N419 Final Exam New Material Unit 14: Time and Stress Management

What time management truism ("nothing changes if nothing changes," "everything you own owns you," "we train people how to treat us") is described below? o Tasks you assume as your responsibility assume your time and energy § Some people run around with their hands in everything wanting to control everything and feel like they never have time for anything else. They think "who put them in charge of everything?" of course their day is full. They have self assigned themselves with every responsibility § Own the things that you need to own. Things that are not yours to own, don't own them because that occupies your time and energy o Be cognizant of how the demands you place on yourself affect time use

"everything you own owns you"

What time management truism ("nothing changes if nothing changes," "everything you own owns you," "we train people how to treat us") is described below? o A person cannot affect change if they are unwilling to do something differently that could adjust the outcome o Build on past experiences to make future ones more successful o If our day didn't go right, learn from what we could do differently and do it differently the next day

"nothing changes if nothing changes"

What time management truism ("nothing changes if nothing changes," "everything you own owns you," "we train people how to treat us") is described below? o You must be aware of the behavioral style you possess § Most nurses don't have solid boundaries because we are so nurturing and the goal is taking care of others, we tend to not value being taken care of and tend to not have good boundaries. Need to know that about yourself o Helpful to determine behavior styles of those who work closely with you § Some people who are really good at taking advantage of others who do not have good boundaries. Stand up to them sooner than later.

"we train people how to treat us"

____1___ comes before ___2___ and ___2___ is more about relentless ___1___.

1. stress 2. burnout

Which is the first step in the time management process? A) Completing the highest priority task B) Allowing enough time for sufficient daily planning C) Reprioritizing based on new information received D) Delegating work that cannot be accomplished in a day

B

Building on Benjamin Franklin's philosophy, _____ identified 12 habits to be nurtured for optimum personal time mgt including: 5. Set very few priorities and stick to them. o A lot of us have grandiose ideas that we are going to do "this, this, and this" throughout our life and then you set it up for all in 1 day. Can have a list of 12 things and only get to do 2 and then you feel like a failure. Pick the most important things and stick to them. Will probably get them done and will feel better about yourself 6. Turn down things inconsistent with your priorities. o Don't participate with things that don't align with who you are and what is important to you. This is a time waster

Bran's

Building on Benjamin Franklin's philosophy, _____ identified 12 habits to be nurtured for optimum personal time mgt including: 7. Set aside time for focused effort. o Some people say they would love to learn how to meditate or to do yoga. Have to set aside the time to participate in that 8. Always look for ways of doing things better and faster. 9. Build solid processes. 10. Spot trouble ahead and solve problems immediately. o This is about being proactive

Bran's

Building on Benjamin Franklin's philosophy, _____ identified 12 habits to be nurtured for optimum personal time mgt including: 1. Strive to be authentic. o We know when people are fake, when they are lying, when they are putting on a show - it doesn't accomplish anything 2. Favor trusting relationships. o don't waste your time in relationships that are toxic or self serving or you are not getting anything out of. If can't trust the other person then you are probably wasting your time 3. Maintain lifestyle that gives you maximum energy. o Taking care of yourself and getting enough sleep at night o Doing the things that energize you whether that is exercise, reading, listening to music, spending time with family and friends 4. Organize day by your biorhythms. o Some of us are morning people and some of us are not morning people. Doing most important things when you are fully awake is important to know

Bran's

Building on Benjamin Franklin's philosophy, _____ identified 12 habits to be nurtured for optimum personal time mgt including: 1. Strive to be authentic. o We know when people are fake, when they are lying, when they are putting on a show - it doesn't accomplish anything 2. Favor trusting relationships. o don't waste your time in relationships that are toxic or self serving or you are not getting anything out of. If can't trust the other person then you are probably wasting your time 3. Maintain lifestyle that gives you maximum energy. o Taking care of yourself and getting enough sleep at night o Doing the things that energize you whether that is exercise, reading, listening to music, spending time with family and friends 4. Organize day by your biorhythms. o Some of us are morning people and some of us are not morning people. Doing most important things when you are fully awake is important to know 5. Set very few priorities and stick to them. o A lot of us have grandiose ideas that we are going to do "this, this, and this" throughout our life and then you set it up for all in 1 day. Can have a list of 12 things and only get to do 2 and then you feel like a failure. Pick the most important things and stick to them. Will probably get them done and will feel better about yourself 6. Turn down things inconsistent with your priorities. o Don't participate with things that don't align with who you are and what is important to you. This is a time waster 7. Set aside time for focused effort. o Some people say they would love to learn how to meditate or to do yoga. Have to set aside the time to participate in that 8. Always look for ways of doing things better and faster. 9. Build solid processes. 10. Spot trouble ahead and solve problems immediately. o This is about being proactive 11. Break goals into small units of work and think only about one unit at a time. o "best way to eat an elephant is one bite at a time." If you think about eating a whole elephant, it can be overwhelming but if you start one bite at a time, before you know it you will get to the end eventually. Like running a marathon, have to learn how to run half a mile, then 1 mile and on down to five miles until you can run a marathon 12. Finish what is important and stop doing what is no longer worthwhile.

