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1.3. Sources of workplace stress among nurses
Some of the workplace factors that have been directly associated with stress and poor mental health outcomes among nurses include work overload, high expectation from the patients and low income. Moreover, time pressures and inflexible scheduling have also been reported. Mark & Smith (2012) list other causes OS among nurses as: medication errors, poor or weak supportive work relationships, inter-professional conflicts between nurses and physicians, bullying, dealing with patients and their families and even the loss of a patient, low back pain, and compassion fatigue, among other factors. These factors work collectively to produce pathways that undermine the level of resiliency among nurses and ultimately result in poor mental health among nurse. Both lack of role clarity, as well as role ambiguity, are considered as essential factors in building up the role conflicts.
Furthermore, staff nurses are usually frustrated by being asked to do tasks that are not listed in their job description (Sá, & Fleming, 2008). Frustration also occurs when confronted with ethically or morally ambivalent decisions ordered by superiors. Inter-professional conflicts could happen as a result of these out of JD (Job Description) duties. Stress is
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Anxiety has been common outcome. Burnout is conceptualized as a condition where the individual experiences extreme stress as a result of emotional, physical, and psychological exhaustion. Different studies have linked burnout to adverse mental outcomes for nurses such as anxiety and depression. Erickson and Grove (2008) also documented a positive correlation between high burnout levels and reduced levels of positive emotions and increased emotional labor among
Ivancevich, Konopaske, & Matteson, 2011 defines burnout as a psychological process, brought about by unrelieved work stress that results in emotional exhaustion, depersonalization, and feeling of decreased accomplishment. Examples of emotional exhaustion includes; feeling drained by work, fatigue in the morning, frustrated, and do not want to work with others. Depersonalization is when a person has become emotionally hardened by their job, treat others like objects, do not care what happens to them, and feel others blame them. A low feeling of accomplishment also results from burnout. A person is unable to deal with problems effectively, identify or understand others problems, and no longer feel excited by their job. (Ivancevich et al., 2011).
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
Purcell, S.R., Kutash, M., & Cobb, S. (2011). The relationship between nurses’ stress and nurse staffing factors in a hospital setting. Journal of Nursing Management, 19, 714-720.
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.
The major one is the stress faced by the newly qualified nurses. Stress arises mainly due to expectations, role stress or role overload, lack of support and difficulty in obtaining permanent position post formal education (Christopher, 2016 & Martin and Wilson, 2011).
Introduction to the Repercussions of Burnout Herbert J. Freudenberger first coined the term burnout in 1974. His definition of burnout, “the extinction of motivation or incentive, especially where one’s devotion to a cause or relationship, fails to produce the desired results.” According to a secondary source (Khan, 2014) citing Freudenbergers book: Burnout: The High Cost of High Achievement, Freudenberger compared burnout of a person as mirrored to burnout in a building “a once throbbing structure. where once there had been activity, now only crumbling reminders of energy and life.” Although the idea of burnout can be seen in any profession, the purpose Those in the helping profession are defined as those who work directly with other people in a mental or physical health capacity, such as nurses, doctors, psychiatrists, counselors and therapists.
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.
The article examined many studies conducted to measure stress and burnout in nurses and found that the environment and conditions in the workplace have a great deal to do with the perceived stress levels. In the article, it speaks of the definition of stress as being a negative factor that is perceived to pose a threat to the perceiver. This definition goes on to state that one person may see an event as stressful, while another may view the same situation as exhilarating. The important part of this “new definition” is that we can choose, by manipulation of our attitudes, to view our lives as stress filled or an enjoyable ride. One’s perception is a big factor in workplace stress.
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
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).
Burnout is termed as the exhaustion of an individual’s overall well-being. To put it simply, it is experienced when there is too much stress, generally in the work environment. This leads to emotional, mental, and physical strain, making it difficult for one to perform his or her job proficiently (Ericksen, 2015). Adriaenssens (2015) indicates, that burnout impacts emotional aspect the most. In correlation with nursing, negative effects of this ordeal include poor patient outcomes, and compromised safety for both patient and nurse. Evidently, these are precipitating factors that contribute to the deterioration of the healthcare system stemming from the direct and indirect damage that
Burnout in nursing is a convoluted and significant matter that must be acknowledged and addressed to preserve the quality and longevity of the nursing profession. With varying definitions of the term, it becomes important to identify and understand the factors and dynamics that have bearing on the nurse’s intrapersonal beliefs, emotional well-being, and ultimately the patient care they provide. Once these components are recognized, it is just as imperative to offer potential resolutions to meet this challenge. Aside from simple, personal actions that the nurse can take, such as exercise and rest, there are certain measures that if fulfilled by the nursing leadership staff will hold substantial weight when it comes to contending with burnout.
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).
Burnout is a response to chronic emotional stress due to those factors, resulting in reduced job productivity, and emotional and/or physical exhaustion. (Perlman & Hartman, 1982). Many studies consider burnout to be a job-related stress condition or even work-related mental health impairment, with the ICD-10 closely tying burnout with the diagnosis of work-related neurasthenia (Awa et al., 2010; Maslach, Schaufeli, & Leiter, 2001; World Health Organization, 1992). Numerous conceptualisation of the burnout phenomenon has been posited but most researchers favour a multidimensional definition developed by Maslach and colleagues (1993; 1996) that encompasses three aspects: emotional exhaustion, depersonalisation, and reduced personal accomplishment at work.
Happell, Martin, and Pinikahana (2007) also argue in their research that “despite the strength of discourse and debate in relation to stress and burnout in psychiatric nursing, limited research has been conducted in this area” (p. 40). Although a handful of studies (Cañadas et al., 2013, Dickinson and Wright, 2008; Happell, Martin, and Pinikahana, 2007, Ewers et al., 2001) agree that burnout reduces employee effectiveness which can compromise quality of care provided for the patient, there is still little research and support in this