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Roles and duties of nurses
Application of stress to nursing practice
Application of stress to nursing practice
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The focus of every health care professional is the patient and the goal is to return the patient to optimum health where the patient can be independent. When the patient’s safety is being compromised it’s everyone’s job to fix the problem and make sure that it doesn’t happen again. However, there’s a dark side to nursing. The nurse is one of the few health care workers that have the most daily contact with the patient. The nurse plays a very important role in the patients care from teaching to simply being a listener while withholding any judgement. When the nurse to patient ratio isn’t balanced, it causes nurse burnout. Nurse burnout is when the nurse becomes “physically, emotionally, and mentally exhausted” (Michigan, S. S. (n.d.). News. …show more content…
(n.d.). Retrieved August 16, 2017, from http://www.ananursespace.org/blogs/oretha-johnson/2013/09/06/what-is-nurse-burnout?ssopc=1). He used it to describe the consequences of severe stress and the high expectation of being perfect experienced by people working in professions that require the person to constantly be helping some. “Doctors and nurses, for example, who sacrifice themselves for others, would often end up being “burned out” – exhausted, listless, and unable to cope” (What is "nurse burnout?". (n.d.). Retrieved August 16, 2017, from http://www.ananursespace.org/blogs/oretha-johnson/2013/09/06/what-is-nurse-burnout?ssopc=1). The term is not only used for people working in professions that requires them to constantly be helping someone. Burnout has become a regular thing across every career. Burnout is categorized as physical, mental, and emotional exhaustion per National Nurses United. Many have the assumption that burnout and stress is the same. However, there’s a big difference stress is characterized by engagement meanwhile burnout is characterized by disengagement. A nurse that’s disengaged into what he or she is doing can cause many problems or complications. With one simple mistake a nurse makes can kill a patient on a worst-case scenario, which can cause the hospital or health care facility many legal problems. Burnout can be caused by …show more content…
Nurses driven by a desire to care for others were found to be more vulnerable to nursing burnout, according to research by the American Sociological Association. Many nurses love their job they start to neglect their friends, family, and most importantly themselves. Over time the more the nurse starts to only worry about the patients meanwhile they’re losing all their close relationships with their friends and family. While worrying about the stress of losing all close ties the nurse must also worry about the about the patient. Which leads to the nurse becoming fatigued and causes nurse
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Nurses have long been known for their attention to patient care. The reason many nurses have entered this profession is due to their desire to care for people. The overwhelming responsibilities of documentation, chart reviews, verifying orders and medications, monitoring lab results, among others, leaves the direct care of the patient to another, possibly unqualified, staff member. Bolton, Gassert, and Cipriano (2008) estimate that a mere 23-30% of a nurse’s day is spent providing care to a patient. This leaves the greater part of a 12-hour shift performing some kind of paperwork. In fact, the inability to provide more patient care has been cited as a reason many nurses leave their job, and the profession altogether (Bolton et al., 2008).
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
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
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.
According to Taylor (2008) the definition of nurse is from the meaning of the Latin word nutrix, which means “to nourish”. Nursing has a focus of caring for every patient physically, emotionally, socially and spiritually. To meet the needs of every patient, nurses must take on many roles, but the main role being care giver (Taylor, 2008, p.14). Caring for another person requires many traits, and the most common is compassion. The definition of compassion is “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). Compassion and the desire to nourish may have been deciding factors that would lead one to pursue a career in nursing. Nurses over the span of their career will have extensive exposure to trauma, pain and unfortunate situations. Workplace stressors such as scheduling and increasing workload along with repeated exposure to the hardships of others predisposes caregivers, especially nurses, to develop a unique type of burn out labeled compassion fatigue (Joinson 1992). Compassion fatigue develops when a nurse unintentionally takes on the misfortune, anxiety, pain and trauma of the patients they care for. It is a negative emotional and physical response to the unfortunate situations that can arise in the profession of care giving. The “detrimental effects can include exhaustion, an inability to focus and a decrease in productivity, as well as unhappiness, self-doubt and loss of passion and enthusiasm” (Lester, 2010, p. 11). Compassion fatigue will develop suddenly versus burnout which develops gradually (Boyle, 2011, p. 9). This abrupt onset of symptoms will hinder the nurse’s ability develop a trusting and therapeutic relationship with...
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
People are living longer and healthier lives now more than ever before. Much of this can be attributed to the advances in modern medicine over the past few decades. However, in healthcare, there is now a growing population of patients that are becoming sicker and more complex to care for. With the new generation of sick patients present in the hospitals, today’s nurses are stressed and fatigued more than ever before. Much of the stress and fatigue can be attributed to the nurse to patient ratio and the associated workload.