Bran's

Building on Benjamin Franklin's philosophy, _____ identified 12 habits to be nurtured for optimum personal time mgt including: 11. Break goals into small units of work and think only about one unit at a time. o "best way to eat an elephant is one bite at a time." If you think about eating a whole elephant, it can be overwhelming but if you start one bite at a time, before you know it you will get to the end eventually. Like running a marathon, have to learn how to run half a mile, then 1 mile and on down to five miles until you can run a marathon 12. Finish what is important and stop doing what is no longer worthwhile.

Bran's

Which step (steps 1-3) for time management is described below? · Allow time for planning and establishing priorities o Before you get to the doing, you have to figure out what the plan is going to be and figure out what is at the top of the list

Step 1

Which step (steps 1-3) for time management is described below? · : Complete the highest priority task whenever possible and finish one task before beginning another. o Might end up forgetting to finish what you started and a sureway to make a mistake

Step 2

Which step (steps 1-3) for time management is described below? · Reprioritize what tasks will be accomplished based on new information received. o You may be in the middle of hanging a piggyback on a patient and you get a phone call from the desk saying that your other patient's blood pressure is 70/40 and that patient is normally hypertensive. Now you need to stop what you are doing and go see about that patient because that is new information that came in that jumps to the top of the priority list

Step 3

T or F. Don't forget the physical stress that is just as damaging as the psychological stress.

T

T or F. Stress comes before burnout and burnout is more about relentless stress.

T

The following is all the information under What is stress? · Stress is subjective, and a person's level of stress or distress is an interaction within an individual in the entirety of his or her environment. · A person's perception of his or her stress level is in large part a reflection on his or her perception about being equipped to handle it. o Ex: a new nurse in the clinical environment will feel really stressed about moving up to taking multiple patients or doing a procedure they have never participated in or the first time the patient needs the RRT or code team is called. A seasoned nurse is not going to be as stressed about the situation because they have a certain level of confidence that they can handle and are equipped to handle the crisis in front of them · Stressors that are identical do not have the same effect on each individual · In other words...a stressful event today may be viewed differently a month from now o Something may happen today and I think that it is awful but a month from now my perspective has changed for some reason and the exact same thing can happen or something of equal stress can happen and I react differently. It depends at that moment what my emotional state was and the circumstances and support system around me. Lots of contributing factors that plays into why we feel stressed · When somebody is really stressed, don't engage them · We all have different S/S of when we are stressed so we need to know what our pain points are and need to recognize when we are stressed

T

The following is the difference between stress and burnout: · Stress comes before burnout and burnout is more about relentless stress · Stress o Characterized by over-engagement § Our SNS kicks in and tend to be amped up and do more o Emotions are over-reactive o Produces urgency and hyperactivity o Loss of energy from hyperactivity o Leads to anxiety disorders o Primary damage is physical § People that get really sick after being stressed for an extended period of time § All physical stress to some extent is preceded by emotional, mental, and spiritual stress o May kill you prematurely · Burnout o Characterized by disengagement o Emotions are blunted o Produces helplessness and hopelessness o Loss of motivation, ideals, and hope o Leads to detachment and depression o Primary damage is emotional o May make life seem not worth living § Can lead to significant depression

T

One of Bran's 12 habits includes: 1. strive to be ______. We know when people are fake, when they are lying, when they are putting on a show - it doesn't accomplish anything.

