...webinar “Stress in the Workplace: meeting the challenge” co-sponsored by the national Women’s Health Resource center, the leading independent health information source for women. this white paper offers comprehensive research about the causes and impact of workplace stress, its role in lost productivity and higher healthcare costs and includes the effects of job stress on women workers. the research also reviews successful organizational and individual strategies to help manage stress and reduce costs. Following these strategies can help reduce absenteeism and turnover, help employees better balance work/life responsibilities, and also reduce healthcare costs. about health aDVocate™, inc. Health Advocate, inc., the nation’s leading independent healthcare advocacy and assistance company, serves more than 5,000 clients nationwide, providing more than 15 million Americans with personalized help to resolve healthcare and insurance-related issues. the company offers a spectrum of advocacy, Wellness, Pricing decision Support and Human Resources solutions to help save time and money. the company also offers a direct-to-consumer advocacy service, called Health Proponent ®, to individuals who are not part of groups. For more information, contact Health Advocate (toll-free) at: 1-866-385-8033, prompt #2 or via email at info@HealthAdvocate.com. st r e ss i n t he wor k p l a c e t me e t ing t he chal l en g e he alarming spike in the incidence of reported stress among employees...
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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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...Introduction The nursing education is an exciting, challenging adventure that will demand much of nursing students in terms of time and energy. Nursing is a profession that requires alleviating the pain and promoting the health of others. And the primary aim of nursing is the goodness of others; it is a value laden profession. This specific nature of nursing requires nurses to do what is right during their practice. A nursing student encounters complex situations and conflicts which can not be resolved only through theoretical knowledge and skills. Moreover, the nursing students are seeking professional knowledge as they go on through series of studies and practice. Such situations may involve moral components that require the skills of ethical decision making for nurses. Yet, learning the skills of ethical decision making can not be enough to resolve ethical problems due to many factors including the complex nature of a given problem. Pursuing the professionalism in the medicine industry gives a lot of stress in the part of the students especially when they are entering the world of the real nursing duty. Factors Affecting the Academics of the Students One study identified the various problems of the nursing students and pointing out that the main cause of these problems is a big amount of stress during their life a student. Nursing students, actually in a broad sense, all of the students’ faces some series of challenges and stressors. But more likely, the nursing students...
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...Introduction The nursing education is an exciting, challenging adventure that will demand much of nursing students in terms of time and energy. Nursing is a profession that requires alleviating the pain and promoting the health of others. And the primary aim of nursing is the goodness of others; it is a value laden profession. This specific nature of nursing requires nurses to do what is right during their practice. A nursing student encounters complex situations and conflicts which can not be resolved only through theoretical knowledge and skills. Moreover, the nursing students are seeking professional knowledge as they go on through series of studies and practice. Such situations may involve moral components that require the skills of ethical decision making for nurses. Yet, learning the skills of ethical decision making can not be enough to resolve ethical problems due to many factors including the complex nature of a given problem. Pursuing the professionalism in the medicine industry gives a lot of stress in the part of the students especially when they are entering the world of the real nursing duty. Factors Affecting the Academics of the Students One study identified the various problems of the nursing students and pointing out that the main cause of these problems is a big amount of stress during their life a student. Nursing students, actually in a broad sense, all of the students’ faces some series of challenges and stressors. But more likely, the nursing students...
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...Tennessee- College of Nursing The purpose of this paper is to analyze and critique the research study conducted by Hersch et al. (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...
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...Countering Compassion Fatigue: A Requisite Nursing Agenda Deborah A. Boyle, MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel...
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...A Conceptual Analysis of Stress Alanda James University of South Alabama Abstract Stress is a prominent factor that affects the lives of people who deliver healthcare to patients every day. It is important to examine the concept because unhealthy stress can cause multiple effects on the caregiver and patient. Positive forms of stress can be beneficial to practice, and negative forms of stress can put practice in danger. A conceptual analysis of stress will strategically define the concept, explore antecedents, and pinpoint consequences associated with stress. The mental and physical effects of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. Dictionary.com (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech,...
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...Theoretical Framework of Compassion Fatigue September 11, 2014 Theoretical Framework of Compassion Fatigue Compassion fatigue, which is also known, as secondary traumatic stress is a natural effect that occurs as a result of taking care of patients who are in pain, stressed, suffering, or traumatized. Compassion fatigue commonly affects nurses who show extreme empathy for patients and their relatives. Empathy is the act of putting oneself in another person’s situation or understanding one's feelings (Walker & Alligood, 2001). It has always been a nurse’s role to show empathy to patients and their relatives. In the process of sympathizing and empathizing, nurses can easily develop compassion fatigue. Compassion fatigue affects nurses physically, psychologically, and spiritually in addition to affecting their daily duties. Nurses may intentionally stop working with certain patients or reduce their empathy for patients, and others may have repetitive call-ins to avoid working specific patient populations. These adverse effects can easily lower hospital or institution productivity. Therefore, it is advisable for nurses to be encouraged to seek advice and counseling from counselors, mentors, psychologists, and other responsible persons. It is also necessary for nurses to be aware of the symptoms of compassion fatigue to facilitate taking preventative measures as early as possible. The compassion fatigue theory is connected to the relationship between the patient and the...
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...Scope of Critical Care Nursing - Critical care nursing is subspecialties of medical surgical nursing. The reason of being of “Nursing” in any setting is the provision of holistic nursing care. - The adjective “Critical” is characterized by actual or potential crises for the recipients of nursing care – - Critical – is defined as pertaining to a crisis, involving danger or risk. - Critical care practice areas began to develop in the late 1960’s in response to:- a- Developments in medical science and technology b- Related changes in community values and attitudes. Definition: - The American Nurses’ Association defined Nursing as: - “The diagnosis and treatment of human response to actual or potential health problem. - In 1984, the American Association of Critical Care Nurses’ (AACN) defined Critical Care Nursing: - “Critical care Nursing is that specialty within nursing that deals specifically with human responses to life- threatening problems” - Analysis of these definitions reveals several important concepts. - The basis of the definition rests with the words human responses. - Critical care nurses deal with a- The total human being b- His or her response to actual and potential health problems. - This suggests that the critical care nurse is involved with prevention as well as cure. - Additionally, human response can take the form of...
