University Nursing Report: Stress, Time Management, and Debriefing

This report delves into the pervasive issue of stress within the nursing profession, particularly focusing on the challenges of time management and the impact of Electronic Medical Records (EMR) on healthcare practitioners. The author, drawing from personal experience, presents a case scenario illustrating the stress generated by time constraints and conflicting priorities during a drug testing assignment. The report then explores various stress-revealing techniques and the importance of establishing priority lists to mitigate the effects of workplace stress. Furthermore, it highlights the application of debriefing in medical contexts as a crucial tool for reducing trauma-related stress among healthcare professionals, proposing a seven-step approach to debriefing after critical incidents. The report concludes by emphasizing the significance of debriefing sessions and stress management strategies in ensuring nurses can maintain a healthy work-life balance and deliver optimal patient care while minimizing the potential for burnout and compassion fatigue.

STRESS AND PRACTICING NURSE
STRESS AND PRACTICING NURSE
Student Name:
University Name:
Note of the Author:
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STRESS AND PRACTICING NURSE
Overview
The profession of nursing is associated with stress. This stress is generated from the
work or sometimes from the work-related critical incidents. Management of the stress is
essential to ensure normal working life for the nurses and healthcare practitioners (Berg et al.,
2016). In this regard, the selected case scenario will be discussed to indicate the critical
incident of time management issue and the associated stress that have been raised from it to
hamper the care practices. The stress revealing techniques to nullify the impact of the trauma
will be discussed. On the other hand, debriefing application in the medical context will be
generated to indicate the application of it to reduce the trauma related influence among the
medical practitioners. Debrief session has the possibility to reduce the stress for the medical
practitioners.
Discussion
Case Scenario
During the third year of placement I had encountered the stress related to time
management. I was provided with the task to test a drug from the end of my mentor.
However, during the process of testing the drug I had been approached from the end of
healthcare assistant for helping a patient who was lying in a dirty bed. I had agreed to support
the assistant of health care as it was on the supremacy and the testing of drug was for my
development and learning. After I had helped the other healthcare professional with the
patient, my mentor has asked for the drug testing result. I had interpreted that I had gone to
support the care assistant and currently I had looked for the drug test. I need to improve my
time management as prescribed by my mentor as I had not looked up for the drug. It was vital
for me to test the drug as for Registered Nurse it is vital to know the drug and how it is used.
This situation has generated a question to me regarding the priority generation based on the
professional learning and development. The time management and decision making related
stress has been developed in this regard (Kassam-Adams et al., 2015).
After the incident I had prioritized my action regarding time management in
healthcare setting and thus have generated planning to manage stress. However, the EMR
application had emerged as the primary criteria to promote the essential part of the service
occupied care. This system generally includes radiology and laboratory results, list of
medication, notes of clinical, record of demographics of patient, list of problems and printing
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of prescriptions. (Johnson et al., 2016). In healthcare setting, the time management is vital
and for the information gathering and record it as electronic health record has become
challenging. Thus, the time management related stress issue have started bothering me.
Physicians and nurses are struggling with burnout condition. The record had indicated that
73% of the healthcare professionals are facing the issue of burnout (Goldsmith, McCloughen
& Curtis, 2018). Similar related causes of EHR stress include very ample quantity for
documentation and thus it has resulted in time spent at home to manage the records of patient
and tricky user interfaces. Thus, the stress related to time management is still persisting in the
health care settings. Moreover, this stress related to time management needs attention to
reduce so that the nursing practices can be facilitated (Li et al., 2019).
Stress overcome process
To manage the time related stress of data recording, drug testing and patient care I had
considered the process of developing priority list. Though the requirements and urgency in
hospital are overlapping in nature, the management of priority list had helped me to maintain
a routine at work. I had provided the concentration towards the recruitment of support with
others to manage the critical situations. I had performed exercises to keep myself active at
work and deep breath technique during the strenuous condition had helped me to overcome
the stress level. Seeking help from the peer group is vital to manage the emergency situations.