authentic

The following are _____ stress symptoms (how we behave): · Outbursts of anger · Poor eye contact · Poorer personal hygiene · Poor time management · Restlessness · Risk taking · Substance abuse · Talking fast · Walking fast · Withdrawal from relationships Withdrawal from activities

behavioral

The following are _____ stress symptoms (how we behave): · Eating fast · Eating too much/too little · Gambling · Hostile behavior · Impatience · Increased alcohol · Increased caffeine · Increased smoking · Losing temper · Making mistakes · Nail biting

behavioral

The following are _____ stress symptoms (how we behave): · Aggression · Agitation · Avoidance behavior · Crying · Decreased/increased sexuality · Difficulty relaxing · Difficulty with relationships · Eating fast

behavioral

The following are _____ stress symptoms (how we behave): · Aggression · Agitation · Avoidance behavior · Crying · Decreased/increased sexuality · Difficulty relaxing · Difficulty with relationships · Eating fast · Eating too much/too little · Gambling · Hostile behavior · Impatience · Increased alcohol · Increased caffeine · Increased smoking · Losing temper · Making mistakes · Nail biting · Outbursts of anger · Poor eye contact · Poorer personal hygiene · Poor time management · Restlessness · Risk taking · Substance abuse · Talking fast · Walking fast · Withdrawal from relationships Withdrawal from activities

behavioral

One of Bran's 12 habits includes: 4. Organize day by your _____. Some of us are morning people and some of us are not morning people. Doing most important things when you are fully awake is important to know

biorhythms

A decreased sense of professional accomplishment and competence is also a hallmark of _______. o Comes across as unprofessional behavior but they are just burnt out

burnout

Stress or burnout? o Characterized by disengagement o Emotions are blunted o Produces helplessness and hopelessness o Loss of motivation, ideals, and hope o Leads to detachment and depression o Primary damage is emotional o May make life seem not worth living § Can lead to significant depression

burnout

The following is all the information for ______: · A condition that develops from continuous job-related stress · Accompanied by feelings of physical, mental and emotional exhaustion. · Emotional exhaustion is directly related to workload. o When we feel we have an overwhelming amount of work that is relentless and don't see an end in sight then burnout ensues · Emotional exhaustion has a direct effect on levels of cynicism. o This is part of the attitude that you see with nurses who are burnt out. They are not a very pretty picture of professionalism · Depersonalization - a state characterized by distancing oneself from the work itself and developing negative attitudes toward work in general. o Will see nurses who are burnt out. The negativity is predominant and they start giving a I don't care attitude about most things. Things that they normally would be involved in and enthusiastic about, they seem removed from it and detached from their work · A decreased sense of professional accomplishment and competence is also a hallmark of burnout. o Comes across as unprofessional behavior but they are just burnt out

burnout

______ includes when emotional exhaustion has a direct effect on levels of cynicism. This is part of the attitude that you see with nurses who are burnt out. They are not a very pretty picture of professionalism

burnout

______ is when emotional exhaustion is directly related to workload. o When we feel we have an overwhelming amount of work that is relentless and don't see an end in sight then _______ ensues

burnout

definition: a condition that develops from continuous job-related stress; accompanied by feelings of physical, mental and emotional exhaustion

burnout

The following are some ____ strategies for stress: · Interpersonal strategies o The way we interact with other people, the relationships that we have. That significantly affects our psychological strategies also · Relaxation and spiritual activities

coping

The following are some ____ strategies for stress: · Physical activity - exercise, taking a walk · Nutritional control - when we don't eat well, we don't feel well o If not eating well, we are probably more sickly and gaining extra weight, don't feel as good about ourselves, don't have as much energy · Environmental control · Psychological strategies · Interpersonal strategies o The way we interact with other people, the relationships that we have. That significantly affects our psychological strategies also · Relaxation and spiritual activities

coping

Burnout includes ______: a state characterized by distancing oneself from the work itself and developing negative attitudes toward work in general. o Will see nurses who are burnt out. The negativity is predominant and they start giving a I don't care attitude about most things. Things that they normally would be involved in and enthusiastic about, they seem removed from it and detached from their work

depersonalization

Where does your time go?? · _______ - real time killer. That's why prioritization lecture was so important

disorganization

Where does your time go?? · ____ ____ ____- inability to delegate o Lots of times if you find yourself getting further and further behind, look at the things that you can delegate. Maybe you aren't delegating enough

doing too much

One of Bran's 12 habits includes: 7. Set aside time for focused _____. Some people say they would love to learn how to meditate or to do yoga. Have to set aside the time to participate in that

