Help....I Can't Take it Anymore! - Nurses Coping with Stress

Do you have those days when the stress of your job just makes you want to scream?? Maybe you do scream....but hopefully not at your co-workers....and certainly not at your patients. But what do you do. Nurses Stress 101 Article Video

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We all know that nursing is a stressful profession. We don't own the market on stressful jobs. But the source of our job stresses come from a different source that may elevate us higher up the ladder. The consequences of us missing a deadline can be much greater than a business person who misses a deadline with a report. We are dealing with human lives.

We may forget the various levels of stress that nursing places on our bodies. Physically, our job can be very demanding with stresses placed on our muscles, resulting in various aches and pains. Mentally, we have to be on our toes, constantly alert, as we go through our day of multitasking......administering medications, caring for patients of different acuity levels, addressing questions from patients and families, etc. We feel the emotional impact of stress as we are continuously working in an environment where there is pain and sadness.

Sure there are other parts of our jobs that cause stress.......schedules, salaries, bosses, co-workers, etc. But, when you think about it.....the bottom line is the patient.....a human being. Providing competent and compassionate care to PEOPLE is at the very heart of nursing. The inability to do this in a manner that meets our personal and professional criteria is at the base of much of our stress.

Stress is pretty much a constant thing in our lives. Although stress usually carries a negative connotation, some stress is actually good, propelling us into positive action. Think about the stress of a code. I think you would agree that a code places stress on the body. However this stress....the fight or flight response.... actually forces us into action to try to save a life.

Let's continue to look at the code as our example. You know how you feel after the code. Your body is still in the fight mode. You are still in high gear. But what happens if the code is unsuccessful, or if you know the patient's outcome is very precarious. What if you are the one who has to deal with the family members. No one looks forward to that stressful situation. But, as professionals, we do our job and face the family.

Let's look at other stresses in our jobs. Staffing shortages are a major stressor these days. And what about changes in technology? You've just gotten used to one piece of technology, when someone (usually not a healthcare professional) decides to "upgrade". We could go on and on with this list. But these stresses interfere with our productivity, and negatively affect the level of care provided to the patient. And that causes inner turmoil as we feel the emotional strain of not being able to meet our own criteria as a professional.

Nurses are great at dealing with the stresses that come along. There is the belief that nurses should be able to cope with anything that comes along in their personal or professional domains. That comes with our nursing degree.....right?????? After all.....nurses are super humans.

This type of belief puts nurses in a box and makes it difficult for them to admit they are stressed to the max. Even though our friends and relatives who know us well try to tell us to "take care of ourselves", we try to carry on. We keep on until we get to the point where we want to scream......"I can't take it anymore!!!"

Nurses need to realize that showing signs of stress is only normal. Nurse are, after all, part of the human race. There are limits to the amount of pressures we should be expected to endure. Admitting to being stressed does not mean that we are not coping. Just the opposite. When we realize our limitations, we can then start to look for better ways to cope more effectively with our stressors. If we can take care of ourselves, we will be better able to care for others.

Have you gotten to the point where you just want to scream?

What are the major stressors in your job?

What are some effective ways you have found to deal with these stresses?

Roxy518 said:
Thank u everyone for your responses it gives me some hope as I eat my dinner during this awful night...I've not been here about 4 months n the big difference I see working nights is the helping of nurses with one another...there's such a lack of this here and my unit is always short staffed..sometimes 4 nurses to the entire unit because census is low but then we are bombarded with admissions...I try to do the best I can and I ask questions but I'm starting to see some nurses get annoyed when I ask questions and I'm starting to see who the gossipy ones are n how obvious they make it when they talk about u when you are sitting feet away...I do exercise a lot out of work and have my phone off but the anxiety still builds each time I have to work...I wonder very frequently if this is in fact for me....day shift staff is a lot more helpful with one another...thank u for listening to my rambling everyone I have all these emotions as I sit back in my break room n needed to let this out...

You are not in a healthy work environment. You don't deserve to be there. Try another workplace or only working days. Nobody should feel anxious just because they have to work that day/night!

Specializes in Certified Med/Surg tele, and other stuff.
TriciaJ said:
You're right. Until we find more ways to empower ourselves, we will suffer. I was cynically seeing the journal articles as preaching to people who aren't in much position to change things. At the same time, I was frustrated with nurses who refuse to speak up for themselves.

So you're right; if nurses' mindset can start changing for real, maybe we will finally start empowering ourselves. Thanks for the better perspective.

Actually those journals are aimed at the exact people that need to read them. The floor nurse who can change the world IF they banded together.

Nurses DO need to speak of and if we don't, we really have no one to blame but ourselves. Nobody else is going to fix burnout for us. I'm constantly harping, preaching, begging and a HUGE proponent of combating compassion fatigue and burnout and I challenge nurses to better themselves educationally on the subject matter. I put myself on the negotiating team at work to push back at management. If more nurses empowered themselves, we would do amazing things.

Specializes in Certified Med/Surg tele, and other stuff.
rntravlon said:
Our hospital - a level 1 trauma center - is trying to become a magnet hospital with a goal of 100% BSN nurses. In the ED on nights we are chronically understaffed , stressful in itself but some of the new hires have no critical care or ED experience. To manage stress I keep work and home well separated.

What did they do with the ADN nurses?

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
tokmom said:
Actually those journals are aimed at the exact people that need to read them. The floor nurse who can change the world IF they banded together.

Nurses DO need to speak of and if we don't, we really have no one to blame but ourselves. Nobody else is going to fix burnout for us. I'm constantly harping, preaching, begging and a HUGE proponent of combating compassion fatigue and burnout and I challenge nurses to better themselves educationally on the subject matter. I put myself on the negotiating team at work to push back at management. If more nurses empowered themselves, we would do amazing things.

