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Effects Of Occupational Stress On Mental Health
Effects Of Occupational Stress On Mental Health
Effects Of Occupational Stress On Mental Health
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Long Hours of Nursing
Long work hours are a common problem in many careers. They often increase heart failures and injuries on the job. This problem may not affect all employers directly but it affects those who take care of the sick or injured, nurses. Long work hours are an issue in nursing because it causes poor health, carelessness, and depression.
One reason long work hours are an issue in nursing is because it can cause poor health. According to one article, “studies found a link between a nurse’s long hours and an increased risk for a multitude of health issues, including musculoskeletal disorders, gastrointestinal problems, gastric ulcers, obesity, diabetes mellitus, metabolic syndrome, cardiovascular disease and cancer”(Ericksen).
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Depression is considered one of the greatest public health problems in the world, in terms of work. “In Nursing, certain factors related to the work process such as areas of activity, interpersonal relationships, work shift, overload, work schedule problems, autonomy and execution of tasks, patient assistance, strain, social support, insecurity, conflict of interests and the coping strategies just as factors outside of work, such as gender, age, domestic workload, support and family income, health status and individual characteristics are related to factors that trigger depression.”(Fernandes, Marcolan). Long hours can cause depression in nurses by major challenges such as goals needed to be met, work overload, and excessive responsibilities. Nurses often have the thought of “If I go get food then I may miss a patient” or “I can eat but I need to hurry.” This causes nurses to make sacrifices and often causes depression or anxiety because there work takes over their lives. “Shift workers commonly report psychological complaints including bad mood, depression, irritability, anxiety, personality changes, and difficulty with personal relationships.” These factors can lead to depression in nurses causing poor performance, more days lost, and leading cause of sick
The issues of nursing burnout and compassion fatigue are an important one in part, because of the ongoing nursing shortage across the united states. Per the American colleges of nursing “the U.S. is projected to experience a shortage of Registered Nurses (RN’s) that is expected to intensify as Baby Boomers age and the need for health care grows” (American Association of Colleges of Nursing, 2017). The ACA fact sheet cites several reasons for this including; the increasing needs of an aging population, healthcare reform, decreased enrollment in nursing programs, shortages of nursing faculty, large portions of working nurses
I think shortages of nurses can also be a factor in why nurses are overworked and stressed. In most hospitals you can’t even tell if there is a nurse shortage, the nurses run around from patient to patient I’m trying to still provide the same quality care. My aunt is a registered nurse for Northeast medical center and I asked her out of the previously 11 listed reasons nurses are stressed which do you experience the most. She replied, “I have to say that I experience number one which is work overload the most. When I started working as a nurse 37 years ago there were three separate shifts throughout a day and there’s could work instead of the two 7am-7pm. The nursed patient ratio was a lot lower we got to spend time with the patients we had during the day and provide individual attention. You didn’t feel overwhelmed because the hospital had enough nurses. Now they nurses doing e same amount of work as two or three nurses combined, and are still expected to do
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
Witkoski Stimpfel, Amy , Douglas M. Sloane, and Linda H. Aiken. "The Loger the shifts for hosital nurses, the higher the levels of burnout and patient disstisfaction." Health Affairs 31.11 (2012): 2501-2509. Proquest. Web. 11 Mar. 2014.
Nurses are the largest and the most trusted professional group in the health care system. They are highly educated and skilled in their areas of practice. However, today’s nurses are experiencing an ever increasing workload, which negatively impacts their ability to deliver safe patient care (Berry & Curry, 2012). This paper explores four published journals that report on survey results on nursing workload and their direct correlation with patient care outcomes. The purpose of this paper is to address the ongoing nursing workload issues and explore the reasons behind it.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
Poor staffing stresses every nurse and makes them despite what they once loved to do. Nurses are overworked and because of that they may not provide adequate patient care.
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main
Nursing is a great career choice that can be very rewarding and has many benefits that come with the job. One downside to nursing is the scheduling because it runs on a shift system, it can lead to many problems. Nurses often have to work long hours, that can last sometimes more than twelve hours at a time. Working this long can lead to problems on the job, as well as health problems and trouble sleeping.
A high workload has negative implications for nurses as well. Consequences of heavy workload include stress, burnout, and dissatisfaction, thus affecting motivation for quality patient care. Furthermore, nursing overload was also associated with increased absenteeism (as cited in Fasoli & Haddock, 2010, p. 2).
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
Absenteeism is a huge part as to why hospitals have low staff and possibly the reason why emergency room visits are really long. Nursing stress produces other organizational consequences. It has been linked to a number of poor outcomes, such as lower morale, reduced job performance, increased tardiness, and absenteeism. If nurses don't show up to work, their boss might be obligated to fire them because not showing up to work is unacceptable. Finding replacements for the nurses is hard.
Nursing is considered one of the most stressful professions, which can affect not only the nurse in a serious manner but also the patients. Stress of a job is a response to continuous exposure to emotional and interpersonal stressors. Nurses having the responsibility for the health of others are under enormous amounts of pressure of different kinds of stress. According to the Institute of Medicine, the work environment and its effect on health care employees plays an important role in patient outcomes (IOM, ).
Research indicates that long working hours contribute largely to stress and stress related diseases. Currently, employees are being put on pressure by the organization in order to achieve the set goals. Nevertheless, the employees are willing to work for longer hours in order to earn more money to satisfy their increasing needs (Gullotta et al., 2003:23). On the other hand, the organizations have been compelling their subordinates to work for longer hours as a way of punishment or increasing the possibility of achieving the set goals within the stipulated time. This aspect has increased the number of depressed people in the population. With many people being unaware of how to deal with depression, they are turning to smoking. As a result, long working hours have been associated with smoking behaviors (Burke & Cooper 2008:46). The most affected people are the young people. This behavior has increased the number of people suffering from cancer and other respiratory related diseases in the world. In addition, it has increased the number of people suffering from heart and lung diseases.