effort

The following is the impact of complex healthcare _____s on time: · High-acuity patients o Now you have to be really sick to be in the hospital · Vigilant and knowledgeable family members o Have electronic resources where they can google certain things and we encourage them to be more informed but with higher level of understanding and knowledge will come more questions · Ever-growing information technology o Not just for the patient and family members but also for the healthcare providers. Have to spend time learning new softwares, applications, EHRs · Tight quarters in which to deliver high-tech care o Very frustrating when you work in a room that is too small for the amount of equipment that you have in there. Makes it hard to move around the room and navigate care · Little time to interact with patients o So focused on getting everything done that we often feel frustrated with lack of time we have to sit and tend to patient's emotional needs · Different disciplines functioning in parallel work o Waiting for physical therapy to finish or speech therapy is waiting for you to give meds o Find yourself getting in line to treat your patient because there are so many different healthcare providers that the patient has the sicker they are · Need to transition patients quickly from one site of care to another · Intimate human element in health care makes it like no other work o Not only are we trying to manage time as efficiently as possible but what makes it difficult is that when you have a patient in front of you, in their mind what is most important to them is you advocating for them and you taking care of them but you are well aware that you have other patients that you are equally responsible for but without taking the time to establish that relationship with that patient so that they know you have their best interest and doing everything you can to help them takes time. Developing rapport and relationship with the patient takes time · Managing time and balance between work and personal life are essential o Can spend so much time and energy at work and can consume so much of us and our personal life can start to suffer so we have to find a balance

environment

There are 2 categories of stressors: external (working conditions) and internal (worker characteristics). Which of these categories is described below? § The conditions themselves, such as workload, shifts, high patient acuity, workplace changes, ethical conflicts, role ambiguity (not knowing exactly what our job is) and job insecurity (a lot of nurses working really hard but prior to the influx of patients were probably staying home because they got rid of all the patients in the hospital so the census suddenly dropped) § Things that stress us out at work like if a certain process changes or if the EHR changes or the way we pull meds · These all contribute to, or are responses to, stress.

external

Where does your time go?? · Too much ______ - sometimes it is hard to figure out what is pertinent and what's really not that important and is unnecessary

information

There are 2 categories of stressors: external (working conditions) and internal (worker characteristics). Which of these categories is described below? § Those things we bring with us: problems at home or at school, challenges of getting to and from work, negative self-talk (need to change the chatter in your head to being positive if you want to be successful), lack of social supports (need people around us who are going to believe in us and help us throughout life), inability to make decisions, pessimistic thinking. · These all contribute to, or are responses to, stress.

internal

What are the 2 categories of stressors? · These all contribute to, or are responses to, stress.

internal and external

Where does your time go?? · ______ - pager, phone goes off, calling you to the desk

interruptions

The following is talking about ____ and ______ concerning stress: · Empowerment of nurses o Nurses who feel empowered feel less stressed because they feel like they have a say in most situations · Job satisfaction o Nurses who are satisfied with their jobs feel less stressed

leadership and management

The following is talking about ____ and ______ concerning stress: · Professional growth o Nurses who are learning and expanding what they know will have more confidence, feel better about themselves, have a higher level of self esteem · Structural and organizational implications o The environment that we work in - if have a unit that is well laid out and organized and enough room to work, this is less stressful Organization has clear policies and procedures of what to do in certain situations and role ambiguity is not an issue and people are clear of expectations and have good support systems - this is less stressful

leadership and management

One of Bran's 12 habits includes: 3. Maintain _____ that gives you maximum energy. o Taking care of yourself and getting enough sleep at night o Doing the things that energize you whether that is exercise, reading, listening to music, spending time with family and friends

lifestyle

Where does your time go?? · Inability to Say "_____" o Sometimes people request certain actions from us and sometimes we just have to say right now I can't tend to that. I don't have the time right now

no

Where does your time go?? · _______: o Not everything has to be done in exactly a certain day. That can take too much time and slow us up from getting to other things that are equally important

perfectionism

Building on Benjamin Franklin's philosophy, Brans identified 12 habits to be nurtured for optimum ______ time mgt including: o Being self-aware regarding what is important to accomplish in ones life What is your purpose? Why do you feel you are on the face of this Earth? Eventually all of us are faced with answering this question

personal

Building on Benjamin Franklin's philosophy, Brans identified 12 habits to be nurtured for optimum ______ time mgt including: o Following through in a timely & consistent manner § Helps with procrastination but also if you tell someone you are going to do something and you follow through and timely, they are going to respect you and know that they can count on you

personal

Building on Benjamin Franklin's philosophy, Brans identified 12 habits to be nurtured for optimum ______ time mgt including: o Staying focused on things that matter § Easy to lose sight of what is truly important o Taking care of oneself § Can't take care of anyone else unless you take care of yourself first

personal

______ time management refers to self-knowledge. You need to know if you are a procrastinator or if you have poor boundaries or if you are a perfectionist. All of these things help you to manage your time. When individuals lack self-awareness, balancing _____ and professional priorities may become difficult.

