CHN Standards
In terms of prevention and health protection, what are some activities nurses can engage in to build resiliency and prevent stress?
Journaling, physical activity, meditation, supporting each other, nurturing healthy non-toxic environments, asking for help when needed.
True or False:
Female visible minorities are better represented than males within high-level nursing positions
False
Males are better represented within high-level nursing positions.
True or False:
Stress can progress into other mental health illnesses such as depression and anxiety.
True
True or False:
Modifying individual job roles is considered an Upstream Intervention to address stress among community health nurses.
FALSE- Downstream intervention.
An upstream intervention example would include a provincial policy being implemented to address adequate staffing.
The role of ______ ________ nurses during COVID-19 include contact tracing and delivering education related to self-isolation and quarantine
Public Health
List any of the five Ottawa Charter Health Promotion Strategies and use them to address workplace stress among nurses.
Build healthy public policy (decrease nurse to staff ratio, any policy that makes nurse’s work easier in the community), create supportive environments (normalize taking lunch and snack breaks, ok for nurses to take a mental health day), strengthen community action (drawing upon strength as a community of nurses, support advocacy work done by the CHNC), reorient health services (promoting healthy work environments, and increase govt support to underserved communities to improve their health so fewer individuals fall ill and require nursing care) and developing personal skills (self-reflection and pointing out strengths in fellow colleagues)
Why are working conditions an important SDoH?
We spend a considerable portion of our lives at work, so the environment we work in can significantly impact our health.
What are 2 of 3 modes of stress consequences that we have discussed?
2 of the 3:
Physiological / Psychological / Occupational
What is a provincial or national organization that helps advocate for nurses working conditions?
RNAO, CNO or CNA
Community health nurses may advocate to implement provincial policies and funding for adequate staffing and safe work conditions, which is an example of a(n) ________ intervention
Upstream
In terms of health equity, what is one example of a policy that would help all community nurses regarding the work conditions that are known to increase their stress?
Ensuring that all work environments have good lightening and good ventilation, ensuring that all organizations hire more nurses to address nursing shortages, ensuring that all nurses have a clear definition of what their role consists of, ensuring that all nurses have support to help with interpersonal conflict and the nature of nursing itself.
What are the two distal influences on nurses’ health, as discussed?
Patriarchal society &
White, middle-class nurse
What are 4 of the 5 causes of stress for nurses in the workplace?
4 of the 5:
Role Ambiguity / Interprofessional relationships / Nature of nursing / Working conditions / Organizational factors
What was one of the midstream interventions we discussed in our presentation to address stressors?
Host seminars or workshops, offer incentives to reinforce healthy behaviour, improve job control or reduce job demand
The ___________ impacts of stress can include a weakened immune system and increased vulnerability to cardiovascular, respiratory, and autoimmune diseases while ________ impacts include an impediment on coping abilities and feelings of shame, insecurity, and worthlessness.
Physiological- First Blank
Psychological- Second Blank
In terms of health promotion: what are some evidence-based actions that can be taken to reduce stress among community nurses at the organizational level and the Policy level?
Providing EAPs, providing stress prevention and reduction workshops, meditation classes, advocating for better workplace laws, advocating for staff retention strategies and policy which incentivizes nurses to go into community health, and more support in rural locations, staff ratios, allowing nurses to have a greater role in decision making in the community organization they work in.
Why might racialized nurses have better mental health than non-racialized nurses?
Greater resiliency due to experiencing greater social inequality and exposure to discrimination in day-to-day lives.
Psychological Consequence of stress: Impedes in coping abilities
Physiological Consequence of stress: Weakens immune system
Occupational Consequence of stress: Leaving the profession
The Nurses Health Program is offered to help nurses with mental health problems and substance abuse disorders from which provincial organization?
CNO
The (RNAO/CNA) work at the (national/provincial) level to address many responsibilities at the systems, organizational, and individual level that are meant to address working conditions that cause undue stress to many nurses.
CNA- First Blank
National- Second Blank