CASE DO NURSES \"EAT THEIR YOUNG In the chapter-opening profile, we introduced C
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CASE DO NURSES "EAT THEIR YOUNG In the chapter-opening profile, we introduced CREW, an imovative program aimed at restoring healthy and positive relationships within healthcare organizations. If you think the issue of murse-to- nurse incivility is puzzling, consider that most of this hostility tends to be directed at new nurses! In fact, a recent study has estimated that one-third of new nurses are bullied and verbally abused by seasoned nurses, and that new nurses experience a disproportionate degree of stress, burnout (emotional exhaustion), cynicism, and lower self-confidence than nurses in general. So is it true? Do seasoned nurses actually "eat their young?" For Kathleen Bartholomew, the issue is a complex one. To hear Kathleen Bartholomew discuss this issue, go to www.youtube.com/watch? v-1IGPE9IbRFY Further insights are attained if we consider that this issue of nurse-to-nurse or "horizontal" hostility be understood fom different perspectives, we might view it from the perspective of new graduates or student nurses. For them, the level of incivility and hostility directed toward them is very real. It is not uncommon for young nurses to say that it's a struggle to survive, every day, and that the workplace often feels more like a "battlefield" than a nursing unit! Young nurses oftern report incidents of overt bullying, belittlement, and humiliation by seasoned nurses. It is common to hear stories in which young nurses are made to feel unappreciated and that what they learned in school is not relevant. Most frustrating is the fact that all this hostility seems to occur at precisely the time when these beginners are looking to their experienced peers for support and approval. For a sampling of comments from young nurses with respect to nurse-to-nurse hostility, go to www.realitym.com/more articles/nurse relationships/why-nurses eat their young%E2%80% A6542. Through the eyes and experiences of the seasoned or experienced nurse, things look quite different. Nursing is a tough job that comes with a lot of responsibility. The problem for many is that the student nurses or new graduates come on to the units thinking they know a lot more than they really do. These "young nurses" have no experience with the difficult, often daunting day-to-day challenges that more experienced nurses face every day-and worse still, they don't respect the fact that much of nursing can't be learned from a textbook or in a lecture. More seasoned nurses believe that experience matters; that a day in the trenches is worth a year in the classroom. As one experienced nurse said, "behavior that might seem hostile to them is just us passionately protecting the safety of our patients." For a sampling of how seasoned nurses view nurse-to-nurse hostility, go to www.realitym com more articles/nurse-relationships/why-nurses eat their-young%E2%80%A6/542. Adopt the perspective of a new nurse. What stressors (and types of stressors) are you most likely to encounter? What role issues might you have to deal with (e.g.. conflict, 6.1 ambiguity, and overload) 6.2 Adopt the perspective of a seasoned nurse. What stressors (and types of stressors) might you have to deal with? What kind of stressorts) do the new nurses represent, and why? 6.3 What coping strategy (or strategies) would you recommend to new nurses? Seasoned nurses?Explanation / Answer
6.1.Most of the freshers or new nurses join their first day of job without much practical knowledge rather than they have good knowledge for theoritical part.But this cannot be applied on patients as they need to have hands-on experience about all the procedures.The types of stress will be mostly emotional and seniors keep on targeting them for their work.Not only their senior nurses but even the doctors target them as they will be busy treating a person and look for the right equipment or medication,at that time the new nurses will not be accurate and fast to go with the pace and treat the patients in emergency situations.Physical,chemical and biological risks are also the main dangerous factors at the nusing stations.New nurses will only have job stress as they dont have experience but one ahould appoint them as trainees rather than joining them directly into patient wards.Even the senior nurses are once the freshers,so experience matters a lot by training them.
6.2Seasoned nurses have a lot of job stress than new nurses and its side effects become clear in the form of tiredness,harsh behaviour,lack of job satisfaction,anxiety,increase in blood pressure,decrease in efficiency etc.Stress in nurses can cause depression ,isolation from patients,absence and decrease of their qualification,interpersonal unsatisfaction and so on.All these are due to more workload without any rest,working for day and night shifts without any day offs or holidays,sometime relationship with managers and coworkers.
6.3.Stress can lead to diseases,changes in health,poor performances,withdrawal from the job And ultimately affect the quality of the patient care.In order to avoid all these nurses should start coping strategies.Coping is a dynamic,behavioral and cognitive effort in controlling internal and external stress.They should focus on two types of strategies ie problem focused and emotion focused.They should start trying these strategies by talking to friends more,joining sports,doing exercises and yoga to calm their mind,ignoring stress,learning new things and finally trying to be optimist and be happy.
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