Assessing the Impacts of the American Nurses Foundation Well-Being Initiative on Nurse Burnout in an Academic Health Center Using the Copenhagen Burnout Inventory
I began my Doctor of Nursing Practice (DNP) journey in August 2021 with the goal of making a broader impact on nursing education, workforce development, and professional well-being. By August 2022, following the challenges of the COVID-19 pandemic, I personally experienced burnout at the bedside and witnessed many of my peers struggle with the decision to retire early or leave the nursing profession. These experiences deepened my commitment to address nurse burnout by raising awareness, assessing contributing factors, and creating meaningful strategies for change. Burnout is a significant contributor to the ongoing nursing workforce crisis, affecting both the retention of seasoned nurses and the preparedness of new graduates entering the profession. Retaining experienced nurses is critical, as they bring invaluable expertise and mentorship to healthcare teams. At the same time, it is essential to equip new nurses with resilience-building strategies and resources to help them thrive in today’s demanding healthcare environments. Through my DNP project, I aim to develop initiatives that promote nurse well-being, improve retention, and create lasting change in the profession. I graduate in December 2025 and plan to use the insights from this work to advocate for system-level improvements in education, workforce support, and nursing policy.
The purpose of this DNP project is to assess the impacts of the American Nurses Foundation (ANF) Well-Being Initiative on nursing burnout in an academic health center using the Copenhagen Burnout Inventory (CBI).
The Study Questions are:
1. What is the Impact of the ANF Well-Being Initiative, as an intervention, on nurses' CBI scores in an academic health center?
2. What is the impact of the ANF Well-Being Initiative on role satisfaction of nurses employed in an academic health center?
3. What are the concerns of nurses and areas for improvement that contribute to burnout in academic health center nurses?
4. What resource did participants find most helpful?
Data Collected
Pre-NBO Questionnaire
Weekly Utilization Questionnaire
Post-NBO Questionnaire (Includes Resource Use Survey)
*Both the Pre-and Post-Questionnaires include Demographics, Role Satisfaction, and the Copenhagen Burnout Inventory.
Setting
The practice setting for this project will be the Redfern Health Center, hereafter referred to as the academic health center (AHC), which is part of Student Health Services at Clemson University (Redfern, 2024). The AHC serves over 28,747 undergraduate and graduate students (Clemson University, 2024) The AHC is a freestanding ambulatory care center located on the main campus of Clemson University, offering health care for illness and injury, primary care, pharmacy, lab, x-ray, specialty clinics including allergy and immunization, sexual health, gynecology and travel clinics, counseling services, and virtual urgent care (Redfern, 2024).
The project aimed to assess the impact of the American Nurses Foundation Well-being Initiative on nurse burnout in an academic health center using the CBI. The project findings revealed that the ANF Well-being Initiative improved overall burnout, and the improvement was statistically significant. The ANF Well-being initiative specifically improved burnout in two of the three subscales: work and client burnout. However, the first subscale, personal burnout, showed no statistically significant change. The project findings revealed that the ANF Well-Being Initiative did not impact role satisfaction, as there was no statistically significant change in the nurses' pre- and post-questionnaire role satisfaction responses. In addition, most participants indicated that they plan to work at the AHC until retirement and were satisfied with their current role overall. Assessing for burnout in nursing professionals increases awareness about NBO, changes in scores, and encourages the utilization of resources that can improve overall burnout. This project identified nurse concerns regarding staffing, scheduling, communication, breaks, and workflow, which correlate to the work and client burnout subscales assessed and impacted by the ANF Well-Being Initiative. Participants identified the Moodfit application and Gratitude Podcasts, and Exercise as the most helpful resources used once a week.
DNP Project Paperwork
DNP Program Requirements