Facing the challenges of today’s workplace discusses the realities nurses face and strategies to overcome challenges. It outlines Benner's levels of nursing competence from novice to expert. Nurses may experience reality shock when they realize their education did not fully prepare them for practice. Over time, nurses can experience burnout due to chronic stress, which causes physical and psychological symptoms. Workplace safety hazards include inadequate staffing, infections, hazardous chemicals, and ergonomic issues. Discrimination and harassment such as racial discrimination, sexual harassment, disruptive behaviors, and violence remain problems nurses face.

1. Facing the
challenges of
today’s workplaceDone by:
Maha AlDalhami
Ruwaiya AlNofli
Safa AlMaawali
Sheikha AlNahdi

2. Moving from “Novice to
Expert”

3. Novice
Advanced
beginner
competent proficient Expert
Benner’s Level of Function

4. Helping
role
Teaching
coaching
role
Diagnostic
and
monitoring
role
Responding to
changing
situation
Administering
and monitoring
the therapeutic
interventions
and regimens
Leadership
and
management
role
Benner’s
Roles

5. Reality
Shock

6. Reality shock
Effects:
• Feeling of
depression
• Anger toward the
system
• Leave nursing
altogether
• Searching for
perfect place to
practice perfect
nursing as it was
learned
Causes:
• Education program
did not adequately
prepared for what
expected
• Less experience
• No time to provide
same time of care
you gave as student

7. Reality shock solutions
Self-appraisal
and personal
development
Evaluating
employers
Preceptors,
coaches,
mentors
Peer support
groups

8. Burnout

9. Burnout
• Form of chronic stress related to one’s job.
• Can occur to individuals in any occupation.
• This problem arises after you have been in
practice for a period of time.
• Can identified by feeling of hopelessness,
powerlessness and ↓ ability to function.
• Occur more frequently in nurses who work
stressful areas of nursing.

10. Symptoms Of Burnout
• Include both physical changes and psychological
distress.
• Exhaustion, fatigue, frequent colds, headache,
backache, insomnia.
• General disinterest In the job and dreading going
to work.
• There may be changes in disposition.
• experience ↓ ability to solve problems and make
decisions.
• Feeling of guilt, anger, depression.

11. Causes Of Burnout
• Nurses believe they are responsible for all
people, as the responsibilities↑, the stress
level↑.
• Practicing nursing in areas that have high
mortality rates.
• Inadequately staffed instituations.

12. Preventing And Managing Burnout
• Paying attention to your physical health is
important preventive measure.
• Not to subject yourself to excessive changes
over short periods of time.
• Avoid carrying the stress of the workplace into
your private life.
• Rotating out of high stress area when you first
identify that you are beginning to burnout.
• Focus on positive aspects of nursing.

13. • Institution-wide stress-reduction effort.
• Employers can offer resources to prevent and
manage burnout, having adequate staff and
support for taking days off and vacation time.
• It helpful to have counselor available for nurses to
be someone how understands and assist the
nurses in coping with stress.
• Establishing group discussions to share feelings.
• Giving nurses more control over their own
practice: Flexible scheduling, volunteering for
specific assignments and participating in
committees that determine policies and
procedures.

14. Workplace safety and
health for nursing

15. Workplace safety and health for nursing
• Same hospital employ an occupational
health nurse to examine the working
environment and use employment practices
to promote health and safety on the job.
• Personal awareness and commitment to
change by each nurse in essential to
correcting occupational hazards.

16. 1. Nursing staffing levels
• Inadequate staffing contributes to burnout
and increase rate of error.
• Higher proportion of hours of registered
nursing care per day are available , there are
positive patient outcomes and cost-savings to
the system.

17. 2. Infection as an occupational hazard
• The presence of resistant organisms cause
extra concern and make treatment difficult.
• The hidden danger for the nurse lies with the
patient who have not been diagnosed as
having an infection.

18. • Employer action toward preventing blood-
born diseases :
1. Provision sharps containers.
2. Provision of gloves and protective eyewear.
• More attention is now being given to
designing needles and other sharp device in
way that prevent needle stick injures.
• It’s your responsibility to use the very best
techniques for self-protection , including
diligent attention to hand hygiene .

19. 3. Hazardous chemical agents
• Nurses who work in sittings where such agents
prepared and administered should seek
additional education.
• Employers maintain a list of chemicals used in
work environment, along with their effects
and appropriate treatment if individual
accidental exposed to them.

20. 4. Ergonomic hazards in the workplace
• Ergonomic : the science of fitting a take to
one’s physical characteristics in order to
enhance safety, efficiency, and well-being.
• Some institutions provide instruction in lifting
, transfer, posture ,body mechanics and other
back-saving strategies to help prevent
musculoskeletal stress and injury.

21. • ANA emphasized that no safe way to lift and
transfer dependent patient. So, they advocate
a “no lift policy”
• Who at long periods computer work stations
are subject to back, neck, wrist and hand
strain.

22. Worker
compensation

23. Worker compensation
If the people believe that they have a work-related injury
or illness, follow the policy and procedures prescribed by
their facility or by state regulation. This includes reporting
the injury as soon as possible after it happens. In most
institutions, this is done on an incident report or quality
assurance report. A common error is to delay reporting in
the belief that you should report something only if you
know it will be serious or require medical care. By the
time it may be much more difficult to prove that the
problem was work related.
Employers may seek to have worker compensation claims
disallowed to limit their financial liability.

24. Discrimination in Nursing
Discrimination: relates to treating others differently
based on stereotype about groups of people.
Discrimination may occur regarding racial or ethnic
background , gender or sex, sexual orientation and age.
Racial/ Ethnic Discrimination: remain problems in society
as a whole , and unfortunately healthcare systems are not
immune to these problems. Although there are
indications that nurses have moved into greater
acceptance of all individuals in advance of some other
portions of society, concerns about discrimination
remain.

25. Con…
Discrimination Against Men: Men in nursing also have expressed concern
about discrimination. Their concern is related to being allowed to practice in
all area of nursing and being accepted within the profession.
Sexual harassment , disruptive behavior ,and violence are often discussed
together because they may be rooted in the same issues of the abuse of
power.
Sexual Harassment: is grouped into two sets of behavior. The first is the
creation of a hostile work environment through behavior of a sexual nature.
This type of sexual harassment may take the form of comments about an
individual body, persistent unwanted attempts to initiate a personal
relationship , the ongoing use of suggestive or obscene language, unwanted
touching, or direct sexual advances. Another type of sexual harassment is
called quid proquo. This involves the explicit offer of job-related benefits
(working conditions, salary, or even simply the benefit of remaining
employed) in return for sexual favors.

26. Con..
Disruptive Behavior: which includes incivility , verbal abuse ,
and bullying may occur in any setting. In effort to increase
retention of nurses, hospital have begun asking why nurses
leave specific hospitals and nursing altogether. The most
frequently type of disruptive behavior was verbal abuse such
as yelling or raised voices, disrespect , berating colleagues,
berating patients, and use of abusive language. Nonverbal
behaviors such as eye-rolling, giving a cold shoulder,
instituting the silent treatment.
Violence in the workplace: most nursing students think of
hospitals as places where victims of violence are
helped.Rarely do they think of themselves as potential victims
of violence in their own workplace.
To get more information please referred to pages 519-526

27. Thank
you