Showing posts with label nursing stress. Show all posts
Showing posts with label nursing stress. Show all posts

Monday, January 5, 2009

Nursing Stress - Reconsidering Who God Is Can Be Helpful

It's extremely helpful for me in dealing with nursing stress (and all types of stress) to really have a sense of who I believe God is (for me). I just read the book, "When Bad Things Happen To Good People," by Harold S. Kushner and it was absolutely fantastic. It was very re-affirming for me.

As a young adult (age 18) I decided that I could only believe in God if I was absolutely positive that He didn't "play tricks on me." In other words, why would I want to rely on a God that was sitting up in heaven waiting to give out "tests" or "trials" or "tribulations" to certain people just because he deemed it so? In my mind that was to "human" of God...that was to little of him. He would never do that. I decided that the God that I was going to rely on was not involved in handing out punishments or tests. He was pure Love...and pure love doesn't work that way.

And so when I showed up to work yesterday and found out that I had to float to a different (unfamiliar!) floor, my first thought was NOT "God, why did you do this to me." It was, "Okay, God, let's go."

Now, prior to leaving for work, I had asked several things of God. I had asked that I feel His presence at work. I had asked that I be given whatever I needed to take care of my patients that day. I had asked that I have fun at work and that I could be joy filled at work. Using positive, "I am" statements, I asked God for what I needed.

And when I met my patients and began my day, I soon realized that God WAS with me and that he's always with me. My new co-workers (for the day) were as nice as they could be. Although the patient population was unfamiliar to me (stroke/neuro patients), I received a thorough report at the beginning of the shift and felt fairly prepared to serve them.

The day was busy but I made it through it. I even got my charting and reporting done on time! And at one point, there was a funky music CD playing, and we all starting dancing and laughing together! Incredible!

It is of paramount importance to me in coping with nursing stress that I IN NO WAY believe that God is "doing this to me" to "test" me. I would build a resentment up against God so fast it would make your head spin. I'd be a very bitter person. Things would go down hill fast, believe me!

The fact that I view God as a source of perfect love, as my refuge, as my safe place and as an agent of my internal change. This is CRITICAL. This means that I can turn to him to help me cope as opposed to view him from afar as a source that is constantly testing me to see if I can cope or not.

Did God cause those patients to have debilitating strokes? Did he give them various co-morbidities such as the diabetes and rheumatoid arthritis because he felt their brain damage was not enough? Did he decide that their family members weren't being "good" enough so they must be made to suffer at the bedsides of their loved ones day and night? Is that the God that I'm supposed to believe in?

I don't think so. God is in the heart of the nurse who watches over and takes care of these patients. He's in the heart of the nurse assistant who gives these patients their bed baths. He's in the heart of the physical therapist who gets the confused patient out of bed to walk in the hallway. He's in the heart of the doctor who uses his knowledge to properly prescribe for these patients. And the list goes on and on.

God is in the care and love and tending to that we receive during challenging times. God provides courage to the family members to keep on going to the bedside. God is always part of the solution. God is not up there playing cruel games on us.

That knowledge helps me cope with the stress in nursing. And so I ask God for what I need to cope. Do yourself a favor, learn how to ask.

God Bless,
Theresa

Monday, December 22, 2008

Nursing Stress: Are You Willing To Try Something New?

I use the same system for dealing with life stresses as I do to deal with nursing stress. And the other day I had a wonderful experience with my daughter.

She had a pretty difficult project to complete for physics class. So off we went to Michael's craft store on Wednesday night to buy the necessary supplies to create an "NRG car" for her class. It was really dark and rainy on Wednesday night and I have to admit I was exhausted by the time we got home from the store. But the work was just beginning.

We worked on the car until 11:30pm that night. After working with a faulty design for what seemed like forever, we finally had a breakthrough. We redesigned the car for the better...but time ran out...we had to go to bed.

The next day (Thursday) the pressure was on because it was our last day to work on the design. Friday morning was the deadline. She would have to demonstrate to the teacher that the car could move on 1 Joule of energy for a minimum of 16 feet (5 meters). After the breakthrough from the day before, she decided to completely start from scratch and do it right this time. All we salvaged from the previous car was the wheels. The rest was all new.

I'd like to share with you about my attitude during this project. It could have been bad. It could have been REAL BAD. I could have gotten very negative and resentful at the idea that we even had to do this project right before Christmas break. After all, aren't there enough things to worry about during this time of year? I could have "character assassinated" the teacher for being such a jerk for having assigned such a difficult project. But I didn't! Oh I had one or two tiny, itsy bitsy "slips" of negativity but that was all. I consciously decided to stay positive and to ask for the help I wanted and needed from the universe instead.

