ppt

1. WORKPLACE STRESS MANAGEMENT
WORKSHOP FOR NURSING PERSONNEL
PRESENTED BY
HAMEED KHAN
NURSING OFFICER
BSN (HONOR)
MSN (PSYCHIATRY NURSING)
MA PSYCHOLOGY
PG CERTIFICATE IN CHILD AND ADOLSCENT COUNSELLING
POST GRADUATE DIPLOMA IN MENTAL HEALTH
CERTIFICATE COURSE IN CHILD CARE AND CHILD NUTRITION
CERTIFICATE IN PSYCHOLOGICAL FIRST AID
CERTIFICATE IN DIABETIES EDUCATOR
CERTIFICATE IN AIDS COUNSELING

2. WORKPLACE STRESS MANAGEMENT AMONG NURSING PERSONNEL
There is shortage of nurses in every department of hospital
and workload is more so there is increase in workplace
stressor. Working in emergency department bring a
additional set of workplace issue such as constantly dealing
with death and dying, controlling patients pain and helping
patients and family members contend With patients end of
life.
WORK PLACE STRESS-:
The physical and emotional outcome that
occur when there is disparity between demand of job and
the amount of control that has in meeting those demand

3. WHY NURSING PERSONNEL NEED WORKPLACE STRESS MANAGEMENT
1.In India one study in territory hospital identified that 87.6% of
nurses to be experiencing stress in which 6% had severe stress
2.Another study at territory hospital found 92% of nurses with
stress of which 15% had severe stress
3.This variation in prevalence of stress and associative symptoms
may be due to different management systems and organizational
structure of the hospital of different parts of countries & different
workplace stress management workshops and counselling session
for nurses organized by hospital management time to time

4. BENEFITS OF WORKPLACE STRESS MANAGEMENT AMONG NURSES
1. Rested & calm nurse make less mistake
2.Nurses with lower stress levels are also better able to maintain
compassion & form emotional bond with patients that help the
recovery of journey
3.stress management and self care help nurses stay fulfilled,
satisfied and healthy
4. When nurses take time to care for themselves, they function
more efficiently.

5. 5.Lower your risk for other conditions like B.P,
depression, obesity, heart disease
6. Perform their job duties more effectively and
efficiently

6. CAUSES OF WORKPLACE STRESS AMOMG NURSES
1. job dissatisfaction
2.low supportive relationship in workplace.
3.concern about quality nursing and medical care.
4.dealing with death and dying.
5.being on one particular clinical unit for extended
period of time.
6.being move among different patients care units.
7.dealing with uncooperative patients and family
members.
8.other factors:-
a. the use of escape –avoidance as a coping
mechanism
b. conflicts with health care team.

7. c. Relationship with other health professionals.
d. The impact of unrelieved patients suffering
e. Communication problems &personality clashes are inevitable &
lead to stress and frustration
f. Long night shift cause emotionally taxing and physically
grueling.

8.  EFFECTS OF WORKPLACE STRESS AMONG NURSES ON VARIUOS
AREA
1. Patients Care.
2.Organization
3.Nurses Health
1.EFFECTS ON PATEINTS CARE:-
a. Negative Affect On Nurses Caring Behaviors
B. Chance Of Patients Safety Compromise
C. Diminished Quality Of Care
D. Increase Chance Of Mistake
2.EFFECTS ON ORGANISTION
A. Absenteeism of Nurses
B. Short And Long term Disabilities
C. Medication Expenses Related to Disease Treatment of Nurses
D. Workplace Accidents
E. Nurses Compensation Claims And Law suits

9. 3.EFFECTS OF WORKPLACE STRESS ON
NURSES HEALTH
A.SHORT TERM EFFECTS ON NURSES HEALTH:
Temporary Or Chronic Pain
Neck & Shoulder Pain
Tension Headache
Tachycardia
Hypertension
Increase Risk of Heart Attack, Stroke
Day Time Fatigue and
Sadness.

