OVERVIEW OF THE STUDY 1.1 Introduction The background, problem statement, research questions and objectives, paradigmatic perspective, research methodology and ethical considerations of this research will be discussed in this chapter. 1.2 Background and problem statement Nursing is a nurturing profession and caring is an essential component of its practice (Peery, 2010:53). Due to increased complexity of job description, the unpredictable changes in one’s daily work routine, unrealistic expectations from patients and their families, and common encounters with ethical and end of life issues, hospitals are seen as stressful places of employment (Mealer, Burnham, Goode, Rothbaum & Moss, 2009:1118). Nurses have a duty to compassionately care for the sick, wounded, traumatized, and the weak in their charge, which personally exposes them to patients’ pain, trauma and suffering on a daily basis (Knobloch-Coetzee & Klopper, 2010:235). Within the daily interaction with patients, nurses are confronted with deep emotions like fear, frustration, stress, anxiety and disappointment (Trewich, 2008:16). Nurses differ in their ability to work through these emotions. The majority of nurses can successfully work through them and carry on, but …show more content…
Research done by Sherring and Knight (2009:1239) amongst nurses in the United Kingdom has found that 41% of these nurses experience emotional exhaustion, whereas as a study done in Malawi by Thorsen, Tharp and Meguid (2011:1) found that 72% of nurses reported emotional exhaustion. Nurses with high levels of emotional exhaustion are more likely to quit the nursing profession according to Sherring and Knight
Burnout is classified viewed in three phases. The first phase of burnout is the arousal phase. The nurse shows anxiety, insomnia, forgetfulness, inability to concentrate, feelings of beings overwhelmed, frustration, sadness, and new physical symptoms, such as headaches and stomach problems. If the nurse does not recognize that these symptoms require intervention, the second phase is energy conservation. In this phase, the nurse starts to call in sick to work; o she may be chronically late getting to duty.
The purpose of this paper is to discuss stress as defined by theorist Selye, the meaning of nursing burnout, its detrimental effects, and the implementation of spirituality as a stress mediator. The perioperative department can be an extremely stressful environment. Patients and their family members may experience high levels of anxiety, uncertainty, and fear. A prudent preoperative nurse should focus on to alleviate any of their concerns, provide comfort, present education regarding their upcoming procedure, and answer questions.
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
Diminished personal accomplishment is to evaluate oneself negatively because of failure a result it occurs when the individual’s external demands become higher than their coping ability.(Maslach, Schaufeli, leiter., 2001) . Many studies revealed that there is a high prevalence of burnout among nurses worldwide, it can affect approximately 45% of medical and nursing staff .(Abdo, El-Sallamy, El-Sherbiny, & Kabbash., 2015) . Bases upon several studies 25% to 33% of critical care nurses have a symptom of sever burnout syndrome.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). BURNOUT AMONG NURSES AND QUALITY OF CARE
- Nurse fatigue is a clinical problem that cannot be overlooked. - Nurse fatigue impedes nursing competency and patient safety. - Long working hour highly associate with nurse fatigue - Nurse fatigue increases medical errors that threaten patients’ safety and outcome; put nurses own health in danger. - Nurse fatigue increase healthcare system cost. - ANA spotted the serious consequences of nurse fatigue and posed a position statement that required nurses and healthcare facilities to work together to reduce nurse fatigue.
Nursing is an important component of society, it is one of the most trusted professions and there is an endless need for the care they provide throughout the world. Despite being one of the backbones to healthcare, the nursing profession has a growing number of nurses leaving the field for a variety of reasons. Nurses endure high stress, burnout, and many different setbacks that contribute to this growing issue. An appropriate question to ask is: In new graduate nurses, does a lack of exposure to resilience increase the turnover rate and burnout in the field? In 2019, Yu and Lee conducted a cross-sectional study and a structural equation model to understand the turnover rate of new graduate nursing students.
A major implication of nurses working in end of life care, is the emotional toll their work would take. A qualitative study was undertaken in Sweden, assessing nurses’ experiences of caring for palliative patients. Eight Registered Nurses with varying experience (range from 3 years to 32 years) participated in the study, assessing their personal coping mechanisms and how they approached their role in end of life care. The nurses expressed a range of emotions, explaining that they all felt a strong desire to do their best and the difficulty in always being able to do so (Johansson & Lindahl, 2012). A nursing implication that all eight participants experienced was the difficulty but necessity of maintaining professional boundaries and relationships.
The Nursing Career and Stress and Work-Related Burnout Working in the healthcare field can be overwhelming because of the continuous exposure to stressful events such as illnesses and death. Additionally, healthcare workers may suffer from high work demands such as long working hours, healthcare team relationship issues, and shortage of staff. To contribute with tension, these workers may also be exposed to daily unrelated work problems such as lack of personal time, family and financial issues. Many nurses are often exposed to these stressors and consequently are troubled with job dissatisfaction and burnout because of an imbalance between their work environment and personal life. The nursing profession alone can be very demanding and due
He wrote, “Regarding scientific evidence as the sole basis of knowledge is intellectually sterile, and of dubious validity. The real value of nursing can only be represented by a broad theoretical framework that includes both tested procedures and the humane caring role, and which is operationalized not primarily for research, but for utility” (p. 225). Nursing theory manages to encompass more than just the quantitative aspects of health care but also the qualitative aspects of patient care. While nursing is a science and should be respected as such, there is an emotional aspect that proves to be immeasurable, but is also what sets it apart from other disciplines. Nonetheless, just because emotions are not exactly measurable does not mean they should be disqualified.
I thought about nursing burnout through watching the video by speaker Madelyn Blaire. Burnout is categorized as physical, mental, and emotional exhaustion. Burnout can lead to dulled emotions and detachment. I wonder why nurses are burning out.
The Nursing Career and Stress and Work-Related Burnout Working in the healthcare field can be overwhelming because of the continuous exposure to stressful events such as illnesses and death. Additionally, healthcare workers may suffer from high work demands such as long working hours, healthcare team relationship issues, and shortage of staff. To contribute with tension, these workers may also be exposed to daily unrelated work problems such as lack of personal time, family and financial issues. Many nurses are often exposed to these stressors and consequently are troubled with job dissatisfaction and burnout because of an imbalance between their work environment and personal life. The nursing profession alone can be very demanding and due
The nursing profession, like all professions, has its ups and downs. The one of the great aspects of being a nurse is that you will make a difference in a person’s life. Regardless it being in an outpatient setting or home setting or even a school setting; a nurse touches people’s lives just by being there for them and providing the support they need in that moment. However, the not so great aspects of being a nurse is nursing burnout. I believe this is the greatest challenge in the nursing.
This article lists strategies to compassionate care delivery through two means, personal and workplace promotion. As for personal strategies, nurses must acknowledge limits when needed, an act of self care rather than selfish care. Moreover, understanding ones’ own needs and negotiating with one’s workplace to allow employment and personal lives to be organized so self care needs are not left in the dust. As a nurse, you must be healthy to deliver care for the unhealthy. As for workplace strategies, providing training sessions to equip nurses working in alternating units and scheduling regular staff meetings to discuss the mental impact of providing care to the ill.
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
Of the studies used, 20-44% of emergency nurses reported high emotional exhaustion, 23-51% reported feeling depersonalization towards their patients, and those nurses with a feeling of low personal accomplishment were between 15-44%. The rates among emergency nurses are comparatively even with those of intensive care nurses. The workloads of emergency nurses and intensive care nurses differ significantly but both types of nurses are predisposed to develop burnout syndrome. Among intensive care nurses, 61-67% had symptoms of emotional exhaustion; depersonalization towards patients