In this regard, it is important to consider the fact that handling of EMR data must ensure the
authorization of the access (Powers& Candela, 2017). The privacy control of the patient is the
foremost criteria. The authorize access of the data and the patient driven information plays an
important role in this regard. Thus, the stress management process must ensure that the EMR
record of the patient should be maintained. Furthermore, I had managed to maintain a
personal notebook in terms of daily based work and this way I had managed to reduce the
stress level that have been generated in the workplace. Maintenance of the ethics in terms of
reducing the stress is important to consider in the healthcare setting (van der Riet et al.,
2015).
Debriefing
Debriefing process is a very essential ethical consideration that ensures the fact that
the participants must be must be informed fully and it must not harm the individual in
physically or psychologically. The process of debriefing is important in terms of
psychological research aspect with the human subjects after an experiment (Daigle, Talbot&
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French, 2018). The process is associated with the structured and semi-structured interview
conductance between the researchers and subjects to discuss the elements of study in detail.
The application of debrief is linked with the determination of experience, project, or mission
of a person who have been subjected towards interview. In this organization these can be
discussed in the debrief process.
The debriefing process in the organizational settings is very helpful in facilitating the
team work and enhanced communication in crisis situation (Fey & Jenkins, 2015). Another
reason behind this is that, it provides an ambient chance for healthcare workers to talk about
their work and feelings via emotions. Application of debriefing is essential to carry out within
the three to seven days of the critical incident. The reason is to ensure that the workers have
taken enough time to take in the experience. In addition, it is vital to consider that the
debriefing is not any counselling process rather it is aimed to structure the voluntary
discussion to put the abnormal event into perspectives.
Workplace Practice
In case of medical field the application of debriefing is widely accepted and it helps in
the process to learn from the defects and facilitate the improvement of the performances. It an
be applicable for in my healthcare settings also. In case of medical field the application of the
debriefing has the potential to follow the actual or simulated clinical event. The first
application of the debriefing in healthcare settings has been done based on formal medical
simulation program. Simple application of debrief in the healthcare setting has enabled the
team to self-correct, rise as a team and enhance the performance in the healthcare settings. In
case of healthcare setting it is vital that debrief session must be led by the senior nurse or
personnel from the management and it must contain a psychologist. During the debrief
session the team members can discuss regarding the recent experience, discuss on what went
well or wrong along with the identification of opportunities of improvement (Rudolph et al.,
2016).
In case of nursing practices the tight schedule and the various encounters with the
patient is subjected towards developing the traumatic experience for the nurses. Time
management become a prior concern that have hampered the nursing practices and EMR
application has resulted in the burnout condition for the healthcare practitioners. In this
respect, the medical briefing arrangement can assist the staffs to conversant about the terrible
event of a personal impact they have engaged in. This process is helping the facilitators and
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the supervisors to identify the staffs who may have faced a tough time to provide certain
additional help towards them and deal with the things. (Waznonis, 2015).
Stress reduction through debriefing
The application of the debriefing for the staffs in healthcare setting can be applied for
the CISD for the secondary and the primary victims of trauma. The critical incident stress
debriefing is an efficient method for related PTSD symptoms of reducing risks during the
service of emergency. The application of the debriefing in this case can help me to reduce the
stress related to time management related issues and EMR maintenance burnout (Sabei&
Lasater, 2016).
Step 1: Assessing the impact of the critical incident from the end of psychological leader is
essential and thus I can share my initial statement. The involvement level with the incident is
essential to communicate with the leader to perform my accurate assessment.
Step 2: Identification of the immediate issues surrounding the problem and ensure the safety
and security. The time management related stress is hampering the patient care process. The
leader needs to identify my perceived sense of security.
Step 3: Application of defusing is essential that can facilitate the ventilation of thoughts,
emotions and experiences which can indicate the possible reaction from my end. Non-
judgemental space maintenance is vital in this regard (Hall& Tori, 2017).
Step 4: The debriefing session will allow me to determine the events and reactions to come in
the aftermath of the event and thus it can ensure the process of controlling the emotional
reactions and physical symptoms.
Step 5:In this regard, systematic review of the critical incident is vital and it is likely to
generate the impact on the individuals through emotionally, cognitively, and physically. The
maladaptive behaviours must be encountered prior to the trauma or crisis incident (Roh,
Kelly& Ha, 2016).
