There are numerous elements that contribute to stress in healthcare. Nurses' days are filled with physical, mental and emotional demands. There are social demands and workplace demands created by shortages. These stressors can become increasingly overwhelming and if there is no stress relief, work performance can and will be hindered. When fatigue and stress combine there is a risk of “performance decrements” occurring. This may include a reduced ability to manage a specific level of workload resulting in errors in the delivery of nursing care. This can produce detrimental effects on safety and beneficial outcomes for both nurses and patients. (Reese, 2011). Therefore, finding a balance between reducing staff stress levels and increasing the quality of patient care is of the utmost importance. Nursing surveillance, one of the primary duties of critical care nurses, is critical to patient well-being and outcomes. Staff responsible for the treatment and care of patients have a demanding, demanding, vigorous and vital duty to the patient's well-being. There is a major problem involving nurse staffing and the increase in adverse clinical outcomes has been recognized when hospital nurse staffing is insufficient. Most hospitals limit nurse staffing to usual levels rather than peak patient counts; Significant census increases likely create severe stress for both patients and nurses. Regardless of whether nurses work 12 hours or 8 hours, the question of the amount of workload performed in those hours plays an important role in patient safety. The way we organize and schedule nurses can create a potentially harmful environment for both the nurse and the patient. Ways to practice evidence-based staff and... middle of paper... training errors, are less burned out and less likely to leave the organization. (Jennings, 2008) Creating an environment of empowerment is essential to overcome the challenges that challenge healthcare systems today. We should aspire to improve the effectiveness of staff and reduce disadvantages in their performance. All of these issues will affect the medical profession in a positive or negative way. Nurses bear the responsibility of life and death every day. It is therefore vital that all individuals and environments involved in the treatment and care of patients are continually assessed to recognize potential ways to progress, as well as staff confidence and performance, planning, working relationships, engagement and managerial support and respect. If we are diligent, we can improve positive outcomes, well-being and safety for patients and nurses.