The Stresses that Come with Being a Nurse

According to Suzanne Gordon “ whether young or old, nurses are disillusioned because they believe that health care systems guided by bottom-line concerns simply don’t recognize the specificity of their work” (234). Nursing is more demanding than many other professions or occupations, due to the combination of difficult patients, exhausting schedules and arduous physical work (Gordon 235). It can take a significant emotional toll on many, hence the higher levels of burnout. Job dissatisfaction as a result of increased workloads and unreasonable demands, such as inappropriate nurse staffing levels, was cited as the number one reason that drives many experienced nurses to leave the profession (Sanford 38+). Studies have shown that such working conditions also affected the retention of new graduate nurses by leaving their first hospital jobs within two years of graduating (Sanford 38+).

Those of us who graduated from nursing school and started their first job were full of dreams, aspirations, and had every intention of making a difference. Now fast forward five years; these same nurses have been on their feet for 16 hours and have not had time to eat or use the bathroom since leaving their homes this morning. The call lights will not stop going off long enough for them to give report to the oncoming nurses and once again they are late for their children’s dance recitals or soccer games. They can forget about trying to squeeze a yoga class in this week. I understand what it is like to rush to your car feeling as if some important task was forgotten; was Mr. Smith’s tube feed restarted, did room 8 receive their pain medication? Nurses all over the world are experiencing “burnout”. To avoid burnout, nurses must properly care for themselves by separating work from personal life, knowing when to say no, and making time for enjoyable activities to manage stress, because we cannot provide quality patient care if we are neglecting ourselves.

Staff nurses have great responsibilities in caring for patients. Often, these nurses experience heavy workload. Heavy patient load and stress contributes to burnout. Why is burnout important to discuss in relation to nurses? Burnout affects the performance of the nurse and the quality of care he or she provides to the patient. Therefore, it is imperative that staff nurses decrease the possibility of burnout and increase or maintain excitement and enjoyment in the field of nursing. If nurses do so, they will find joy in their work and quality of patient care will be increased. Contributors to burnout and

West, Ahern, Byrnes and Kwanten (2007) indicate that the new graduate nurses may have not worked full-time in the past; given that graduate nurses begin their career with a full-time job can lead to exhaustion. It was discovered that shift work leads to desynchronisation of physiologically determined circadian rhythms which has a major psychobiology effect and it is commonly perceived the effects of shift work contribute to graduate nurses attrition rate. The NGNs often have a high level of stress due to disturbed sleeping patterns, as they find to adaption to shift work or rotating work hours difficult. Eventually, it leads to feelings of lack of job satisfaction, exhaustion and spending of less time with their friends and family, which can eventually could lead to burnout (West et al., 2007).

Workload was described to be heavy, stressful, increase in intensity and overtime hours. As a result 25.8% consider resigning, 20.2% consider retiring and 25.6% consider leaving profession. Another problem that was observed at individual level was poor commitment to care. One of the factors that often limited nurses to provide therapeutic care was the change in nurse to patient ratio. As nurses assignments increase with the increase in the number of patients (i.e. 1 nurse to 6-8 patients) the quality of care provided decreases. Nurses’ ability to maintain safe environment became challenging. As part of caring, nurses also showed decreased amount of time spent with their patient. This eventually led to nurses being less satisfied with their current job. Self – efficacy was often low. Nurses felt that they did not have enough knowledge and skills required for professional practice (Newhouse, Hoffman, & Hairston, 2007). This often led into stressful transition and the ability to care for a patient even harder. New graduate nurses often had difficulty maintaining leadership role. They often felt that they did not have the ability to self advocate and raise their voice to be heard by others. They often feared that they would be over heard and that no one would listen to them (Mooney, 2007).

Nurses spend most of their thirteen hour shifts being pulled in multiple directions. After days and days of this happening, a nurse can begin to feel worn down and stressed. There are many nurses that find it in them to stick with it, while others feel overwhelmed and burned out and end up quitting. Nurses already have a stressful job but when you add bullying into the mix, it just becomes unbearable for some (Brown, 2010).