personal

______ time management refers to self-knowledge. You need to know if you are a procrastinator or if you have poor boundaries or if you are a perfectionist. Building on Benjamin Franklin's philosophy, Brans identified 12 habits to be nurtured for optimum _____ time mgt including: o Being self-aware regarding what is important to accomplish in ones life § What is your purpose? Why do you feel you are on the face of this Earth? Eventually all of us are faced with answering this question o Staying focused on things that matter § Easy to lose sight of what is truly important o Taking care of oneself § Can't take care of anyone else unless you take care of yourself first o Following through in a timely & consistent manner § Helps with procrastination but also if you tell someone you are going to do something and you follow through and timely, they are going to respect you and know that they can count on you

personal

One key way to have adequate time management is to _____ you day!! · Cluster care, be efficient (work smarter not harder) o Giving 8am meds and 9am meds at the same time or doing dressing change while in the room to give meds · Don't operate in crisis-mode! Run your day or it will run you!! o If you jump from one fire to the next, that is a sure way to find yourself overwhelmed

plan

One key way to have adequate time management is to _____ you day!! · It is crucial to take 15 to 20 minutes each day to plan · Develop a list of things to do - write it down or develop a certain plan that you follow each day or something electronically that you establish · Do high-priority items first and reprioritize accordingly · _____ for the unexpected, there will be interruptions

plan

One key way to have adequate time management is to _____ you day!! · Keep goals manageable and realistic - can get hung up trying to accomplish the impossible · Do a good job, but limit the time that you spend on incidental activities and minimize time wasters o No time to be wasted in nursing

plan

A nurse's day includes _____. _____ requires the ability to think, analyze data, envision alternatives, and make decisions. Day-to-day ______ might include: o How handoff report will be given and received (protocol of the hospital - give it at the bedside? Desk? Which patient do you report on first?)

planning

A nurse's day includes _____. _____ requires the ability to think, analyze data, envision alternatives, and make decisions. Day-to-day ______ might include: o How handoff report will be given and received (protocol of the hospital - give it at the bedside? Desk? Which patient do you report on first?) o The timing of initial patient assessments § Might have a plan laid out but suddenly a patient has to go off the unit and then we have to change who we assess first based on the fact that if the patient leaves, you don't have an opportunity to assess them before they leave o The coordination of medication administration, treatments and procedures o Organization of documentation of the day's events § Document throughout the day as you deliver care. If you wait until the end of your shift, it is going to be inaccurate, will forget about things, will have incorrect times

planning

A nurse's day includes _____. _____ requires the ability to think, analyze data, envision alternatives, and make decisions. Day-to-day ______ might include: o The coordination of medication administration, treatments and procedures o Organization of documentation of the day's events § Document throughout the day as you deliver care. If you wait until the end of your shift, it is going to be inaccurate, will forget about things, will have incorrect times

planning

A nurse's day includes _____. _____ requires the ability to think, analyze data, envision alternatives, and make decisions. Day-to-day ______ might include: o The timing of initial patient assessments § Might have a plan laid out but suddenly a patient has to go off the unit and then we have to change who we assess first based on the fact that if the patient leaves, you don't have an opportunity to assess them before they leave

planning

When managing stress, _____ is key!!!! If there are certain situations that we know are going to be stressful for us, then there are 2 things we can do: § (1) can work with ourselves and destress before we get into the stressful situation. We know that work will be stressful so when we are not at work, we need to be recharging and recovering, not becoming more stressed. § (2) Develop tools to deal with stress and can do that on the preventive end

prevention

When managing stress, _____ is key!!!! Some _____ examples includes: o Change the perception of the stressor § Sometimes the way we see something is the problem. Our perspective needs to be adjusted · Don't forget the physical stress that is just as damaging as the psychological stress.

prevention

When managing stress, _____ is key!!!! Some _____ examples includes: o Find the right workplace § If you are in a work environment that does not have good team work and there is always conflict, short staffed, don't feel supported by your manager · Don't forget the physical stress that is just as damaging as the psychological stress.

prevention

When managing stress, _____ is key!!!! Some _____ examples includes: o Identify the daily stressors § What can you eliminate? What is a daily stressor? § If always running late for work and when you get to work you are rushing to start your day, that is a stressor. If you left your house earlier and got to work in a timely fashion and have a few minutes to get organized and prepare yourself for the day, that can minimize some of the stress · Don't forget the physical stress that is just as damaging as the psychological stress.

