Is there a significant difference in the overall satisfaction level of women in each of the hprobgrp groups? There is a significant difference in the overall satisfaction level of women in each of the hprobgrp groups. Interpret the post hoc test. When interpreting the post hoc test indicate the mean and standard deviation for each group and indicate which group was signifantly higher or lower from the other. If there is no difference between two groups indicate that as well.

Since entering the career of nursing, I believe that most nurses would like to gather as much experience as they can to become a proficient and well-rounded staff in this profession. Being a nurse for about six years now, I have spent the last two and a half years working my way up to become an intensive care unit (ICU) nurse. Being an ICU nurse is a specialty in itself that provides many nursing with the competitive pay, comprehensive benefits, and extensive learning experience in critical level of care. As the ICU can be a stressful environment for patients and families, with established long term consequences, the impact that this unique environment can have on healthcare professionals is increasingly being recognized.

What I have noticed while being a nurse in the critical care environment, I have noticed a significant increase in our nurse turnover rates for both local and traveling nurse staff. For as long as I have been working in this hospital (in a different unit at the time), many nurses are either not trained properly and/or experiencing burnout early on in their career due particularly in the ICU unit. The exposure of  nurses within a high acuity nursing environment without the proper support from our management has led to burnout. Furthermore, I have noticed that the ICU unit is the only unit with the least amount of local nurses that stay employed for at least two years into their career life.

Most of the staff nurses that I have worked with have expressed the desires to leave off-island in search for better opportunities or change in nursing career. Our hospital is going through a constant battle with recruiting and retaining their nursing staff, specifically more significant in the ICU unit. Our medical director is currently working alongside the hospital administrators about looking for ways to address the increase burnout that the staff nurses are experiencing and construct a resilient healthcare system. For as long as I have been working in this hospital (in a different unit at the time), many nurses are either not trained properly with the advanced skills needed dealing with life threatening illnesses and/or lack the skills to tackle critically ill conditions. As a result overall, burnout causes decrease in quality of care, poor performances, increase mortality in patients, and errors in the healthcare environment.

The impact that this unique environment can have on healthcare professionals is increasing therefore, as a DNP prepared nurse, to gain a more complete understanding of critical care well-being requires commitment to measure, develops interventions, and re-measure them. An analysis variation or ANOVA tests done for each survey or experimental results are significant and help us figure out if the studies prove our hypothesis. Inferential statistics takes data from samples and make generalizations about a population. Experimental analysis using t-test, to compare the means of two groups or ANOVA (analysis of variance) to analyze the difference between the means of more than two groups, would help make estimates about the population at study (nurses) and testing hypothesis to draw conclusions (Bhandari, 2020).

One of the chosen inferential articles that describe the prevalence of burnout in the ICU healthcare assessed in the included analysis of variance study (ANOVA) through PubMed, Medline, and a web of sciences article reviews and observational study designs. Within the articles, the most commonly used instruments for data collection include the Maslach burnout inventory (MBI), professional quality of life scale, work related behavior, and experience patterns. According to a 4 large scale research study reported that the burnout prevalence rates ranges between 28%-61%; this study suggests that ICU workers were slightly (about 20%) more prone to burnout than the average healthcare (Chuang, Tseng, Lin, Lin & Chen, 2016). The following risk factors reported include: age, sex, marital status, personality traits, work experiences, work environment, workload, shift work, ethical issues, and decision making choices.

In another article review done by Kerlin, McPeake & Mikkelsen (2020), being that ICU can be a stress environment for both patients and families; the impact that this environment can have on healthcare environment is being increasingly recognized. Challenging situations, exposure to high mortality and daily difficult workloads can lead to excessive stress and resultant in moral distress, leading to burnout syndrome. This cross-sectional study, most critical care nurses experience about 81% of one or more burnout symptoms. The framework presented in this article implies that multidisciplinary and coordinated cares are essential components to high quality critical care delivery. The publications are assessed for relevance to using data to support observational study designs that examine associations between any

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