Literature Review For Nursing Stress Interventions

Posted by nostress on Wednesday, August 10, 2011


Stress is a known problem identified in the nursing profession. According to Atkinson stress arises when confronted with events or meetings that are perceived as threats to their physical or mental well-being (as sited in McGowan, 2001). In addition, the stress level will increase when the control and predictability in an environment of waning. There is an inverse relationship between stress and job satisfaction, such as stress goes up, job satisfaction falls. As a result of this increased stress normally would result in reduced job satisfaction and reduced quality of life. This could contribute to nurses leaving the profession and as a consequence of the end, account for the current nursing shortage.

cause of stress for nurses was found to be related to the nature of the profession. Included in these stress are intense work environments with extended working hours, weekends, at night and on holidays. According to Ruggiero (2003) stress can be associated with variables, shift work, which is both physically and mentally taxing. This study also showed varying degrees of depression in nursing ranged from mild to severe. At the end of the study showed that nurses were indifferent and off to work feeling neither satisfied or dissatisfied with the work. Results such as these are exposed to stress is a major problem for the profession of nursing.

Factors intense emotional support that is needed for the patient and family is another load of stress placed on the nurse. In addition, exposure to pain, suffering and traumatic events in life that is a nurse experience on a daily basis can contribute to stress (Cohen-Katz, Capuano, Baker, and Shapiro, 2005). These relationships can lead to emotional exhaustion for nurses.

a lack of organizational support and commitment that are beyond the control of nurses can greatly affect job satisfaction (McGowan, 2001). There is a lack of control and power in an environment largely controlled by doctors. These psychological stressors can contribute to fatigue and increased stress.

Therefore, this leads to questions about what support interventions have been implemented for nurses, reduce their stress thereby enhancing their coping mechanisms. Would the availability of programs contribute to reducing stress defense mechanism and increase job satisfaction? In addition to these interventions are effective?

In his initial quest for stress intervention studies I met many of the Ovid database that site stress to him and other allied health fields. Keywords such as stress management, burnout, job satisfaction, nursing retention, quality of life, environment and alternative therapies are used for this search. These studies showed the definition of stress and the myriad of different causes and explanations for the stress experienced by nurses and other health workers.

of any comparative studies between different areas of nursing and the environment. For example, medical-surgical care verses home health care (Salmond and Ropis, 2005), who examine and compare the differences in both areas. Finally found it, and practice areas have their own version of stress and identify common stress. Unfortunately, no concrete measures have been used to combat the problem

There are illustrations comparing various management styles and how stress can affect breastfeeding. Magnet organizations are compared with the traditional organization (Upenieks, 2003). Results of this study was not specifically demonstrated that a positive and supportive administration could make a difference in stress levels, but again without special intervention measures of stress are

There is clear recognition of the problem of stress in it, but there is a significant lack of information that actually addressed the problem with potential positive intervencija.Malo study revealed all were found to show positive results in some degree. These results support a positive outcome to the actual initiation of stress interventions or programs within the workplace can offer.

The first study uses the physical intervention of massage therapy for 5 weeks for the nurses at the hospital facility (Bost and Wallis, 2006). This intervention has been identified to reduce stress, as well as support nurses individually and organizacijski.Učinci measured physically and psihički.Studija showed no change in the physical findings in blood pressure and urinary cortisol levels, but there is a reduction in the State Anxiety Inventory-line (STAI) in the treatment group compared to the control group. Although there was no physical advantage to measure the psychological effects of stress reduction. These results suggest that interventions offering massage therapy is beneficial in reducing anxiety levels, which could reduce stress.

other interventions studied involved a more interactive process. These studies motivate the participants and invited nurses to participate in intervenciji.Uključivanje these nurse participants support necessary to reduce stress their desire to assist in making changes that will affect the inside to the outside.

use the mantra for alleviating stress was one of those interventions. This examined the effectiveness of using mantras and repeated the mantra that affect the level of stress and emotional and spiritual well-being. Mantra has taught the use of health care workers through a 5-part intervention program offered through the hospital before the study (Bormann et al., 2006). This is a good example of true and tangible interventions that may be offered to increase defense mechanism, a reduced stres.Nalazi supports the positive results of this study show a significant reduction in perceived stress (Stress Experience Scale), anxiety (State Anxiety Inventory-line), and draws anger (state anger traits Inventory) after the intervention. There is also increasing the quality of life and existence, and overall spiritual well-being.

Mindfulness-Based stress reduction (MBSR) Program is a series of quantitative and qualitative research offered and taught in the hospital work environment. This program is specifically addressed the issue of stress for nurses. MBSR is based on the concept to become mindful and fully present in the moment without judgments (Cohen-Katz et al., 2005). The study measured levels of burnout, emotional exhaustion, emotional and psychological distress overextension.

