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As health care in America continues to undergo rampant changes, nurses are presented with the task of accomplishing much more than the traditional roles of caring for patients. These challenges are increasing the incidence of role strain within the nursing profession. Role strain, according to V. Lambert and Lambert (2001), has been intellectualized as the result of incongruences in the expectations of a particular role compared to what is actually being accomplished in the role. Understanding the influence of role strain on nurses is integral to the preservation of the profession (Lambert, V., & Lambert, 2001). Nurses in the United States have attributed manifestations of role strain to high job demands, dealing with issues of mortality, uncooperative patients and physicians, poor relationships with peers, feelings of the lack of control on the job, and shift rotations (Lambert, V., & Lambert, 2001). The following analysis will focus on the concept of role strain in nursing, and will include the definition based on the common and nursing usage, the defining characteristics, as well as a model case that encompasses the antecedents, consequences and empirical referents of role strain. Definition of Role Strain Mosby’s online medical dictionary defines role strain as “the stress or strain experienced by an individual when incompatible behavior, expectations, or obligations are associated with a single social role” (“role strain”, n.d.). Principally, these disparities emerge as frustration and undue stress within the nursing profession (Cranford, 2013). A global literature review conducted at Yamaguchi University School of Medicine in Japan reviewed more than 100 articles written since 1990 and established the accepted... ... middle of paper ... ...onary.thefreedictionary.com/role+strain Santos, S., Carroll, C., Cox, K., Teasley, S., Simon, S., Bainbridge, L., … & Ott, L. (2003). Baby boomer nurses bearing the burden of care: a four-site study of stress, strain, and coping for inpatient registered nurses. Journal of Nursing Administration, 33(4), 243-250. Schmidt, K. H., & Diestel, S. (2012). Job demands and personal resources in their relations to indicators of job strain among nurses for older people. Journal of Advanced Nursing, 69(10), 2185-2195. Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc. Zander, M., Hutton, A., & King, L. (2013). Exploring resilience in pediatric oncology nursing staff. Collegian., 20(1), 17-25. doi: http://dx.doi.org.proxy.library.ohiou.edu/10.1016/j.colegn.2012.02.002
Working in long-term care can be overwhelming. Imagine you are a new graduate nurse putting your new found knowledge and skills to practice for the first time. Your orientation lasted three days which is standard for nurse home orientation compared to hospital orientation that last approximately six to eight weeks for new grads. The shift has just begun and already you have a new admit, new found pressure ulcer to assess, a possible medication reaction, several new orders to take off and eight patients to document on for varying reasons. Feelings of frustration and confusion take over as you are the only nurse on the unit along with a Certified Medication Technician (CMT) and three Certified Nursing Assistants (CNAs) taking care of 47 patients. Ideal nurse-to-patient ratio continues to be a national issue in both the hospital and long-term care setting (LTC). In the LTC setting there is no official nurse-to-patient ratio; there is a suggested staff-to-patient ratio. This issue not only affects the new licensed nurses but the seasoned nurse as well. Recently, there has been controversial debates as to whether heavy workloads are detrimental to patients. The federal, state, and local government regulates many aspects of healthcare. However, it is the physicians, nurses and other healthcare professional that provide care directly to patients. Consequently, does insufficient staffing, heavy workloads, and unsupportive work environment directly contribute to poor patient satisfaction, nurse burnout, high turnover and job dissatisfaction?
Leiter, M. P., Price, S. L., & Spence Laschinger, H. K. (2010). Generational differences in distress, attitudes, and incivility among nurses. Journal of Nursing Management, 18(8), 970-980. Doi: 10.1111/j.1365-2834.2010.01168.x
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
Vargus, Crsitina , Guillermro A. Canadas, Raimundo Aguayo, Rafael Fernandez, and Emilia I. de la Fuente. "Which occupational risk factors are associated with burnout in nursing? A meta-analytic study." International Journal of Clinical and Health Psychology 14.1 (2014): 28-38. Ebscohost. Web. 11 Mar. 2014.
