Paper Keywords: emergency nurses stress countermeasures

The work of emergency nurses is trivial. Every day, we should use our hands and brains to prevent mistakes and accidents. Every day, we are faced with special people with various physical and psychological obstacles, often in emergency scenes such as illness, disability, death and sadness; Negative emotions such as pain, anxiety and despair of patients and their families constantly stimulate the nerves of medical staff, who often have to face unreasonable pressure from patients' families who have high expectations for disease diagnosis. Therefore, emergency nurses, as a special group with great work pressure and labor intensity, should pay attention to their physical and psychological stress.

1 what are the stress factors of emergency nurses at work? 1. 1 external factors

1. 1. 1 environmental factors The emergency department is full of all kinds of strong irritating chemicals, as well as the crowded working environment, the state of emergency patients, whether they are contagious, all kinds of first aid, the alarm sound and noise of monitors, etc. In this environment, it has brought bad psychological pressure to nurses for a long time.

1. 1.2 nature of work factors (1) Because most patients in the emergency department are in critical condition, patients and their families are easily excited, sometimes they abuse or beat nurses, and even encounter events that distort the facts. Nurses should keep a calm and understanding attitude and help solve problems, so as to suppress their feelings and make spiritual compromises. The particularity of emergency department makes nurses working in the clinical front line face challenges; Especially with the promulgation and implementation of the Regulations on Handling Medical Accidents, medical civil litigation is increasing day by day. At work, nurses are too worried about patients' accidents because they are afraid of making mistakes. The quality of all kinds of operation and nursing documents should not be sloppy, and must be checked repeatedly to ensure the correct rate, which leads to high psychological tension and extreme physical deficiency. (2) The serious shortage of nurses makes the emergency department have greater work pressure than other departments. (3) The working mode of "three shifts" has also seriously disrupted the normal life of nurses and brought inconvenience to families. (4) Due to the progress of society, knowledge is updated faster and faster, which leads to fierce professional competition. The sense of urgency brought by this competition and the increasingly high requirements for nursing work make nurses need to update their knowledge through continuous learning, otherwise they are in danger of being eliminated. (5) Nurses' labor value is not reflected, which becomes the pressure of nurses' intelligence and psychology [1].

1. 1.3 interpersonal factors the interpersonal relationship established by nurses at work is complicated. If it is not handled well, it will fall into the dilemma of interpersonal conflict: the conflict between nurses and doctors and nurses can not respect each other and can not cooperate well [2]. In addition, grass-roots units are all oriented to rural areas and are multi-ethnic areas. Language barriers and differences in educational and cultural knowledge will affect nurse-patient communication and bring pressure to nurses.

1.2 internal factors

1.2. 1 The shortage of nurses with high labor intensity and the working mode of "three shifts" have disrupted the life rhythm of nurses, often lacking a quiet rest environment, resulting in physical and mental fatigue [3].

1.2.2 Personality characteristics Everyone suffers from different pressures. Some people can cope with stress, while others may have serious health problems. This suggests that the mental health of medical staff is influenced by many factors, which is closely related to coping style and neuroticism. As an important stress response, emergency nurses are often influenced by physical and intermediate variables in their daily work, and their role is to change their cognition of stress events and adjust their physical or emotional responses related to events. Personality is widely related to various stress factors, and ultimately affects their mental health through the interaction with various factors [4].

1.3 occupational injury stress factors, the threat of chemicals; But also in the process of first-aid patients: such as tracheal intubation, airway care, ventilator care, infusion, body fluid drainage and so on. Nurses often devote themselves to the rescue and disposal of patients without knowing whether there are potential infectious diseases, and often neglect their own protection at the critical moment of saving patients against time. The route of infection is common in needle injury, infection caused by mucosal or incomplete skin contact. [5], which will increase the psychological pressure of emergency nurses.

2 measures

2. 1 Providing a good working environment Nursing managers should pay more attention to emergency nurses, ensure the reasonable establishment of clinical nurses, and place nurses with good psychological quality in the emergency department to match their personality with their posts and improve their job satisfaction; At the same time, reasonable arrangement of the layout of the rescue room, improvement of advanced rescue equipment and strict rules and regulations are reliable conditions for successful rescue. The instruments and equipment used in the department should be checked and maintained regularly, the alarm range should be set correctly, the division of labor of rescue personnel should be clear, and careful rescue nursing procedures are the guarantee of successful rescue.

2.2 Good interpersonal relationship When nurses make mistakes in their work, managers should not ignore correct psychological guidance; When nurses have some confusion, they should be able to find it in time, try their best to give help and support, and help improve the doctor-patient relationship. Relaxed and harmonious interpersonal relationships can effectively relieve psychological pressure [6].

2.3 Improving the social status of nurses As we all know, the emergency department is very busy, tired and under great pressure. However, not everyone can fully understand the nursing work in the emergency department. Therefore, the society should educate and publicize the whole people, improve patients' awareness of seeking medical treatment according to law, reduce contradictions, respect nurses' work, and let nursing work get social support and understanding. There is also a good family environment and the support of relatives for nursing work, which can improve the mental health level of emergency nurses.

2.4 Strengthen the prevention of occupational injuries Nurses must follow the operating procedures in their work. Once contaminated by blood and body fluids and stabbed by contaminated needles, the wound should be treated immediately and reported to the relevant departments for registration and follow-up. The head nurse should give psychological counseling to the injured nurses in time, do a good job of appeasement and reduce psychological pressure.

2.5 Improve the prevention of psychological harm. Nursing managers should strive to eliminate all kinds of factors that cause nursing work pressure, create a relaxed and humanized working atmosphere, strengthen the training of psychological quality and professional skills, and improve their ability to cope with stress environment in order to alleviate psychological pressure; Listen to more music in your spare time, try to see more beautiful things in life, learn to relax and adjust yourself, reduce work pressure, relieve tension, maintain a tolerant, open-minded, positive and stable mood, and devote yourself to nursing work with the best mentality.

References:? Wang Zhiqian, Shao Li, Zhou Jianping. Psychological stress in emergency department and intervention measures. Journal of Modern Nursing, 2007,13 (178): 2431.

[2] Ceng Xiaoxia, He Lianxiang. Analysis on the status quo of nurses' stress. Journal of Modern Nursing, 2007,13 (175): 2141.

[3] Sun Yuefen, Yan Lihong, Kang Fuxia. Investigation, analysis and countermeasures of professional psychological causes of nurse turnover. Chinese Journal of Nursing, 200 1, 36(2), 92-94.

[4] Zhang Guimei. Investigation on mental health status of medical staff in Linyi city. Journal of Modern Nursing, 2007, 13 (13), 122 1.

[5] Luo Suojuan, Wei Jing. Occupational risk factors and protective countermeasures of ICU nurses. Journal of Modern Nursing, 2007,13 (13):1272.

[6] Haru Juan, Wang Zhihong. Analysis of mental health status of emergency nurses in China from published literature. Journal of Modern Nursing, 2007,13 (13):1222.

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