So before getting down to business on Thursday night to create an all new version of the physics car, I wrote some things down on my list:

*We have all the supplies we need for our NRG car.
*We have divine inspiration and creativity to create this car.
*We remain positive.
*We are grateful.
*We work together well.
*We are here to learn whatever lessons we need to learn during this project.
*We are easily successful at this project.
*We have fun during this project.
*We create the NRG car that is right for us.
*We feel protection and God's help along the way.

GUESS WHAT?! Long story...I won't go into all the wonderful details...but the result was success! Sweet success! Her car went well over 16 feet (it went 6.8 meters to be exact) and it was fun doing it. She got all the help she needed during the demonstration too (in fact 2 crucial things happened right before it was her turn)!

It was glorious! It was tremendous! It was a God centered project and it felt great!

I don't take credit for the system but I do take credit for my willingness to work it. If what you're doing in your life to combat stress isn't working, you may want to try something different.

God Bless,
Theresa

Wednesday, December 17, 2008

Nursing Stress: Flush Out Exactly What You Want!

One of the most powerful tools I use to combat the stress of nursing or the stress of life is to write a letter to God. This is NOT a thank you letter to God. This is not a sweet letter stating how I know God is taking care of me. This is actually the opposite. This is questioning what the heck God is doing! This is hashing out the problem with God. This is an emotional plea about what to do next. And this is a very power tool!

The God letter is a very powerful tool because it leads me to flush out exactly what I need help with. Once I see the areas that I need help in, I can ask God to PROVIDE me with the help I need.

If I'm struggling with stress at work, I'll make requests such as:
I am peaceful at work.
I am calm at work.
I am focused at work.
I separate myself from stress at work.
I practice good self care at work.
I have all the resources I need to take care of my patients at work.
I leave work on time.
I have all the skills I need to take good care of my patients.
I have all the help I need at work to take care of my patient.
I have a highly qualified support team always available to help me take care of my patients.

I don't know about you but those are just some of the things that I worry about and that cause me stress in nursing. The thought of having to do it all alone is terrifying. The thought that I won't have enough help to take good care of my patients is frustrating. The thought that I may be able to "do it all" but it will cost me some overtime is infuriating. The thought that I get to go home (late) and wake up early and do it all over again is sometimes just too much to handle.

All those fearful thoughts can lead to depression and anxiety. It's living in the future and the future is not good. It's living in the future and I'm all alone. It's living in the future and there's just not enough of anything. Not a good thinking pattern to get into.

But when I take those specific fears and ask for God (or the universe, or Higher Power, or whoever) to provide for me, I instantly feel a sense of relief. That somehow, some way I'm NOT alone and that there is enough for me. And furthermore, figuring out how God is going to fix the problem or how he's going to provide what I'm asking for is NONE of my business. I don't have to know how he's gonna do it all. I just have to ask. Remembering to put my requests in the present tense (as if they have already happened) is key. It's a powerful form of prayer and it changes things.

In fact the situation may not change right away, but somehow, some way I change. I start relying on infinite God rather than my finite self. I'm not alone and I don't have to make everything happen on my own. I have a provider and a protector. It's all gonna be okay. The nursing stress eases up a little and that's the whole point.

Here's some examples of how God has provided for me recently:
**For months, my schedule requests have all been honored.
**The E.T. nurse showed up at just the right time to do a major dressing change for me.
**Some very difficult supplies (only used in the ICU) were made available to my VIP med/surg patient and brought to his bedside by the ICU nurse educator.
**I got a 4.7% pay raise (annual review).
**I had a bright student nurse intern for several weeks who lightened my workload.
**I haven't missed a break in months.
**Overtime, if any, is minimal (a few minutes, as opposed to hours).
**The pharmacy is my buddy. It recently took less than 3 minutes to receive the med I was requesting.

Are they all coincidences? I choose not to believe so AND my stress level has gone down incredibly because of my belief...and that's the whole point. The mere act of asking for help from an infinite source of supply has filled me with hope. And as far as I'm concerned, the internal and the external results speak for themselves.

Can you imagine if all nurses starting asking for help from their spiritual supplier? The patients would benefit. The nurses would benefit. Everybody wins!

I learned how to ask here.

God bless,
Theresa

Wednesday, December 10, 2008

Nursing Stress: Use The Golden Key To Fight Negativity

One of the most important tools that I use to fight nursing stress and just regular "day-to-day stress" is called the Golden Key. I learned about it in a small 6-page booklet with a bright golden yellow cover written by Emmet Fox. Fox suggests that stopping a negative thinking pattern and switching to a positive (God centered) thinking pattern instead is the key to real serenity and peace.

