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Recommended Citation
Chirayil M, Shrikanth S. Well-Being in Home Healthcare Nurses. Quality Improvement poster presented at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.
Presentation Notes
Quality Improvement poster presented at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.
Abstract
Background
Home healthcare nurses experience unique stressors compared to hospital or facility-based settings. Limited resources, isolation in the field, and safety concerns can negatively impact one's well-being. Research shows that well-being affects nurse performance, patient outcomes, and organizational health (Sovold et al., 2021; CDC, 2024). Improving well-being enhances resilience and adaptability.
Local Problem
At this home healthcare agency, burnout and turnover remain key concerns. An internal anniversary survey revealed that 69% of staff expressed concerns about their well-being. These findings signal a disruption in workforce sustainability. Addressing well-being is aligned with the organization's strategic priorities and represents an opportunity to implement evidence-based interventions tailored to field-based nursing challenges.
Method
This quality improvement DNP project was conducted from January 2025 and ended March 2025. The PDSA model was used to implement this project. Participating nurses received virtual training on how to use three evidence-based well-being interventions: breathing exercises, gratitude training, and nurse’s choice of spiritual reading. spiritual reading is defined as spiritual texts that inspire the nurse. Weekly reminders and a mid-point check-in were sent to participants via email. Pre-intervention and post-intervention surveys were completed through REDCap, a HIPAA-compliant tool. The World Health Organization Five Well-Being Index (WHO-5), a validated and reliable scale was used to measure well-being.
Results/Conclusions
Sixteen nurses participated in the project, completing both pre- and post-intervention surveys. Analysis revealed a statistically significant improvement in well-being following implementation of the well-being bundle. The intervention demonstrated positive outcomes with no reported unintended consequences.
Implications for Practice
The improvement in well-being among participants underscores the value of simple, low- or no-cost interventions in supporting nurse wellness. These strategies are sustainable, easy to integrate into daily routines, and can enhance staff morale. The organization can use them during team huddles and promote their use in the field to maintain momentum and long-term impact.
Document Type
Poster
Publication Date
11-12-2025
Well-Being in Home Healthcare Nurses
Background
Home healthcare nurses experience unique stressors compared to hospital or facility-based settings. Limited resources, isolation in the field, and safety concerns can negatively impact one's well-being. Research shows that well-being affects nurse performance, patient outcomes, and organizational health (Sovold et al., 2021; CDC, 2024). Improving well-being enhances resilience and adaptability.
Local Problem
At this home healthcare agency, burnout and turnover remain key concerns. An internal anniversary survey revealed that 69% of staff expressed concerns about their well-being. These findings signal a disruption in workforce sustainability. Addressing well-being is aligned with the organization's strategic priorities and represents an opportunity to implement evidence-based interventions tailored to field-based nursing challenges.
Method
This quality improvement DNP project was conducted from January 2025 and ended March 2025. The PDSA model was used to implement this project. Participating nurses received virtual training on how to use three evidence-based well-being interventions: breathing exercises, gratitude training, and nurse’s choice of spiritual reading. spiritual reading is defined as spiritual texts that inspire the nurse. Weekly reminders and a mid-point check-in were sent to participants via email. Pre-intervention and post-intervention surveys were completed through REDCap, a HIPAA-compliant tool. The World Health Organization Five Well-Being Index (WHO-5), a validated and reliable scale was used to measure well-being.
Results/Conclusions
Sixteen nurses participated in the project, completing both pre- and post-intervention surveys. Analysis revealed a statistically significant improvement in well-being following implementation of the well-being bundle. The intervention demonstrated positive outcomes with no reported unintended consequences.
Implications for Practice
The improvement in well-being among participants underscores the value of simple, low- or no-cost interventions in supporting nurse wellness. These strategies are sustainable, easy to integrate into daily routines, and can enhance staff morale. The organization can use them during team huddles and promote their use in the field to maintain momentum and long-term impact.
Affiliations
Population Health/Continuing Health