Nursing Psychological Stress Paper Model 1: The Influence of Humanized Hospital Nursing on Nurses' Psychological Stress
340 nurses in our hospital were selected as the research object and randomly divided into observation group and control group, each group was 170. Nurses in the control group adopted routine nursing management, while nurses in the observation group added humanized nursing management on the basis of routine nursing management. This paper discusses the effect of humanized nursing management in hospital on reducing nurses' psychological pressure and improving nursing satisfaction, and has achieved good clinical results, as follows.
1 data and methods
1. 1 general information
Select 340 nurses in our hospital as the research object, and randomly divide them into observation group and control group, with each group 170 nurses, all female. The age of the control group was 18~46 years old, with an average of (27.7? 6.3) years old; There are 35 nurses with bachelor degree, nurses with junior college degree 1 10, and 25 nurses with technical secondary school degree. 30 nurses, 1 10 nurses and 30 nurses in charge. The age of the observation group was (18~48) years, with an average of (28.3? 5.3) years old; There are 30 nurses with bachelor degree, 20 nurses with junior college degree/kloc-0, and 20 nurses with technical secondary school degree. 45 nurses, 1 10 nurses and 25 nurses in charge. There is no significant difference in age, education and professional title between the two groups (P & gt0.05), which is comparable.
1.2 method
The control group adopted routine management; The observation group added humanized nursing management on the basis of routine management, and the specific methods were as follows.
1.2. 1 Actively create a humanized working environment for nurses. Hospitals should transform the working environment of nurses such as wards and lounges, and appropriately adjust the layout and color of wards and lounges, so that nurses can maintain a comfortable mood during work and rest, and also increase patients' affinity for the hospital. In addition, it is necessary to formulate and strictly implement a detailed sanitation and cleaning system, regularly clean the work area and rest area, and maintain good sanitation and cleaning habits. Articles in the work area should be neatly arranged and placed in a fixed position. Hanging some trinkets in nurses' working areas and hospital corridors and sticking some artworks on the walls will make nurses' working environment warmer and more comfortable.
1.2.2 Hospital administrators should always communicate with nursing staff to keep abreast of the psychological state and changes of nursing staff in different classes and departments. Managers go deep into the grassroots to understand the actual needs of most nurses and try their best to take measures to meet their reasonable needs. In addition, the relevant hospital managers also know the family status of nursing staff in time, help nursing staff solve financial or other difficulties in the family, give psychological comfort to nursing staff and actively help them out of the predicament. At the same time, organize nursing staff and hold seminars regularly. At the meeting, nurses put forward their own opinions and suggestions on the development of departments, and hospital managers listened carefully and put feasible opinions and suggestions into concrete implementation.
1.2.3 The hospital also provides nursing staff with opportunities for further study, regularly sends outstanding nursing staff to large general hospitals for further study, organizes professional and experienced nursing staff with senior titles to conduct regular teaching and training, and invites experts from other hospitals to give lectures in order to improve the professional quality and nursing level of nursing staff. In addition, it provides effective information, time and manpower guarantee for nurses' career planning, and distributes the evaluation method of hospital nurses' professional titles to all nurses, which provides them with the correct direction of efforts and stimulates their enthusiasm and enthusiasm for work.
1.2.4 The hospital publicized the awareness of self-protection among nurses. Safety first? This principle is deeply imprinted in the hearts of nurses. Let nurses strengthen self-protection in the process of work, learn to correctly handle the contradiction between doctors and patients, and ensure the harmony between doctors and patients. The hospital requires nurses to communicate with patients in time, understand their actual needs and try to meet their reasonable needs. Nursing staff should understand, enlighten, trust and respect more in the process of communicating with patients, so as to improve patients' satisfaction with nursing staff. Nurses also receive regular psychological knowledge training to relieve their psychological stress, improve their psychological stress resistance and ensure their physical and mental health. At the same time, hospitals should set up emergency teams to help nurses solve emergencies and provide strong support for nurses' work.
1.3 evaluation index
A questionnaire survey was conducted among nurses in the control group and the observation group. The contents of the questionnaire survey include: testing the psychological stress of nurses, with a full score of 50. The higher the score the tester gets, the greater the psychological pressure; The patient satisfaction of nursing staff in two groups was tested. Patient satisfaction = (very satisfied+satisfied)/total number of cases? 100%。
1.4 statistical method
The data was processed by SPSS 18.0 software, the measurement data was expressed by xs, the t test was used, the counting data was expressed by percentage, and? 2 test, p
Two results
2. 1 Comparison of psychological stress between two groups of nurses before and after management.
After the implementation of management, the psychological stress score of nurses in the observation group was significantly lower than that of nurses in the control group, and the difference was statistically significant (P < 0.05).
