Graduation Semester and Year

Spring 2026

Language

English

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Dr. Dianne Ross

Second Advisor

Dr. Daisha Cipher

Abstract

Background: Burnout among oncology nurse practitioners (NPs) threatens clinician well-being, care quality, and workforce retention. The World Health Organization (2019) defines burnout as a workplace condition caused by chronic unmanaged stress. Nationally, over half of healthcare professionals report burnout symptoms, with high rates in oncology (Deriglazov et al., 2025). In Texas, nearly 48% of advanced practice providers report emotional exhaustion and job-related stress (Patel et al., 2024). Objective: This single-group pre–post quality improvement project evaluated an eight-week, app-based Three Good Things (3GT) intervention to reduce burnout and enhance resilience among 19 breast medical oncology nurse practitioners at a comprehensive cancer center in Texas. Methods: Participants recorded three positive events at the end of each workday (five days/week) using the 3GT app. Screenshots were submitted at weeks 3, 6, and 8 to assess adherence. Burnout and Resilience were measured at baseline and post-intervention using the Burnout Assessment Tool–12 (BAT-12) and Brief Resilience Scale (BRS-6). Results: Mean BAT scores decreased from 32.05 (SD = 9.54) to 25.53 (SD = 9.32), reflecting a clinically meaningful reduction approaching significance (t (18) = 1.81, p = .088; Cohen’s d = 0.41). Mean BRS scores increased from 15.26 (SD = 4.98) to 23.00 (SD = 5.60), demonstrating a significant improvement in resilience (Wilcoxon W = 20.0, p = .0056; r = 0.64). Adherence was high (mean = 108.49%, range = 59.9%–145.57%), supporting feasibility in a high-acuity oncology setting. Conclusions: The 3GT intervention is a feasible, low-cost strategy to improve resilience and reduce burnout among oncology nurse practitioners. Future studies with larger samples and comparison groups should evaluate long-term effects and broader implementation.

Keywords

Nurse burnout, Resilience in healthcare, Three Good Things, Burnout Assessment Tool, Brief Resilience Scale.

Disciplines

Behavior and Behavior Mechanisms | Health Psychology | Interprofessional Education | Nursing | Oncology | Psychiatry | Psychoanalysis and Psychotherapy | Quality Improvement

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