Overcoming Decision Fatigue to Reduce Nurse Stress
Stress is often an expected byproduct of working in healthcare. While many facets of the healthcare profession are inherently stressful, there are ways to mitigate additional stress. When a career is laden with stress, creating routines can reduce stress by decreasing decisions.
Several statistics estimate that people make an average of 35,000 decisions every day (Hoomans, 2015). It's that incredible number of decisions in a day that makes the theory of "decision fatigue" all the more reasonable (Tierney, 2011). Decision fatigue is the idea that people are only capable of making a certain number of decisions in a day. In healthcare, making decisions is a constant battle because when medication time begins, a patient's call bell dings, then a bed alarm sounds, and then a code is called.
Creating routines is meant to reduce the number of decisions made in a day. For some people, the act of making coffee right after waking up is a routine; they automatically walk to the kitchen and can sometimes have a cup of coffee in their hands before they're conscious of making their first decision. Routines are meant to reduce decisions, and thereby reduce stress, by taking the guesswork out of the day. While healthcare professionals cannot take the guesswork out of their work day, there are still many decisions left in the day that can be reduced.
- Before work. Making the pre-work routine streamlined can have a tremendous impact on the rest of the day. Start by having an outfit picked out ahead of time and ready to go (if wearing , you're already ahead). Plan your route for must-do chores along the way, and don't hesitate to delegate some of those chores to other family members.
- During work. Have your snacks and meals planned out. Bringing a lunch from home means that all food decisions have been made for the day, and no time from breaks needs to be dedicated to procuring food. If eating out or at the cafeteria, go in with a plan – know what you'll be ordering before you even get there. This removes the common problem of wandering around the cafeteria to browse all options. The time spent making decisions like where to eat and what to eat can easily add up. Routinizing breaks will make them more enjoyable; instead of spending time and energy deciding between pizza and salad, you can simply grab your lunch, head to your spot, and enjoy a few minutes to yourself.
- After work. Create a routine for the commute home to decompress from the day; this can range from taking a few deep breaths before driving home to internally turn off from work, to meditating on the subway, or listening to music that brings you joy. Another routine option is to take a shower once home to wash away the pressures of the day (this is also a great infection prevention strategy if working in a hospital unit). After work is the best time to begin making decisions for the following day; prepare tomorrow's lunch, outfit, and other items needed for the day.
Healthcare professionals make plenty of decisions in a day without even noting it, constantly triaging and prioritizing patients and their needs. Decision fatigue is often most notable when getting home and being unable to even decide what to have for dinner. When decision fatigue hits after work, having an easy dinner on standby will ease end-of-day decision making.
People often create routines and don't realize it; when the dinner plates are cleaned, the cookies come out. It boils down to creating routines that make life easier and less stressful. We cannot control the patients we get in a day and the types of decisions we have to make for their care on a given day, but we make a lot of other decisions that we do have control over, including the amount of stress and fatigue we allow those decisions to cause.
Baer, D. (2014). Always Wear the Same Suit: Obama's Presidential Productivity Secrets. Fast Company. Retrieved from Always Wear The Same Suit: Obama’s Presidential Productivity Secrets
Hoomans, J. (2015). 35,000 Decisions: The Great Choices of Strategic Leaders. Leading Edge Journal. Retrieved from 35, Decisions: The Great Choices of Strategic Leaders
Tierney, J. (2011). Do You Suffer From Decision Fatigue? The New York Times Magazine. Retrieved from Do You Suffer From Decision Fatigue? - The New York Times
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This is a sponsored article brought to you by allnurses.com in conjunction with the advertiser. The views expressed in this article are those of the advertiser and do not necessarily reflect allnurses.com, its parent company, or its staff.Nov 12Thanks for this article. It's nice to know I'm not crazy when I feel fatigued with decision making! Great tips.