2.2 Comparison of nursing satisfaction of patients in the observation group before and after management.
After the implementation of management, the patient satisfaction in the observation group was 94.65438 0%, which was significantly higher than that before the implementation of humanized management (76.5%, the difference was statistically significant (P
3 discussion
3. 1 Causes and effects of nurses' psychological stress
3. 1. 1 Causes of nurses' psychological stress With the continuous development of medical care, people's requirements for nursing work are getting higher and higher, resulting in greater physiological and psychological pressure on nurses. According to the investigation and study of relevant literature, this paper analyzes and summarizes the causes of psychological stress of nursing staff, which are mainly reflected in the following aspects:
(1) The working environment of nurses is too messy and noisy, and their daily work is complicated. They have to cooperate with doctors and take care of patients, and their work intensity is high, which leads to nurses' long-term psychological tension. Their daily work makes them very tired physically and psychologically, and their psychological pressure is increasing day by day, which has a negative impact on the mental health of nurses.
(2) The daily workload and tasks of nurses are large, which reduces the communication time between nurses and patients to a certain extent, and sometimes the nursing work is not meticulous and lacks patience. Some patients can't understand the working attitude of nurses, which is easy to misunderstand or even conflict, which aggravates the contradiction between doctors and patients.
(3) The professional level of some nurses is relatively low, lacking the basic knowledge and theory of nursing, and lacking the nursing experience. Nurses can't effectively solve various problems in their work, which increases their psychological pressure. Fourthly, the pressure from the team and the difficulty in realizing personal value make the psychological pressure of nurses more and more serious.
3. 1.2 Influence of stress on nurses and the whole team On the one hand, stress has a great influence on nurses. At work, the long-term heavy workload and tasks make nurses physically and mentally exhausted, coupled with the lack of timely and effective psychological counseling, which leads to many nurses' negative emotions such as anxiety, depression and irritability, which directly affects their work attitude, work quality and work efficiency. In terms of personal cognition, nurses gradually lack affirmation and recognition of their work, lose confidence, are lazy and dependent, are not active in their work, and lack innovative consciousness. In terms of physical condition, insomnia, headache and unbalanced nutrition often occur. On the other hand, stress has a great influence on the nursing team. The personal work efficiency of nurses is low and the turnover rate is high, which leads to the instability of the nursing team and the decline of the overall quality of nursing.
3.2 the importance of humanized management to hospital nurses
Humanized management refers to the center of human management on the basis of scientific management. The essence and purpose of this management method is to stimulate people's enthusiasm and maximize people's creativity. The purpose of humanized management of nurses in hospitals is to make nurses stand in the main position and give full play to their main role and subjective initiative. Humanized management of nurses can not only solve the physiological and psychological problems of nurses in time, but also help nurses realize their own values and career planning and fully mobilize their enthusiasm and initiative. In addition, the hospital has created an environment and place for nurses to vent their pressure, established a bridge between hospital leaders and medical staff, and increased nurses' psychological stress resistance, so that they can cope with difficulties in work and life. It can be seen from this study that the psychological stress score of nurses in the observation group after management is significantly lower than that of nurses in the control group after management; After the implementation of management, the satisfaction of patients in the observation group was higher than that before the implementation of management. To sum up, humanized nursing management of nurses in hospitals can effectively reduce the psychological pressure of nurses and improve patients' nursing satisfaction.
Model essay 2: Psychological stress of nurses and its countermeasures
Cardiovascular disease is a frequently-occurring and common disease in clinical practice, with serious illness, great responsibility, many rescues and high mortality, which makes nurses in cardiovascular wards prone to tension and fatigue and the greatest psychological pressure. Long-term high-intensity work pressure will make nurses feel tired and affect the quality of nursing work [1]. This paper retrospectively analyzes the psychological pressure of nurses in cardiovascular medicine in our hospital, and now the analysis report is as follows.
1 data and methods
1. 1 general information
To analyze 40 nurses in cardiovascular department of our hospital, aged 22-55, with an average age of 30.7? 5.3) years old; Nursing age 1 ~ 24 years old, with an average nursing age of 7.2? 4.3) years; Among them, there are 6 undergraduates, 2 junior college students/kloc-0, and 22 technical secondary schools. 4 nurses in charge, 15 nurses, 2 1 nurse; At the same time, 40 nurses from other departments were selected, aged 2. 1 ~ 53 years, with an average age of (3 1. 1? 4.7) years old; Nursing age 1 ~ 22 years old, with an average nursing age of 7.6? 3.3) years; Among them, there are 7 undergraduates, 0/4 junior college students and 0/9 technical secondary school students. There are 5 nurses in charge, 13 nurses and 22 nurses. A self-designed questionnaire was used to investigate.
1.2 method
Self-designed questionnaire mainly involves psychological problems related to cardiovascular nursing, and evaluates the psychological characteristics of nurses in cardiovascular medicine and the causes of psychological stress. 40 nurses from cardiovascular department were set as the observation group, while 40 nurses from other departments were set as the control group. The psychological states such as anxiety and depression were compared between the two groups.
1.3 evaluation method of curative effect
Evaluation items: All patients were evaluated by Hamilton Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) before and after nursing, and their anxiety, depression scores and Hamilton life satisfaction scores were evaluated.