Now, I firmly believe that although I may not be able to control the first thought that comes into my head, I CAN control my second thought and my third thought, and so on. In other words, I can control whether or not I keep thinking those negative thoughts or not.

And here's how I practice the Golden Key. When I find myself worrying about a subject (usually my kids, or the future, or a goal that I want to achieve but just seem to fall short of, or some other thing that I think I (alone) need to make happen), I stop myself. I then switch my thoughts to a phrase involving the power of my God. My favorite phrase at the moment is, "All things are possible with God." But you can think of any comforting, God-centered thought that you wish. Some other nice Golden Key thoughts might be, "God is with me" or "God is my source for ______" (just fill in the blank).

I say it over and over until I get some peace, some relief from the fear and anxiety that I'm experiencing. And that's the point! Instead of worrying in a fearful state about the welfare of my son (for example) the Golden Key allows me to interrupt that negative thought pattern and concentrate on a powerful God-centered positive thought instead. We all know that if you feed it it will grow, and if you don't feed it, it won't grow!

Me projecting fear onto my son's life cannot be a good thing. It can't be good for him and it can't be good for me. Me believing that all things are possible with God is my answer to this. It's simple, it's effective and it's completely free.

Whereas my negative fear-based thinking is a vicious cycle that benefits no one, my choice to stop feeding it absolutely benefits everyone. When I use the Golden Key, I stop for a moment and recognize that I have an all powerful source available to me and that all things are possible through this source. Within moments the negative cycle is broken and God's grace enters my mind. I am granted peace from the negativity. My bond with God (my source) is strengthened and I become hopeful once again.

And Hopeful energy is very powerful energy!

God bless,
Theresa

Thursday, December 4, 2008

Beat Nursing Stress - Have A Party

I recently had a Christmas party at my house for my co-workers. It was lovely! Just what I asked for. Talk about a wonderful solution to beating nursing stress. What a treat to be able to relate with each other woman to woman and friend to friend.

It was so fun greeting people at the door, all of us dressed in cute NON-SCRUBS clothing. The attendance was over double of what we had last year. The music was wonderful, the food was great and the ornaments were sooooo cute. We had lots of laughs. My home felt warm and cozy.

I'm so blessed. I work with really hard working, conscientious, talented nurses. We are a good team and we're good nurses.

Some of the parameters that I've written for my job are: I build teamwork at work. I enjoy my co-workers. I am safe and protected at my work. I have all the help I need every day. I practice good self care during my work day. I am efficient. I am effective. I have a manageable pace to my workday. I have all the resources I need to take care of my patients safely. I am well respected by my co-workers. I am well respected by my patients. I leave work on time regularly.

Now, remember, these parameters don't have to be currently TRUE. They are my desires. This is how I want to live my life. And, furthermore, I don't have to look to history to dictate my future. In other words, just because life happened a certain way in the past, doesn't mean it has to be my only option for the future. This process is about starting fresh and new possibilities. As I become clearer and clearer about the life that I desire, so does my focus.

By the way, over the last month I've had the most incredible workdays. I've caught myself more than once looking over med sheets again in the afternoon just to see if I missed something because things have gone sooooooo smoothly. Talk about a manageable pace and not missing breaks. It's been Fantastic!

I have to admit that in the past, I spent a lot of time wracking my brain as to WHY my work was so grueling and difficult. Not the best focus to work with. I spent a lot of time feeling frustrated and looking outside myself for the answer to my work difficulties. But what I've found is that the answer is inside me. If you don't feed it, it won't grow. And if you do feed it (give life to your desires), it will grow. I hold the key.

Can you imagine the power of this concept. If all nurses took the time to write positive parameters for their lives, I believe that the quality of patient care would really, really rise. Perhaps we'd attract more support and resources into the hospitals. Patient safety would be at an all time high. It's a win-win proposition people!

Nurses, learn more about attracting what you want into your life. There are some really, really effective yet simple tools available to everyone. Take a peek.

God bless,
Theresa

Thursday, April 10, 2008

Nurses: Fill Your Business Life With Like-Minded People!

Don't you love it when you get a strong feeling of validation from a book you are reading? It's that feeling you get when you read a book and every word seems to reverberate with you. You are connecting with the message of the book to such an extent that you have to keep checking who the author is because you seriously think that YOU could have written the book in your sleep or something!

