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Roles and duties of nurses
Application of stress to nursing practice
Application of stress to nursing practice
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The focus of every health care professional is the patient and the goal is to return the patient to optimum health where the patient can be independent. When the patient’s safety is being compromised it’s everyone’s job to fix the problem and make sure that it doesn’t happen again. However, there’s a dark side to nursing. The nurse is one of the few health care workers that have the most daily contact with the patient. The nurse plays a very important role in the patients care from teaching to simply being a listener while withholding any judgement. When the nurse to patient ratio isn’t balanced, it causes nurse burnout. Nurse burnout is when the nurse becomes “physically, emotionally, and mentally exhausted” (Michigan, S. S. (n.d.). News. …show more content…
(n.d.). Retrieved August 16, 2017, from http://www.ananursespace.org/blogs/oretha-johnson/2013/09/06/what-is-nurse-burnout?ssopc=1). He used it to describe the consequences of severe stress and the high expectation of being perfect experienced by people working in professions that require the person to constantly be helping some. “Doctors and nurses, for example, who sacrifice themselves for others, would often end up being “burned out” – exhausted, listless, and unable to cope” (What is "nurse burnout?". (n.d.). Retrieved August 16, 2017, from http://www.ananursespace.org/blogs/oretha-johnson/2013/09/06/what-is-nurse-burnout?ssopc=1). The term is not only used for people working in professions that requires them to constantly be helping someone. Burnout has become a regular thing across every career. Burnout is categorized as physical, mental, and emotional exhaustion per National Nurses United. Many have the assumption that burnout and stress is the same. However, there’s a big difference stress is characterized by engagement meanwhile burnout is characterized by disengagement. A nurse that’s disengaged into what he or she is doing can cause many problems or complications. With one simple mistake a nurse makes can kill a patient on a worst-case scenario, which can cause the hospital or health care facility many legal problems. Burnout can be caused by …show more content…
Nurses driven by a desire to care for others were found to be more vulnerable to nursing burnout, according to research by the American Sociological Association. Many nurses love their job they start to neglect their friends, family, and most importantly themselves. Over time the more the nurse starts to only worry about the patients meanwhile they’re losing all their close relationships with their friends and family. While worrying about the stress of losing all close ties the nurse must also worry about the about the patient. Which leads to the nurse becoming fatigued and causes nurse
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Nurses have long been known for their attention to patient care. The reason many nurses have entered this profession is due to their desire to care for people. The overwhelming responsibilities of documentation, chart reviews, verifying orders and medications, monitoring lab results, among others, leaves the direct care of the patient to another, possibly unqualified, staff member. Bolton, Gassert, and Cipriano (2008) estimate that a mere 23-30% of a nurse’s day is spent providing care to a patient. This leaves the greater part of a 12-hour shift performing some kind of paperwork. In fact, the inability to provide more patient care has been cited as a reason many nurses leave their job, and the profession altogether (Bolton et al., 2008).
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
People are living longer and healthier lives now more than ever before. Much of this can be attributed to the advances in modern medicine over the past few decades. However, in healthcare, there is now a growing population of patients that are becoming sicker and more complex to care for. With the new generation of sick patients present in the hospitals, today’s nurses are stressed and fatigued more than ever before. Much of the stress and fatigue can be attributed to the nurse to patient ratio and the associated workload.
According to Taylor (2008) the definition of nurse is from the meaning of the Latin word nutrix, which means “to nourish”. Nursing has a focus of caring for every patient physically, emotionally, socially and spiritually. To meet the needs of every patient, nurses must take on many roles, but the main role being care giver (Taylor, 2008, p.14). Caring for another person requires many traits, and the most common is compassion. The definition of compassion is “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). Compassion and the desire to nourish may have been deciding factors that would lead one to pursue a career in nursing. Nurses over the span of their career will have extensive exposure to trauma, pain and unfortunate situations. Workplace stressors such as scheduling and increasing workload along with repeated exposure to the hardships of others predisposes caregivers, especially nurses, to develop a unique type of burn out labeled compassion fatigue (Joinson 1992). Compassion fatigue develops when a nurse unintentionally takes on the misfortune, anxiety, pain and trauma of the patients they care for. It is a negative emotional and physical response to the unfortunate situations that can arise in the profession of care giving. The “detrimental effects can include exhaustion, an inability to focus and a decrease in productivity, as well as unhappiness, self-doubt and loss of passion and enthusiasm” (Lester, 2010, p. 11). Compassion fatigue will develop suddenly versus burnout which develops gradually (Boyle, 2011, p. 9). This abrupt onset of symptoms will hinder the nurse’s ability develop a trusting and therapeutic relationship with...
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).
I think it is important for nurses experiencing burnout to talk to someone about it and maybe think about making a change in their workplace if possible to obtain a new challenge and help keep nursing fresh and exciting for them. I also find it interesting that as nurses, we are so prone to caring for others that we often forget or neglect to care for ourselves. Not caring for us is stressful to the body and will lead to burnout at work and also in our personal lives.
