DiversityNursing Blog

Nursing is among the most challenging professions, demanding physical, emotional, and mental strength. The intense environment, extended shifts, and regular exposure to trauma can impact mental health. Even with growing awareness of mental well-being in healthcare, many Nurses are reluctant to pursue psychological assistance. Recognizing the factors that affect their willingness to seek support is crucial for promoting a healthier workforce.

Stigma Surrounding Mental Health

One of the primary barriers preventing Nurses from seeking psychological help is the stigma associated with mental health issues. Many Nurses fear being perceived as weak or unfit for their role if they admit to struggling. This stigma is often reinforced by workplace culture, where resilience is valued over vulnerability.

Work-Related Burnout

Nurses face high levels of stress due to long shifts, understaffing, patient care responsibilities, and administrative burdens. Burnout, characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, is prevalent among Nurses. While stress increases the need for psychological support, burnout can create feelings of hopelessness that deter Nurses from seeking help.

Lack of Time and Accessibility

Heavy workloads and long shifts leave Nurses with little time to prioritize their own well-being. Scheduling therapy sessions can be challenging, especially when working rotating shifts. A lack of accessible mental health resources, especially in rural or underfunded healthcare settings, also limits Nurses' ability to seek professional help.

Organizational Support and Policies

The presence (or absence) of workplace policies supporting mental health greatly influences help-seeking behavior. Organizations that offer confidential counseling services, employee assistance programs (EAPs), and mental health days are more likely to encourage Nurses to seek help. A lack of institutional support may reinforce the idea that mental health is not a priority.

Personal Beliefs and Coping Strategies

Individual attitudes toward mental health care also play a significant role. Some Nurses may view psychological help as unnecessary, believing they should handle stress independently. Others may rely on personal coping mechanisms such as exercise, meditation, or social support instead of professional intervention. While these strategies can be beneficial, they may not always be sufficient for addressing deeper mental health concerns.

Peer and Leadership Influence

The attitudes of colleagues and leadership can either encourage or discourage Nurses from seeking help. A supportive work environment where mental health is openly discussed can reduce stigma and empower Nurses to prioritize their well-being. On the other hand, if supervisors and peers downplay the importance of mental health, Nurses may feel pressured to endure their struggles in silence.

Fear of Career Consequences

Nurses may worry seeking psychological help could negatively impact their career. Concerns about professional reputation, job security, or even licensure can prevent them from accessing the support they need. Addressing these fears requires clear policies that protect Nurses' rights to seek mental health care without professional repercussions.

Encouraging Help-Seeking Behavior

To create a supportive environment where Nurses feel comfortable seeking psychological help, healthcare organizations and leaders can:

• Promote mental health awareness by normalizing discussions around stress, burnout, and emotional well-being.

• Ensure confidentiality in counseling and support services to alleviate fears of professional consequences.

• Increase accessibility to mental health resources, including on-site counseling, flexible therapy options, and digital mental health tools.

• Encourage leadership advocacy where Nurse managers and senior staff model healthy behaviors and open conversations about seeking help.

• Implement wellness programs that integrate mental health into daily routines, such as mindfulness sessions or peer support groups. 

Addressing the factors that mediate Nurses’ behavior toward seeking psychological help is critical in fostering a resilient and healthy workforce. By breaking down barriers, reducing stigma, and providing accessible resources, healthcare institutions can empower Nurses to prioritize their mental well-being. This ultimately benefits both caregivers and patients alike.

Working in the healthcare field is both demanding and stressful. Nurses often face challenges like adjusting to irregular hours, taking on extra shifts, and coping with the emotional toll of losing patients. While healthcare professionals are skilled at problem-solving, healing, and managing pressure, they are not immune to the lasting impact of stress and trauma.

“Even before the pandemic, healthcare workers faced challenging working conditions that lead to burnout. This includes long work hours, risk for hazardous exposures, stressful work, and high administrative burdens,” John Howard, M.D, director of NIOSH, said in a release. “Hospital leaders need support to implement organizational changes. Practical adjustments can reduce burnout and strengthen professional wellbeing within their hospitals.”

Therefore, it is essential to ensure healthcare professionals have access to mental health programs and spaces that promote well being. Incorporating straightforward design changes within hospitals can greatly enhance the mental wellness of healthcare staff.

Massachusetts General Hospital (MGH) in Boston is currently building a 482-bed expansion called Cambridge Street centered around enhancing staff and patient satisfaction, optimizing operational efficiency, and promoting environmental stewardship. Several years ago, MGH’s 150-bed Lunder Building was created with the same goals in mind. 

According to Harvard Business Review, The Lunder building offers plentiful access to daylight through a glass-encased stairwell used only by staff, who have adopted the corridor as a de facto meeting space (nicknamed the “stair conference room”). Staff also use this stairwell as a place to “be alone together” and report that they find comfort watching employees traverse the stairwell while they use the space to think and decompress.