In my previous jobs I did a lot of harping and preaching as well. I was a union rep and really worked at helping nurses advocate for themselves. What an uphill battle! There was the supernurse "Oh, I'm okay; I don't need a break", the victim "Wah! Why are they allowed to pick on us?" the brown-noser "Oh, we're so over budget!" the marshmallow "I had to come in on my day off because they really want these educational modules completed".

Maybe some of the journal material will eventually sink in. Let's keep our fingers crossed.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
tokmom said:
What did they do with the ADN nurses?

Give them a deadline to complete their degrees or be shown the door. (Me, I'd call their bluff, but I don't have kids, student loans or a mortgage; they have younger nurses over a barrel.)

REPLY TO LUMBARPAIN: This is lateral violence and is a toxic work environment. In addition to the negative effect on your psyche and body, the patient's are receiving inferior care as a result of his behavior.

He must be reported and dealt with. Your duty is to advocate for your patients and get this guy either to change or removed. Remember your pts are suffering from his behavior; if the powers that be don't care about their nurses, perhaps pts. getting inferior care will tweak them?

Either way, most facilities now have the equivalent of something called an "abusive physician" policy and it is up to us to make use of it. You must be proactive on this for it won't change. You will be glad you did when it is all over. I saw it work in my OR 5 years ago and the MD actually was escorted to our staff mtg and apologized in front of all.

Another route may be you institutions lawyer. This is negligent and incompetent behavior. Start a paper trail/descriptions of details and get the ball moving on this jerk.

I feel the same way too.I am a nurse at hospital and I have a lot of stress in my work because I am new in this hospital but I try to war with it .Deep breathing is useful in conquest stress and truth to GOD is important too.:nurse:

Don't think the institusion care about u. U need to take care of yourself.

Don't think the institusion care about u. U need to take care of yourself.

Vacation and drinks , and rest

Specializes in Psych, LTC/SNF, Rehab, Corrections.

shrug

Whatever poster said that detachment is necessary wasn't lying.

I function well and do my job. I've been called a 'kind' and 'caring' nurse.

I hate nursing. I am in the WRONG profession and, to be totally honest, I think those nurses who are mostly in it for the money have the right idea. Never thought I'd say such a thing. Then again, I never worked on the nursing side of healthcare until 2 years ago. Nurses that I know seem to spend the bulk of their energy 'putting up' with things.

"Try another avenue. A different speciality. Quit."

Where's there to go, though? Where is "different"? I work PRNs and everyone's understaffed and holding shifts together.

Currently, I've got one PRN facility falsifying docs and the DON telling me/us to lie about our certs to the state examiner. I didn't even know what to say and I was deeply confused when I was questioned by the examiner.

We're getting cursed/assaulted by pts at another PRN.

...and I've got the blatant nepotism and fraternization going on at my main job AND, unfortunately, we've got another 'short-bus' new grad RN (in addition to the nepotist occupying a spot in management) and all they do is 'delegate' their work to LVNs when they work the floor. I don't know why they're so flippin' slow on the floor but I've come to think it's purposeful. Don't want to do your blood sugars? Get the LVN to do them. Don't want to finish your admit? Don't. Screw it - don't even chart on the pt. Just pass it on the next shift of LVNs. Don't know how to do TOs? Twiddle your thumbs until the oncoming LVN gets in and get them to do it.

These stupid h**s don't know how to do anything because they're constantly trying to pass things off. It's so frequent, I've come to wonder if I'll hit that class in my bridge program, i.e., "Work Smarter: Pawning off Work & Other Time-Saving Strategies for RNs".

I was trying to give report to the nepotist RN who was relieving me and huffing/puffing about it all the while. She was on the phone and I was just like, "Whatever...." It was a long shift. I was tired. My notes were in 24 hour report so if she wanted to ignore what I said? Whatever. I didn't even have the energy to care. I just continued talking and checking rooms. Trying to get through it. I haven't forgiven this hag since she stiffed our shift on the med cart, to be honest. Never will. She's a ****-poor manager and she can screw off.

So, we get to the end of the hall and this dizzy heaux says with a smile, "Okay, can you start over. I'm sorry. I didn't get that."

You know, the most hilarious thing about this entire story -- besides her thinking that she could pull rank and remain verbally unscathed because I'm 'just an LVN' -- she seriously believed that I was going to shrug it off with an enthusiastic, "Okay!" and do another walk-round with her.

I did not curse (in the initial exchange) but I said my piece, left her staring after me in the hallway, slapped the keys on the cart and prepared to leave. She was sputtering and actually threatened me with a write up. I whirled around, "Write me up? Oh, you're gonna write me up? How about - I write you UP! Let yo' people know where phone calls and reports rank on your priority list. Will you even be doing any of your own work tonight, you lazy hag?"

HER: "I - excuse me---!"

We wrote each other up. She was reprimanded. I rec'vd a 'talking to' for calling her a "lazy hag" and a "damned dingbat".

I'd do it again. Knowing her, I will have to and, if there's a god, the final confrontation will erupt in the break-room where I can speak without filter.

Is this what a nursing career entails? Not even in the military did I have to assert myself so forcefully to rec'v basic respect. I have to be downright aggressive with some of these personalities. They're rude for no reason and abuse their positions for the hell of it.

I've thought about advanced practice as an escape route but I don't want to have to deal with more weirdness to reach this goal. Is it even worth it?

Specializes in Psych, LTC/SNF, Rehab, Corrections.

I handle nursing by 'detaching'.

I talk about my work situations with friends who find these interactions hilarious.

I don't think about nursing when I'm not there. I think about the money that I'm going to earn as RN. Keeps me going.

I also work out.