tag:blogger.com,1999:blog-54318200296972562142023-06-20T21:43:44.148-07:00Causes of Stress and Methods of CopingStresshttp://www.blogger.com/profile/10266599495613258302noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-5431820029697256214.post-90029895796000630472008-02-29T10:21:00.000-08:002008-04-21T21:11:22.847-07:00Nursing Stress<p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%font-family:trebuchet ms;" ></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%;font-size:130%;" >There are many issues related to stress within the nursing profession, many of which seem to be overlooked quite often.<span style="font-size:+0;"> </span><span style="font-size:130%;">T</span>he shortage within the nursing profession presents everyday challenges for nurses who are forced to work long hours and to the quality of their work. This is concerning because health policy experts say that the <a style="COLOR: rgb(0,204,204)" href="http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm">nursing shortage</a> could very likely worsen in the next three decades (Yeager & Cheever, 2007). <span style="font-size:+0;"></span><?xml:namespace prefix = o /><o:p></o:p></span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%;font-size:130%;" >Every patient is entitled to the best attention possible.<span style="font-size:+0;"> </span>The quality of a nurse may be questioned or jeopardized if they have a large number of patients to care for all at once.<span style="font-size:+0;"> </span>In this situation a nurse cannot fully concentrate on giving one particular patient all the care and attention that they need.<span style="font-size:+0;"> </span>A survey done with a group of medical staff regarding the nursing shortage reported that “substantial proportions of respondents perceived negative impacts on care processes, hospital capacity, [and] nursing practice” (Buerhaus, Donelan, Ulrich, Norman, DesRoches, Dittus, 2007).<o:p></o:p></span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%;font-size:130%;" >A second issue due to the shortage is that nurses have to work extra hours.<span style="font-size:+0;"> </span> During a 28-day study of nurses, about thirty-three percent of those nurses studied worked overtime (Phillips, 2004).<span style="font-size:+0;"> </span>This, too, could potentially decrease the quality of their work because by the end of their long, strenuous shift they may become worn down (both physically and mentally) and may not perform as they would optimally. Nurses need to take care of themselves before they can take care of their patients. After all, the <a style="COLOR: rgb(0,204,204)" href="http://nursingworld.org/FunctionalMenuCategories/MediaResources/PressReleases/2006_1/ANAonWorkEnvironment.aspx">safety </a>of the nurse is just as important as the safety of the patient.<br /></span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%;font-size:130%;" >With the current world-wide lack of nurses, is it possible that people may want to get into the profession for the wrong reasons?<span style="font-size:+0;"> </span>Because there is such a big need for nurses, many <a style="COLOR: rgb(0,204,204)" href="http://www.discovernursing.com/job-opportunities">positions will be available</a><span style="COLOR: rgb(0,204,204)"> </span>and people may be getting into the profession simply because there is a shortage, not because that is what they actually want to do.<span style="font-size:+0;"> </span>If it is assumed that going into nursing is a sure way to get a job, will the quality of their work be as good as that of those who truly desire to be nurses. </span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%" face="trebuchet ms"><span style="LINE-HEIGHT: 200%;font-size:130%;" >An increased danger of professional burnout plagues nurses as a result of the pressure and stress imposed upon them due to the nursing shortage (Stress and Nursing, n.d.).<span style="font-size:+0;"> </span>Nurses may place their <a style="COLOR: rgb(0,204,204)" href="http://www.nurseweek.com/news/features/01-11/stress.html">patients’ care before their own</a> well-being and consequently, the level of their happiness is hindered.<span style="font-size:+0;"> </span>In acute healthcare settings, there are stressors, both internal and external, which cause stress (Flanagan, 1990).<span style="font-size:+0;"> </span>External factors include: too many patients, inadequate staffing, overtime, and paperwork. Internal factors include: relationships with coworkers and familial problems that may trouble many healthcare workers (Flanagan, 1990).<span style="font-size:+0;"> </span>Stress essentially results from dramatic changes in the workplace or home, perceived threats, challenges to one’s capabilities, and unmet needs (Sutterley & Donnelly, 1982).<span style="font-size:+0;"> </span>The existence of stress within a nurse’s life is known to cause altered amounts of different bodily chemicals, higher levels of anxiety, insomnia, lack of appetite, sweating, and even depression (Flanagan, 1990; Sutterley & Donnelly, 1982).<span style="font-size:+0;"> </span>In the workplace, stress takes its toll on nurses in that it makes them feel emotionally drained, used up, or frustrated. Consequently, these feelings may lead to absenteeism, decreased motivation, lack of trust, or low morale (Flanagan, 1990).<span style="font-size:+0;"> </span>The issue of being aware of the causes of stress and how it affects nurses in the workplace is vital to the knowledge of healthcare professionals because they can be aware of, or even attempt to avoid, certain stressors.