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STRESS MANAGEMENT IN
NURSING
PRESENTED BY:
MR. INDRA MANI MISHRA
TRAINING COORDINATOR/NURSING MIDWIFERY TUTOR
STATE NODAL CENTRE, COLLEGE OF
NURSING,RIMS,RANCHI
.
Content
StressIntroduction Of
Types Of Stress
Introduction Of Stress
Management
Advantages
Disadvantages
Types Of Stressors
Case study
Conclusion
WHAT IS STRESS?
• Stress is the emotional and physical strain caused by
our response to pressure from the outside world.
• Common stress reactions include tension, irritability,
inability to concentrate, frustration and a variety of
physical symptoms that include headache and a fast
heartbeat
What is STRESS?
10/27/13 5
Meaning of stress
Stress can have a big impact on
your body, in ways that are felt by
just you, and in way that the world
can see. One of the more visible
potential by-products of stress is
weight gain--many people find
themselves to be "emotional eaters"
who react to stress by reaching for
something--often the wrong thing--
to eat. Stress can also create a loss
of apetite, which can be a problem
as well.
Signs Of Stress
Signs Of Stress
Physical signs Mental signs
Behavioural signs Job Stress Signs
PROBABLE SYMPTOMS
Insomnia
Loss of mentalconcentration
Absenteeism
Depression
Extreme anger and frustration
Family conflict
Migraine, Headaches and back
problems
Causes of stress
Job Insecurity
High Performance Demand
Bad Boss
Workplace Culture
Personal or Family Problems
Technology
CAUSE OF STRESS IN NURSING
•
•
•
•
•
•
Job design and workload
Interpersonal relationships
at work
Relationships with patients
and their families
Work organization and
management of work
Technical aspects of nursing
Personal
•
•
•
•
•
 dealing with death and
dying, ambiguity
conflict with other staff
inadequate preparation for
dealing with emotional needs of
family
lack of staff support
(RN shortage) and resources
concern about treatment and pt
care
Concern about technical
knowledge and skills
SOURCES OF STRESS DESCRIPTION
EUSTRESS vs. DISTRESS
Eustress
Eustress, or positive stress, has the
following characteristics:
•Motivates, focuses energy
•Is short-term
•Is perceived as within our coping
abilities
•Feels exciting
•Improves performance
Positive stress results
DISTRESS
In contrast, Distress, or negative stress, has the following characteristics
•Causes anxiety or concern
•Can be short- or long-term
•Is perceived as outside of our coping abilities
•Feels unpleasant
•Decreases performance
•Can lead to mental and physical problems
Negative Stress
Results
Loss of motivation
Reduces
effectiveness
Physical, mental,
and
behavioral problems
10/27/13 15
10/27/13 16
Work-related stress can result in
high levels of employee turnover.
Employees experiencing stress
are more likely to make poor
decisions and casual errors.
Workplace relations and
customer service may deteriorate
Be Prepared forChanges
Find and protect time to refresh,
re-energize and re-motivate.
Avoid giving in to alcohol,
smoking and other substance
abuses.
Positive attitudes towards
stressful situations in life.
Don't be
complacent.(selfsatisfaction)
Sit straight and comfortably on
your seat, and try breathing
exercises
Try creativevisualization
Cont.
Stress management
It is the amelioration
of stress and especially chronic
stress often for the purpose of
improving everyday
functioning.
Stress produces numerous
symptoms which vary
according to persons,
situations, and severity. These
can include physical health
decline as well as depression.
Types of Stress management
 (A)Acute Stress
Acute stress is usually for short time and may be due to work
pressure, meeting deadlines pressure or minor accident, over
exertion, increased physical activity, searching something but you
misplaced it, or similar things. Symptoms of this type of tension are
headaches, back pain, stomach problems, rapid heartbeat, muscle
aches or body pain.
 (B)Chronic Stress
This type of stress is the most serious of all the 3 stress types.
Chronic stress is a prolonged stress that exists for weeks, months, or
even years. This stress is due to poverty, broken or stressed families
and marriages, chronic illness and successive failures in life. People
suffering from this type of stress get used to it and may even not
realize that they are under chronic stress. It is very harmful to their
health
Causes of Stress Management
Whenever our body feels something not favorable,
then it tries to defend itself. If this situation continues
for a long time, then our body is working overtime.
There are several causes of stress. For example,
you are under stress when you are worried about
something, worried about your studies, career, children,
worried about the illness of your father, worried about
your job security, or worried about your loans or similar
things.
