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organizational stress management
explain work stress and stress management
explain work stress and stress management
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It is found that most “nurses love their work and hate their jobs” (Berliner and Ginzberg 2742). Due to the current quality of the nurses’ environments, this is of no surprise. The major factor hindering the quality of hospitals is the level of stress in the workforce. While it is inevitable to eliminate stressors in all medical centers, how stress is perceived is a controllable factor. The idea of stress being controlled emphasizes the need for CISM programs in all health facilities of America to cope with the critical incidents and stress that occur on a daily basis. CISM, as defined by Tracy, is a “comprehensive, multi-component program based upon counseling principals and peer support processes designed to assist emergency health professionals’ when dealing effectively with the stressful components of their work” (28). The program is thought to be the most effective type of counseling in hospitals for critical incidents and stress, due to its extensive step-by-step guideline.
CISM is expected to increase nursing staff, patient satisfaction, and overall create more efficient health care facilities by mitigating negative stress reactions in hospital workers. The program will provide a safer and healthier environment for both the nurses and patients in the medical centers. In a study, it was found that hospitals with more positive work environments for their nurses have higher patient satisfaction (Greenslade and Jimmieson 1189). The higher patient satisfaction is most likely due to nurse’s more emotionally prepared to care for their patients in a thriving environment. CISM programs provide that healthier environment and better working conditions in the hospital.
CISM was created by Jeffrey Mitchell initially to reduce the ...
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Development of Critical Incident Stress Management Programs. Diss. U. of Ohio, 2003.
UMI, 3093687. Print.
Sieben, Laura. Staff Debriefing after a Critical Incident in the Emergency Department. Diss.
College of Scholastica, 2009, UMI, 14738626. Print.
Tracy, Scott. How Cumulative Stress Affected the Lived Experience of Emergency Medical
Service Workers after a Horrific Natural Disaster: Implications for Professional
Counselors. Diss. Duquesne University, 2007. UMI, 3292249. Print.
Su, H. R. (1993). The study of job stressors and stress response of clinical nurses. Nursing Research, 1(1), 83-93.
In less stressful environment, nurses able to incorporate caring relationship, improve interactions between patient and a nurse, and develop understanding of the other person’s perspective (Nicely, K, Sloane, D., Aiden, L., 2012).
The level of job satisfaction for a nurse is a vital factor in creating positive outcomes for their patients. California RNs report having much more time to spend with patients. The hospitals are far more likely to have enough RNs on staff to provide quality patient care. In California, where hospitals have better compliance with the staffing limits, RNs report fewer complaints from patients and families and the nurses have more confidence that patients can manage their care upon discharge. California RNs are substantially more likely to stay in their jobs because of the staffing limits, and less likely to report burnout than nurses in any other state. Two years after implementation of the California staffing law which mandates minimum staffing levels by hospital unit, nurse workloads in California were significantly lower than that of any other state. The legislation of the mandated nurse patient ratio has achieved its goals of reducing nurse workloads, improving recruitment and retention of nurses, and having a favorable outcomes on patient
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
Health care workers experience adverse effects from occupational stress. This type of stress is detrimental to the workers, patients, and the hospital itself. To respond to this ongoing problem, stress felt by workers should be reported, and treatment should be provided by the hospital. This will help reduce or ultimately eliminate occupational stress by deducing the sources that are causing or contributing to the stress, and by offering treatment options, it will alleviate the burden felt by workers. Hospital policy should enstate a mandatory session where they can discuss signs of occupational stress and the available treatment options. This will go a long way towards creating positive work environments, and interactions. This hospital policy,
As defined by the American of Nurses Association (ANA, 2002), “Nursing-Sensitive Indicators are those indicators that capture care or its outcomes most affected by nursing care.” The ANA uses the National Database of Nursing Quality Indicators (NDNQI) to statistically test the relationships between nursing interventions, staffing levels, and positive patient outcomes (Nursing Quality - NDNQI, 2016). These indicators utilize unit specific data enabling action planning and intervention according to the unit if improvement is needed (Nursing Quality – NDNQI, 2016). The purpose of this paper is to show how Good Samaritan Medical Center’s 5th floor, pavilion 2, Medical Surgical/Oncology unit uses nurse sensitive indicators such as pain management,
From an intrapersonal viewpoint, I noted a very prominent fluctuation among individual behaviors. I noted nurses and other healthcare professionals who radiated a consistent sense of urgency and stress in response to the critical
With the ongoing changes in the healthcare field, nursing workforce retention presents itself as one of the greatest challenges facing healthcare systems today. According to the American Nursing Association, nursing turnover is a multi-faceted issue which impacts the financial stability of the facility, the quality of patient care and has a direct affect on the other members of the nursing staff (ANA, 2014). The cost to replace a nurse in a healthcare facility ranges between $62,100 to $67,100 (ANA, 2014). The rising problem with nursing retention will intensify the nursing shortage, which has been projected to affect the entire nation, not just isolated areas of the country, gradually increasing in its scope from 2009 to 2030 (Rosseter, 2014). The nursing shortage is directly related to the increased rate of the population growth, the decrease in enrollment of new nursing students, the aging population as well as the problem of nursing retention (STTI, 2014). In order to determine interventions that are necessary to retain the nursing workforce, evidence-based research must be reviewed to understand strategies needed to alleviate this problem. The literature reviewed shows a direct relationship between nursing retention and the satisfaction of the nurses with the environment in which they work. The healthcare environment, as seen from a nurse’s perspective, is affected by many factors such as the autonomy of the nurses, the support from leadership, the opportunities for professional development and the quality of the relationships between the nurses and other disciplines. These factors should be analyzed and then interventions should be undertaken to improve these aspects of the nursing environment and minimize items that le...