Surveys of Canadian frontline nurses, today, show that issues with intense workload, while ensuring safe patient care are the most significant challenges they face at work on a daily basis (Berry & Curry, 2012). Research shows that a heavy nursing workload adversely affects both the patient and nurse. For example, many Registered Nurses (RN) are experiencing ethical distress because they are not able to
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).
However, upon securing a job, they find that things on the ground are not as they had expected them to be and this results in some of them deciding to leave the profession early. Research shows that turnovers within the nursing fraternity target person below the age of 30 (Erickson & Grove, 2011). The high turnover within the nursing fraternity results in a massive nurse shortage. This means that the nurses who decide to stay have to work for many hours resulting in exhaustion. A significant percent of nurses quitting their job sites exhaustion and discouragement as the reason that contributed to their decision. In one of the studies conducted on the issue of nurse turnover, 50% of the nurses leaving the profession argued that they felt saddened and discouraged by what they were unable to do for their patients (Erickson & Grove, 2011). When a nurse witness his/her patients suffering but cannot do anything because of the prevailing conditions he/she feels as if he/she is not realizing the reason that prompted him/her to join the nursing profession. The higher rate of nursing turnover is also affecting the quality of care nurses provide to
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
The process of role development goes beyond networking and taking on a new role as an APN. According to Brykczynski’s study of clinical nurse specialists, role development involves a complete makeover of one’s professional identity and the ability to integrate the seven core advanced practice competencies.1 New graduate APNs go through phases during their transitioning period, from a registered nurse to an APN; these phases include orientation, frustration, implementation, integration, frozen, reorganization and complant.2
The nursing theories that are currently in place in the emergency room to promote professional growth and development are vital; however, there are other nursing theories that could be implemented to help improve professional growth and development. A theory that should be implemented to more effectively promote professional growth and development is Orem’s theory of self-care deficit. Orem’s theory is considered a “realistic reflection on nursing practice” (McEwen & Wills, 2014, p. 146). If the nurse is not taking care of him or herself, “stress [can] accumulate [and the] nurse can … become angry, exhausted, depressed, and sleepless” (Ruff & Hoffman, 2016, p. 8). By the nurse having these feelings he or she is not able to take care of him
Walker, L.O., & Avant, K.C. (2005). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Prentice Hall.
Walker, L. O., & Avant, K. C. (1995). Strategies for theory construction in nursing (3rd ed.). Norwalk, CT:
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Worldwide, nurses have developed themselves into professionals with a great deal of knowledge. Despite these developments towards professionalism, nurses are still portrayed in a misleading and inaccurate way and are not given the recognition for the skills they have acquired. The essence of nursing is not always clear and nurses still suffer from stereotypes (Hoeve,2014). A stereotype can be defined as “a cognitive representation or impression of a social group that people form by associating particular characteristics and emotions with a group” (Smith and Mackie, 2007). Of the many types of nursing, a very popular stereotype that is depicted of nurses is being doctor’s handmaiden and only performing repetitive and simple tasks (Hoeve,2014.) This public image of nursing does not match their professional images, in fact, it is quite the opposite. Nurses are strong independent individuals that play just as big a role in the hospital as due the doctors or surgeons. The problem is nurses are not depicted as professionals and the public is not aware that nursing today is very theory-based oriented and a scholarly profession. Over the last few decades, nursing gone through extensive and important
Poghosyan, Clarke, Finlayson, and Aiken (2010) in a cross-national comparative research explored the relationship between nurses’ burnout and the quality of care in 53,846 nurses from six countries. Their researched confirmed that nurses around the world experience burnout due to increase workload. Burnout was manifested as fatigue, irritability, insomnia, headaches, back pain, weight gain, high blood pressure, and depression. Burnout influenced nurses’ job performance, lowered patient satisfaction, and it was significantly associated with poor quality of care. Patient safety decreased as nurses’ job demands