Advantages of stress management
Less absenteeism due to stress-
related disorders
Less worker's compensation loss
due to stress-related illness or
accidents
Improved job performance
Less stressful, more efficient
workplace
Improved employee attitude
Improved employee overall
health
Disadvantages of stress management
 Stress is a disadvantage
because it can potentially
raise your heart rate and
weaken your immune
system. Also, it can be a
factor in poor decision
making because under stress
we may not think logically
or consider the
consequences of the choices
we make.
MODALITES TO COPE WITH STRESS
• Identify the stress
• Analyzed the stress
• Evaluating the risk
• Design stress management strategies
• Implementing
• evaluation
STEP 1: IDENTIFYING THE STRESS
The approach to stress management can only
begin once a potential problem has been
recognized and accepted. That nurses may
be experiencing stress through work which
could potentially present as a threat to their
health and social life.
SIGNS OF STRESS
• Availability to work, sickness or absence
• Accident or incident
• Disciplinary action or compliant
• Seeking help from fellow employee or
counseling
• Low attitude and esteem for the job
• Frustration, irritability, anger
STEP 2: ANALYZE THE STRESS
• Sources of stress (where, when and why)
Where is the stress coming from When
did the stress start
Why did the stress happen
• What types of stress it is
STEP 3: EVALUATING THE STRESS
•
•
•
•
•
•
Can the stress endanger my ability to work and take
care pt?
Can the stress be a hazardous to my social life and
family?
Is the stress affecting my ability to work, concentrate,
or make decisions?
Is the stress causing my personality change
(depression, labile affect, dull, suicidal, frustration,
anger, anxious, anxiety)?
Is the stress changing my usual habits (exercise or diet)
Does the stress affect my relationship with my fellow
employees ?
STEP4: DESIGNING STRESS
MANAGEMENT STRATEGIES
In designing stress management strategies, attention should
focus on the total work system, which includes the
organizational, social and physical environments, the
technology in use, the work systems, and the people
involved.
STEP4: DESIGN STRESS MANAGEMENT
STRATEGIES CONTINUE
•
• Types of strategy: This would involve what type of stress you are
experiencing, what your symptoms are (anger, depression, sad, anxiety),
and the level of your stress
Target: Who are what should the intervention be aim at (individual, or
organization)
• Agency: Who is responsible for caring out the intervention (RN, or the
organization
All interventions must have objectives or goals to be achieved!!!!
The Total System Matrix
TYPES OF COPING MECHANISMS
•
•
•
•
•
•
•
•
Goals setting, self esteem enhancement, active listening
Remedial Action
Practice, preventative maintenance.
Set priorities in your life.
Avoid negative people.
Use time wisely.
Stop saying negative things to yourself.
Develop your sense of humor.
REMDIAL ACTION:
•
•
•
Change your thinking: (Reframing and
Positive thinking)
Change your behavior (be assertive, get
organized/time management, ventilation,
humor, diversion and distraction
Change your life style: (diet, exercise drink
water, pet therapy, music therapy, sleep,
nature walks, guide imagery, leisure, and
pacing
COPING MECHANISM FOR NURSE AT WORK
•
•
•
•
•
Reframing: is finding ways to see the problem from a
different perspective
Be assertive: standing up for your personal rights and
expressing your thoughts, feelings and beliefs directly,
honestly and spontaneously in ways that don’t infringe on the
rights of others
Ventilation: let your anger out, talk about it, write it down
diversion and distraction: take a vacation or a short walk, it
gives you time to catch your breath and think about the
problem objectively.
Group therapy or interaction: allows every ones to speak,
provide compromise
STEP 5: IMPLEMENTING
• Start by understanding your objectives or
goals
• Start with the a more reachable goal and work
from there
• Prevent further stress
STEP 6: EVALUATION
• Were the objectives achieved
• Was the stress reduced or eliminated
• Do you feel like your old self before the stress
• Is your quality of life improved (work, social,
family, personal)
• Was the intervention affected or does it need
changes
Relief from stress
Stop shallow breathing
Create the habit of deep breaths
Visualize and communicate your vision
Laugh
1.Crack some jokes.
2.Do your goofiest impression
3.Tickle a child that you love.
Be aware of your choices;
you always have a choice
Learn to say no; you cannot do
everything you are asked.
Be thankful
Do nothing. That's right,
folks, do nothing at all.
Close the door, open the
window, have a seat, and
take a little break from
life. If your mind is racing,
learn to meditate and just
let that stress go.
Listen to music.
