How to Deal with Burnout

Transcription

1 How to Deal with Burnout Kerrie L. Quirk, MEd Medical College of Wisconsin Erin Petersen, MEd Georgetown University School of Medicine Learning Objectives Understand what burnout is and isn t Identify prevention strategies Learn how to recognize signs of burnout Identify intervention strategies Practice one type of intervention

2 What is Burnout? State of physical, emotional, and mental exhaustion Brought on by long-term involvement in emotionally demanding situations Accompanied by disillusionment and negative feelings Source: Portnoy, D. (2011). Health Progress. Burnout and compassion fatigue: Watch for the signs. P

3 How Does Burnout Occur? High/low job demands Inadequate resources Ineffective coping methods Sources: Demerouti, E (2015). & Kakiashvili, T., Leszek, J., and Rutkowski, K. (2012) What Burnout Isn t Mental illness Weakness Permanent

4 Preventing Burnout Individual Centered Boundary management Self-Care Counseling/EAP Situation Centered Job crafting Seeking resources Seeking/reducing demands

5 Initial Signs of Burnout Physical Signs of colds Headaches Fatigue Mental & Emotional Lower resiliency Increased moodiness Reduced sense of accomplishment Behavioral Increase of interpersonal conflicts

6 Advanced Signs of Burnout Physical Somatic symptoms Low energy Mental & Emotional Social withdrawal Depersonalization Cynicism Exhaustion Irritable Feel unappreciated and overworked Behavioral Overwhelmed Loss of sense of humor

7 Burnout Inventory Maslach Burnout Inventory Most well known and validated inventory Holmes-Rahe Life Stress Inventory Looks at your susceptibility to stress induced health breakdown

8 Intervention Intervention Strategies: Organization How can I streamline processes? What can we automate and make electronic? Do you have access to Volunteer Services?

9 Intervention Strategies: Self-Care Plan Choose to implement a new habit in each of these areas. Start slowly. Implement one at a time. TIP: Start with SLEEP. Intervention Strategies: On the Go Deep breathing (Breathe in. Hold. Breathe out) Safe Space / Guided Imagery Progressive Muscle Relaxation Yoga Gratitude Journal Emotional Freedom Technique (EFT Tapping) Play calming or energetic music Mindfulness

10

11 Practicing Mindfulness Any activity can be practiced mindfully Common ones include: Eating Walking Loving-kindness meditation S.T.O.P Stand up and breathe Tune into your surroundings Observe what s going on around you Possibility. Ask yourself what is new or possible or a next step? Source: Stewart-Weeks, L. (2016). 1-Minute Mindfulness Exercises. Psych Central. Retrieved on February 16, 2017, from

12 Benefits of Practicing Mindfulness Meditation Reduces anxiety, depression Increases GABA & serotonin (happy neurotransmitters) Decreases fear response in your brain Increases working memory & cognitive flexibility Less emotional reactivity Decreases interpersonal relationship stress Able to focus better Source: Davis, D. & Hayes, J. (2012). What are the benefits of mindfulness. American Psychological Association, 43 (7), 64. Guided Meditation Exercise

13 Summary Burnout is characterized by exhaustion and cynicism Prevention includes individual and situational interventions Signs of burnout involve physical, mental/emotional, and behavioral symptoms Many intervention strategies focus on self-care Intervention can also occur at the job/environment level Mindfulness is one technique to engage in routine self-care References Davis, D. & Hayes, J. (2012). What are the benefits of mindfulness. American Psychological Association, 43 (7), 64. Demerouti, E. (2015) Strategies used by individuals to prevent burnout. European Journal of Clinical Investigation, 45: Kakiashvili, T., Leszek, J., & Rutkowski, K. (2013). The medical perspective on burnout. International Journal of Occupational Medicine and Environmental Health; 26(3): Montero-Marin, J., Araya, R., Blazquez, B.O., Skapinakis, P., Vizcaino, V.M., & Garcia-Campayo, J. (2012). Understanding burnout according to individual differences: ongoing explanatory power evaluation of two models for measuring burnout types. BMC Public Health, 12: 922. Portnoy, D. (2011). Health Progress. Burnout and compassion fatigue: Watch for the signs. P Richards, K.C., Campenni, C.E., & Muse-Burke, J.L. (2010, July). Self-care and well-being in mental health professionals: The meditating effects of self-awareness and mindfulness. Journal of Mental Health Counseling, 32(3): Stewart-Weeks, L. (2016). 1-Minute Mindfulness Exercises. Psych Central. Retrieved on February 16, 2017, from