Nursing Stress in High Risk Unit (ICU)-An Evidence Based Practice Report

Running Head: Evidence Based Practice 1
Nursing care, Nursing Stress in High Risk Unit (ICU)-An Evidence Based Practice Report
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Running Head: Evidence Based Practice 2
Identification and focus to the problem
Across all over the world, nurses play an essential role in the health system in attempting
public health challenges (Jordan et al., 2016). A great number of nursing professionals working
in this field to serve their great efforts to the human being. They provide high-quality services
that are effective, acceptable, accessible, efficient patient center health care (Pearson, Jordan, &
Munn, 2012). The basic requirements of this field that care coordination and clinical decision
making in nursing. The professional life of the field of nursing is very crucial in term of taking
right decisions (Stevens, 2013). There are many challenges that professional nurses have to face
while living in this health care field. Stress is a big challenge that all professional nurses have to
face while living in this field (Jun, Kovner, & Stimpfel, 2016).
Workload and workplace stress is affected by the quality of care of nursing. It leads to the
low quality in nursing care, negatively affected on job satisfaction, increase the morbidity rates
towards psychiatry (anxiety and depression), and physical disorders like locomotor and
cardiovascular (Jordan et al., 2016). According to Mrayyan, (2009) Facing deaths, uncertainty
concerning treatment, fear of making mistakes, inadequate preparation to meet the emotional
need of caretakers are the major sources that lead to the stress in professional nurses (Jordan et
al., 2016). Milutinović, Grujić, & Jocić (2009) studied that the stress level is high in the Intensive
Care Units (ICU).
Performing painful procedures for the patients and anxiousness of committing mistakes
causes stressful situation for nurses. The professional nurses who works in Intensive Care Units
(ICU) should be more skilful and be familiar with the equipment that can be used for patients.
The stressful situations of the professional nurses may lead them towards some psychiatric

Running Head: Evidence Based Practice 3
problems that why there is a need for the relaxation and break or timeout so that they make them
fresh for next situations (Johnson, & Veldsman, 2017).
Summarize the context
Nurses have a great impact on the safety and security of human being. They give their
best in their professional life. The need to improve the mental health of the nurses as well so that
they can take care and secure the lives(Marshall, Bosco & Adhikari, 2017). Throughout working
in the Intensive Care Units, (ICU) nurses feel stress due to the painful situations of the patients
and due to that stress, they have fear about making mistakes (Johnson, & Veldsman, 2017). The
stress of the nurses may cause any wrong decisions about giving medicines to the patients that’s
why there is the need for stress management and learn relaxation and taking a break so that they
can maintain their mental health as well (Torshizi, & Ahmadi, 2011).
Justify and support the rationale
There are many studies conducted on the stress of the nurses that can justify the evidence-
based practice report. Brunault et al., (2014) resulted in their research that the fear death is the
most critical stress for the nurses working in the Intensive care unit (ICU). This fear causes the
nurses to have a high-stress level and is persistent even after a week of the patient’s death
(Marshall, Bosco & Adhikari, 2017). Furthermore, Price (2013) reported that workload is also
Signiant with the stressors for nurses in working in ICU. In ICU, nurses have to do most of the
time overtime work, shift work that cases a pressure on the nurses to have something done in a
short interval. Given literature justify the rationale of the evidence-based practice report that
there is a need for stress management in the nurses.
Searchable question
PICO technique will be used for the question of Evidence-based practice report.