The action program will not only reduce stress levels after treatment, but the control group also experienced the benefits before treatment while waiting for the program. This could be coupled with a desire to reduce stress in anticipation of participating in the program. To further support should the nurses have to make changes to better reduce stress levels.

This MBSR study again in reducing emotional exhaustion and an increased sense of personal achievement in the post treatment group intervention. Furthermore, these effects led to a reduction in stress, which had a lasting impact in three months. This confirms the positive effects of using these interventions in reducing stress.

The third positive interactive intervention study program, which offers conflict management training classes in order to reduce the possibility of stress for employees in health care organizations. This study also supported the need to provide a way to prevent or reduce stress by creating a positive environment through personal empowerment. There was a significant reduction in pretest and posttest in the role overload, interpersonal strain, role boundaries and psychological pressure. Participants reported that they were better able to find balance in their position and were able to manage the job (and Haraway Haraway, 2005). These results confirm the need to make available to brief interventions, such as in an effort to reduce conflict. This in turn can reduce stress and increase perceived control and power, which increases job satisfaction. Moreover, this would improve the working environment so that it supports

All of these programs are discussed, provides intervention for at least one aspect of possible stress factors. Reduction of physical or emotional stress, and offer greater control and empowerment while making a more positive working environment are all successful interventions to increase job satisfaction. Due to increased job satisfaction leads to a reduction stresa.Rezultati this study suggest a strong link was identified between the two issues (Ruggiero, 2003 ).

There is a common thread among all these interventions. They are available and effective interventions can be implemented to become part of the practice of nursing and other health workers in many different health care settings. These real structured intervention group may be more efficient to create a stress reduction, respectively. Programs such as these have proven value and a simple easy and relatively inexpensive intervention. Offering them to nurses and other health professionals can be considered as preventive measures for potential stress.

In addition, these findings support the need for regular programs, stress reduction will be offered through hospitals and other health organizations zapošljavanje.Korištenje these and similar programs provide far reaching benefits for the nursing profession. Premature measures to reduce stress can increase job satisfaction and potentially increase nursing retention. The goals of these programs may include guidelines on techniques to manage stress, increase social support, open communication, the role of strengthening and empowering the individual to fully exploit the growth of positive intervention (Cohen-Katz et al., 2005 ).

Future studies in programs for stress interventions should include the additional offered similar studies with larger sample of long-term and ongoing assessment of their effectiveness. Consideration of other alternative therapies supplement interventions that help reduce stress can be examined, such as yoga and posredovanje.Korištenje these physical and emotional stress-reduction techniques can also be effective in reducing stress and increasing coping measures.

I hope that in future interventions to prevent stress of nurses and health workers will be offered as a standard part of the package used in all health care organizations. Stress prevention can be a win-win situation where everyone will benefit. Nurses will have reduced stress and increased defense mechanism, which will increase job satisfaction. This could lead to increased nurse retention. After that, as a result of satisfaction and increased quality of life of a nurse will be superior to the employees and better able to provide care for themselves and their patients.

Reference
Bormann, JE, Becker, S., Gershwin, M., Kelly, A., Fall, L., and Smith, TL et al. (2006). The relationship is often the mantra repetition to emotional and spiritual well-being in health djelatnika.Časopis continuing education in care, 37 (5), 218-224. Retrieved 3rd October 2006, from Ovid database
Bost, N., and Wallis, M. (2006). The effectiveness of 15-minute weekly massage in reducing physical and psychological stress in nurses. Australian Journal of Advanced Nursing, 23 (4), 28-33. Retrieved 6th September 2006, from Ovid database
Cohen-Katz, J., Capuano, T., Baker, DM, and Shapiro, S. (2005). The effects of mindfulness based stress reduction in stress and burnout nurse, part II. Holistic Nursing Practice, 26-35. Retrieved 27th September 2006, from Ovid database
Haraway, D. L., and Haraway, W. M. (2005). Analysis of the impact of conflict management and resolution training on employee stress on healthcare organizations. Hospital Topics: Research and Perspectives on Health Care, 11-17. Retrieved 28th October 2006, from Ovid database
McGowan, B. (2001). Self-reported stress and the impact on nurses. Nursing Standard, 15 (42), 33-38. Retrieved 28th September 2006, from Ovid database
Ruggiero, J. S. (2003). Health, work variables and job satisfaction among nurses. Jona, 35 (5), 254-263. Retrieved 3rd October 2006, from Ovid database
Salmond, and S. Ropis, P. E. (2005). Stress at work and general well-being: a comparative study of medical-surgical and home care nurses. Retrieved 28th September 2006, from Ovid database
Upenieks, VV (2003). Interrelation of organizational characteristics of magnet hospitals, nursing leadership and nursing job satisfaction. Health Care Manager, 22 (2), 83-98. Retrieved 27th September 2006, from Ovid database

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