Humanized management that all management should be to mobilize the enthusiasm of the people, people work as fundamental. Because of psychiatric nurses in particular, determine their work with a high risk of stress. Continuing stress on mental health and quality of work has significantly impacted, therefore affects the stress of nursing staff in psychiatric, control method of dealing with stress, can effectively enhance the mental health of nursing staff, improve the quality of work.
1 factors affecting the health of psychiatric nurses
1.1 special working environment and specific service objects most of the psychiatric hospitals geographically more remote, existing management model and make them closed, semi-closed and in a State of half-cut off from the outside world, combined with the risk of service objects, could easily lead to mental imbalance.
Therefore, all activities require psychiatric patients are not out of the nursing services of sight, can guarantee the safety of patients and themselves. Psychiatric nurses working in a State of overload operation, causing nurses to physical and mental fatigue. Appears when most people in the face of job stress on sick of tired feeling, characterized by low productivity, indifference to service objects, such as depression, sense of personal achievement-free.
1.2 objective situation so that pressure of nurses in the hospital in an increasingly competitive healthcare market strives for the survival and development, service quality manager must do a good job, Super expectations of services for the patients. Management model of high standards and strict demands, coupled with the awareness of self-protection, health care disputes increase, forcing nurses to any operation, must do their duties and meticulously detailed. Research shows that more difficult to work, stress intensity is higher, the more easy to trigger mental problems [2]. Especially just to participate in the work of low quality and professional nurses, due to various objective and subjective factors, to frustrate the work often and could easily produce nervous anxiety and other psychological problems [1].
1.3 work on rotating basis of continuous treatment of patients with psychosomatic reaction, nurses take turns working system, not day and night, no matter how long, consuming much physical, is abiding duty, causing routine changes of human physiological and psychological change of activity, over time, easy to form a vicious cycle, increased psychological pressure. In particular the afternoon shift and night shift nurses, risk behaviors often less staff due to mental patients, or night-time implementation, it is necessary to complete the daily treatment of nurses and nursing, but also closely observe the patient’s condition changes, put an end to all kinds of unexpected events occur, nurses in work psychology during high stress, fatigue, and lead to psychological problems. Research reports [2], enormous working pressure of nurses in Group mood elevated incidence of depression, psychological stress, anxiety and insomnia, the habitual constipation, premenstrual tension syndrome, even diseases.
1.4 the social value and evaluation due to the influence of traditional culture of social prejudice, social discrimination against mental patients while, on the lower social value orientation of psychiatric nurses, psychiatric nurses cannot correctly view the social contribution, and that its work does not make sense. Despite spirit branch nursing professional in constantly development, but as a door independent of discipline still not was social and the part hospital managers of full recognized, still think spirit branch nurses of work is “implementation good orders, custody good patients not accident”, from belonging to medical work, think doctor is Hospital of main, hospital introduced of the system, doctor has absolute advantage, spirit branch nurses of hard was not to due of recognized and respect, makes nursing personnel cannot from work in the experience to self value of reflected and the meet sense and achievements sense,, subjective Shang formation bad of physical and mental fatigue State.
2 management countermeasures
2.1 creating a good working environment, the establishment of perfecting the incentive mechanism of health managers to constantly improve the work environment for nurses at all levels, raise nurses ‘ pay, night shift treatment to relieve nurses of worries. Possible solution to the nursing staff number of circumstances such as irrational structure, alleviating the physical and mental overload operation of State of nurses, a reasonable and orderly organization of work. In addition, to establish a perfect incentive mechanisms, public recognition of excellent nurses and to give a certain amount of material rewards, regularly sent some personnel training, study. The decision to focus on the role of nurses in hospitals initiative, increase the sense of ownership of nurses.