prevention

When managing stress, _____ is key!!!! Some _____ examples includes: o Insist on equipment that prevents physical stress § Sometimes at work we don't have what we need to minimize the stress § If on a floor that has a lot of large patients that are bed bound, probably need lifting devices. If the doctor is ordering that you get them out of bed but you don't have a lifting device, then that is a physical stressor · Don't forget the physical stress that is just as damaging as the psychological stress.

prevention

One of Bran's 12 habits includes: 5. Set very few _____ and stick to them. A lot of us have grandiose ideas that we are going to do "this, this, and this" throughout our life and then you set it up for all in 1 day. Can have a list of 12 things and only get to do 2 and then you feel like a failure. Pick the most important things and stick to them. Will probably get them done and will feel better about yourself

priorities

One of Bran's 12 habits includes: 6. Turn down things inconsistent with your ______. Don't participate with things that don't align with who you are and what is important to you. This is a time waster

priorities

______ is key in time management. ***The MOST CRITICAL SKILL in good time management because all actions we take have some type of relative importance; we have to figure out what is most important in that moment.

prioritization

______ is key in time management. ***The MOST CRITICAL SKILL in good time management because all actions we take have some type of relative importance; we have to figure out what is most important in that moment. · Categorizes goals and activities to facilitate time management (this is how the ranking should be) o Important and urgent - top of the list o Important but not urgent o Not important but urgent o Not important and not urgent · DO NOW · DO LATER · DON'T DO

prioritization

Why ______? · When the value of doing something else outweighs the value of doing it now. o Sometimes we just don't value what needs to be done. Don't realize the importance of it · You are afraid of the job. · You are not really committed to doing the job. · You do not place a high enough priority on the activity. · You do not know enough to do the task. · You just plain do not want to do the job.

procrastinate

Where does your time go?? · ______: o Your own fault but if you have something that needs to be done, if you have the time to do it then do it

procrastination

The following are ______ stress symptoms (how we think and feel): · Abrasive · Anxious · Blaming others · Catastrophising · Cynical · Depression · Depressed/Anxious thinking · Excess guilt · Excess worries over health · Feeling a failure

psychological

The following are ______ stress symptoms (how we think and feel): · Abrasive · Anxious · Blaming others · Catastrophising · Cynical · Depression · Depressed/Anxious thinking · Excess guilt · Excess worries over health · Feeling a failure · Feelings of fear · Feeling unable to cope · Frustration · Hopelessness/helplessness · Hostile · Hypercritical of self/others · Impatience · Increased worrying and anxiety · Indecision · Jealousy · Lack of concentration · Loss of confidence · Lower self-esteem · Mind in a whirl · Mood swings · Negative thinking · Pessimistic thinking · Rumination · Sensitivity to criticism · Snappy · Stressful thinking · Tense · Worrying a lot

psychological

The following are ______ stress symptoms (how we think and feel): · Excess guilt · Excess worries over health · Feeling a failure · Feelings of fear · Feeling unable to cope · Frustration · Hopelessness/helplessness · Hostile · Hypercritical of self/others · Impatience · Increased worrying and anxiety · Indecision

psychological

The following are ______ stress symptoms (how we think and feel): · Jealousy · Lack of concentration · Loss of confidence · Lower self-esteem · Mind in a whirl · Mood swings · Negative thinking · Pessimistic thinking · Rumination · Sensitivity to criticism · Snappy · Stressful thinking · Tense · Worrying a lot

psychological

There are 4 sources of role stress: role ambiguity, role conflict, role underload, and role overload. Which of these 4 is described below? o occurs when role expectations are unclear

role ambiguity

There are 4 sources of role stress: role ambiguity, role conflict, role underload, and role overload. Which of these 4 is described below? o occurs when the nurse's professional values conflict with role expectations o expected to do something but your professional values contradict what it is that is expected of you

role conflict

There are 4 sources of role stress: role ambiguity, role conflict, role underload, and role overload. Which of these 4 is described below? o occurs when too much is expected in the time available o could almost say this about most days for a nurse o the amount of work that we need to do in a day's time is overwhelming

role overload

There are 4 sources of role stress: role ambiguity, role conflict, role underload, and role overload. Which of these 4 is described below? o occurs when highly expert nurses are underutilized o nurses can change jobs as a result of being bored. If someone is used to being engaged, having a lot of autonomy, enjoys a lot of critical thinking. They make take a position where they feel totally under utilized and the position is boring to them

