Workstress

BLOK 6 . 4
P ROG R AM ST UDI KE DOK T E RAN U M U M
UN I V ERSITAS JE N DER AL S OE DIR MAN
Who want to be from stress?
Stress
free...guarantee

7-2
Stres Kerja – di IGD
Issues:
• Tindakan Segera
• Keluarga yang panik
• Komunikasi tim dalam IGD
• Koordinasi dengan pihak lain di luar
IGD
• Beragam profesi dan kompetensi
bercampur jadi satu
Mengapa penting memahami stres
kerja

Tingkat Stres perawat IGD :

sedang (2012)
Perubahan perilaku terjadi pada
nakes di RS (2010)
Workplace Stress

Stress Work stress

Akut

Kronik
7-5
Uneasiness Feelings of Loss of
and Worry Sadness Appetite

Increase in Immune System

Energy Suppression

Alertness and Acute Increased

Excitement Metabolism

Loss of Anxiety and

Sex Drive
Chronic Panic Attacks

High Blood
Irritability Depression
Pressure

Lowered Eating
Diabetes
Resistance Disturbances
Respon Stres
Unconsiousness flow of
energy that stimulate tension
due to stressor
Key Definitions
Stressor – environmental conditions that
cause individuals to experience stress Hans Selye
Eustress – positive stress that results from
meeting challenges and difficulties with the
expectation of achievement
Dystress – negative stress; often referred to
simply as stress. Often results in overload.
Job strain – function of workplace demands and
the control an individual has in meeting those
demands.
 Signs of Stress

1. You feel irritable.

2. You have sleeping difficulties.
Edward Creagan, MD
3. You do not get any joy out of life.
4. Your appetite is disturbed.
5. You have relationship problems and
have a difficult time getting along with
people.

7-9
Two Models of Workplace Stress

Effort-Reward
Demand-Control
Imbalance
Model
Model
Demand-Control Model
Active
High
Job Control

Low Strain (EUSTRESS)

High Strain
Low Passive
(DYSTRESS)

Low High
Job Demands

7-11
Effort-Reward Imbalance Model
Overcommitment

High Effort Low Reward

Demands Pay
Obligations Esteem
Role Conflict

A situation in which different roles lead to

conflicting expectations
 Restoring and Maintaining
Work-Life Balance
Managerial
Advice • Focus on what is truly important.
• Take advantage of work-related
options.
• Protect non-work time. Thoughts?
• Manage your personal time.
• Set aside specific time each
week for recreation.
 Role Work
Occupation
Ambiguity Overload

Job
Security
Work-Related Resource
Inadequacy
Stressors

Management Working
Monitoring
Style Conditions
 Type A vs.
Type B
Personality

Gender Individual Influences Self-Esteem

on Experiencing Stress

Hardiness

7-16
 Extreme Jobs
• What are your thoughts on working 60 or
more hours a week?
• Do you think you could like a job that much
to put in the extra time?
• Do you think everyone who works these
kinds of hours is a “workaholic”?
• How does work-life balance fit here?
• Why do you think the gender difference still
persists?
Consequences of Stress

Individual Organizational

7-18
Individual Consequences of Stress
Psychological Physiological
• Anxiety Stress • High blood pressure
• Depression • Muscle tension
• Low self-esteem • Headaches
• Sleeplessness • Ulcers, skin
• Frustration diseases
• Family problems Behavioral • Impaired immune
• Burnout • Excessive smoking
systems
• Musculoskeletal
• Substance abuse disorders
• Accident proneness • Heart disease
• Appetite disorders • Cancer
• Violence

7-19
Individual Stress Management
• Find jobs that provide a personally acceptable balance
between demands and control and between effort
required and rewards.
• Redesign a dysfunctional job.
• Follow the tactics presented in the Managerial Advice
feature.
• Develop healthy ways of coping.

Exercise Proper Diet

Support Relaxation
Network Techniques
7-20
Individual Stress Management
• Exercise regularly
• Practice healthy habits
• Be realistic
• Use systematic relaxation
• Meditate
• Develop and use planning
skills
• Simplify your life – Delegate
• Take one thing at a time
• Avoid unnecessary
competition
• Recognize and accept
personal limits
• Develop social support
networks
• Focus on enjoying what you
do
• Go easy with criticism
• Take time off

7-21
Organizational Stress Management
• Increase individuals’ autonomy and control
• Ensure that individuals are compensated properly
• Maintain job demands/requirements at healthy levels
• Ensure that associates have adequate skills to keep up-to-
date with technical changes in the workplace
• Increase associate involvement in important decision making
• Improve physical working conditions
• Provide for job security and career development
• Provide healthy work schedules
• Improve communication to help avoid uncertainty and
ambiguity

7-22
 Toxin Handlers
The following behaviors are
necessary for handling the pain,
strain, and stress of others:
Peter Frost
• Read your own and others’ emotional cues and
understand their impact
• Keep people connected
• Empathize with those who are in pain
• Act to alleviate the suffering of others
• Mobilize people to deal with their pain and get their lives
back on track
• Create an environment where compassionate behavior
toward others is encouraged and rewarded
7-23
Wellness Programs
Pertamina among the first public company which
established wellness center for their employee

• Hire medical doctor who had expertise : sport medicine,

nutricionist
• Assesed employee physical health, BMI and psychological
barrier of health
• Conduct program for uplift the health status and
psychological health status of employee
• Provide personal consultation and training in term of the
wellbeing of the employee
Questions