SAMRY (Stress Adaptation Mahfudzat and Guided Imagery) Module as a Guide for Nurses in Reducing Work Stress

Abstract

Background. Work stress experienced by nurses must be managed properly. Work stress can affect nurse performance, reduce service quality and cause turnover intention. Work stress can increase blood
cortisol levels which can be reduced by guided imagery relaxation distraction. 1 Fantasy and  imagination combined with mahfudzat can increase motivation, positive energy and inner power. 2 The
application of mahfudzat is in accordance with Stuart's theory, where mahfudzat is a motivation, ideas and solutions that have deep meaning, full of wise words and noble values. Roy's adaptation stress
model explains that coping mechanisms are influenced by regulators and cognators. 3 Cognator components include perception, learning, compliance, and emotion. These four cognator components can be implemented through the application of mahfudzat concepts. Stuart's stress adaptation theory of defense mechanisms includes fantasy, which is an unfulfilled desire satisfied in the imagination, fantasizing as if it were like what is desired. This SAMRY model is a combination of the mahfudzat adaptation stress model taken from Stuart, Laraia and Roy's theory,
and Stuart's adaptation stress model of fantasy defense mechanisms applied in the form of guided imagery. Purpose. The SAMRY module was developed as a guide for nurses to implement the SAMRY model to reduce work stress. Method. The method of preparing the SAMRY module through the stages of FGD (Focus Group Discussion) with hospital managerial ranks and expert reviews, namely mahfudzat experts and guided imagery experts. Result. The SAMRY module contains the technical implementation of the SAMRY model, including background, objectives, materials, targets,
methods, infrastructure, implementation guidelines in the form of SOPs (Standard Operating Procedures), as well as the SAMRY model implementation guide script. Conclution. This module explains how to do stress adaptation with a combination of mahfudzat and guided imagery. This module can be applied to nurses as needed. Nurses are expected to be able to perform the SAMRY model in accordance with the explanation written in the module.

Keywords: SAMRY module; nurse work stress