Chapter 8: Managing Stress and Strategies for Self-Care Flashcards
pervasive stressors
exposure to tragedy and loss, relentlessly urgent action, constant change, information overload, and overwhelming workloads
self-care includes
adequate rest, exercise, good nutrition, positive relationships, stress management, an ability to reflect and learn, and time for fun
well-documented causes of job stress
- Absenteeism
- Costly staff turnover
- Medication errors
- Horizontal violence
physical demands of nursing
- Heavy lifting, bending, walking, and standing for prolonged hours
- Significant manual dexterity (e.g., for measuring medication)
- Working in poor light to avoid waking up sleeping patients
burnout
emotional exhaustion, depersonalization, and reduced personal accomplishment
compassion fatigue
A form of burnout associated with the relationships that nurses have with patients and families
caretaking
Arises when helping others is a compulsion that is
consciously or subconsciously connected to meeting one’s own needs; codependence is generally associated with caretaking
cognitive demands
Involves the organizing, prioritizing, and decision-making involved in patient care
cognitive stacking
Tasks must be completed under varying amounts of uncertainty, frequent interruptions, and constantly shifting priorities
The ability for RNs to stack effectively requires…
sophisticated clinical knowledge and judgment, situational awareness, and consideration of potential ramifications.
tools nurses must use to counteract the ongoing stress of cognitive stacking
Confidence, mindfulness, experience, knowledge, and clinical reasoning
To combat stress, nurses must identify…
feelings of anxiety, fatigue, or excessive stress, and ask for help, set limits, and delegate tasks.
what is GRRR?
Greeting, Respectful listening, Reviewing, Recommending or Requesting, and Rewarding
what structured communication patterns (acronyms) can be used to destress?
GRRR and SBAR
