Burnout School Nurse Conference. Nancy McMillan APRN, CHPN Wake County Human Service

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1 Nancy McMillan APRN, CHPN Wake County Human Service Burnout Etiology Reactional: response to work or environmental issues Conflict within the work setting Conflicts with managers/co-workers o Chaotic or unpredictable management o Not feeling supported 1

2 Burnout (cont.) Inadequate work conditions: Not having the proper working equipment to do required work Constantly being asked to do more with less, double shifts Isolation Chronology: gradually over time Outcome: Decreased empathic response Withdrawal May leave position or transfer Compassion Fatigue Etiology: Relational, contacts we have with clients Caring for those suffering Inability to change course of outcomes Inability to change painful scenarios Overwhelming disasters Chronology: acute or chronic onset Compassion Fatigue (cont.) Outcomes: Intensify work try harder Imbalance of empathy Loss of objectivity Vicarious trauma Diminished performance, judgment, hopelessness May leave position 2

3 The end result for both is a sense of depletion running on empty 3

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12 The Five Regrets the Ten Commandments were paraphrased from a lecture by Linda E. Jordan D.Min Chaplain Credited to TED Talks J McGonigal I wish I hadn t worked so hard I wish I had stayed in touch with my friends I wish I had let myself be happier I wish I d had the courage to express my true self I wish I had lived a life true to my dreams, instead of what others expected of me Really! 12

13 Post Traumatic Growth Some people get stronger and happier after a traumatic event. They seem to unlock their life and live with fewer regrets Somehow a traumatic event can unlock the ability to live a life without regret My priorities have changed I feel closer to my friends and family I understand myself better, I know who I am I have a new sense of meaning and purpose I am better able to focus on my goals and dreams How can we make this happen intentionally? Better yet, how can we make this happen without trauma? If we stay active, moving about, we decrease stress and heal faster The best thing you can do for your physical health is NOT SIT STILL 13

14 Research shows FOCUS and WILLPOWER are like muscles and get better the more they are exercised Tiny challenges daily (5 things) Living mindfully rather than mindlessly Find a window to look outside Looking at babies, human or animal This elicits compassion and displays our ability to show love and curiosity 14

15 2014 School Nurse Conference Showing gratitude Touch someone for 6 seconds This causes a release of oxytocin, the calming, trust hormone 15

16 Seated Yoga Poses You Can Do in the Office PEOPLE WHO REGULARLY BOOST ALL FOUR KINDS OF RESILIENCE: Physical Emotional Mental Social POTENTIALLY LIVE TEN YEARS LONGER THAT EVERYONE ELSE..and.Are Happier 16

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18 THE END Q & A Presented by: Nancy McMillan, APRN 18

19 Credit & Resources Ten Prescriptions paraphrased from a lecture by Linda E. Jordan D.Min Chaplin 2001 B. Hudnall Stamm, Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). This test may be freely copied as long as the (a) author is credited, (b) no changes are made, and (c) it is not sold. to verify that the copy they are using is the most current version of the test Stephanie Romine, Certified Yoga Teacher SPARKPEOPLE.COM Charles Figley PHD Jane McGonigal 19