2.2 timely of psychological grooming head nurse to full awareness nurses may formation of some tension factors of effect, actively boot nurses correctly treat various pressure, full play nurses of wisdom, concern nurses cold and warm, let they in loose of environment in the endeavour, also to through various communication way for different age segment and different situation Xia nurses of mentality, given timely grooming, makes nurses of psychological pressure has opportunities release, to keep psychological balance.
2.3 booting correctly deal with stressors of nurses (1) to strengthen the study of political thought and business knowledge, comprehensively improve their own qualities. First of all to face up to its own value, psychiatric nursing work bearing on social development, and stability, harmony happiness also relates to the millions of patients under the care of nurses, from the afflicted with mental disorders, physical and psychological recovery, social reintegration, which is where the significance of psychiatric nursing care. Nurses should foster a correct Outlook on life, World Outlook, to achieve not only medical ethics realm, constantly strengthen business training in the work, raise the level of business, obtain trust of patients and their relatives, in order to get the respect of society and recognition. (2) nurturing nurses ‘ ability to withstand and respond to setbacks and difficulties, learning psychology knowledge, enhance their own cultivation of psychological quality, use positive coping strategies, reducing negative mental defense. (3) guide the nurses maintaining peaceful mood, using a variety of ways to properly handle various problems in life and work, always maintain a positive, optimistic State of mind. (4) reasonable arrangements for work, study, rest time, ensure adequate sleep, maintain an exuberant energy. (5) encourage nurses is active in various social, recreational activities, cultivate a wide range of interests, enrich the spare life of increased amenities, grooming, relaxation stress status, maintain their physical and mental health.
2.4 do our best to meet the physiological and psychological needs of nurses carry out regular, according to the Department at any time increase in specific frequencies of head nurse personnel strength. Reasonable arrangements nurses leave, study, learn, work, to ensure the rational use of manpower, while according to ability, personality characteristics of nurses and extra long, yongrenzhichang. And regularly seek the views of nurses, adoption of rationalized construction to meet the reasonable demands of nurses [3].
2.5 using value method incentives is the process of meeting the requirements of the process, value excitation method to use in the work of head nurses helping nurses believe yourself, challenge self and self, dare to face the reality and reality squarely, patients and families encounter special situations, to shoulder the responsibility of head nurse at a crucial time, safeguard the dignity of nurses. Nurses in addition to peers, friends, relatives, praise and encouragement to their own work, they focus on is trust from the leadership and encouragement. Therefore, head nurse to society praised nurses, on performance highlight of backbone nurses application humanized of incentive theory, mobilization nurses of enthusiasm, on has potential of nurses to created conditions, makes they play its enthusiasm and initiative, on service, and efficient work, and has creative sexual recommendations of nurses given award, and praised, makes of formation benign cycle is: efforts dry, get praised; then efforts dry, and won new of praise. Nurse labor value to get more recognition and meet their needs for growth and self development to stimulate consciousness of nurse humanized service. Shortcomings and errors for nurses, to sincerity of head nurses, patient education to criticize, promote the improvement of, in short, head nurses should pay attention to the style of work, staff attitude just reward, is conducive to creating a harmonious, United and positive working atmosphere, the only way to improve nurse satisfaction and loyalty, thereby mobilizing enthusiasm for work, improve the quality of care.
2.6 use of emotional excitation method for head nurses should know their subordinates, know what they want, need, and they build great affection, such emotional care about performance in the workplace, politics, education help, on the understanding of life care, learning and encourage support. As a nurse’s close friends, help solve the difficulties in life, to create and sustain an environment conducive to mobilize enthusiasm and warm friendliness, of nurses caused by emotional resonance. Since its 2003 implementation of humanistic management in our hospital, received significant effect, this is only for fellow reference.
In short, human management is to start with the details, and nurses to establish a relationship of understanding, support, harmony, love, nurses build mutual trust, mutual respect, harmonious and orderly environment and culture. Head nurse in everything from “if I was a nurse” point of view, maximum understanding nurses mood and its problem-solving, positive communication with nurses, Exchange, so as to support by the nurses.