Exposure to daylight impacts work-related stress and job satisfaction and is found to affect clinician burnout. Since less noise can reduce stress among caregivers and also help patients recover from illness, the Lunder building uses a variety of sound-absorbing materials and techniques to make the patient floors 35% quieter than typical health care buildings. 

An article from Jacobs.com mentions, Peer-reviewed research emphasizes the therapeutic benefits of nature in healthcare settings. Exposure to natural light, greenery, and outdoor views has been linked to reduced stress and better sleep, faster recovery times, and improved overall patient outcomes. One study found that patients with bedside windows overlooking nature healed faster, experienced fewer complications and required less pain medication compared to those with views of brick walls.

The influence of nature’s benefits extends beyond patients. Research shows hospital staff working in environments with natural elements report lower stress levels and higher job satisfaction, and it has a knock-on effect — this leads to better patient outcomes, too. Improving staff retention and engagement directly impacts cost and productivity, too.

Many healthcare facilities are embracing the idea of providing support spaces that allow staff to utilize their break times and choose how they recharge during their valuable moments of rest. For example, some hospitals are implementing restorative zones and including nap areas for staff, situated conveniently close to patient units for ease of access.

Wellness rooms support employees’ mental well-being by providing a designated space for relaxation and stress relief. These wellness rooms usually include yoga mats for stretching and meditation, a cozy reading nook stocked with donated books for staff to enjoy, exercise equipment for physical activity, comfortable seating for relaxation, and decor inspired by nature for a tranquil atmosphere.

Organizations are exploring innovative solutions to support their staff's well-being through nutrition, such as satellite food lockers, mobile ordering apps, and discounted meal programs featuring healthy options.

Given the increasing concern about workplace violence within the healthcare community, hospitals are prioritizing the integration of security measures into their design, construction, and renovation processes. The goal is to create designs that help reduce fear, cut incidence of crime, and improve overall quality of life and well-being for staff and patients.

Healing gardens have become a vital component of hospital landscape design, offering a multitude of benefits for both patients and staff. These serene spaces not only enhance well-being and recovery but also play a crucial role in reducing stress, anxiety, and depression. By incorporating greenery, healing gardens provide a therapeutic sanctuary that fosters physical, emotional, and environmental wellness within healthcare facilities.

In conclusion, implementing design modifications within healthcare facilities can significantly improve the mental well-being of healthcare professionals.

Before the COVID-19 pandemic, Nursing was known to be a stressful profession. There was plenty of data showing burnout to be a significant problem among US Nurses.

With increasing stress placed on front line Nurses during this pandemic, hospitals are investing in initiatives and programs to support the mental health of these employees.

Mount Sinai Health System, created recharge rooms for healthcare workers. Dr. Putrino and his team created multi-sensory experiences that can reduce stress in just 15 minutes. These rooms are filled with faux plants and candles, illuminated with calming lights and one wall displays relaxing scenes and sounds. Putrino said, "Listen, what we need is a space or a series of spaces where our healthcare workers can sit down and for just a moment have a lot of their stress just relieved and taken away from them."

Stony Brook Medicine used a similar idea when creating a respite room called "Resilience at the Brook." The large, peaceful area features plants, calming wall art, a pod for private mediation, and relaxing materials, such as coloring books and miniature Zen gardens, to help employees rejuvenate. Employees can also add encouraging messages and quotes to inspire each other on the Motivation Mural Wall.

Ohio State University Medical Center (OSUMC) Stress, Trauma and Resilience (STAR) Program uses the Buckeye Paws program. A group of certified therapy dogs visit to provide comfort and emotional support to healthcare staff.

Emily Fawcett, R.N., a float Nurse on all floors at Lenox Hill hospital, started "hope huddles." Hope huddles are held at the beginning of shift changes and Nurses gather together to share news of patients recovering and other inspiring, and even humorous, stories.

Cody Regional Health created a wellness area for employees. The new space, staffed 24/7, includes a meditation room, eight bedrooms with private bathrooms, laundry and shower facilities, on-site access to licensed therapists for emotional support, puzzles and games, and an exercise area to meet employees’ needs.

Elise Phelan, a surgical unit Charge Nurse at UCHealth created the Resilience Program. Phelan would bring in massage therapists, movement therapists, yoga instructors, nutritionists and sometimes therapy puppies.

Code Lavender began in 2008 with Earl Bakken at North Hawaii Community Hospital. Calling the code signals to the Code Lavender team that an individual or group of individuals are in need of emergency psychological assistance.

Many hospitals like Cleveland Clinic have started implementing this code. The Code Lavender team usually comprises representatives from the spiritual care and healing services departments, and other hospital-based support services (such as employee assistance, music therapy, wellness, the ethics consultation service, and art therapy), and volunteers.

Bayhealth offers staff Code Lavender Kits. Kits include a back massager, aromatherapy inhalers, LED candles, a sound machine, Code Lavender journals, and a tote to store everything in.

It's very clear there is a need for this kind of support and innovation. The well-being and morale of front line workers should remain a top priority even after the pandemic.