PICO Paper

PICO Paper

Introduction

Bullying can significantly lower job satisfaction and job stress-induced increase, but also leads to low self esteem, depression, anxiety and desire to leave the job. Bullying contributes to high rates of staff turnover, high levels of sickness absence, performance degradation, low productivity, poor team spirit and the loss of trained personnel. This has implications for the recruitment and retention of medical staff. The profession of nursing is considered as extremely noble across the globe, and in United States of America people involved in this profession is being treated with enormous respect, gratitude and hails their effort that they have done for the betterment of the society. Moreover, the success of the healthcare center is entirely dependent upon the performance of nursing staff that are enrolled in particular healthcare center(Hutchinson et al, 2010). As they are the one who take proper care of patients in their time of extreme pain, and provide them the support and service that results in the reduction of pain and plays a vital role in improving the health of the patients.

Workplace violence in its various forms is a constant concern for nurses. Few nurses are completely out of this type of violence, and many are exposed to violence and aggression in their daily work. Discourses on violence in nursing care and health tend to capture a range of phenomena including the overt and covert acts of violence, intimidation and aggression (VIA) from patients / clients and their families and colleagues and colleagues, other workers and managers. It is essential for nurses to be conscious of the stressors they are dealing with and how they are impacting the delivery of patient care. When dealing with high levels of stress, nurses have the tendency to let their emotions get too far (Salin, 2011). Verbal and lateral violence is common among nurses who are overly stressed. Workplace violence is a real but serious issue that all nurses need to be aware of. Reporting workplace violence to the proper supervisors is very important.

Stressors dealt by nurses can make the profession much more difficult than it should be. Nurses must recognize the complexity of patient care and be aware of the coping mechanisms needed to handle the stress. Communication and teamwork are two of the main components of a successful health care environment (Hughes & Clancy, 2009). Prioritizing patients' needs, seeking assistance from colleagues, and focusing at the task or problem on hand are other ways in which nurses can cope with the stressors (Hall, 2004). Weekly meetings are an easy way to establish open communication and team work among nursing staff.

PICO Question

How does working for extended hours affect the fatigue levels of the nurses in comparison to other factors at the medical healthcare facilities?

Population (P) - nursing staff

Intervention (I) - working for extended hours

Comparison (C) - other factors include motivation, job description, and job responsibilities

Outcome (O) - fatigue and bullying

Problem

Nurses' experience bullying quite often. It is believed that the relational aggression is ...