role underload

The following are _____ of role stress: · Role ambiguity o occurs when role expectations are unclear · Role conflict o occurs when the nurse's professional values conflict with role expectations o expected to do something but your professional values contradict what it is that is expected of you

sources

The following are _____ of role stress: · Role overload o occurs when too much is expected in the time available o could almost say this about most days for a nurse o the amount of work that we need to do in a day's time is overwhelming · Role underload o occurs when highly expert nurses are underutilized o nurses can change jobs as a result of being bored. If someone is used to being engaged, having a lot of autonomy, enjoys a lot of critical thinking. They make take a position where they feel totally under utilized and the position is boring to them

sources

Stress or burnout? o Characterized by over-engagement § Our SNS kicks in and tend to be amped up and do more o Emotions are over-reactive o Produces urgency and hyperactivity o Loss of energy from hyperactivity o Leads to anxiety disorders o Primary damage is physical § People that get really sick after being _____ed for an extended period of time § All physical ______ to some extent is preceded by emotional, mental, and spiritual _______ o May kill you prematurely

stress

The ____ diagram includes the following steps: (from bottom to top) 1. perceived _____or 2. Stage 1: Flight or Fight Response: Increased Adrenaline 3. Stage 2: Emotional Reaction: Surprise, shock, anger, happiness 4. Stage 3: Cognitive or Intellectual Response: positive or negative thinking 5. Stage 4: Physical reaction to ____: increased BP, fatigue, sleep alterations 6. Stage 5: Change in ____Or: Eliminated OR change in person: coping OR no change 7. Stage 6: Adaption or Burnout

stress

The _____ diagram includes: · If no change at all and it continues, it leads to burnout · If you eliminate the _____or or cope with it, then you successfully adapted to the ______or or situation

stress

What is _____? When somebody is really _____ed, do NOT engage them. We all have different S/S of when we are _____ed so we need to know what our pain points are and need to recognize when we are _____ed.

stress

What is _____? _____ is subjective, and a person's level of _____ or distress is an interaction within an individual in the entirety of his or her environment. A person's perception of his or her ______ level is in large part a reflection on his or her perception about being equipped to handle it. o Ex: a new nurse in the clinical environment will feel really _______ed about moving up to taking multiple patients or doing a procedure they have never participated in or the first time the patient needs the RRT or code team is called. A seasoned nurse is not going to be as ______ed about the situation because they have a certain level of confidence that they can handle and are equipped to handle the crisis in front of them

stress

What is ______? _____ors that are identical do not have the same effect on each individual. In other words...a _____ful event today may be viewed differently a month from now. Something may happen today and I think that it is awful but a month from now my perspective has changed for some reason and the exact same thing can happen or something of equal _______ can happen and I react differently. It depends at that moment what my emotional state was and the circumstances and support system around me. Lots of contributing factors that plays into why we feel _____ed.

stress

List your major ______... · School/Work Personal · 1. Pandemic 2. Fear about finishing Symptoms and Strategies · List the symptoms that indicate you are stressed. · 1. Angry? · 2. Withdraw? · 3. Impatient? · Now list strategies you might employ to help you manage your stress. Describe why each strategy might work well for you. · 1. Listening to smooth jazz · 2. Physical activity

stressors

The following are the steps of _____ management: · Step 1: Allow _____ for planning and establishing priorities o Before you get to the doing, you have to figure out what the plan is going to be and figure out what is at the top of the list · Step 2: Complete the highest priority task whenever possible and finish one task before beginning another. o Might end up forgetting to finish what you started and a sureway to make a mistake · Step 3: Reprioritize what tasks will be accomplished based on new information received. o You may be in the middle of hanging a piggyback on a patient and you get a phone call from the desk saying that your other patient's blood pressure is 70/40 and that patient is normally hypertensive. Now you need to stop what you are doing and go see about that patient because that is new information that came in that jumps to the top of the priority list

time

The following is the impact of complex healthcare environments on ______: · Ever-growing information technology o Not just for the patient and family members but also for the healthcare providers. Have to spend _____ learning new softwares, applications, EHRs · Tight quarters in which to deliver high-tech care o Very frustrating when you work in a room that is too small for the amount of equipment that you have in there. Makes it hard to move around the room and navigate care

time

The following is the impact of complex healthcare environments on ______: · High-acuity patients o Now you have to be really sick to be in the hospital · Vigilant and knowledgeable family members o Have electronic resources where they can google certain things and we encourage them to be more informed but with higher level of understanding and knowledge will come more questions