Well, if I had to choose a book to recommend to anyone interested in business or career success, it would have to be, "The Go-Giver" by Bob Burg and John David Mann. I personally believe that most RN's have all the tools inside them to have brilliant careers in business. To coin a phrase from the book, "The Go-Giver," they are already pointed in the right direction. It comes naturally to them.

If you are the kind of person who doesn't have to think twice about providing excellent customer service to anyone you are serving, then you need to treat yourself to this book. If providing for your clients' needs has always been like second nature to you, then you have to read this book. If you get the fact that your giving nature, that for you feels like breathing, can some day be intertwined with your business and career success, then you have to study this book.

See if you can relate to this story:

The other day at work, I was listening to the distraught wife of my patient as she described the mental decline he's developed over the last couple of years. My patient, a 74-yr-old male, was a retired M.D. In recent years he had developed dementia, loss of hearing, glaucoma, and heart/valve problems. His wife, a former RN herself, was also in her 70's and at the end of her rope.

The night shift had tried to warn me about this woman. They said, "The wife is a real pain in the neck. She'll drive you crazy. Watch out. She was a nurse and she never lets you forget it."

After two phone calls to the floor, she finally came in to the hospital to check on her husband. After meeting her, I saw right through her within minutes. She wasn't there to "throw her weight around" to intimidate me, she was there to try to connect with me and the be HEARD.

The list of worries and concerns that she listed about this man went on and on. You could see the desperation in her eyes as she spoke about how they had been turned down by the insurance for caregiver assistance. In other words, all the burdens all fell on her.

It was an UNUSUALLY quiet day on my floor so I was able to take the time to listen to her, just the way I like it. I listened to her every word. I really listened. By the end of our conversation, she knew that she had been heard. She never said a gruff or demanding word to me the rest of the shift. Just a note: For whatever reason, it wasn't that busy that day. But even if it had been busier with more interruptions, I still would have made it a priority for her to feel heard...even though it may have taken several conversations to accomplish the same goal, it would have happened!

Later she sheepishly asked me to bring her husband an afternoon snack if it was convenient. Without hesitation, I brought HER and her husband a little ice cream cup and some Graham Crackers. This took no extra time and cost only pennies.

She was flabbergasted. I had brought her a treat too! She went on and on to her husband about how she got a treat too. And then the two of them sat in peace and ate their ice cream and cookies almost like two little kids.

She got more than she had asked for. I was more than happy to do that for her and him. That's how I conduct myself as a nurse and that's how I do business. Now, please understand, I'm NOT plugging myself, I'm plugging the concept of giving.

Can you relate to that story? Do you have to be told to go the extra mile...Or is that something that's already a part of you?

Do you you have any aspirations of going into business for yourself? Do you ever see yourself helping people in a different way other than bedside nursing? Perhaps you have an invention you've been thinking of that would benefit patients or nurses. I want to officially encourage you to follow your dreams and realize that you can intertwine your giving nature with business success.

According to the book, "The Go-Giver" to be successful in business you must understand that "Your true worth is determined by how much more you give in value than you take in payment."

Nurses have everything it takes to be successful in business. We're already givers!

As I said before, if you want success in business, read the book, "The Go-Giver". If there is something passionate inside you calling out to create or do something totally new and different in your life, follow it. You'll be amazed at the people you meet along the way. Surround yourself with these like-minded people. And then just be "YOU". YOU + Baby steps (towards any goal) = Success.

Question: Do you think channeling a "strong giving nature" into business success is possible? Post your answer as a "Comment" below.

Take Care of Yourselves Nurses!
Theresa Waller,RN
Call Anytime 714 293 5398

Tuesday, April 8, 2008

Using The "Power of Now" To Center Yourself

Do you have an activity or practice that is especially effective at helping to "center" youself? This can be something like yoga or walking or biking? Or perhaps it is a particular type of meditation. Just sitting in your church or place of worship (alone) can be quite powerful and centering.

The reason an activity that centers you is so important and so useful is that it helps you slow your mind down long enough to enjoy the "Power of Now"...the present moment.

When I think of the power of now, I think of it as a "coping" tool, a really powerful coping tool. I think of the power of now as a spiritual tool almost. As a tool to use hand-in-hand with gratitude...As a concept to remind myself to slow down long enough to quiet my mind and just appreciate and experience the present moment.

To be in a place where you are NOT projecting into the future is a very powerful mental place to be in. The goal of the centering activity is to simplify your focus down to what you're doing/experiencing/being at that very moment (the here and now). In a sense it is taking time to realize that at that very moment, all your needs are being taken care of...at that moment you are safe...at that moment you are at peace. By taking the time to do this, you are affirming peace and safety into your life.