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...Factors Affecting the Academics of the Students One study identified the various problems of the nursing students and pointing out that the main cause of these problems is a big amount of stress during their life a student. Nursing students, actually in a broad sense, all of the students’ faces some series of challenges and stressors. But more likely, the nursing students are the one who are in the center of experiencing stress. The stress maybe came from their friends, professors, colleagues, family or relatives, and even relationships and competition. Everyday, students doesn’t only needs a brain to do a workload and be happy to grab it fast but they also founding certain emotions in dealing with the other people and not always facing the thick pages of a book. Nursing students experience stress severe enough to induce mental health problems such as anxiety and depression. The source of the stress in nursing students is related in their learning experience and the programs that they enrolled into. The learning experience is a series of planned activities in the community that would prepare students technically and professionally should they decide to pursue higher education in the health profession. Another factor is the time allocated in the nursing college’s classroom and laboratory. Students also advised, or rather required by the professors to present some research based procedures and clinical conferences. The continuous activities making the students accumulated the...
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...evidence associated with an area of my professional practice” Introduction I am going to critically appraise of research evidence on treatment of urinary stress incontinence in women with obesity. I chose this topic because currently I am working in urology department in hospital X, I am always have the chance to deal with women experiencing stress incontinence. In current practice we will teach them behavioral intervention program (pelvic floor exercise and bladder training) to lower the severity of urine leakage. That is why I want to explore more on this issue and see whether the use of vaginal cones also effective in treatment with behavioral intervention program. Obesity is a common problem in developed countries, with an incidence of 33% (Roreyt 1998), this problem may directly leading to stress urinary incontinence (Ouslander 1996) which may hinder the normal daily life of an adult. In Hong Kong Hospital Authority (HA) policy, there are no guideline in related to treatment regarding stress incontinence, it is always depends on surgeon’s preferences. Therefore I want to search for research evidence in associated with treatment of urinary stress incontinence which may beneficial in my working place. Main Body The two answerable questions formulated using PICO tool are: Quantitative Question – In women with obesity, how does behavioral intervention program compared to vaginal cones influence the occurrence of stress urinary incontinence? Qualitative Question...
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...Stress A Conceptual Analysis of Stress Abstract Stress is a prominent factor that affects the lives of people who deliver healthcare to patients every day. It is important to examine the concept because unhealthy stress can cause multiple effects on the caregiver and patient. Positive forms of stress can be beneficial to practice, and negative forms of stress can put practice in danger. A conceptual analysis of stress will strategically define the concept, explore antecedents, and pinpoint consequences associated with stress. The mental and physical effects of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. Dictionary.com (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech, or a supervisor is worried about...
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...Foundations in Nursing Assessment/Background In the time that I have spent in the clinical setting during my nursing education, I have noticed several problems that concerned me. One of the main concerns I have seen in the hospital setting is staff turnover among the nursing profession. The turnover can ultimately lead to temporary problems like understaffing. Thankfully though, I believe this problem is amendable with proper intervention to facilitate a change toward staff retention. So why is staff turnover a problem in the nursing profession? First and foremost, this is not a unifactoral issue. In fact, staff turnover is the byproduct of multiple job related factors and stressors in the nursing profession. For instance, job-related stress plays a major factor in decreasing one’s job satisfaction. Stress in nursing usually occurs when one perceives that his or her resources are exceeded in a given situation (Esther, et al., 2005). Typical factors that can promote stress in a nurse are high job demands and excessive work hours. With these factors, the nurse may continually feel overworked, while also feeling like they are working “all the time.” Other factors that could cause stress are having little control over your work environment or having limited supportive relationships in the workplace. As we all realize, at least some sense of control and peer support are necessary to promote feelings of job satisfaction (2005). Finally, staff turnover itself can cause stress for the...
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...The Journey into Cultural Care and Diversity in Nursing: A Personal Framework I have had the opportunity to work in many different areas of nursing, and have learned a great deal regarding cultural care and diversity among patients and their families. I have used my past experiences in each different unit and healthcare facility to improve my communication and rapport with my patients and their families to improve the continuity of care. I have been exposed to patients from different countries, cultures, and religions on a daily basis. I believe that it is crucial for the nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism...
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...A grand theory in nursing would be Doretha Orem’s self care theory. This theory encompasses the entire concept of nursing in the fact that it states individuals will strive to meet healthcare needs to maintain health and wellness. This is very broad, can not be tested and is used in a variety of settings and populations. Self-Care Deficit Nursing Theory is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they're ablethat it can easily be applied to a variety of nursing situations and patients. The generality of its principles and concepts make it easily adaptable to different settings, and nurses and patients can work together to ensure that the patients receive the best care possible, but are also able to Middle range theories focus on experiences that are commonly recognized in nursing. Mishel’s Uncertanity in illness theory was formed specifically for nurses to understand how patients comprehend illness and the stress that comes with it and how patients handle that stress. Mishel was able to measure this with the Mishel Uncertanity in Illness Scale. Nursing interventions to reduce stress,helps patients to adapt and cope with hospitilization Dorothea E. Orem: Known as the Self-Care Theory, Orem's vision of health is a state characterized by wholeness of developed human structures and of bodily and mental functioning. It includes physical, psychological, interpersonal...
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