The term burnout, according to Catalano, is a continuing depletion of energy and strength combined with a loss of motivation and commitment after prolonged exposure to high occupational stress (2015). When a unit or facility is understaffed, not only do the nursing staff get burnt out, the patients also don’t receive the quality of care they deserve. Due to the increase in workload, nursing staff are more prone to making mistakes and medical errors and sometime times do not fellow facility policies. The nurse-patient ratio aspect sometimes gets overlooked at and that could lead to possible medication errors, lack of communication, falls, neglect, abuse and/or death may occur. Sometimes, it become so overwhelming people turn to leave the workforce all together. When nurses and CNA workload increase, they become frustrated and unhappy, and the desire to leave

Nurses work long hours and deal with high levels of stress during the workday which leads to nurse burnout. Nurse burnout is classified as physical and mental fatigue, which strongly affects the nurses emotions and motivation. (“Nursing Burnout”). Burnout is caused by various factors within the workplace, such as dealing with a hectic, fast-paced environment, caring for too many patients at one time, and working odd hours. When nurses deal with multiple patients per shift, high levels of responsibility, and their own personal problems, they can become exhausted and overwhelmed. Stress due to burnout can also affect the nurse’s mood in a negative way, causing the nurse to become impatient or irritable, which can oftentimes results in verbal or emotional abuse towards the

Work related stress has an impact on the health and wellbeing of nurse’s. It is a response to work demands, and pressure that may not match the employee’s knowledge, skills or ability and challenge their ability to cope (World Health Organisation (WHO), 2017). Stress within the workforce is regarded

According to Hunt (2009), feeling overworked is the number one cause for nurse turnover in health care settings. Other reasons at the top of the list include, lack of support from employers and few opportunities for advancement. Due to the nursing shortage, staffing has been an issue in many healthcare facilities. As a result, units are consistently short staffed, causing nurses to feel overworked and unsupported by management. Cline (2004) highlighted nurse frustration when a participant in the study stated, “When you’re constantly short-staffed and feel your managers aren’t supporting you at least by saying, ‘Thank you, I know you must’ve had a hard

The issue of healthcare personnel scarcity continues to be an ongoing challenge across the globe. Invariably, nurses are at the pinnacle in the delivery of quality care in any healthcare setting. The ever-increasing demands for care stem from a patient populace that is emergent, growing older and needing more care due to the escalating shift in their disease process. Hence, nurses are torn between balancing an overloaded schedule, working extra hours and maintaining astuteness and professionalism. This transcends to compromised patient care, nursing burnout makes it difficult for them to experience the rewards of caring for patients in the way they had expected; thereby, adding to the shortage of

Theories for burnout in the nursing profession are presented in the jobs-demands resources model. “This study uses the job-demands resources model to clarify the role of burnout among nursing staff in the relationship between stress factors and intention to leave the profession”

Stressful work environments, long work hours and inadequate sleep all contribute to an increase in physical and mental exhaustion amongst nurses. Typically, people choose nursing as a career to help others and to make a difference in their lives, without realizing the number of duties this career demands. Nurses may suffer in silence when they are experiencing stress. The effects can impact safe and reliable care by decreasing job satisfaction, decreasing productivity, causing poor personal health, and compromising patient care. Many facilities would benefit from implementing evidence-based strategies to address nurse fatigue and burnout.

There are numerous elements that contribute to stress in the healthcare setting. Nurses’ days are full of physical, mental and emotional demands. There are societal demands and workplace demands created by the shortage. These stressors can become increasingly overwhelming and if there is no stress relief, job performance can and will be hindered. When fatigue and stress combine there is potential for “performance decrements”. This can include diminished capacity to manage a specific level of workload resulting in errors in the delivery of nursing care. This can produce damaging effects on the safety and advantageous outcomes for both the nurses and patients. (Reese, 2011). Therefore, finding a balance between lowering stress levels of

The nursing field is an occupation that is naturally subject to a high degree of stress because professionals in this field deal with grief, suffering, and death cases. The vulnerability to stress in the nursing occupation is also fueled by the fact that several nursing tasks tend to be mundane and unrewarding. In normal standards, nursing tasks range from being distasteful to degrading, disgusting, and frightening. Generally, many visits by patients to health care services are usually brought by stress-related illnesses to an extent that 90 percent of these visits are associated to stress. Therefore, stress is part of nearly every person's existence since it's linked to the development of mental disorders, enhanced stress-related diseases, and minimized immunologic function.