time

The following is the impact of complex healthcare environments on ______: · Little _____ to interact with patients o So focused on getting everything done that we often feel frustrated with lack of time we have to sit and tend to patient's emotional needs · Different disciplines functioning in parallel work o Waiting for physical therapy to finish or speech therapy is waiting for you to give meds o Find yourself getting in line to treat your patient because there are so many different healthcare providers that the patient has the sicker they are

time

The following is the impact of complex healthcare environments on ______: · Managing ______ and balance between work and personal life are essential o Can spend so much _____ and energy at work and can consume so much of us and our personal life can start to suffer so we have to find a balance

time

The following is the impact of complex healthcare environments on ______: · Need to transition patients quickly from one site of care to another · Intimate human element in health care makes it like no other work o Not only are we trying to manage time as efficiently as possible but what makes it difficult is that when you have a patient in front of you, in their mind what is most important to them is you advocating for them and you taking care of them but you are well aware that you have other patients that you are equally responsible for but without taking the time to establish that relationship with that patient so that they know you have their best interest and doing everything you can to help them takes time. Developing rapport and relationship with the patient takes time

time

When talking about ____ management, _____ is a **valuable resource.** _____ management is defined as "making optimal use of available ____." As you get older, you realize ____ is one of the most valuable resources that you have. Individuals are not "_____-poor" but may be poorly using _____. Good _____ management allows us to spend ____ on things that matter.

time

Where does your ____ go? · Doing too much - inability to delegate o Lots of times if you find yourself getting further and further behind, look at the things that you can delegate. Maybe you aren't delegating enough · Inability to Say "No" o Sometimes people request certain actions from us and sometimes we just have to say right now I can't tend to that. I don't have the time right now · Procrastination o Your own fault but if you have something that needs to be done, if you have the time to do it then do it · Perfectionism o Not everything has to be done in exactly a certain day. That can take too much time and slow us up from getting to other things that are equally important · Interruptions - pager, phone goes off, calling you to the desk · Disorganization - real time killer. That's why prioritization lecture was so important · Too much information - sometimes it is hard to figure out what is pertinent and what's really not that important and is unnecessary

time

One of Bran's 12 habits includes: 8. Always look for ways of doing things better and faster. 9. Build solid processes. 10. Spot ______ ahead and solve problems immediately. o This is about being proactive

trouble

The following are time management ______: · "Nothing changes if nothing changes" o A person cannot affect change if they are unwilling to do something differently that could adjust the outcome o Build on past experiences to make future ones more successful o If our day didn't go right, learn from what we could do differently and do it differently the next day · "We train people how to treat us" o You must be aware of the behavioral style you possess § Most nurses don't have solid boundaries because we are so nurturing and the goal is taking care of others, we tend to not value being taken care of and tend to not have good boundaries. Need to know that about yourself o Helpful to determine behavior styles of those who work closely with you § Some people who are really good at taking advantage of others who do not have good boundaries. Stand up to them sooner than later. · "Everything you own owns you" o Tasks you assume as your responsibility assume your time and energy § Some people run around with their hands in everything wanting to control everything and feel like they never have time for anything else. They think "who put them in charge of everything?" of course their day is full. They have self assigned themselves with every responsibility § Own the things that you need to own. Things that are not yours to own, don't own them because that occupies your time and energy o Be cognizant of how the demands you place on yourself affect time use

truisms

One of Bran's 12 habits includes: 2. Favor ______ relationships. Do not waste your time in relationships that are toxic or self serving or you are not getting anything out of. If can't trust the other person then you are probably wasting your time.

trusting

One of Bran's 12 habits includes: 11. Break goals into small ____s of work and think only about one _____ at a time. o "best way to eat an elephant is one bite at a time." If you think about eating a whole elephant, it can be overwhelming but if you start one bite at a time, before you know it you will get to the end eventually. Like running a marathon, have to learn how to run half a mile, then 1 mile and on down to five miles until you can run a marathon

unit

The following are ___ ____ stress symptoms (how we may be affected in our work): · Absenteeism · Presenteeism: you may be at work but you are not present mentally or emotionally · Accidents · Inability to delegate · Increased sick days · Inefficiency · Persistent lateness · Procrastination · Poor decision making · Poor interaction with colleagues · Reduced work performance · Resentment/anger · Turnover · Diminished productivity

work related

One of Bran's 12 habits includes: 12. Finish what is important and stop doing what is no longer ______.

worthwhile