<o:p></o:p></span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; FONT-FAMILY: trebuchet ms"><span style="LINE-HEIGHT: 200%;font-size:130%;" >Eighty percent of illnesses are caused by stress; therefore, nurses should know how to deal with these problems (Stress, n.d.).<a href="http://medi-smart.com/stress.htm"><span style="font-size:+0;"> </span><span style="COLOR: rgb(0,204,204)">Coping with stress</span></a> may be a difficult task.<span style="font-size:+0;"> </span>However, various techniques for helping nurses with their stress-related problems exist.<span style="font-size:+0;"> </span>For example, identifying stress symptoms and stressors in one’s environment and subsequently developing a plan to eliminate stress is one option (Self-Care, 2005).<span style="font-size:+0;"> </span>This plan involves a constant process in which all aspects of one’s self are addressed (Flanagan, 1990).<span style="font-size:+0;"> </span>Nurses must realize that the self is most important and that in order to lead a satisfying life, one must take care of one’s needs as well (Self-Care, Dependent Care, 2003).<span style="font-size:+0;"> </span>Many techniques relating to self-care are readily available to nurses willing to eliminate stress.<span style="font-size:+0;"> </span>Intellectual self-care encompasses the idea of challenging one’s mind by striving to complete more education while social self-care embraces the concept of networking, mentoring, and collective action (Flanagan, 1990).<span style="font-size:+0;"> </span>The most prominent self-care technique related to emotions is for nurses to express their inner feelings, values and attitudes (Flanagan, 1990).</span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; FONT-FAMILY: trebuchet ms"><span style="LINE-HEIGHT: 200%;font-size:130%;" >The existence of stress within the workplace could potentially be caused by moral distress, “the reaction to a situation in which there are moral problems that seem to have clear solutions, yet we are unable to follow our moral beliefs because of external restraints” (Burkhardt & Nathaniel, 2008 pg. 91).<span style="font-size:+0;"> </span>Moral distress causes anger, dissatisfaction, and poor performance in the workplace and these behaviors coincide with those triggered by stress (Burkhardt &Nathaniel, 2008).<span style="font-size:+0;"> </span>By working to eliminate moral distress in the workplace, nursing stress can be alleviated and subsequently result in a more conducive work environment.</span></p><p class="MsoNormal" style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; FONT-FAMILY: trebuchet ms" face="trebuchet ms"></p><p class="MsoNormal" style="TEXT-ALIGN: center;font-family:trebuchet ms;" align="center" ><span style="font-size:130%;">References</span></p><p class="MsoNormal" style="TEXT-ALIGN: center;font-family:trebuchet ms;" align="center" ><span style="font-size:130%;"><o:p></o:p></span></p><pre style="LINE-HEIGHT: 200%;font-family:trebuchet ms;" ><span style="font-size:130%;">Buehraus, P.I., Donelan, K., Ulrich, B.T. Norman, L., DesRoches,<br />C. & Dittus, R.(2007). Impact of nurse shortage on hospital patient<br />care: Comparative perspectives. <span style="FONT-STYLE: italic">Home Affairs: Project Hope</span>,<br />853-862.<br /></span><span style="font-size:130%;"><br />Burkhardt, M. A., & Nathaniel, A. K. (2008). <i>Ethics and Issues in<br />Contemporary Nursing</i>.<o:p></o:p><?xml:namespace prefix = st1 /><st1:place st="on"><st1:city st="on"> Clifton Park</st1:city>, <st1:state st="on">New York</st1:state></st1:place>: Thomson<br />Delmar Learning.<br /><br /><o:p></o:p></span><span style="LINE-HEIGHT: 200%;font-size:130%;" >Flanagan, L. (1990). <i>Survival Skills in the Workplace: What Every<br />Nurse Should Know</i>. <st1:place st="on"><st1:state st="on">Kansas</st1:state></st1:place> City, <st1:place st="on"><st1:state st="on">Missouri</st1:state></st1:place>: American Nurses<br />Association. <o:p></o:p></span></pre><pre style="LINE-HEIGHT: 200%;font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%;font-size:130%;" >Self-Care, Dependent Care and Nursing.<span style="font-size:+0;"> </span>(2003).<span style="font-size:+0;"> </span><i>SCDNT.</i><span style="font-size:+0;"> </span>Retrieved<br />February 12, 2008, from http://www.scdnt.com/download/<br />Vol11No3.pdf<o:p></o:p></span></pre><pre style="LINE-HEIGHT: 200%;font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%;font-size:130%;" >Self-Care Framework.<span style="font-size:+0;"> </span>(2005).<span style="font-size:+0;"> </span><i>Nursing Theory.</i><span style="font-size:+0;"> </span>Retrieved February<br />12, 2008,<o:p></o:p> from http://www.nursingtheory.net/models_selfcare<br />framework.html <o:p></o:p></span></pre><pre style="LINE-HEIGHT: 200%;font-family:trebuchet ms;" ><span style="LINE-HEIGHT: 200%"><span style="font-size:130%;">Stress Is Costing Business Big-Time. (n.d.). <i>CNN</i>. Retrieved January<br />23, 2008, from http://www.ksbitv.com/business/3861862.html<br /><o:p></o:p></span><span style="font-size:130%;"><br />Sutterley, D. C., & Donnelly, G. F. (1982). <i>Coping with Stress: A<br />Nursing Perspective</i>. <o:p></o:p></span><span style="font-size:130%;"><st1:place st="on"><st1:city st="on">Rockville</st1:city>, <st1:state st="on">Maryland</st1:state></st1:place>: Aspen Systems<br />Corporation.<br /><br />Yeager, S.T. & Cheever, K. H. (2007). A residential nursing camp<br />program: Effects on adolescent attitudes toward nursing careers. <span style="FONT-STYLE: italic"><br />The Journal of Nursing Education</span>, 452-459.</span><o:p></o:p></span></pre>Stresshttp://www.blogger.com/profile/10266599495613258302noreply@blogger.com