Nursing is a very demanding job and can have an overall impact on the nurse both mentally and physically. Specifically within the critical care environment, nurses are more likely at risk for developing job burnout, due to the intense nature of their work. Job burnout is a type of job stress in which the state of physical, emotional or mental exhaustion is combined with doubts about the competence and value of your work, (Mayo Clinic, 2015). The specific burnout that the nurse may be experiencing is not only affecting them, but also their patient they are looking after. It is critical for us, as nurses, to be able to recognize the warning signs of burnout and find ways in which to take steps in order to address them, in order to improve the
Choosing the career path of a pediatric nurse can be exceptionally rewarding, with that comes many trials and tribulations. This research paper will be discussing a pilot study done on compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. The goal of this study was to identify the triggers, impacts, and coping strategies pediatric nurses use to manage compassion fatigue and prevent burnout. Compassion fatigue, meaning the natural behavior and emotional demands one experiences with helping or wanting to help a traumatized person, and burnout, the complete inability to cope with a stressor, exhaustion, and decreased sense of personal accomplishment, must be recognized, acknowledged, and dealt with immediately. (Maytum, Bielski Heiman, Garwick, 2004)
Majority of nurses start their jobs being excited and eager to help patients physically, mentally, emotionally, and spiritually. These nurses intend to provide the best patient care available. Unfortunately, these caring nurses may soon become victims of the continuing stress of meeting all of the needs of patients and their families. This stress can lead men and women in the nursing field to quickly find themselves experiencing compassion fatigue. Compassion fatigue has been defined as a combination of physical, emotional, and spiritual depletion associated with caring for patients (Lombardo & Eyre, 2011). Often times people confuse this concept with burnout. A nurse must be both compassionate and
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,
Several consequences of high nursing workload have been proven to hinder the quality of patient care. Carayon and Gurses’s research (2008) indicates that heavy workload can contribute to errors, shortcuts, guideline violations, and poor communication with physicians and other providers, thus compromising the quality and safety of patient care. In addition, the research not only implies that patients may not receive proper care, but also they can experience less satisfaction with
That is why self care is important for nurses, we are at risk for both professional fatigue and burnout. Self care strategies can help the nurse when faced with stress. It can also help reduce the physical and emotional impact stress has on us. Three strategies that I chose to promote self-care is: (1) recognizing that you have a problem, (2) be open for help, and (3) keep work and home life separate (Sanford-Brown, 2014). Recognizing that you have a problem or burnout, often is recognized by others before you may realize it (Sanford-Brown, 2014). As a nurse, you must remain truthful with yourself and keep an open mind to criticism. Be open to help, burnout is a well-recognized problems within the nursing profession. Reach out for help by talking with coworkers or your manager. My organization offers access to counseling services to their employee, to assist during stressful times. The key to self-care, is keeping your work and home life separate. This is one major causes of professional fatigue which is losing sight of the boundaries between personal and work life. This can be especially challenging for nurses, that is facing difficult personal stresses. “You and your family deserves at least as much of your attention as you give your patients, but that is impossible if you can't separate the two worlds” (Sanford-Brown,
In relation to nursing, burnout can be described as a, “psychological state that is characterized by the following symptoms: emotional exhaustion, depersonalization and a decreased perception of personal accomplishment” (Stewart & Terry, 2014, p.37). Burnout can affect anyone, but it is widely prevalent among nurses. This is evident through the percentage of turnover rates in 2016 for registered nurses. According to the National Healthcare Retention and RN Staffing Report it states, “turnover for bedside RNs ranges from 8.8% to 37.0%. The national average RN turnover rate is 17.2%, a 0.8% increase from 2014, with the median being 16.9%” (Colosi, B., 2016, p.8). Burnout in the nursing profession not only affects nurses, but it also affects the
Medical and Healthcare Professionals. Burnout affects the medical and healthcare field, which includes physicians, nurses, and other personnel. According to Edwards and Dirette (2010), healthcare professionals are known as the profession with the highest risk for stress and burnout. Research has depicted that ICU physicians cope with high levels of emotional exhaustion, depersonalization, and decreased personal achievement (Guntupalli, Wachetel, Mallampalli, & Surani, 2014). Moreover, research has shown a high prevalence of burnout among physicians, which includes one-third of physicians that have experienced burnout (Romani & Ashkar, 2014). Burnout is often caused by the physician’s inability to balance their personal and professional life (Romani & Ashkar, 2014). In addition, 45.8% of physicians report having at least one symptom of burnout (Romani & Ashkar, 2014). Among ICU physicians, the common causes of burnout include overwhelming and difficult work, being powerless to change, and making the impossible happen (Guntupalli, Wachetel, Mallampalli, & Surani, 2014). Furthermore, burnout increases medical errors and decreases job