Essentials of Nursing Leadership & Management, 4th Edition CHAPTER 13 WORK-RELATED STRESS AND BURNOUT Essentials of Nursing Leadership & Management, 4th Edition Effects of Stress Alarm Resistance Exhaustion Essentials of Nursing Leadership & Management, 4th Edition Effects of Stress Stress assessed in 4 levels – Environmental – Sociological – Psychological – Biological Essentials of Nursing Leadership & Management, 4th Edition Perceptions of Stress