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Review of literature of stress management
Problem statement on nurse burnout
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The purpose of this paper is to discuss stress as defined by theorist Selye, the meaning of nursing burnout, its detrimental effects, and the implementation of spirituality as a stress mediator. The perioperative department can be an extremely stressful environment. Patients and their family members may experience high levels of anxiety, uncertainty, and fear. A prudent preoperative nurse should focus on to alleviate any of their concerns, provide comfort, present education regarding their upcoming procedure, and answer questions.
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011). Burnout ,quality of care and patients outcome Different studies have explained the relation between burnout syndrome, stress in work environment ,and patients satisfaction which assessed the quality of nursing care provided, the high quality care the more patient satisfaction.
Nursing is the profession that never leaves the patient from admission to discharge. Due to the high emotional and physical demands of the job, burnout or nursing fatigue is prevalent in the profession. Burnout is a well-studied problem; however, there are very little changes done to prevent fatigue in health care. Nursing fatigue is an interplay of individual, organizational and systematic factors that negatively affect not only the health of the nurse but also patient safety. For the purpose of this paper, I will focus on the external challenges in the organizational level that might affect new nurses in their first year of practice such as heavy workload, lack of support and poor leadership style.
Burnout is classified viewed in three phases. The first phase of burnout is the arousal phase. The nurse shows anxiety, insomnia, forgetfulness, inability to concentrate, feelings of beings overwhelmed, frustration, sadness, and new physical symptoms, such as headaches and stomach problems. If the nurse does not recognize that these symptoms require intervention, the second phase is energy conservation. In this phase, the nurse starts to call in sick to work; o she may be chronically late getting to duty.
Incivility in the Workplace and Impact on Nurse Retention Clinical Question The clinical question that is being addressed is whether nurse incivility leads to high turnover rates in the clinical setting. Nurse incivility is a serious issue that must be addressed. Studies have shown that incivility, such as bullying in the work environment is a major source of job dissatisfaction (Berry, 2016). It is important to understand that based on research studies, a healthy work environment is related to improved nurse retention and higher levels of job satisfaction (Ctsai, 2011).
I thought about nursing burnout through watching the video by speaker Madelyn Blaire. Burnout is categorized as physical, mental, and emotional exhaustion. Burnout can lead to dulled emotions and detachment. I wonder why nurses are burning out.
For lack of control nurses believe that no matter what mistakes doctors make its always falls back onto the nurses and it is there responsibility. Sometimes nurses feel as if to much control is put onto them and it increases their workload which results in nurses feeling burnout as they are stressed and tired. For reward nurses felt that this was a common factor of burnout. (Freeney and Tiernan, 2009). Nurses argue that the salary is quite poor and that there are no incentives to invest deeply in work.
Introduction Nursing is known as professional discipline (Donaldson & Crowley, 1978). Nurses shortage is one of the significant issues in current nursing in Singapore and also in other countries. According to Buchan et al 2008, nurses shortage has a significant connection with a country’s historical staffing levels, country 's resources and it also estimates the demands for healthcare. Nursing shortages are unmeasureble, and they may be defined as professional capacity standards from an economical view.
Nurses experienced unsatisfied work environment, fatigue, burnout and increased in career change leading to the nursing
According to Maslach and Jackson (1981), nurse burnout is the feeling of emotional exhaustion, depersonalization, and lack of personal accomplishment, particularly when caring for others in the line of work. Work stressors and burnout often lead to turnover, the inability for institutions to retain their staff, either due to transfer and resignation (Gray-Toft & Anderson, 1981). Unfortunately, not only does this risk patients’ quality of care and provoke costly turnover expenses for institutions, but it causes nurses to endure the brunt of its effects. The mental wellness of acute care nurses working in a hospital setting is often compromised as their duties and responsibilities have increased significantly throughout the years while patient
Another contributor to burnout is compassion fatigue which refers to a state of chronic stress as a result of witnessing the affliction of others. It’s when a nurse becomes emotionally exhausted from caring for those that are suffering. Compassion fatigue has become so critical that psychologist refer to it as secondary traumatic stress disorder. It has become prevalent due to the increase in occurrences of chronic illnesses.
OCCUPATIONAL STRESS ISSUES AMONG NURSES The health care industry has had to deal with occupational stress factors over a long period of time. Studies have shown that, over time, health care workers are higher up the ladder with issues related to substance abuse, suicide and elevated forms of depression and anxiety linked to occupational stress. In addition to the aforementioned psychological factors, burnout, absenteeism, reduced patient satisfaction and treatment/ diagnosis errors are also resulting outcomes of occupational stress. Nursing is generally perceived as a very demanding profession.
Working in the healthcare field can be overwhelming because of the continuous exposure to stressful events such as illnesses and death. Additionally, workers may be exposed to high demands, long working hours, team relationship issues, and shortage of staff. To contribute with tension, healthcare employees may also be subjected to daily unrelated work problems such as lack of personal time, family and financial issues. The imbalance between the nurses’ work environment and personal life coupled with multiplicities stress sources leave them at high risk for job dissatisfaction and burnout. The nursing profession itself can be very challenging, and because of high demands nurses should find a balance between their career and their personal life in order to prevent stress and burnout.
Stress and fatigue are related to the type of work that nurses do, and it directly affects a their health. Occupational stress can have harmful effects on nurses’ health. Short-term stress can lead to disorders such as “chronic fatigue to depression” (Donovan et al., 2013, p. 969). Long-term stress can lead to psychological issues and increases the likelihood of engaging in unhealthy behaviors such as smoking, drinking, poor diet and little to no exercise. New nurses are especially susceptible to experiencing stress and fatigue as they get adjusted to the demands of the job.
