...Eighty-five to ninety percent of all diabetes patients have type II diabetes. Diabetes in the United States is twice as prevalent in females as in males. Most patients are over the age of 40, and the majority is obese. There are three factors that contribute to diabetes. The first factor is pancreatic beta cell dysfunction. It is believed to be caused when the immune system attacks the beta cells in the islets of Langerhans located in the pancreas. The beta cells are responsible for making insulin in the pancreas for use in the body. The second factor is the decrease in insulin sensitivity. The cells are less sensitive to insulin, thereby causing the pancreas to work harder and produce more insulin. At some point the pancreas may tire out and begin to reduce the amount of insulin produced. The third factor is incretin deficiency. The incretin hormones GLP-1 (glucagons-like peptide 1) and GIP (glucose-dependent insulin tropic peptide) which are produced in the gut help the response of the pancreas and liver to fluctuations of glucose levels throughout the day. In type 2 diabetes GLP-1 is decreased and GIP can be diminished. Blood glucose levels increase due to hepatic glucose production, reduced insulin secretion and decreased glucose uptake. Homeostasis can be maintained for a period of time especially if the patient reduces his or her glucose intake. As glucose intolerance increases and progresses in the body homeostasis will no longer be maintained and the patient will...
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...STRESS IN THE WORKPLACE AND SAFETY ISSUES AMONG NURSES IN THE PHILIPPINES Abstract Personality differences among employees can lead to a tense and less productive work environment. Differences in race, gender, religious conviction, sexual orientation, and age can cause fear and uneasiness among employees. These feelings are often associated with confusion or powerlessness. Diversity and sensitivity training can assist employees in embracing each other’s unique qualities. “To accept differences, we have to understand differences, and there is no better way to do this than to learn to communicate with people who are different than you” (Lieberman, 2007). When employees feel overwhelmed, they can lose self-confidence, become irritable or act withdrawn. This behavior directly impacts productivity, and work becomes less rewarding. J. Segal, R. Segal, Horwitz, Jaffe-Gi[ http://www.termpaperwarehouse.com/essay-on/Managing-Stress-In-The-Workplace/54320 In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention by De Castro, A.B, et al. during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year...
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...the sources of a stress. A stress could possibly influence or adapted by the nurse. The management of the things that we perform is a good solution to stop the stress. Our group was conducted a research focus on the effects of stress in the nursing performance. We identify the different effects that could possibly influence for the good performance of nurses. We give 3 questions to solve or know the possibilities that could help the maintaining of avoiding stress. We study this topic to know the different reasons of stress and the effects of the stress for the performance of each nurse. We try to make a study that can be base for a true to life situation as being a Nursing Students. CHAPTER 1 INTRODUCTION BACKGROUND OF THE STUDY Nursing is a challenged profession. A short handed, understaffed and overworked. In terms of this, it says that if you are a nurse the stress is your soul. The challenging experience excessive the stress will burn out. The pressure that you encounter will be harmful since it is the reaction in the people and pressure cannot cope up immediately. However, it is recognized as a negative effect in terms of psychology. It imposed an impossibility to perform the exceed responsibility of a nurse. It will be arise as a problem for the lack of good performance of a nurse. It is important to recognize that stress is not illness but it is a state that nurse experience as a result...
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...five; at least 2 outside nursing, one of which must be from business) | 5 points | Evaluation of the impact of this issue on nursing leadership practice and health care system | 20 points | Recommendation for the future of the nursing profession | 30 points | Provide an exemplar of a nursing leader implementing the recommendations discussed in criterion c above. | 30 points | Scholarly writing | 15 points | TOTAL | 100 points | Stress and Time Management By: Annette Hall St. Joseph’s College of Maine NU506: Nursing Leadership Instructor: Jayne Rogers July 9, 2012 Abstract Managing stress and time in our lives and careers is important to our health and well- being. Nurses in particular have an unusually high stress level. Nurses and nurse managers alike must use stress and time management strategies to decrease burnout and fatigue. The ability to properly manage stress and time will make for a healthier, happier, and productive nurse. The topic I have chosen to discuss is Stress and Time Management. To adequately achieve a balance between work and personal life we must learn self- management. To achieve...
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...(2016). This study is about stress in the nursing occupation. The independent variables, clearly stated in the title, are the web-based program (BREATHE) and stress, and the dependent variables are nurse burnout and patient care. The population tested were nurses. The researchers were analyzing the effects of a web-based program (BREATHE) designed to relieve stress in nurses. If web-based programs are effective, then these can be used as an intervention to decrease stress among nurses. Problem, Purpose, Hypotheses, Research Questions The problem of stress within the nursing occupation was clearly stated in the beginning of the background section. It is clear because they list all the stresses with nursing, and there have been several studies conducted over the past 25 years on this topic. They began the background section very broad by identifying that nursing stress is prevalent and that many studies have been done over the past several years, but they ended the section by narrowing down their specific focus to web-based program (BREATHE) helping to relieve nursing stress. This problem is significant because all nurses experience stress, and when nurses are stressed patient care can be compromised. Nurse burnout can be an unfortunate outcome of nursing stress. This web-based program offers the nurses an opportunity to relieve their stress when needed and on their own time. This research could impact nursing practice by relieving stress in nurses and in turn could improve overall...