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
Nurse staffing is a complex issue. There are many factors which need to be considered when staffing a nursing unit. Evidence shows an association between Registered Nurses (RNs) having decreased workloads and better patient outcomes, including a decrease in patient mortality (Aiken et al., 2011; Needleman et al, 2011; How Lin, 2013; Patrician et al., 2011; Wiltse-Nicely, Sloane, Aiken, 2013). A small percentage of patients expire during their hospitalization as evidence suggests that a portion of these deaths can be attributed to RN staffing levels (Shekelle, 2013). As the reimbursement system for hospitals today emphasizes quality outcomes, this has an increase in the importance of the nurse’s role in patient care (Frith, Anderson, Tseng, & Fong, 2012). The quality of care is effected when there are higher RN-to-patient ratios. Mortality rates can be decreased by 50% or more when there is a lower RN-to-patient ratio. The morale of nursing staff and the hospital’s reputation are effected when there is a large nurse turnover and poor patient outcomes (Martin, 2015; Knudson, 2013). Having adequate nurse staffing levels saves lives (Martin, 2015). The purpose
Some of the strategies that can help prevent the high burnout rate among nurses include social and psychological support as well as empowerment. The ability of an organization to retain nurses primarily depends on the creation of an environment conductive to professional autonomy (Hatmaker, 2014, p. 227). Organizations should create an open environment where nurses have an avenue for mutual support. Examples of a program that may result in mutual support among nurses include sharing of workload among team members. Additionally, organizations should create time for social interaction among nursing teams. This can be done through social events such as annual retreats. Social events help to address the issue of burnout by building trust and strong bond between nurses (Portnoy, 2011). The other strategy for dealing with the issue of nurse burnout is supervisor support. Healthcare facilities should encourage meetings between the nurses and supervisors to talk about issues affecting their work. Apart from receiving support from their colleagues and supervisors, nurses need to be empowered. One way of empowering them is by providing them with better salaries and remuneration. The other way is by availing to them opportunities for advancing their education, such as by refunding the tuition fee. They should also be provided with an opportunity to climb the profession ladder such as through promotions. Nurses also need psychological empowerment which
Patient’s safety will be compromised because increase of patient to nurse ratio will lead to mistakes in delivering quality care. In 2007, the Agency for Healthcare Research and Quality (AHRQ) conducted a metanalysis and found that “shortage of registered nurses, in combination with increased workload, poses a potential threat to the quality of care… increases in registered nurse staffing was associated with a reduction in hospital-related mortality and failure to rescue as well as reduced length of stay.” Intense workload, stress, and dissatisfaction in one’s profession can lead to health problems. Researchers found that maintaining and improving a healthy work environment will facilitate safety, quality healthcare and promote a desirable professional avenue.
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,
Santos, S., Carroll, C., Cox, K., Teasley, S., Simon, S., Bainbridge, L., … & Ott, L. (2003). Baby boomer nurses bearing the burden of care: a four-site study of stress, strain, and coping for inpatient registered nurses. Journal of Nursing Administration, 33(4), 243-250.
Life is too short to be stressed and burned out. There are several ways to help detect and reduce stress. Leaders should be aware of key tips and ideas on stress and burnout so they can prevent it from happening to their co-workers before it becomes a major issue. Leaders can avoid stress and burnout in their department by regaining balance and reassessing priorities for each individual. They should help support and encourage employees, and keep teamwork at the top of their priorities. Leaders should be aware that stress and burnout will affect them at some point, but should always remember why they became a nurse and not give up on a career that they love.