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Posted: November 15th, 2023
The Effect of Massage Therapy on Occupational Stress of Intensive Care Unit Nurses
Nurses who work in intensive care units (ICUs) face high levels of stress and burnout due to the demanding and complex nature of their work. They are exposed to life-threatening situations, ethical dilemmas, emotional distress, and heavy workloads on a daily basis. These factors can negatively affect their physical and mental health, as well as their job satisfaction and performance.
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Massage therapy is a complementary and alternative medicine (CAM) modality that involves the manipulation of soft tissues to promote relaxation, pain relief, and well-being. It has been widely used for various health conditions, such as chronic pain, anxiety, depression, and insomnia. However, there is limited evidence on the effectiveness of massage therapy for reducing occupational stress among ICU nurses.
This article aims to review the current literature on the effect of massage therapy on occupational stress of ICU nurses and provide some recommendations for future research and practice. The article will cover the following topics:
- The sources and consequences of occupational stress among ICU nurses
- The potential benefits of massage therapy for ICU nurses
- The existing studies on massage therapy for occupational stress among ICU nurses
- The limitations and gaps in the current literature
- The implications and suggestions for future research and practice
Sources and Consequences of Occupational Stress among ICU Nurses
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Occupational stress is defined as "the harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or needs of the worker" (National Institute for Occupational Safety and Health, 1999). Occupational stress can result from various factors, such as workload, role conflict, role ambiguity, lack of autonomy, lack of support, lack of recognition, lack of feedback, lack of control, lack of resources, lack of training, lack of career development, interpersonal conflicts, organizational culture, organizational change, and environmental factors (McVicar, 2003).
ICU nurses are particularly vulnerable to occupational stress due to the specific characteristics of their work environment. Some of the sources of stress for ICU nurses include:
- The high acuity and complexity of patient care
- The frequent exposure to death and dying
- The ethical and moral dilemmas involved in end-of-life decisions
- The emotional involvement with patients and families
- The unpredictability and uncertainty of patient outcomes
- The high level of responsibility and accountability
- The need for constant vigilance and alertness
- The need for rapid decision making and problem solving
- The need for multidisciplinary collaboration and communication
- The need for continuous learning and updating of skills
- The shift work and long working hours
- The physical demands and hazards of the job
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Occupational stress can have detrimental effects on the health and well-being of ICU nurses. Some of the consequences of stress for ICU nurses include:
- Physical symptoms, such as headaches, backaches, fatigue, insomnia, gastrointestinal problems, cardiovascular problems, musculoskeletal problems, and immune system dysfunction (Adriaenssens et al., 2015; McVicar, 2003).
- Psychological symptoms, such as anxiety, depression, irritability, anger, frustration, guilt, fear, sadness, helplessness,
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