to how
communication might improve patient safety. The study can determine the gaps,
difficulties, and opportunities for enhancing communication and patient safety in
healthcare settings by examining their perceptions and experiences.In addition,
this research can help us better comprehend the difficulties of communication in
the healthcare industry. The study can offer light on the aspects that contribute to
effective or ineffective communication and patient safety outcomes by examining
the types, modes, frequency, and quality of communication. This can then assist
in the creation of evidence-based interventions and remedies that deal with the
communication problem.

Topic 3:
Several new insights and understandings can be gained from this study on the
impact of preoperative anxiety and fear on postoperative pain perception and
treatment. First, it will shed light on how preoperative anxiety and worry and
postoperative pain perception and management relate to one another. The
investigation can determine the mechanisms that contribute to the relationship
and the underlying pathways by examining the effects of these psychological
factors on pain perception and management. Second, this research can help us
understand the psychological and physical factors that affect how we perceive
and treat pain. The study can offer a more complete view of the pain
mechanisms and help with the creation of more efficient pain management
techniques by exploring the role of anxiety and fear in the sensation of pain.
Thirdly, the design of preoperative therapies to lessen patients' fear and anxiety
can be influenced by the findings of this study. The study can offer insights into
the design and implementation of preoperative interventions that can
successfully reduce anxiety and dread and enhance overall pain management by
identifying the components that influence the interaction between psychological
and physical factors in the sensation of pain. The need for a patient-centered
approach to pain management that takes the patient's psychological condition
into account can also be highlighted by this study. The study can contribute to a
more holistic and individualized approach that prioritizes patient well-being and
outcomes by highlighting the significance of managing preoperative anxiety and
dread as a vital aspect in pain treatment.