That's one of the reasons I love hiking so much. When I'm hiking up a challenging hill, my mind really slows down and the only thing I'm thinking about is my next step. In fact, I'm not really thinking. I'm in the NOW.

I would describe it to you by saying, "That hill really got my attention." (It got my complete attention). As I hike up challenging hills, I usually say a positive affirmation as kind of a mantra...Something really, really simple like, "I am surrounded by love." or "All is well." I'll say it over and over like a mantra because the hiking allows me to block out everything else.

Obviously as a nurse, it is part of your job to project into the future for your patients and to anticipate certain outcomes if you see a particular TREND starting. But that's while you're at work. It's because you are required to do so much of that at work that centering yourself and concentrating positively on the present moment (in your own life) is sooooo important. When you're off duty...you're off duty. It's your time and you have choices as to how you will spend it.

The power of now is a wonderful tool. It is possible to get VERY proficient at using this tool to really slow the mind down and concentrate on what is right in your life. Being in the moment in a concentrated/focused state of positive thought is an effective way to use the power of now.

Question: Do you use the power of "Now" to focus on what is right in your life? Post your answer as a "Comment" below.

Take care of yourselves Nurses!
Theresa Waller, RN
714 293 5398
Call Anytime!

Sunday, March 16, 2008

Perfectionism Is A Trap!

One of the biggest issues I have had to deal with is being a perfectionist. The need to be perfect all the time is a trap. It can prevent you from growing because it prevents you from letting people see the real "imperfect" you.

But in Nursing School...

It's tricky. In nursing school, we were taught that certain procedures have to be performed perfectly, like passing medications for example. It could be argued that if there ever was a time that being perfect is appropriate, passing medications would be one of them.

However, it could also be argued that if a medication error was committed, perhaps there is more to learn about making the system better. What were the factors involved in the medication error. Was pharmacy involved? Did they fill the medication incorrectly and increase the chances of our eyes playing tricks on us? Was the patient load too heavy that day? Was the nurse pulled in too many directions at once? Did the constant scramble for help and resources force an error that otherwise would not have taken place? Did the fact that she missed out on her favorite snack, because her break was cut short, finally catch up to her?

Perfectionism Acts Like A Mute Button

But the need or tendency to be perfect in the nursing world, can hinder our ability to take care of ourselves in the outside world. For example, even when you do decide to attend a group and get emotional support to help you better cope with life's stresses, you find you're not able to open up in front of the group. The need to appear perfect is too strong. It's like a powerful mute button that keeps you silent.

You tell yourself, I'm just content listening. Sharing should be reserved for only those people in the group who can really be profound and who really have answers. Meanwhile, you stop yourself from contributing to the group because you feel you're not perfect enough. You don't get to grow and benefit from taking the risk of exposing yourself, warts and all.

In the past, the need to be perfect has blocked me from taking some positive risks. I finally got sick and tired of being sick and tired! The beginning of change started when I admitted that my way wasn't working.

Question: Have you ever struggled with Perfectionism? Has it limited you? In what ways? To answer, simply hit "Comments" at the bottom of this blog post and type away!

Wishing you good health,
Theresa Waller, RN
714 293 5398
rnstresssolutions@gmail.com
Take Care of Yourself Nurses!

Thursday, March 13, 2008

Welcome to RN Stress Solutions!

Welcome all nurses! All are welcome who have a genuine interest in finding solutions to the stress in our lives!

Has Stress Ever Made You Speechless?

As you know, nursing (and health care in general) is a very stressful profession. You have probably complained about the stress related to your job on many occasions. I know I have. In fact, it has often left me speechless around family and friends because it's too much to discuss with just anyone. That's where this blog comes in. However, the purpose of this forum is not just to discuss the gory details of my work day. In fact, efforts will be made to avoid that. Instead, the goal here is to offer the solutions I use in my life to fight back against the work and life stresses that we are all under.

Stress Ain't Goin' Away

Stress comes in many forms...occupational, physical, spiritual, emotional and mental to name a few. Therefore, this blog will contain many different types of solutions to combat stress. This will be an informal discussion on "my stress lessons" if you will.

Stress in inevitable. This blog is sort of going to be my back up plan for the stress in my life. Nothing would give me more pleasure than to share this blog with my fellow nurses and help you cope better with your stress too!

Question: What are some of the things you do as your "back up plan for stress"? To Answer, simply leave your answer as a "comment". Simply hit "Comments" at the bottom of my blog post and type away!

Wishing you good health,
Theresa Waller, RN
714 293 5398
rnstresssolutions@gmail.com