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STRESS MANAGEMENT Dhanya K Chandran
II MSc Nursing
STRESS
Job stress can be defined as the harmful physical and
emotional responses that occur when the requirements
of the job do not match the capabilities, resources, or
needs of the worker. Job stress can lead to poor health
and even injury.“
U S N I O S H
STRESSOR
• Stressor is any person or situation that produces
anxiety response to the body.
• A stressor is a chemical or biological agent,
environmental condition, external stimulus or an event
that causes stress to an individual
SOURCES OF STRESS
• Pace / variety / meaningfulness of work
• Workload (overload and under load)
• Role conflict (conflicting job demands,
multiple supervisors/managers)
• Career development opportunities
• Role ambiguity (lack of clarity about
responsibilities, expectations
JOB STRESS
Occupational or job stress is defined as a tension
arising in a person that is related to the
demands
of the persons role or job (McVicar, 2003)
KINDS OF STRESSORS
External stressors:
- Physical environment
- Social interaction with
people
- Life events which you
have no control over
(death in the family)
• Internal stressors:
- Personal lifestyle choice
- Personality traits
- Individual thought process
(negative, over analyzing,
etc.)
TYPES OF STRESS
Eustress
Distress
EUSTRESS
• Eustress is the positive stress that
stimulates a person to function better.
This is called as friendly stress or positive
stress.
• It has a good influence on human in terms
of physical and mental ability.
• Distress is a negative stress that may cause illness. This is
also called as harmful stress.
• Negative stress could be also described as a burning out
• It is a contributory factor in minor condition such as
headaches, insomnia, ulcers, etc
CLASSIFICATION OF STRESS
• Short term (acute) stress
• Long term (chronic) stress
SHORT TERM (ACUTE) STRESS
• Acute stress is the reaction to an
immediate threat, commonly
known as fight or flight response.
• The threat can be any situation
that is experienced, even
subconsciously or falsely as a
danger.
• Common acute stress includes
noise, crowding, isolation,
hunger, danger, infection
LONG TERM (CHRONIC) STRESS
 In day to day life persons faces different
stressful situations, which are not
short, lived.
 The stress becomes chronic when an
individual tries to suppress it.
STAGES OF STRESS
THE ALARM REACTION STAGE:
• Alarm is the first stag.
• When the stressor is identified or realized,
the body’s stress response is a state of alarm.
• During this stage, adrenaline will be
produced in order to bring about the fight or
flight responses.
STAGE OF RESISTANCE
• Resistance is the second stage.
• If the stressor persist, it become necessary to
attempt some means of coping with the
stress
• Although the body begins to try to adapt to
the strains or demands of the environment,
the body cannot keep this up indefinitely, so
its resources are gradually depleted.
STAGE OF EXHAUSTION
• Exhaustion is the third stage and final
stage in the GAS model.
• At this point, all the body’s resources are
eventually depleted and body is unable to
maintain normal function.
• If stage three is extended, long term
damage may result as the capacity of
gland, specially the adrenal gland.
STRESS MANAGEMENT
Stress management involves the use of
the coping strategies in response to
stressful situations. Coping strategies
are adaptive when they protect the
individual from harm or strengthen the
individual’s ability to meet challenging
situation.
Begin practicing relaxation techniques
like,
 Meditation
 Deep breathing exercises,-
 Progressive muscles relaxation
STRATEGIES OF COPING WITH STRESS
Awareness
Get
organized
Visualize
the best
outcome
Don’t
postpone
action
Be realistic
Sleep,
eat,
exercise
RELAXATION TECHNIQUES
 Going to walk
 Meeting with friends
 Reading for pleasure
 Listening to music
 Taking a bath.
DEEP BREATHING EXERCISES
PROGRESSIVE MUSCLES RELAXATION
NURSE MANAGER’S ROLE IN STRESS
MANAGEMENT
• Ensure that the workload is in line with
nurses’ capabilities and resources.
• Clearly define the nurse’s role and
responsibility.
• Planned orientation programmes for the
newly joined staff.
• Give nurses the opportunities to
participate in decision making and
actions in patients care.
• Improve the communications and
provide
• supportive environment
• Provide opportunities for social
interaction among the nurses.
• Organize group meeting to solve
the problems
CONCLUSION
Stress management