10. B. LONG TERM EFFECTS:-
COGNITIVE SYMPTOMS:-
 Memory problems
 Inability to concentrate
 Indecisions
 Seeing only negative side of
thought
 Fearful anticipation that something
bad will happen

11. PHYSICAL SYMPTOMS:-
 Headache &backache.
 Muscle tension & stiffness.
 Diarrhea or constipation.
 Dizziness, insomnia.
 Chest pain, rapid pulse.
 Weight gain or loss.
 Skin break out(hives, eczema)
 Frequent cold.

12. BEHAVIORAL SYMPTOMS:-
 Eating more or less.
 Sleeping too much or less.
 Isolating oneself from others.
 Procrastinating (holding work).
 Neglecting responsibility.
 Substance using to relax.
 Nail biting, pacing teeth.
 Overacting to unexpected
problems.
 Fight with others.

13. EMOTINAL SYMPTOMS:-
 Moodiness
 Restless
 Irritability
 Agitation
 short temper
 feeling tense
 inability to relax
 feeling of overwhelmed
 sense of loneliness or isolation
 depression

14. STRESS EXACERBATED THESE MEDICAL
CONDITION:-
Chronic pain,
Ulcers, Heart burn
High B.P
Diabetes
Migraine
Heart Disease
Asthma
Obesity
Anxiety, Depression, Eating Disorder
Substance Abuse

15.  MANAGEMENT OF WORKPLACE
STRESS AMONG NURSES
1.DEEP BREATHING EXCERCISES:-
They reduce stress and anxiety.
Improve lung functions, blood pressure.
Can be used at any time, anywhere to help
reduce stress symptoms.
Can be use 5-15 minuets for greater
benefits.
1. 4-7-8 TECHNIQUE:-
Breath in for 4 second with nose, hold for
seven and breath out for 8 through nose.

16. 2.BELLY BREATH:-
place one hand on belly and one
hand on chest, feeling the belly move &
chest remain still while breathing in through
the nose & out through the mouth.
3. BREATH FOCUS:-
use a picture or phrase to aid in
relaxation, such as picturing the air as
calmness
4.EQUAL TIME:- count the breaths in equal
time such as five second for inhaling and
exhaling

17. 5.MODIFIED LION BREATHING:-
breath in through the nose and out
through a wide open mouth with a “ha”
sound.
6.PROGRESSIVE MUSCLE RELAXATION:-
tense and relax muscle group in
succession while breath in and out.
7.MINDFULLNESS BREATHS:-
feel the breaths when in and out

18. 2 MEDITATION
 Calm thought & clearing out
unimportant information from the
mind.
 provide deep state of relaxation and
mental tranquility.
 increase patience & tolerance, reduce
negative emotion which can help
nurse to fight stress on job.
 increase self awareness.
 focus on the present.
 build stress management skills.

19. TYPES OF MEDITATION:-
1.GUIDED MEDITATION:-involve visualizing
images or situation to aid in relaxation.
2.MANTRA MEDITATION:-use calming words.
3.TAI CHI:-Chinese martial arts includes moving
through a gentle series of posture &
movements combined with deep breathing
3.YOGA :- series of posture and breathing
exercises designed to calm mind by focus on
balance and concentration.

20. 3. ENGAGING IN EXERCISE FOR STRESS MANAGEMENT:-
 Daily exercise make managing stress
easier for nurses.
 It is proved most proven stress relief
technique.
 It boost understanding & help to
release tension.
 It increase stamina to perform hard
work such as lifting patients or
routine task such as standing for long
time in OT.

21. 4. SLEEP FOR STRESS MANAGEMENT
Stress & sleep have a cyclical relationship,
stress cause sleep problems & insomnia can
intensify the stress, so by reducing stress
nurses can improve their sleep ,leading to
better performance in the workplace.

