Managing Stress
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Managing Stress
What is it and how can it help me?
Work-related stress is a major cause of occupational ill health which can lead to sickness, absence, high staff turnover and poor performance. Wherever possible, minimise avoidable stress during times of organisational change. This guidance will help you identify and respond to stress during the change process. It also outlines the factors which can trigger stress at work.
Change in itself is a stressful process. The more you are able to minimise any negative impacts arising from change, such as additional stressors at work, the more likely you are to succeed in making the changes you need to bring about. This guidance helps you identify the sources of stress and gives you strategies to reduce them.
Identifying stress:
Some of the signs of stress:
- Increased irritability
- Increased sensitivity to criticism
- Signs of tension, like nail-biting
- Tiredness due to lack of sleep
- Increased use of alcohol or cigarettes
- Loss of concentration
- Absenteeism
- Reduced performance
Employers have a responsibility to ensure that staff are not made ill by their work.
The nine major causes of stress at work have been identified as:
- Poorly designed / managed workload
- Poorly designed / managed work scheduling
- Poorly designed / managed work design
- Poorly designed / managed physical environment
- Lack of skill discretion
- Lack of decision authority
- Lack of appropriate proactive support
- Lack of appropriate reactive support
- Poorly designed / managed procedures for eliminating damaging conflict at individual / team level (bullying / harassment)
Actions:
Things you can do to reduce stress levels at times of change:
- Acknowledge that the emotions staff are experiencing are normal
- Acknowledge that the majority of staff will progress through these stages at a different pace and react in different ways
- Address feelings and fears
- Clarify decisions by providing objective, fact-based answers to questions. Do not leave questions hanging in the air
- Involve people in the change process
- Avoid a blame culture
- Prioritise tasks
- Communicate and listen
- Celebrate early success and acknowledge achievement
- Provide a ‘buffer zone' for people to express their feelings and support each other through the changes
- Be aware of institutional policies and support
Things your Trust can do:
- Undertake surveys or focus groups which ask about stress issues.
- Celebrate early success and acknowledge achievement
- Provide training on what's required to cope with the change and on change itself (eg conflict management, stress management)
- Provide counselling services
- Provide change management training so people understand the stages of change. Shock, anger, confusion, regret, disbelief are all normal reactions
These are all ways that you can respond to the stress that emerges from the experience of organisational change. However, you should also bear in mind that there are particular aspects of work itself that can lead to people feeling stressed.
What next
If you are planning to redesign any jobs as part of the change process, (see role redesign) you should consider these tips - you may even wish to think about redesigning existing jobs to minimise the stressors.
Other useful tools and techniques on this website:
These issues are all influenced by how change is managed. There are a range of tools that will help you to engage people when managing change:
Stakeholder analysis
Building trust
Brainstorming
Bullet proofing
Art of listening
Sustaining momentum
Reviving a stalled effort
Clinical engagement
Commitment enrolment and compliance
That's impossible
Books:
Rick J, Thomson L, Briner R, O'Regan S and Daniels K (2002) ‘Review of Existing Scientific Knowledge to Underpin Standards of Good Practice for Key Work-related Stressors - Phase 1' Sudbury: HSE Books (PDF version is also available from the Health and Safety Executive)
Websites:
HSE Standards for work-related stress
Journals/Resources:
Cousins R, Mackay C J, Clarke S D, Kelly C, Kelly P J and McCaig R H (2004) ‘Management Standards and Work-related Stress in the UK: Practical Development' ‘Work and Stress' 18 (2), pp 113 - 136. Also available at Stress.
Research on behalf of the Health and Safety Executive (HSE) identified the best available evidence on the ways in which these nine stressors affect individuals at work. Using this information, the HSE developed management standards to help managers minimise the impact of work-related stress on workplace activities and manage stress at work. The HSE suggest that their standards might even help you improve organisational performance. For the standards and more information, visit the website shown in the link to more comprehensive information.
Source: ‘Effecting Change in the Health and Safety Executive' University of Bedfordshire
© Copyright NHS Institute for Innovation and Improvement 2008
