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Concept of stress in nursing
Summary of nursing and stress
Concept of stress in nursing
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Nurses. They are such a vital part of any hospital and in any medical offices. Their main focus is on the care of individuals and families, so they can recover to perfect health. With the constant demand, shortage of staff and the need for nursing, helping or hurting nurses. During my research, I found that some people agree that overworking nurses is okay because the hospital still thrives and that an overworked is just collateral damage. Other think that overworking nurses is wrong and something should be done to change the problem. In this paper, I will discuss how nurses are overworked and what1 problems arise with overworked nurses backed by research.
Are nurses overworked and what type of problems does it cause?
Stress and dissatisfied
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With a majority of their stress coming from work or work related problems. The Vickie Milazzo Institute located in Houston conducted a survey in 2014 of more than 3,300 nurses and found that they were stressed, overworked, and underappreciated. Of those nurses surveyed they found that 64 percent said they rarely get seven to eight hours of sleep per night. Another 31 percent said they get enough sleep just two to three nights a week. The lack of sleep they have during the week can lead the nurses to be stressed and dissatisfied with their jobs. Researchers have also found that when people are dissatisfied or stressed they will not do their best and I agree with that statement. Some nurses will not do their best at work because they are stressed and thinking about another task they have to accomplish throughout the day. Also, because they feel underappreciated at work, and they may ask themselves why should they do their best if they are not going to be …show more content…
The patient is depending on the nurse to give them the right medication and make no mistakes. If a nurse is overworked their chances of making a medical error is 3 times higher than a nurse who is not overworked and well rested. The leading cause of medical errors is stress and exhaustion. Medical errors are also common in other places besides America. European countries and Canada have also found that medical errors occur more when their doctors and nurses are overworked and stressed. Statisticians in Canada released a report showing that nurses who worked longer hours reported more medication errors saying that “Among nurses who usually worked overtime, 22% reported medication errors, compared with 14% of those who did not work overtime.”
It was not very difficult to see how nurses who are forced to work ma1ditory overtime were tired and more likely to make more medical errors. Another recent study done by the University of Maryland had the same findings concluding that the chances of making patient errors increase three- times when nurses work 12-hour rather than an 8.5-hour
There are several approaches to take in solving the problem of nurse fatigue. Firstly, the nurse has an obligation to not going to work if too tired. Schedules should be designed to help with this where nurses are held accountable to pick days that does not contribute to fatigue. In addition, nurses can work as a team and cover each other effectively for breaks. Nurses should be able to take stress free breaks and not have to worry that their patients will not be taken care of. Lastly nurses should be educated on sleep hygiene and the effect it has on patient
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
A lot of nurses have admitted that the highly stress and dissatisfied. With a majority of their stress coming from work or work related problems. The Vickie Milazzo Institute located in Houston conducted a survey in 2014 of more than
The risk for patient health has been increasing while the nurse staffing levels are decreasing, throughout the world patient care is at risk due to the shortage of staffing in the nursing industry. Many, including the nurses who are being greatly impacted by this situation believe that changes need to be made to increase nurse staffing levels to better the lives of every individual involved in such a massive problem that can affect many innocent lives. Although, some might argue against finding a solution to the problem and bettering the staffing levels by stating that the nursing field doesn’t have a low employment rate and is projected to grow in the near future, however, the situation remains to be impacting nurses and patients in negative Nurse staffing ratios are an important aspect of this problem because it determines the outcome of every patient's health from an overnight stay in a hospital. In a study performed by Alexandra Robbins she analyzes in her article “Nurse Staffing and Patient Safety” that low levels of nurse staffing put patient’s life at risk. In addition to this study, Robbins discusses about the extra work nurses are receiving and how it can become dangerous considering it is a “toxic formula” for patients’ health, meaning bad outcomes are bound to occur.
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.
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
They include poor working conditions, short staffing, aging nursing workforce, inadequate resources to help in conducting research, and the expanded career options for the women. Since studies have shown that insufficient quantity of the skilled nurses has a significant effect on the outcomes of the patient including the issue of mortality, the nursing shortage is impairing the well-being and health of individuals worldwide. According to American Nurses Association (2010), the nurses should also be proficient in communication as they are in the clinical skills. The things that make a healthy working environment include skilled communication, effective decision-making, true collaboration, meaningful recognition, authentic leadership, and appropriate
Many nurses have to work shifts that are way too long, and this can have severe effects on their ability to stay sharp while working. According to Long Hours, Shift Work Still Plagues Nurses by Nancy Brent, a Registered Nurse and writer, seventy- five percent of nurses work twelve or more hour shifts. Not
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.
Understaffing is one of the prominent problems that hospitals and healthcare facilities are facing. Hospitals and healthcare facilities argue that they do not have enough budget to hire nurses to care for patients. While some say that there are not enough nurses here in the United States to hire. Also, hospital administrators think that hiring extra workers is not economically right. However, nurses and staffs disagree. When facilities do not have enough staff, it is the workers, especially the nurses that are having a hard time. They are the one that are suffering from overworking and pressure which leads to mistakes that will affect the hospital’s reputation and patient’s health. Nurses are here to care and nurture a patient and therefore