22. SLEEP ENHANCEMENT TECHNIQUES:-
 Practicing meditation before bed.
 Exercise two hour before bed time.
 Eating healthy food.
 Avoid caffeine late in a day or night.
 Establish consistent sleep schedules & bed time
routines.
 Improve comfort & reducing distraction in bed
room

23. STRESS REDUCTION AT WORKPLACE:-
 Taking short walks
 Doing chair exercises,
 Stretching exercises for neck and
upper body.
 Using stairs instead of elevators
 Performing squat during break time.

24. Other than duty time activity:-
 Attending an aerobics.
 Cycling classes.
 Lifting weight or completing workout
video at home.
 Walking or jogging
 Swimming.

25. 5.EXPLORING THERAPY FOR WORKPLACE STRESS
COGNITIVE THERAPY:- it change thought pattern
therapist help nurse in exploring their reaction to
situation and come up with method to revise these
pattern through psychotherapy
BEHAVIOUR THERAPY: it recreate stressful situation &
practicing techniques to cope with those situations, it
recognize negative thought pattern & improve
positive thinking

26. GROUP THERAPY:- allow individuals to discuss
issues with other in similar situations
RELAXATION TRAINING:-help clients to learn
relaxation techniques, breath training, guided
meditation sessions

27. SOME SPECIAL TECHNIQUES TO HANDLE
WORKPLACE STRESS
 Communication concisely & clearly.
 Maintain a healthy diet and exercise.
 Take time to recharge.
 Establish boundaries.
 Understand what can & can't be
controlled.
 Avoid alcohol.
 Focus on positive.

28.  Do something everyday that is enjoyable
 keep a sense of humor
 Do not control the uncontrollable
 Look for positive side of situation
 Learn for forgive
 Adapt to the stressor
 Express feeling rather than bottling up inside
 Be willing full to compromise
 Be more assertive
 Manage time better
SOME SPECIAL TECHNIQUES TO HANDLE
WORKPLACE STRESS CONTD.

29. Role of Senior Nursing officers
NURSING SCHEDULING
Using effective communication methods.
 Using solid staff support methods.
 Advocate for their nurses in problems.
 Create functional work routines.
 Create an effective & fair shift schedules.

30. COMMUNICATION:-have open line to communicate
regarding duty shift, SNO should take family or
school responsibility into account when assigning
shifts. Shift to be scheduled for in advance so
adjustment can be made without difficulty
PATIENTS NEEDS:-balance scheduling with patient
acuity level ,patients with complex care needs might
require certain skills levels in assigned nurses, SNO
need to be familiar with nursers skills set to ensure
the right assignments are made.
Role of Senior Nursing officers CONTD.

31. SHIFT TRADING:- means can change duty mutually
with one another
OVER TIME AVOIDANCE:-should only assign overtime
when necessary to help, avoid nurses burnout
Role of Senior Nursing officers CONTD.

32. RESPECT WORKLIFE BALANCE:-SNO and ANS
should support their team work, life balance
by refraining from after hours texts or what's
up messages
ENSURE MENTAL HEALTH BREAKS:-enforcing
policies that require all nurses to take regular
breaks through out their working day
CLEAR RESPONSIBILITY AND EXPECTATIONS:-
remove uncertainty from workplace by outline
expectations for each nurses.
Role of Senior Nursing officers CONTD.

33.  CREATE OPEN LINE TO COMMUNICATION:-ensure that all nurses on
the team know how & when they can voice feedback or share
concern
 BEING A ROLE MODEL:-they can help nurse by being role model
for self care
Holding workshop on workplace stress management
promoting nurses counseling helpline for any issues
holding regular meeting to address nurse wellbeing
give time to listen to individual concerns of nurses
Role of Senior Nursing officers CONTD.

34. THANKING YOU

35. BIBLIOGRAPHY
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2 This section adapted with permission from Occupational Health and Safety
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3 Statistical Bulletin 2000, Workcover NSW, www.workover.nsw.gov.au
4 Employee Assistance Programs: NSW Health Policy and Better Practice, NSW Health,
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6 Kirkenes, A & Grotowski, A (2001) “Living with an Implantable cardioverter
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