Degree Name
Nursing Practice, DNP
Publication Date
2-24-2026
First Advisor
Lisa Drake
Second Advisor
Randi McCoy
Abstract
Burnout is a persistent and critical problem in skilled nursing facilities, contributing to reduced job satisfaction, increased turnover, and compromised quality of care. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the impact of a Mindfulness-Based Stress Reduction program on burnout among registered nurses in a skilled nursing facility. Guided by the Job Demands–Resources framework and Lewin’s Change Theory, a quantitative pretest–posttest design was implemented using the Plan–Do–Study–Act. Ten nurses consented to participate in an eight-week intervention, and four completed both pre- and post-intervention measures. Burnout was measured using the Maslach Burnout Inventory–Human Services Survey–Medical Personnel. Descriptive statistics and paired- t tests were used to examine changes in emotional exhaustion, depersonalization, and personal accomplishment. Statistically significant reductions were observed in emotional exhaustion (preintervention M = 19.75, SD = 7.41; postintervention M = 8.00, SD = 2.94; t (3) = 5.14, p = .007) and depersonalization (preintervention M = 18.75, SD = 2.50; postintervention M = 6.25, SD = 1.26; t (3) = 13.06, p < .001). Personal accomplishment significantly improved (preintervention M = 42.75, SD = 2.23; postintervention M = 47.25, SD = 0.50; t (3) = 4.23, p = .011). Large effect sizes observed across subscales. Findings indicate that MBSR is feasible, low-cost intervention associated with statistically significant improvements in nurse burnout in the SNF setting, supporting integration of MBSR into organizational wellness initiatives.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Okafor, Chinenye, "Quality Improvement Project: Impact of Mindfulness-Based Stress Reduction on Nurse Burnout in Skilled Nursing
Facilities" (2026). Doctor of Nursing Practice Projects. 292.
https://arch.astate.edu/dnp-projects/292