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...Occupational stress is a recognized problem in health care workers.1 Nursing has been identified as an occupation that has high levels of stress. In an investigation conducted by the National Institute for Occupational Safety and Health in the USA, nurses were found to be one of the occupations that had a higher than expected incidence of stress related health disorders.3 It was found that job stress brought about hazardous impacts not only on nurses’ health but also their abilities to cope with job demands. This will seriously impair the provision of quality care and the efficacy of health services delivery. In a study of job stress among hospital nurses, it was found that 27% of the subjects experienced psycho physiological symptoms of stress, and 38% reported consulting a doctor in the past 6 months. It has also been found that different nurses experience job stress different (Josef, 2003). In recent years there has been broad discussion on the nature of stressors experienced by members of “high risk” occupations and professions, for instance nursing and emergency workers, whose role is to support others through traumatic scenarios. Most people can cope with stress for short periods but Chronic stress produces prolonged changes in the physiological state.8 Effectiveness of coping behaviors depends on the situation in which they are used. Some coping behaviors may work well for some situations but not for others.9 In general terms, coping are a strategy that helps people reduce...
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...IMPACT OF NURSE SHORTAGE ON HOSPITAL‐BASED PATIENT CARE AND NURSES 1 Literature Review Nursing shortage is acknowledged nationwide as a problem in the health care sector that has generated a body of research by various scholars. A review of the existing literature was done using EBSCO Host and Cochrane data bases with the goal of exploring the nature of nursing shortages in hospitals and other health care facilities. The search keywords include nursing shortage, stress, work environment, job satisfaction, economic crisis and hospitals, and quality of patient care. The body of literature reviewed indicated that nursing shortage impacts on the quality of patients’ care, as well as the nurses who feel the direct impact of these shortages. A major research gap in the body of literature was found to be the failure to examine the role of the poor economic conditions that all sectors are being faced with, including the health care sector, in exacerbating the nursing shortages since 2008, which is worsening by the day. Framework This review of literature on nursing shortage was done within the frame work of the general theory of nursing, which explains the purpose of nursing as that of assisting patients to achieve their highest possible level of physical, mental/emotional and spiritual well being. Simply put, the nursing theory is about facilitating healing. But the reality is that some nurses, in no small percentage, are working in conditions that do not lend credence to this...
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...Research Critique Part 1 Nurses globally experiences occupational stress. While there are researches that indicate stress can lead to various negative impacts on nurses, more research is needed for the cause of stress and what methods could be used to alleviate the stress. Workplace stress is associated with poor health outcomes of nurses, including physical illness, depression and post-traumatic stress disorder. This could lead to staff turnover, significant levels of staff intending to leave, and absenteeism which could hurt the organization (Happell, et al., 2013). The purpose of the research is to determine the cause of stress and methods proposed by or taken by nurses to reduce workplace stress. There are two questions that the study was designed to answer. The two questions were to identify the nurse occupational stressors and the way in which the organization may be able to help reduce nurse occupation-related stress (Happell, et al., 2013). The purpose and research questions were related to the problem. The research was conducted in a way to seek answers to the current occupational stress problem the nurses are facing. The authors gathered information by asking interviewing 38 nurses who worked at different levels of nursing hierarchy and different settings. Different hierarchies were nursing directors, nurse unit managers and registered nurses. Participants were from different area of specialties such as pediatric, surgical, oncology, cardiac, intensive care, and...
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...Stress is a common occurrence in the workplace. In health care in particular, there are high levels of stress which can have a negative impact on the environment, the staff, and ultimately the patients. Nurses are subjected to a great deal of occupational stress which in turn impacts the quality of patient care. Occupational stress can be defined as, “the destructive physical and emotional response that occurs when the requirements of the job do not match the capabilities or desires of the employee” (Hall, 2004). The health care profession is unique in its ability to cause stress on its employees. Health care environments are fast-paced settings in which nurses and physicians are physically responsible for the well-being of other people (Hall, 2004). Nurses are held accountable to physicians, administrators, as well as patients and their families (Hughes & Clancy, 2009). They are continually being told what to do by multiple people who all have different goals and ideas, which can be very testing at times. A sample of ten RNs was interviewed from a University Hospital Level 1 Trauma Center about work-related stressors under normal working conditions (Hall, 2004). The top stressors identified among these nurses were: systems barriers to meeting patient needs, self-expectations, shortage of nurses, and colleague’s inexperience (Hall, 2004). All ten of the nurses identified lack of equipment and supplies needed to care for their patient’s as a major stressor. Another major source...
