Literature Review For Nursing Stress Interventions

Stress is a well-known and identified problem withinmoment without judgment (Cohen-Katz et al., 2005).
the nursing profession. According to Atkinson stressThe study measured levels of burnout, emotional
occurs when one is faced with events or encountersexhaustion, emotional overextension and
that they perceive as an endangerment to theirpsychological distress.
physical or psychological well being (as sited inThis particular intervention program not only
McGowan, 2001). Additionally stress levels will increasedecreased the stress level post treatment but the
when controllability and predictability in a situationcontrol group also experienced a benefit prior to
decrease. There is an inverse relationship betweentreatment while waiting for the program. This could
stress and job satisfaction, as stress goes up, jobbe related to the desire to reduce stress in
satisfaction falls. As a result this increased stressanticipation of participating in the program. This
could commonly results in decreased job satisfactionfurther support the need nurses have to make
and decreased quality of life. This could potentiallychanges for the better by decreasing stress levels.
contribute to nurses leaving the profession and as anThis MBSR study again found a reduction in emotional
end consequence, account for the current nursingexhaustion and an increased feeling of personal
shortage.accomplishment in the treatment group post
The cause of stress for nurses has found to beintervention. Furthermore these effects led to a
related to the nature of the profession. Included indecrease in stress that had a lasting affect over a
these stressors are an intense work environmentthree-month period. This validates the positive
with extended work hours, weekends, night andeffects of the use of this intervention in the
holidays. According to Ruggiero (2003) stress couldreduction of stress.
be related to variables of shift work, which is bothA third positive interactive intervention study was a
physically and mentally taxing. This study also foundprogram, which offered a conflict-management
varying degrees of depression in nurses ranging fromtraining class in order to decrease potential stress for
mild to severe. Finally this study revealed that nursesemployees in health care organizations. This particular
were indifferent and disconnected to the job bystudy also supported the need to offer a way to
feeling neither satisfied or unsatisfied with the work.prevent or decrease stress by creating a positive
Results such as these expose how large a problemenvironment through personal empowerment. There
stress is for the profession of nursing.was a significant reduction pretest and posttest in
Factors of the intense emotional support that isrole overload, interpersonal strain, role boundaries and
needed for the patient and family is yet anotherpsychological strain. The participants reported that
burden of stress placed on nurse. In addition,they were better able to find balance in their position
exposures to pain, suffering and traumatic life eventsand were able to manage the demands of their job
that the nurse experience on a daily basis can(Haraway & Haraway, 2005). These findings
contribute to stress (Cohen-Katz, Capuano, Baker,confirm the need to make available even brief
& Shapiro, 2005). These concerns can lead tointerventions such as this in an effort to reduce
emotional exhaustion for nurses.conflict. This could in turn reduce stress and increase
The lack of organizational support and involvement,perceived control and empowerment, which increases
which are outside of the control of nurses canjob satisfaction. Furthermore this would improve
greatly affect job satisfaction (McGowan, 2001).work environment by making it more supportive
There is also a lack of control and power in anAll of these programs discussed, offered intervention
environment predominantly controlled by physicians.for at least one aspect of possible stress factors.
These stressors can contribute to psychologicalReducing physical or emotional stress and offering
exhaustion and increased stress.more control and empowerment while creating a
Consequently this leads to the question of whatmore positive working environment are all successful
supportive interventions have been implemented forinterventions to increase job satisfaction.
nurse, to decrease their stress thereby increasingConsequently increased job satisfaction leads to
their coping mechanisms. Would the availability ofdecreased stress. The results of this study suggest a
stress reducing programs contribute to copingstrong link was identified between the two issues
mechanism and increase job satisfaction? Additionally(Ruggiero, 2003).
how effective are these interventions?There is a common thread within all these
In my initial search for stress interventions Iinterventions. They are available and effective
encountered many studies located in the Ovidinterventions that can be implemented to become a
database that site stress in nursing and other relatedpart of nursing practice and other health care
health care field. Key words such as stressworkers in many different health care settings. These
management, burnout, job satisfaction, nursingactual structured group interventions could be more
retention, quality of life, environment and alternativeeffective to create a decrease in stress individually.
therapies were utilized for this search. These studiesPrograms such as these have a proven value and are
revealed definitions of stress and countless anda simple easy and relatively inexpensive intervention.
various causes and explanations for the stressOffering them to nurses and other health care
experienced by nurses and other health careemployees could be considered a preventative
workers.measure for potential stress.
There were comparative studies between differentIn addition these findings substantiate the need for
nursing backgrounds and environment. For exampleregular stress reduction programs to be offered
medical-surgical nursing verses home-health nursingthrough hospitals and other medical employment
(Salmond & Ropis, 2005), which examined andorganizations. The use of these and similar programs
compared the differences in both backgrounds.provide a far reaching benefit for the nursing
Ultimately it found both areas of practice had theirprofession. Anticipatory measures for the reduction
own version of stress and it identified commonof stress can increase job satisfaction, potentially
stressors. Unfortunately no concrete measures wereincrease nursing retention. Goals for these programs
utilized to combat the problemcould include guidance in the stress management
There were also illustrations comparing differenttechniques, increase social support, open
styles of management and how nursing stress iscommunication, role strengthening and empowerment
affected. Magnet organizations were compared withand individual growth to fully utilize positive
traditional organization (Upenieks, 2003). The resultsinterventions (Cohen-Katz et al., 2005).
of this particular study did prove that positive andFuture studies in programs for stress intervention
supportive administration could make a difference inshould include additional similar studies offered to a
the levels of stress but again no specific stresslarger sample with long term and ongoing evaluations
intervention measures were usedof their effectiveness. Consideration of other
There is a clear recognition and acknowledgement ofalternative adjunct intervention therapies that assist
the problem of stress in nursing but there is ain stress reduction could be examined such as yoga
significant lack of information that actually addressedand mediation. The use of these physically and
the problem with potential positive interventions. Theemotionally stress-reducing techniques may also be
few studies discovered were all found to showeffective in stress lessening and coping measures
positive results to some degree. These findingsincreasing.
support the positive outcome that the initiation ofIt is my hope that in the future interventions to
actual stress interventions or programs within theprevent stress in nurses and health care workers will
workplace can offer.be offered as a standard part of a benefit package
The first study used the physical intervention ofwithin all health care organizations. Stress prevention
massage therapy over a 5 week period for nurses incan be a win-win situation where everyone will
a hospital facility (Bost & Wallis, 2006). Thisbenefit. Nurses will have decreased stress and
intervention was identified to reduce stress as well asincreased coping mechanism, which will increase job
support nurses individually and organizationally. Thesatisfaction. This could lead to increased nurse
effects measured were physical and psychological.retention. Subsequently as result of this contentment
The study found no change in the physical findings ofand increased quality of life the nurse will be a
blood pressure and urinary cortisol levels, howeversuperior employee and better able to provide care
there was decrease in the State-Trait Anxietyfor themselves and their patients.
Inventory (STAI) in the treatment group comparedReferences
to the control group. Although there was no physicalBormann, J. E., Becker, S., Gershwin, M., Kelly, A.,
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effects of stress. These results suggest that offeringof frequent mantram repetition to emotional and
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The other interventions researched involved a moreBost, N., & Wallis, M. (2006). The effectiveness
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