1. Module Fourteen PERSONNEL’S STRESS Lesson 1:stress and its causes (2 training hours) Lesson 2: dealing with stress (2 training hours) TOTAL TIME: 4 TRAINING HOURS OF 45 MINUTES

2. Lesson 1 STRESS AND ITS CAUSES TIME : 90 minutes (2 training hours of 45 minutes)

3. Step 1: Discussion (10΄) What do you mean with the word stress?

4. Step 2: Slide projection (5΄) Slide 14.1.1: Definition of stress “a conflict between environment and individual abilities” Menagan & Merves, 1984

5. Step 3: Group Discussion(20΄) Pen and paper Where your stress comes from either in personal level (if you wish), either in your work?

6. Step 4: Theory presentation (10΄) “Exhaustion” Syndrome or «burnout» Characterized by:  Psychological fatigue that often experience people that take part in care and treatment of other people.  Withdrawal of emotional involvement with the patients.  A sensation of underestimate of their role and profession’s importance from people that take part in care and therapy of other people.

7. Step 5: Group Discussion (20΄) Pen and paper Which are the effects of stress in man, individually and at his work?

8. Step 5 (continued) Individual consequences Physical, like fatigue, heart diseases, etc. Emotional, like irritability, bad mood etc. Cognitive, like difficulty in concentration. Behavioral, like alcohol abuse, eating changes. Consequences at work Mistakes at work. Frequent absences. Low moral. Burnout.

9. Step 6: Discussion (15΄) Which signs of consequences can you make out in your working environment?

10. Step 7: Questions and comments (5΄)

11. Step 8: Lesson’s evaluation (5΄)

12. Lesson 2 DEALING WITH STRESS TIME: 90 minutes (2 training hours of 45 minutes)

13. Step 1: Group Discussion (20΄) Pen and paper What ways do you use for dealing with personal consequences of stress?

14. Step 2: Slide projection (10΄) Slide 14.2.1: Personal ways of dealing with stress Care of self Good knowledge of self and desires Organization of work Determination of the problems Choice of alternative solutions Development of skills

15. Step 3: Slide projection (15΄) Slide 14.2.2: Ways of eliminating stress in work Essential observation Support system for the personnel Regular personnel meetings System of individual care and charge of the patients to a main responsible person Code of procedures and guidelines

16. Step 4: Exercise (35΄) Leaflet 14.2.1: Action plan What are the changes that should be done immediately in your service?

17. Step 5: Questions and comments (5΄)

18. Step 6: Lesson’s evaluation (5΄)