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...Health Services Finance Recruiting and Retaining Nurses Health Services Finance HS543ON June 16, 2011 ISSUE/BACKGROUND With quickly changing demographics, new technologies, limits on resources and public expectations the health care arena is constantly changing at a quick pace (Nowicki, p. 338). The Bureau of Labor statistics reported in April 2011 that despite the recent economic downturn and high unemployment health care is continuing to grow. It was estimated that approximately thirty seven thousand jobs were added in March 2011 alone (AACN). The staffing of registered nurses has been a long time concern due to the fact the shortage greatly affects patient safety as well as quality of care (nysna.org). Studies have shown that adverse patient outcomes have been related to the ineffective nurse staffing as patients have had longer hospital stays, increased infections, and higher mortality rates (Needleman, et al, 2002). To relieve the pressures put on an organization with the shortage many have begun to substitute people who are not as prepared to care for patients. This has been done by hiring temporary nursing services or recruiting foreign nurses who are not familiar with the facility, policies and procedures or the patients ( nysna.org). The ineffective nurse staffing also leads to retaining issues as nurses experience decreased morale, increased stress and anxiety, increased physical ailments, and burnout. DEFINE THE PROBLEM The problem...
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...negative consequences on nurses. (Cimoitti et al., 2012). Therefore creating coping strategies and solutions to this problem is urgent and necessary through nursing management, organization and leadership at all levels, development of nurse practice environment, stress reduction interventions, lifestyle, emotional intelligence and self-awareness and problem focused and emotion focused coping strategies (Ndawula, 2016). Nursing management, organization, and leadership at all levels Good leadership and management have been shown to alleviate stress in the health care system (Wright, 2014). Nursing managers and organizations have the responsibility for reviewing the high requirements for nurses and providing resources...
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...Traumatic Mental Stress in 2012 to help encourage healthy work environments, which brought together representatives of many professions, including nursing (Traber 2014). It is known that nursing is a profession that can be physically...
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...BETWEEN EMOTIONAL INTELLIGENCE AND STRESS CAUSED BY THE ORGANISATION: A STUDY OF NURSES Zeynep Kalyoncu Hacettepe University, Faculty of Economics and Administrative Sciences, Department of Business Administration, Ankara, Turkey Email: zkalyoncu@gmail.com Semra Guney Hacettepe University, Faculty of Economics and Administrative Sciences, Department of Business Administration, Ankara, Turkey Email: semguney@hacettepe.edu.tr Mahmut Arslan Hacettepe University, Faculty of Economics and Administrative Sciences, Department of Business Administration, Ankara, Turkey Email: marslan@hacettepe.edu.tr Salih Guney Istanbul Aydin University, Faculty of Economics and Administrative Sciences, Department of Economics and Finance, Istanbul, Turkey Email: saguney2004@gmail.com Evren Ayranci (Corresponding Author) Istanbul Aydin University, Faculty of Economics and Administrative Sciences, Department of Business Administration (in English), Istanbul, Turkey Email: xonox@mynet.com Abstract Emotional intelligence is one of the biggest factors that contributes to the success of individuals who assume various tasks and roles in modern life. It is also important in determining how individuals cope with the stress that can potentially limit their emotional relationships, decrease their efficiency, and reduce the pleasure of life. The main purposes of this study were to consider the concepts of emotional intelligence and stress, and to conduct an applied study...
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...For nurses, who routinely face stress inherent to their roles as care providers, mindfulness training seemingly offers an ideal, adaptive solution. Mindfulness positively improves mood and promotes self-care, serving the nurse’s obligation to maintain their own well-being and personal health (American Nurses Association [ANA], 2015; Zeller & Levin, 2013). Attending mindfulness sessions also reportedly improves nurses’ performance, enhances situational alertness, and reduces employee injuries (Zeller & Levin, 2013). While these interventions do not provide the answer to external workplace stressors, such as demands placed on nurses to deliver higher standards of care despite reduced financial reimbursement (Zeller & Levin, 2013), mindfulness can alter an individual’s response to stress. For mindfulness to be effective as an intervention mechanism, it should be recognized for its benefits and limitations, embraced in practice, and used alongside other health-promotion behaviors....
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...Reducing Stress in Young Adults with Burn Injuries Student ID #: 1358437 University of Alberta Reducing Stress in Young Adults with Burn Injuries Burn injuries affecting young adults (20-39 years old) can negatively affect their physical, emotional and psychological health, specifically creating stress. To achieve optimal health and equilibrium in the body, the body utilizes different mechanisms to ensure that it compensates and restores its function (Day et al., 2010). However, external or internal factors caused by stress can affect this equilibrium. According to Day et al (2010., p. 94) stress is “a state produced by a change in the environment that is perceived as challenging, threatening or damaging to a person’s dynamic balance or equilibrium”. When the body responds to stress it is trying to protect itself and stress can even help young adults in being more productive, energetic and focused (Potter & Perry., 2010). However, if an individual is not able to cope with the stress then the changes in their state can physiologically, biologically and emotionally affect...
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