scholarly journals Individual-Level Interventions for Decreasing Job-Related Stress and Enhancing Coping Strategies Among Nurses: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Maria Velana ◽  
Gerhard Rinkenauer

Background: Nurses are facing unprecedented amounts of pressure because of the ongoing global health challenges. Improving nurses' resilience to job-related stress and enhancing their strategies to cope effectively with stressors are key issues facing many health care institutions during the COVID-19 pandemic. This literature review aimed to: a) provide a thorough overview of individual-level interventions for stress management among nurses, b) identify measurement tools utilized to evaluate nurses' stress level, and c) provide the best evidence-based recommendations for future research and practice adapted to the current restrictions.Design: Systematic review.Data Sources: Studies published between January 2000 and October 2020 were retrieved from the following sources: EBSCOhost, Dortmund University Library, PubMed, Medline, Google Scholar, Applied Nursing Research, and reference lists from relevant articles.Review methods: Individual-level interventions with a control group or a placebo intervention were included in the final sample. Primary outcome was defined as a change in individual stress level or stress symptoms which were measured by objective or subjective instruments with evidence of validity. Articles published in English or German were included in the present review.Results: In total, 27 relevant studies were included into the current review. There are some indications that technology-delivered interventions with relaxation and stress management interventions comprising cognitive-behavioral components might be effective in decreasing stress among nurses and improving their well-being. Furthermore, although there were some attempts to collect objectively measured parameters for assessing the primary outcome of stress, the majority of the interventions utilized self-reported stress scales.Conclusion: A wide range of interventions are available for nurses. However, it is of utmost importance to develop and implement stress management programs that are conveniently accessible in the workplace and above all, meet the current restrictions for minimizing human contacts. To this end, innovative interventions delivered through digital technology, such as virtual reality, seem to be a promising solution for combating the detrimental impact of stress on nurses. Special attention should be also paid to applying standardized objective measurement tools to allow the assessment of sensitive physiological indices and the generalizability of scientific knowledge.

2020 ◽  
Vol 42 (6) ◽  
pp. 1309-1325
Author(s):  
Dorota Molek-Winiarska ◽  
Katarzyna Molek-Kozakowska

PurposeWork-related stress causes individual, societal and economic costs. Stress management interventions (SMIs) are implemented to decrease those costs, reduce the psychosocial harms and increase workers' productivity. This article reports on a study of a substantial sample of enterprises to verify what types of SMIs they implemented and how they assessed the results of these interventions.Design/methodology/approachSpecially designed surveys were collected in 2015–2017 from 408 organizations of different sizes and sectors in Poland, including multinationals. The reliability of the questionnaire was satisfactory (Cr. 0.84).FindingsResults show that 59% of enterprises are aware of SMIs but only about 30% implemented one within the last three years. The implementations usually covered both organizational and individual-level interventions. The assessment of SMI effectiveness was conducted in just about one-third of the organizations and was based on estimations of the levels and sources of stress. Hardly any companies compared economic and psychosocial costs of stress before and after SMIs.Research limitations/implicationsThe most important recommendation from this study is to increase the awareness of causes of stress among managing directors. Also, organizations and HR staff need more assistance from specialists who know how to measure and help reduce work stress.Originality/valueThe literature on stress interventions at work usually focusses on their psychological effects. This paper explores the organizational perspective and the commitment to implement the interventions in companies.


Author(s):  
Yagmur Amanvermez ◽  
Metta Rahmadiana ◽  
Eirini Karyotaki ◽  
Leonore Wit ◽  
David D. Ebert ◽  
...  

2012 ◽  
Vol 1 (3) ◽  
pp. 173-193 ◽  
Author(s):  
James L. Rumbold ◽  
David Fletcher ◽  
Kevin Daniels

2021 ◽  
pp. archdischild-2020-319059
Author(s):  
Sarah Spénard ◽  
Charles Gélinas ◽  
Evelyne D. Trottier ◽  
Fannie Tremblay-Racine ◽  
Niina Kleiber

AbstractObjectiveTo systematically review available paediatric literature on comparisons between morphine (Mo) and hydromorphone (Hm), to guide clinicians to rationally use these medications.DesignSystematic review within four databases for all studies published from 1963 to July 2019.SettingAll paediatric settings.EligibilityAll studies comparing Mo to Hm in individuals younger than 21 years.Main outcome measuresThe primary outcome was to compare clinical efficacy and side effects of Mo and Hm. The secondary outcomes were the comparison of pharmacokinetic profiles and the description of predefined Mo to Hm conversion ratios used across the paediatric literature.ResultsAmong 754 abstracts reviewed, 59 full-text articles met inclusion criteria and 24 studies were included in the analysis: 4 studies compared pharmacodynamics of Mo and Hm and 20 studies reported the use of a predefined Mo to Hm conversion ratio. Most studies had a poor methodological quality. Available evidence suggests that, when given intravenously, the equianalgesic ratio of Mo to Hm is 5:1. Intravenous administration with this ratio results in a similar rate of adverse effects, including pruritus and nausea. The epidural administration with a ratio of 10:1 results in more pruritus and urinary retention with Mo than Hm. Pharmacokinetic data were reported in only one study. A wide range of pre-established ratios for different routes of administration were reported, but few were based on evidence.ConclusionCurrent literature does not permit a rational choice between Mo and Hm. A ratio of 5:1 seems adequate for intravenous administration and leads to a similar rate of adverse effects.


Author(s):  
Zahra Khorrami ◽  
Farzaneh Zolala ◽  
AliAkbar Haghdoost ◽  
Ali Sadatmoosavi ◽  
Ziyad Ben Taleb ◽  
...  

2020 ◽  
Vol 71 (02) ◽  
pp. 180-185
Author(s):  
AHMAD AFTAB ◽  
HUSSAIN AMJAD ◽  
MUGHAL MOHAMMAD ◽  
MUFTI NADEEM ◽  
SALEEM MUHAMMAD ◽  
...  

Work stress adversely affects individual and organizational performance. This paper aims at investigating the perceived stress among the employees of textile industry employees and how the employees’ perceived stress level (EPSL) is linked with different demographic variables. Data was collected from 1212 employees working in 23 export-based textile organizations using primarily Sheldon Cohen’s PSS-10. Descriptive analysis, t-tests, and ANOVA-tests were performed to achieve the objectives of the study. 70% of the participants were found to be undergoing stress amongst 21% were in the severe level of stress while 40% in higher level. The demographic variables: gender, marital status, salary, position, job experience, family size, and size of the organization, were found to have significant effect on the perceived stress levels. The study revealed numbers of variables (demographic) that directly or indirectly affect the employees’ perceived stress level (EPSL). There is a need to understand the complexity of stress phenomenon using a proactive approach, so that the stress management and interventions strategies can be designed to be effective and implemented accordingly. Findings of this research support the research community in an attempt to unfold complexity of stress phenomenon and study results can be utilized as a job design guideline for more acceptable and viable stress management interventions.


2021 ◽  
Vol 40 (9) ◽  
pp. 606-616
Author(s):  
Emily C. Gathright ◽  
Elena Salmoirago-Blotcher ◽  
Julie DeCosta ◽  
Marissa L. Donahue ◽  
Melissa M. Feulner ◽  
...  

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