ABC Strategy
A = Awareness
B = Balance
C = Control
10/27/13 34
So enjoy your life as it comes
………..and always be happy
CASE STUDY
CONCLUSION
Stress problems are very common. The American Psychological Association's
"Stress in America" poll found that one-third of people in the United States
report experiencing extreme levels of negative stress. In addition, nearly one
out of five people report that they are experiencing high levels of negative
stress 15 or more days per month.
Stress management in nursing

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Stress management in nursing

  • 1. STRESS MANAGEMENT IN NURSING PRESENTED BY: MR. INDRA MANI MISHRA TRAINING COORDINATOR/NURSING MIDWIFERY TUTOR STATE NODAL CENTRE, COLLEGE OF NURSING,RIMS,RANCHI
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  • 3. Content StressIntroduction Of Types Of Stress Introduction Of Stress Management Advantages Disadvantages Types Of Stressors Case study Conclusion
  • 5. • Stress is the emotional and physical strain caused by our response to pressure from the outside world. • Common stress reactions include tension, irritability, inability to concentrate, frustration and a variety of physical symptoms that include headache and a fast heartbeat
  • 8. Meaning of stress Stress can have a big impact on your body, in ways that are felt by just you, and in way that the world can see. One of the more visible potential by-products of stress is weight gain--many people find themselves to be "emotional eaters" who react to stress by reaching for something--often the wrong thing-- to eat. Stress can also create a loss of apetite, which can be a problem as well.
  • 9. Signs Of Stress Signs Of Stress Physical signs Mental signs Behavioural signs Job Stress Signs PROBABLE SYMPTOMS Insomnia Loss of mentalconcentration Absenteeism Depression Extreme anger and frustration Family conflict Migraine, Headaches and back problems
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  • 11. Causes of stress Job Insecurity High Performance Demand Bad Boss Workplace Culture Personal or Family Problems Technology
  • 12. CAUSE OF STRESS IN NURSING • • • • • • Job design and workload Interpersonal relationships at work Relationships with patients and their families Work organization and management of work Technical aspects of nursing Personal • • • • •  dealing with death and dying, ambiguity conflict with other staff inadequate preparation for dealing with emotional needs of family lack of staff support (RN shortage) and resources concern about treatment and pt care Concern about technical knowledge and skills SOURCES OF STRESS DESCRIPTION
  • 14. Eustress Eustress, or positive stress, has the following characteristics: •Motivates, focuses energy •Is short-term •Is perceived as within our coping abilities •Feels exciting •Improves performance
  • 16. DISTRESS In contrast, Distress, or negative stress, has the following characteristics •Causes anxiety or concern •Can be short- or long-term •Is perceived as outside of our coping abilities •Feels unpleasant •Decreases performance •Can lead to mental and physical problems
  • 17. Negative Stress Results Loss of motivation Reduces effectiveness Physical, mental, and behavioral problems
  • 19. 10/27/13 16 Work-related stress can result in high levels of employee turnover. Employees experiencing stress are more likely to make poor decisions and casual errors. Workplace relations and customer service may deteriorate
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  • 21. Be Prepared forChanges Find and protect time to refresh, re-energize and re-motivate. Avoid giving in to alcohol, smoking and other substance abuses. Positive attitudes towards stressful situations in life. Don't be complacent.(selfsatisfaction) Sit straight and comfortably on your seat, and try breathing exercises Try creativevisualization Cont.
  • 22. Stress management It is the amelioration of stress and especially chronic stress often for the purpose of improving everyday functioning. Stress produces numerous symptoms which vary according to persons, situations, and severity. These can include physical health decline as well as depression.
  • 23. Types of Stress management  (A)Acute Stress Acute stress is usually for short time and may be due to work pressure, meeting deadlines pressure or minor accident, over exertion, increased physical activity, searching something but you misplaced it, or similar things. Symptoms of this type of tension are headaches, back pain, stomach problems, rapid heartbeat, muscle aches or body pain.  (B)Chronic Stress This type of stress is the most serious of all the 3 stress types. Chronic stress is a prolonged stress that exists for weeks, months, or even years. This stress is due to poverty, broken or stressed families and marriages, chronic illness and successive failures in life. People suffering from this type of stress get used to it and may even not realize that they are under chronic stress. It is very harmful to their health
  • 24. Causes of Stress Management Whenever our body feels something not favorable, then it tries to defend itself. If this situation continues for a long time, then our body is working overtime. There are several causes of stress. For example, you are under stress when you are worried about something, worried about your studies, career, children, worried about the illness of your father, worried about your job security, or worried about your loans or similar things.
