Considering the oddness for the multidisciplinary health team, nurses are a large group practicing at hospital as compared to doctors. They both need to minimize their stress level that may lead to poor patients care (Secemsky, 2013). There lies a strong relationship between doctor and nurse. This traditional relationship has different role and responsibilities and each are directly linked to hospital administration and patient. Any disturbance by them can elevate the level of stress in doctors and nurse.
Studies showed that health care workers have long been known to be a highly stressful group and were ominously linked with higher rates of emotional and psychological distress than various other workers of different sectors ( Piko, 2006). There is a study done on work-related stress among health care providers of various sectors in Peninsular Malaysia, which concludes that the overall level of work-related stress among the Malaysian healthcare personnel was still within adequate supervision. However, certain job category and specialization such as supportive staffs, particularly radiographer need closer attention due to their comparatively higher level of stress (Lua & Imilia, 2011). 1.2 Occupational Stress among
Occupational Stress is defined as, “the psychological state that is or represents an imbalance or mismatch between people’s perceptions of the demands on them (relevant to work) and their ability to cope with those demands” (Miller 2000). It is an individual based, affect overloaded experience associated with stressors that are perceived and interpreted subjectively and uniquely by everyone. Stress in HIV/AIDS care can be caused due to a variety of factors like client overload, demands of the caregiving activities ranging from physical and personal care of the clients to around the clock monitoring and care of the severely ill, daily domestic chores of the caregiver’s own household, fear and uncertainty about HIV contagion and their own health, strong feelings of guilt, anger and helplessness etc. Insufficient compensation and encouragement are also leading factors for stress. Whereas, burnout is the exhaustion of physical or emotional strength because of prolonged stress or frustration which has been detected in a wide variety of health care providers.
Management must also tend to the needs of those nurses suffering from compassion fatigue. Studies confirm that caregivers play host to a high level of compassion fatigue. Day in, day out, workers struggle to function in care giving environments that constantly present heart wrenching, emotional challenges. Affecting positive change in society, a mission so vital to those passionate about caring for others, is perceived as elusive, if not impossible. This painful reality, coupled with first-hand knowledge of society 's flagrant disregard for the safety and wellbeing of the feeble and frail, takes its toll on everyone from full time employees to part time volunteers.
Nurses are exposed to multiple stressful demands and pressures from workplace, family, and other factors as represented by Ostelle in the transactional model of stress and health and are therefor at very high risk of an array of safety, health and other issues. Nurses confront a range of occupational health and safety (OHS) risks in their roles of providing care and comfort to the sick and aged. While much has been done to identify and control the physical risks associated with nursing work, such as manual handling, ergonomics, chemical and biological hazards, not much has been achieved in successfully recognising the very real psychological risks encountered by
Buchan and Aiken (2008) stated that the nurses shortage problems may be due to the nurses that not willing to work as a nurse under the current conditions in working environment. A real shortage is circumstances where experienced people are not available for a certain vacancies due to some reasons (Wildschut&Mqolozana, 2008). A news article written by Salma Khalikin in Straits Times stated that according to current situation Singapore may not be able to create enough nurses for upcoming years. The impact of nurses shortage may causes increase work load for nurses which subsequently may increase the risk for nurses made errors in clinical, the risk of increase hospital acquired infections which cause by viral, bacterial, and fungal pathogens. More over the impact of shortage of nurses may also increase death rate, and also increase the risk of occupation injuries and exposure in working environments.
The Nursing Shortage and Burnout Consequences on Patient Safety Imagine a world where the number of patients is much greater than the number of providers willing and able to care for these patients? This world is the one we live in, but many do not realize or care to see. The demand for nursing professionals certainly exceeds the number that is supplied, resulting in a nursing shortage. This situation affects both patients and nurses themselves and research suggests that nurse shortage outcomes result in burnout and risks in patient dissatisfaction and safety.
In America, people all over the world deals with stress. Being a nurse is a stressful job. Being stress can be fatigue and even cause ill health for an individual. Stressing in the environment can cause employees to stressful situations causing difficult health, and safety problems not only for the nurses, but also for their patients. Many workers suffer from stress.
Nurses should be aided and helped because they are getting taken advantage of and this causes negative effects to be brought upon these nurses. And since nurses are being taken advantage of this causes them to deteriorate at a rate unimaginable, to a point in which posts and positions are cleared
In turn, as a cognitive message, CBT and a client centered approach helped clients to also identify and respond to not only their individual need but the needs of others in a more empathic, compassionate, and accepting way. Each article includes a randomized cohort but combined the interventions and adaptation of CBT and a client centered approach in order to examine research and provide feedback to substance abuse clients. As we concluded in class often and integration of different models or techniques can play an important role in the application and delivery of a therapeutic intervention and after reading the articles I believe the integration was effective and helped limit the amount of drugs clients used during therapy. In the end, CBT and a client centered approach both take into consideration the conscious mind while allowing clients to examine their individual problems at hand and use of drugs. From what we covered in class and from reading the articles the evidence goes hand in hand and explores how these combined therapies help individuals explore they have the ability to determine their own futures and are not necessarily a product of their past or previous
However, in hospitals of US, nurses have been facing different clinical issues (Sharifcorresponding & Masoumi, 2005). The most important issue that is needed to be resolved is the cultural competence. Cultural competence exists in all the organisations and this increases the efficiency of organisations. Similarly, this has become a major factor in the health care system of US hospitals. However, the selection of this clinical issue has been made because of the severely negative impacts of cultural competence, which are increasing with the passage of time.
That is a major stressor in figuring out if you are going to work out in a new place, doing new skills, and achieving new goals. Edwards (2014) identifies verbal and physical aggression in the workplace. Verbal aggression is the most common, which involved being yelled at, cursed at, and being intimidated. For physical aggression, emergency department nurses are expected to see this most often than other nursing settings. If the nurse remains unaware of these occurrences, and decides to hold in feelings toward this type of abuse the nurse is taking on, then they are more likely to suffer from depression and anxiety in their career.
Occupational therapist helps the patient learn how to identify distorted or unhelpful thinking patterns, recognize and change inaccurate beliefs, relate to others in more positive ways, and change behaviors accordingly by participating in meaningful activities for them. The main goals are to help the patient learn that OCD can lessen over time and give him or her the tools to cope with fear or traumatic memories. OT role is to establish routines and habits, meaningful activities that promote optimal levels of arousal or relaxation, and strategies for managing symptoms to enhance occupational performance. These services can help people build self-esteem and establish supportive relationships with family members, school/work personnel, and friends.