1.4 statistical processing
Using SPSS 17.0 software for statistical analysis, the measured data conforms to the normal distribution. Standard deviation (x? S) T-test of group design is used for comparison between groups, P
Two results
The depression score, anxiety score and Hamilton life satisfaction score in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P
3 discussion
3. 1 causes psychological stress of nurses in cardiovascular medicine.
3. 1. 1 heavy workload.
Most of the patients admitted to the Cardiovascular Department are seriously ill and have poor self-care ability, and most of them are middle-aged and elderly patients, with slow response and unable to cooperate with medical staff for normal disease treatment. At the same time, patients in cardiovascular medicine are seriously ill, so nurses need to do more nursing work, such as micropump and ECG monitor. Nursing work is tedious and tiring, and they often need to work at night. In an emergency, they need to be on duty at any time, and the degree of controllability and predictability of nursing work is low [2]. Therefore, cardiovascular internal medicine nurses are under mental and physical pressure of overload for a long time.
3. 1.2 stressful working environment
Cardiology patients' condition is critical and complicated, and their prognosis is poor, which easily leads to respiratory arrest and cardiac arrest, and the working environment is extremely tense. At the same time, patients and their families are also prone to violent and unreasonable accusations against nursing staff because of illness. Coupled with the patient's critical, dying, coma, death stimulation, the patient's painful crying, the crying of family members and so on. And the alarm sounds of various instruments such as monitors, ventilators, sputum aspirators, defibrillators, etc. , all lead to a very tense working environment, which easily leads to psychological stress of nursing staff, accompanied by negative emotions such as tension and anxiety. According to the research report, occupational stress affects emotional state, intellectual activity and even emotional disorder [3]. Nurses can't understand, feel threatened or hurt their feelings, which makes nurses fall into a mental dilemma [4].
3. 1.3 high-risk stress
There are some potential risks in cardiovascular internal medicine nursing, such as complicated condition, poor stability, great changes in patients and often accompanied by complications. However, patients and their families often have high expectations for treatment, can't accept the recurrence, deterioration and recurrence of the disease, and criticize the medical workers, which leads to distrust of treatment and nursing, thus leading to disputes. This kind of risk makes the pressure of nursing staff increase obviously. At the same time, some patients don't abide by the rules and regulations of the hospital, which leads to the criticism of nurses by their superiors and will increase the psychological pressure of nurses in cardiovascular medicine.
3.2 Countermeasures
3.2. 1 Establishment of a harmonious working environment
First of all, we should strengthen the communication between doctors and patients. At the initial stage of admission, it is necessary for nursing staff to introduce the patients' related illness, related treatment plan, effect prediction and possible complications to patients and their families. At the same time, the rules and regulations of the hospital are introduced, and the necessity of operating according to the rules is expounded to ensure the effectiveness of nursing work. Establish harmonious and effective communication with patients. For patients with language barriers, communication cards and pictures can be used to make the doctor-patient relationship harmonious, thus reducing the psychological pressure of nurses.
3.2.2 Self-psychological stress adjustment
There is no stress-free working environment at all. As a nurse in cardiovascular medicine, we should fully realize the pressure at work, actively deal with the adverse effects brought by the pressure, learn the skills of self-relaxation, actively participate in various activities, strengthen communication with people, actively communicate with leaders and colleagues when encountering problems, relieve the pressure in our hearts, seek the help of psychologists when necessary, cultivate a positive attitude towards work and life, adjust emotions, relax our spirits, and form a happy psychological atmosphere. In order to improve the individual's ability to cope with psychological pressure.
3.2.3 Reduce the working intensity
One of the main reasons for the high pressure of nursing staff is the high work intensity, so sufficient nursing manpower should be allocated at this time. High work intensity will lead to psychological pressure overload, physical and mental fatigue, and increase the psychological pressure of nursing staff. Hospital management should try to ensure the nurse-patient ratio and reduce the work pressure of nurses.
3.2.4 Learning ability and teamwork ability are improved.
Hospital management should also increase the training of nursing staff, so that they have higher professional quality and can easily cope with the work. Learn nursing scientific knowledge and ethical knowledge, improve their basic quality, and turn it into the ability to observe and deal with problems [5]. At the same time, psychological counseling is given to nursing staff regularly. Strengthen teamwork, communicate with each other, communicate with each other, and face all kinds of difficulties in work together. It has formed a good atmosphere of happy work and happy study.
In a word, nurses in cardiovascular medicine have high work intensity, tense working environment, complicated contents and high work risks, so nurses are prone to have greater psychological pressure. Appropriate pressure can stimulate the enthusiasm of work and study, but too much pressure will lead to the imbalance of the body, leading to diseases and even the brain drain of nursing talents [6], which is also related to nursing quality, patient satisfaction and nurses' willingness to stay [7]. This psychological pressure will further deepen the contradiction between doctors and patients, affect the daily work of nurses, and promote the harmony between internal and external environment through the efforts of nurses; Strengthening the training and quantity of nursing staff, at the same time, nursing staff should learn to mediate themselves and relieve occupational stress through various ways, which is the key to solve the pressure of medical nursing staff.
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