Step 6:The closure of the incident must be communicated with the team. The individual
community resources must initiate the rebuilding process on the traumatic behaviour to
nullify the later impact.
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Step 7: Debriefing can ensure the individual to process back to the workplace or working
community with the control over the reaction of the individual. It can allow me to return to
normal life with greater equanimity and less stress (Hall& Tori, 2017).
Conclusion
Therefore, the outcome of the case incident has reflected the fact that time
management related issue has hampered the clinical care process for me and it has been
persisted for the EMR record maintenance related purpose. In this regard, the management
related issues of time has developed burnout condition and time management trauma. Certain
processes of revealing the stress have been taken through routine maintenance, priority of
work development, and deep breath techniques. In addition, debriefing has been emerged in
the healthcare setting to help the individuals to recover from the trauma related stress. Critical
incidents and the generated trauma from those incidents are hampering the medical
practitioners. Thus, session of debriefing can ensure the application of seven step approach to
accept the traumatic incident as normal perspective and practice their work in stress free
condition.
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References
Berg, G. M., Harshbarger, J. L., Ahlers-Schmidt, C. R., & Lippoldt, D. (2016). Exposing
compassion fatigue and burnout syndrome in a trauma team: A qualitative
study. Journal of trauma nursing, 23(1), 3-10.
Daigle, S., Talbot, F., & French, D. J. (2018). Mindfulness‐based stress reduction training
yields improvements in well‐being and rates of perceived nursing errors among
hospital nurses. Journal of advanced nursing, 74(10), 2427-2430.
Fey, M. K., & Jenkins, L. S. (2015). Debriefing practices in nursing education programs:
Results from a national study. Nursing Education Perspectives, 36(6), 361-366.
Goldsmith, H., McCloughen, A., & Curtis, K. (2018). Using the trauma patient experience
and evaluation of hospital discharge practices to inform practice change: A mixed
methods study. Journal of clinical nursing, 27(7-8), 1589-1598.
Hall, K., & Tori, K. (2017). Best practice recommendations for debriefing in simulation-
based education for Australian undergraduate nursing students: An integrative
review. Clinical Simulation in Nursing, 13(1), 39-50.
Johnson, K., Diana, S., Todd, J., McFarren, A., Domb, A., Mangram, A., & Veale, K. (2016).
Early recognition of delirium in trauma patients. Intensive and Critical Care
Nursing, 34, 28-32.
Kassam-Adams, N., Rzucidlo, S., Campbell, M., Good, G., Bonifacio, E., Slouf, K., ... &
Grather, D. (2015). Nurses' views and current practice of trauma-informed pediatric
nursing care. Journal of pediatric nursing, 30(3), 478-484.
Li, Y., Cannon, L. M., Coolidge, E. M., Darling-Fisher, C. S., Pardee, M., & Kuzma, E. K.
(2019). Current State of Trauma-Informed Education in the Health Sciences: Lessons
for Nursing. Journal of Nursing Education, 58(2), 93-101.
Powers, K. A., & Candela, L. (2017). Nursing practices and policies related to family
presence during resuscitation. Dimensions of Critical Care Nursing, 36(1), 53-59.
Roh, Y. S., Kelly, M., & Ha, E. H. (2016). Comparison of instructor‐led versus peer‐led
debriefing in nursing students. Nursing & health sciences, 18(2), 238-245.
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Rudolph, J. W., Palaganas, J., Fey, M. K., Morse, C. J., Onello, R., Dreifuerst, K. T., &
Simon, R. (2016). A DASH to the top: Educator debriefing standards as a path to
practice readiness for nursing students. Clinical Simulation in Nursing, 12(9), 412-
417.
Sabei, S. D. A., & Lasater, K. (2016). Simulation debriefing for clinical judgment
development: A concept analysis. Nurse Education Today, 45, 42-47.
van der Riet, P., Rossiter, R., Kirby, D., Dluzewska, T., & Harmon, C. (2015). Piloting a
stress management and mindfulness program for undergraduate nursing students:
Student feedback and lessons learned. Nurse Education Today, 35(1), 44-49.
Waznonis, A. R. (2015). Simulation debriefing practices in traditional baccalaureate nursing
programs: National survey results. Clinical Simulation in Nursing, 11(2), 110-119.
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