  • 25. Advantages of stress management Less absenteeism due to stress- related disorders Less worker's compensation loss due to stress-related illness or accidents Improved job performance Less stressful, more efficient workplace Improved employee attitude Improved employee overall health
  • 26. Disadvantages of stress management  Stress is a disadvantage because it can potentially raise your heart rate and weaken your immune system. Also, it can be a factor in poor decision making because under stress we may not think logically or consider the consequences of the choices we make.
  • 27. MODALITES TO COPE WITH STRESS • Identify the stress • Analyzed the stress • Evaluating the risk • Design stress management strategies • Implementing • evaluation
  • 28. STEP 1: IDENTIFYING THE STRESS The approach to stress management can only begin once a potential problem has been recognized and accepted. That nurses may be experiencing stress through work which could potentially present as a threat to their health and social life.
  • 29. SIGNS OF STRESS • Availability to work, sickness or absence • Accident or incident • Disciplinary action or compliant • Seeking help from fellow employee or counseling • Low attitude and esteem for the job • Frustration, irritability, anger
  • 30. STEP 2: ANALYZE THE STRESS • Sources of stress (where, when and why) Where is the stress coming from When did the stress start Why did the stress happen • What types of stress it is
  • 31. STEP 3: EVALUATING THE STRESS • • • • • • Can the stress endanger my ability to work and take care pt? Can the stress be a hazardous to my social life and family? Is the stress affecting my ability to work, concentrate, or make decisions? Is the stress causing my personality change (depression, labile affect, dull, suicidal, frustration, anger, anxious, anxiety)? Is the stress changing my usual habits (exercise or diet) Does the stress affect my relationship with my fellow employees ?
  • 32. STEP4: DESIGNING STRESS MANAGEMENT STRATEGIES In designing stress management strategies, attention should focus on the total work system, which includes the organizational, social and physical environments, the technology in use, the work systems, and the people involved.
  • 33. STEP4: DESIGN STRESS MANAGEMENT STRATEGIES CONTINUE • • Types of strategy: This would involve what type of stress you are experiencing, what your symptoms are (anger, depression, sad, anxiety), and the level of your stress Target: Who are what should the intervention be aim at (individual, or organization) • Agency: Who is responsible for caring out the intervention (RN, or the organization All interventions must have objectives or goals to be achieved!!!! The Total System Matrix
  • 34. TYPES OF COPING MECHANISMS • • • • • • • • Goals setting, self esteem enhancement, active listening Remedial Action Practice, preventative maintenance. Set priorities in your life. Avoid negative people. Use time wisely. Stop saying negative things to yourself. Develop your sense of humor.
  • 35. REMDIAL ACTION: • • • Change your thinking: (Reframing and Positive thinking) Change your behavior (be assertive, get organized/time management, ventilation, humor, diversion and distraction Change your life style: (diet, exercise drink water, pet therapy, music therapy, sleep, nature walks, guide imagery, leisure, and pacing
  • 36. COPING MECHANISM FOR NURSE AT WORK • • • • • Reframing: is finding ways to see the problem from a different perspective Be assertive: standing up for your personal rights and expressing your thoughts, feelings and beliefs directly, honestly and spontaneously in ways that don’t infringe on the rights of others Ventilation: let your anger out, talk about it, write it down diversion and distraction: take a vacation or a short walk, it gives you time to catch your breath and think about the problem objectively. Group therapy or interaction: allows every ones to speak, provide compromise
  • 37. STEP 5: IMPLEMENTING • Start by understanding your objectives or goals • Start with the a more reachable goal and work from there • Prevent further stress
  • 38. STEP 6: EVALUATION • Were the objectives achieved • Was the stress reduced or eliminated • Do you feel like your old self before the stress • Is your quality of life improved (work, social, family, personal) • Was the intervention affected or does it need changes
  • 39. Relief from stress Stop shallow breathing
  • 40. Create the habit of deep breaths
  • 42. Laugh 1.Crack some jokes. 2.Do your goofiest impression 3.Tickle a child that you love.
  • 43. Be aware of your choices; you always have a choice
  • 44. Learn to say no; you cannot do everything you are asked.
  • 46. Do nothing. That's right, folks, do nothing at all. Close the door, open the window, have a seat, and take a little break from life. If your mind is racing, learn to meditate and just let that stress go.
  • 48. ABC Strategy A = Awareness B = Balance C = Control
  • 50. So enjoy your life as it comes ………..and always be happy
  • 52. CONCLUSION Stress problems are very common. The American Psychological Association's "Stress in America" poll found that one-third of people in the United States report experiencing extreme levels of negative stress. In addition, nearly one out of five people report that they are experiencing high levels of negative stress 15 or more days per month.