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Borrowed Theory In Nursing Practice

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Many theories exist in nursing today and are used as a guide to practice, and as well as providing a framework for nursing research. The purpose of theory in nursing is to provide an improvement in practice and positively to influence the health and wellness of persons, families and the community. In nursing, there should be a mutual relationship between theory and practice, practice providing the basis for nursing theory development where theory is validated in practice (McEwen, 2014). The problem of nurse fatigue continues to plague healthcare organizations worldwide because of long working hours, accepting extra assignments and sleep deprivation that can be dangerous for both nurse and patient. These inadequacies cause compromises patient …show more content…

The impact of nurse fatigue resulting from extended work hours, sleeplessness and accepting extra assignments can lead to numerous problems; some of these problems include but not limited to the following; inability to focus, reduced motivation, impaired or lack of communication, delayed reaction time to a critical event that can occur, example, code call. Personal injury can occur that poses an occupational hazard for nurses since serious injuries can occur of varying degree. The nurses’ duty can be physically demanding which can have a negative effect on patient safety and workforce health (Repique, …show more content…

Hans Selye’s Theory of Stress is a borrowed theory that can be applied to address the issue of nurse fatigue. Hans Selye was born in 1907 in Hungary and died in 1982, and became an endocrinologist after attending school in Germany. Dr. Selye’s specialty was endocrinology where he studied the effects of stress on the human body. He began performing experiments on rats to find a hormone when he observed that the rats were becoming ill. The rats were becoming ill because of the different injections administered and the various processes they were put through. A new hormone was not about to be discovered, but he tried to ascertain why they were responding the same to the chemicals

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Diminished personal accomplishment is to evaluate oneself negatively because of failure a result it occurs when the individual’s external demands become higher than their coping ability.(Maslach, Schaufeli, leiter., 2001) . Many studies revealed that there is a high prevalence of burnout among nurses worldwide, it can affect approximately 45% of medical and nursing staff .(Abdo, El-Sallamy, El-Sherbiny, & Kabbash., 2015) . Bases upon several studies 25% to 33% of critical care nurses have a symptom of sever burnout syndrome.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). BURNOUT AMONG NURSES AND QUALITY OF CARE

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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.

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The awareness of stress was increased after World War II when it was noticed that many routine life events like examinations, growing up increases stress and leads to dysfunction (Lazarus, 1993). The word stress was used by Hans Selye for the first time to explain the effects of threats that disturbs homeostasis (Chrousos, 1992; Selye, 1978). Walter B. Cannon explained the role of adrenal glands and sympathetic nervous system in maintenance of body equilibrium after exposure to threat. Hans Selye’s observation -” common feeling of being sick” in patients with different diseases laid path for definition of stress. He defined stress as a set of non-specific responses collectively called as” General Adaptation Syndrome”.

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Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.

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An ordinary day of a nurse is filled with enduring hours of physical, mental, and emotional work. A nurse always has to be on their feet and ready to go. They must be ready face the obstacles placed upon them, and make life and death decisions in the snap of a finger. This is not an easy job by any means, and can leave you run-down at the end of the day. It may feel as though the day is a never-ending cycle, but it is so worth the health and happiness of others in

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