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

2. .

3. Content
StressIntroduction Of
Types Of Stress
Introduction Of Stress
Management
Advantages
Disadvantages
Types Of Stressors
Case study
Conclusion

4. WHAT IS STRESS?

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

6. What is STRESS?

7. 10/27/13 5

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

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

13. EUSTRESS vs. DISTRESS

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

15. Positive stress results

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

18. 10/27/13 15

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

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

41. Visualize and communicate your vision

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.

45. Be thankful

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.

47. Listen to music.

48. ABC Strategy
A = Awareness
B = Balance
C = Control

49. 10/27/13 34

50. So enjoy your life as it comes
………..and always be happy

51. CASE STUDY

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.