Nursing is a very demanding job and can have an overall impact on the nurse both mentally and physically. Specifically within the critical care environment, nurses are more likely at risk for developing job burnout, due to the intense nature of their work. Job burnout is a type of job stress in which the state of physical, emotional or mental exhaustion is combined with doubts about the competence and value of your work, (Mayo Clinic, 2015). The specific burnout that the nurse may be experiencing is not only affecting them, but also their patient they are looking after. It is critical for us, as nurses, to be able to recognize the warning signs of burnout and find ways in which to take steps in order to address them, in order to improve the
Choosing the career path of a pediatric nurse can be exceptionally rewarding, with that comes many trials and tribulations. This research paper will be discussing a pilot study done on compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. The goal of this study was to identify the triggers, impacts, and coping strategies pediatric nurses use to manage compassion fatigue and prevent burnout. Compassion fatigue, meaning the natural behavior and emotional demands one experiences with helping or wanting to help a traumatized person, and burnout, the complete inability to cope with a stressor, exhaustion, and decreased sense of personal accomplishment, must be recognized, acknowledged, and dealt with immediately. (Maytum, Bielski Heiman, Garwick, 2004)
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
That is why self care is important for nurses, we are at risk for both professional fatigue and burnout. Self care strategies can help the nurse when faced with stress. It can also help reduce the physical and emotional impact stress has on us. Three strategies that I chose to promote self-care is: (1) recognizing that you have a problem, (2) be open for help, and (3) keep work and home life separate (Sanford-Brown, 2014). Recognizing that you have a problem or burnout, often is recognized by others before you may realize it (Sanford-Brown, 2014). As a nurse, you must remain truthful with yourself and keep an open mind to criticism. Be open to help, burnout is a well-recognized problems within the nursing profession. Reach out for help by talking with coworkers or your manager. My organization offers access to counseling services to their employee, to assist during stressful times. The key to self-care, is keeping your work and home life separate. This is one major causes of professional fatigue which is losing sight of the boundaries between personal and work life. This can be especially challenging for nurses, that is facing difficult personal stresses. “You and your family deserves at least as much of your attention as you give your patients, but that is impossible if you can't separate the two worlds” (Sanford-Brown,
Majority of nurses start their jobs being excited and eager to help patients physically, mentally, emotionally, and spiritually. These nurses intend to provide the best patient care available. Unfortunately, these caring nurses may soon become victims of the continuing stress of meeting all of the needs of patients and their families. This stress can lead men and women in the nursing field to quickly find themselves experiencing compassion fatigue. Compassion fatigue has been defined as a combination of physical, emotional, and spiritual depletion associated with caring for patients (Lombardo & Eyre, 2011). Often times people confuse this concept with burnout. A nurse must be both compassionate and
In relation to nursing, burnout can be described as a, “psychological state that is characterized by the following symptoms: emotional exhaustion, depersonalization and a decreased perception of personal accomplishment” (Stewart & Terry, 2014, p.37). Burnout can affect anyone, but it is widely prevalent among nurses. This is evident through the percentage of turnover rates in 2016 for registered nurses. According to the National Healthcare Retention and RN Staffing Report it states, “turnover for bedside RNs ranges from 8.8% to 37.0%. The national average RN turnover rate is 17.2%, a 0.8% increase from 2014, with the median being 16.9%” (Colosi, B., 2016, p.8). Burnout in the nursing profession not only affects nurses, but it also affects the
Medical and Healthcare Professionals. Burnout affects the medical and healthcare field, which includes physicians, nurses, and other personnel. According to Edwards and Dirette (2010), healthcare professionals are known as the profession with the highest risk for stress and burnout. Research has depicted that ICU physicians cope with high levels of emotional exhaustion, depersonalization, and decreased personal achievement (Guntupalli, Wachetel, Mallampalli, & Surani, 2014). Moreover, research has shown a high prevalence of burnout among physicians, which includes one-third of physicians that have experienced burnout (Romani & Ashkar, 2014). Burnout is often caused by the physician’s inability to balance their personal and professional life (Romani & Ashkar, 2014). In addition, 45.8% of physicians report having at least one symptom of burnout (Romani & Ashkar, 2014). Among ICU physicians, the common causes of burnout include overwhelming and difficult work, being powerless to change, and making the impossible happen (Guntupalli, Wachetel, Mallampalli, & Surani, 2014). Furthermore, burnout increases medical errors and decreases job