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?

Specializes in LTC, assisted living, med-surg, psych.
bassgrlbc said:
Right now I am on stress leave, for the first time in my life, and in my 26 years of nursing. I will be off for at least six weeks and possibly 3 months. Chronic understaffing of a very small unit, horizontal bullying, lack of respect from the management and health organization, having to work on most of our days off in order to keep things in a manageable position has just sucked all the energy out of me. I can no longer do what I love; which is to spend quality time providing nursing care to people who are in need of it. No.. I am expected to attend more and more meetings, fill out more and more paperwork and on and on it goes. The patient doesn't seem to be the centre of care any longer; the almighty dollar does and that is sad. I can't even go on the same block as my workplace without having an anxiety attack, I have to limit my social outings to places where I hope nobody asks me about work because I just want to vomit and I get chest pain. It is not good. I removed myself from the situation and I will not return until I am feeling a whole lot better; if the situation remains as it currently is in the workplace I won't be able to be a nurse in my community any more which is sad to me.

Something similar happened to me a year and a half ago for many of the same reasons, and sad to say, my career never recovered. I did have some mental health issues that factored in, but I got to that breaking point and had to go out on medical leave. I was only out three weeks; it probably should've been three months, because I was a wreck. I almost had to be hospitalized.

When I went back, it was with a short list of accommodations my doctor recommended so I could perform my job. The company flat out said they could not make those accommodations for me; they also told me that since I was seen as unstable, I would have to be closely monitored by the corporate nurse to make sure I was doing my job. This only made my stress and anxiety worse, and when I said I couldn't work like that I was fired.

In retrospect it was probably for the best, but it torpedoed my career. It doesn't have to be that way for you, though. Take the time you need, get all the therapy you can, learn coping skills, and allow yourself to relax. It may be that you would do fine in another type of nursing, but as you said it's become all about the money and how much work the employer can wring out of a nurse in a given day. I hope you can find a better resolution than I did. Best of luck.

Specializes in ICU,ER,med-Surg,Geri,Correctional.

Try and find a hobby you love as much as nursing, let them compete, then let the hobby win on your time off!

Little update: After being on stress leave from my nursing position for nearly two months, out of the blue I was offered a job in a non-nursing role (doing dental reception for a private clinic) and I jumped off the cliff and took the job. It is for less pay, less responsibility,my stress level has dropped off the radar and I feel like a million dollars! Once I made the decision to leave the relief that came over me was tremendous and I knew I had made the right decision for me. I get an hour for lunch EVERY day; it is a novelty to actually get to eat lunch, take my time to eat and not have to do while I am charting! I leave on time, don't have to stay late and don't have to worry about budgets, staffing, people not showing up for work, etc, etc. I feel free :)

There is really such a thing as "stress leave"?????

Well there was in my case. I was put on medical leave for "symptoms of post traumatic stress resulting from chronic exposure to stressful working conditions". I am still having some of the symptoms, to a much lesser degree and continue to work on mindfulness and de-stressing techniques but choosing to leave my nursing career and do something different has helped a great deal.

I've gotten away from a lot of stress, by changing jobs. I'm now a school nurse, but my supervisor and RN consultant still cause stress.

Specializes in Family Practice, Med-Surg.

Nurses Coping With Stress

I left my full time job as a Family Practice Nurse Practitioner exactly a year ago. I found there is no such thing as work life balance. It is a myth. Large health care corporations are only interested in how much money you can make for them, how many patients you can see in a day, and how much you can charge for a visit. Narcotics and antibiotics should not be prescribed inappropriately, but many patient complaints and low patient satisfaction scores are a result of not prescribing an antibiotic for a cold or turning down a drug seeker. And as great as EMR's are, it takes a lot longer than dictation. Many patients feel that their firmly held medical belief based on careful Internet research and TV personalities is just as valid as the medical advice given by me.

I left hospital nursing 21 years ago, feeling that it would be safer to see one patient at a time rather than being in charge of a floor. For the most part it was true. Short staffing was a fact of life then, as I understand it is now. One time I actually got stuck under a patient. I was removing a bedpan from under a very large woman by myself, and she rolled back onto my arms, trapping me. I was waiting for the pm shift to come in early. I had no choice but to inch my arms out, hoping I did not damage her fragile skin.

Currently, I have the perfect job. I do online convenience care from home, and work per diem, only when I want to. Don't get many hours, but hey, you can't have everything!

Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.

I'm trying, with baby steps albeit, to use exercise as a way to relieve stress. I do things that make me sweat and make me feel proud of myself, like lifting heavy weights or running. I do feel a lot better afterwards.

I was super stressed today, not about work but about school and I did not want to run. But I dragged my behind out of the house and ran and ran for 6 miles non stop. I surely felt better during and after my run than I did before hand.

If only I could muster up the commitment to do this daily!

Specializes in peds, allergy-asthma, ob/gyn office.

Regarding bassgrl's move to a dental reception job:

This is exactly the sort of role I am looking for. Nearly three months after leaving my dysfunctional clinic job... which completely burned me out.... My husband's company eliminated ALL overtime. I got a lead on a clinic job that is asking for "someone to help with paper work and maybe help the nurse." The thing is... I don't want to help the nurse, except maybe get a set of vitals or room people. I don't want give shots, track lab results, be the nurse when the real nurse is out. Any tips on communicating that in a positive way?

Every 6 months, I take a girls trip with my bestie who is an ER provider. This in a requirement to refresh our souls and revive our spirits.

OMG this is me some days! I've perfected the "you're not a problem" smile for the patient who rings their call light the second their pain med is due (10 minutes early really) every two hours. Oh you must think I'm a pain. Me...nooooooo not at all. Staffing or lack of. Do you want to be a nurse or two down and we're taking your tech to be a PRN sitter somewhere else...where they proceed to never sit but tech. Sigh.

Specializes in ICU,ER,med-Surg,Geri,Correctional.

We all go through this in our career. Its the time when we try to completely disengage our job and profession on our time off. No talking about it, no reading about it, if you are pursuing an opportunity related like in class ,or studying for a cert, working on your ladder. Perhaps its the time to take a break. Most of all get a hobby non related and immerse yourself for a while. This is a very demanding job, physical, spiritually and emotionally and so easy to get burn our or worse empathetically challenged . Its hard to relate to other folks unless they are in the same field. We change lives, We save lives, thats a real heavy responsibility. We should never take our special gifts lightly.