Degree Name
Nursing Practice, DNP
Publication Date
8-4-2025
First Advisor
Sandy King
Second Advisor
Beverly Clark
Abstract
Burnout continues to pose a pervasive and escalating challenge in healthcare, with its severity further amplified in the aftermath of the COVID-19 pandemic. Dialysis professionals are especially vulnerable, facing elevated patient volumes, extended work hours, and frequent encounters with complex clinical needs. These ongoing stressors highlight the critical importance of this quality improvement (QI) project, as there exists an urgent need for evidence-based strategies to alleviate burnout among dialysis professionals. This QI project aimed to enhance joy in the dialysis work setting and reduce burnout experienced by dialysis staff through the implementation of the Institute for Healthcare Improvement’s (IHI) Joy in Work framework. This evidence-based framework was implemented using a quasi-experimental pre-post design in an outpatient dialysis facility over a seven-week period. Joy was measured using the Jar of Marbles method, while burnout was assessed with the Maslach Burnout Inventory-Human Services Survey for Medical Professionals [MBI-HSS (MP)]. Statistical analysis indicated a significant increase in staff-reported joy as the Mann-Whitney U test yielded a p-value of .004. There was also a notable reduction in burnout across all three dimensions; Fisher’s exact test results were statistically significant for emotional exhaustion (p = .008), depersonalization (p = .028), and personal accomplishment (p = .013). These results affirm the framework’s effectiveness, and this project can be utilized to develop organization-wide policies that support staff well-being and optimize practice environments for dialysis care teams.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Jones, Bernice, "Quality Improvement Project Evaluation of the Effectiveness of the Institute for Healthcare Improvement’s Joy in Work Framework on Burnout Experienced by Dialysis Staff" (2025). Doctor of Nursing Practice Projects. 153.
https://arch.astate.edu/dnp-projects/153
