Thursday, January 24, 2013

Stress Management: Nurses Must Take Care of Themselves in Order to Take Good Care of Their Patients


About Stress

Stress is defined as a physical, mental, psychological, or spiritual response to a stressor.  A stressor is an experience in a person-environment relationship that is evaluated by a person as taxing or exceeding resources and threatening the sense of well-being.   The way people handle stress varies significantly. 

Physical Effects of Stress

Selye’s (1965) General Stress Theory describes the physiological effects of stress as a group of symptoms, or syndrome, which result in a fight-or-flight response.

The diagram below shows the body’s initial physiological reaction to stress. 
 

Prolonged stress causes symptoms such as:

·         Headache

·         Muscle tension or pain

·         Chest pain

·         Fatigue

·         Change in sex drive

·         Stomach upset

·         Anxiety

·         Restlessness

·         Lack of motivation or focus

·         Irritability

·         Sadness or depression

Prolonged stress=BURNOUT

Because nurses are already at high risk for burnout, it is essential for us to take care of ourselves and effectively cope with stress.    

Practical Tips to Reduce Stress

At work:

·         Assess Use of Time: Start with an honest assessment of what you do with your time for 1 workday and 1 non-workday.  You don’t have to reveal this to anyone but yourself, but do it. 

·         Analyze Stressors: Choose 1 day this week to sit down with a piece of paper(can be with your computer or laptop) and make two columns.  In the first column, list all the things that cause your stress.  It is okay to start with “Not enough time for…”.  Do this column first.  In the second column, list actions you might take to alleviate the stressors.

·         Make a Change: Analyze your reflections after looking at the results from tips 1 and 2.  Chose one thing and make a change that will reduce the time spent and ease some of the stress. 

At home:
  • Remain phsyically active
  • Get adequate sleep
  • Eat well-balanced meals
  • Meditate
  • Do things you enjoy

Huber, D. (2010). Leadership and nursing care management (4th ed.). Philadelphia, PA: Saunders Elsevier
Mayo Clinic. (2013). Stress symptoms: Effects on your body, feelings, and behavior. Retrieved from
http://www.mayoclinic.com/health/stress-symptoms/SR00008_D

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