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Stress in nursing practice
Stress in nursing practice
Stress in nursing practice
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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 …show more content…
A nurse that wishes to determine if he/she is stressed, must first be cognizant of the signs and symptoms. Often, stress manifests not just in physical ways but in emotional ways as all. The physical signs of stress include headaches, weight gain, fatigue, and an elevated glucose level, while the emotional signs include anger, lashing out, hostility, sadness, and abstinence and isolation from activities (Roszler & Brail 2017). Stress management is the process of integrating positive and healthy techniques into one’s lifestyle in an attempt to reduce stress. Physical activity such as yoga has been proven to reduce stress. Researchers have found that because yoga encourages one to relax, it shifts the flight-or-fight response to the relaxation response, which has been shown to decrease stress by lowering breathing and heart rates, decrease blood pressure, lower cortisol levels, and increase blood flow to vital organs (Woodyard …show more content…
Recognizing the signs and symptoms of when to stop and recollect one’s self is one of the strongest methods for contesting burnout. Research has shown that the consumption of alcohol, smoking, and certain meats have also been known to increase the risk of triggering stress hormones and illnesses while eating healthy is known to lower the risk of being stressed, overweight, developing obesity, and certain cancers (Darton et al 2004). Speaking with friends, family, and having a strong support system, as well as a rapport with the director of nursing is known to relieve some stress and anxiety. By speaking to the higher ups in management and discussing one’s feelings regarding the work environment, taking breaks to recharge, and keeping the lines of communication open the incidence of burnout greatly decreases. To conclude, putting one’s self first and remembering to guard your passion from outside stressors and influences by applying these effective strategies can preserve your passion for nursing and maintain your health and
What is stress? Physiological stress represents a wide range of physical responses that occur as a direct result of a stressor causing an interruption in the natural balance of a human body. When such a disruption occurs, either psychological or physical, the equilibrium in the body responds by stimulating the central nervous system, the endocrine system, and the human immune system. The reaction of these systems causes a number of physical changes that have both short and long term effects on the body. Members of the healthcare and Allied Helping Professions have devoted the last three decades to researching the specific short and long term effects of stress and the effects on the human body. This has led to highly specialized stress appraisals and the development of sophisticated coping techniques in all disciplines of the healthcare industry. Recent innovations have focused on the fact that stress impacts everyone in different ways, and that individual differences must be factored into the treatment milieu. Research continues to explore the correlati...
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
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?
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.
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.
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.
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,
I think it is important for nurses experiencing burnout to talk to someone about it and maybe think about making a change in their workplace if possible to obtain a new challenge and help keep nursing fresh and exciting for them. I also find it interesting that as nurses, we are so prone to caring for others that we often forget or neglect to care for ourselves. Not caring for us is stressful to the body and will lead to burnout at work and also in our personal lives.
White, L. S. (2012). Reducing stress in school-age girls through mindful yoga. Journal of Pediatric Health Care, 26(1), doi: 10.1016/j.pedhc.2011.01.002
In recent years, there’s evidence to suggest that mental health nurses experience stress and burned out related to their work, Stress, as an result of stressful workplaces (Bernard et al,2000).
A rising issue in nursing in recent years is how staffing levels effect nursing outcomes including, but not limited to, nurse burnout and job satisfaction. Three types of staffing contribute to nurse workload; they are staffing by hours per patient day, staffing by ratios, and staffing by acuity. Following is an in depth analysis of how nurse staffing affects nurse job satisfaction and burnout.
The purpose of this study is to help find a cure to burn out. The word cure is used here because it is an illness. Burnout like many other illness out there has symptoms, as mentioned earlier burnout can cause many issues like physiological problems, sleep disorder and overall feeling of fatigue. Finding a way to end this affliction is key to everyone in the social work field and the ones affected by social workers.
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
Therefore a person must develop stress management skills to maintain their own stability and yoga can be a part of the solution. In the book, Yoga Body, Buddha Mind, by Cyndi Lee, the author talks about fight-or-flight, a condition where the body relates to emergencies then responds by activating the adrenal glands allow the heart to pump quicker, raise blood pressure, increase muscle tension, and produce sweat. However, if you are constantly in a fight-or-flight mode then it leads to stress. Health problems can arise from not learning how to balance good stress which can have survival value and bad stress that can lead to insomnia, headaches, and even more serious conditions such as heart attacks (Lee