Published on February 4, 2014
Burnout among medical staff in Critical Care Unit Muhammad Asim Rana MBBS, MRCP, SF-CCM, EDIC, FCCP Department of Critical Care Medicine King Saud medical City
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If constant stress has you feeling disillusioned, helpless, and completely worn out, you may be Burnout Syndrome in ICU physicians suffering from burnout. When you’re burned out, problems seem insurmountable, everything looks bleak, and it’s difficult to muster up the energy to care—let alone do something about your situation. The unhappiness and detachment burnout causes can threaten your job, your relationships, and your health.
Learning Objectives To understand the concept of burnout To describe sources of stress To determine coping behaviour To understand possible interventions
Performance Objective Understand the importance of Burnout in Drs Beware of symptoms of Burnout Determine the sources of stress Beware of intervention approaches
What is burnout? Burnout is a state of emotional, mental, and physical exhaustion caused by excessive and prolonged stress. It occurs when you feel overwhelmed and unable to meet constant demands. As the stress continues, you begin to lose the interest or motivation that led you to take on a certain role in the first place.
Burnout reduces your productivity saps your energy Feeling increasingly helpless Eventually, you may feel like Hopeless more to give. resentful you have nothing Cynical
You may be on the road to burnout if Every day is a bad day. Caring about your work or home life seems like a total waste of energy. You’re exhausted all the time. The majority of your day is spent on tasks you find either mind-numbingly dull or overwhelming. You feel like nothing you do makes a difference or is appreciated.
The Concept of Burnout Burnout is a reaction to chronic, job-related stress “A literal collapse of the human spirit” (Storlie 1979). “The loss of concern for the people with whom one is working (Maslash 1976)” “psychological withdrawal from work in response to excessive stress and dissatisfaction” (Cherniss 1980).
Degrees of burnout 1st degree: Failure to keep up and gradual loss of reality 2nd degree: accelerated physical and emotional deterioration rd degree: major physical and psychological 3 breakdown
Sources of Stress Long training/working hours Excessive work loads Sleep deprivation Changing work conditions Peer competition Conflicts with colleagues Lack of Control
ICU Physician find new stresses waiting for them Work faster and longer hours Mountains of paper work Threat of malpractice suits Economic security prove elusive Difficulties to keep up to date Challenge to explain and defend work Perception of unfairness & insufficient reward Value Conflicts Daily confrontation with sickness and death Lack of routine unit level meetings
Coping Behaviour Working harder and longer Sense of entitlement Belief on immunity to difficulties Failure of self recognition of mental problems Alienating family members and friends !!!!
Anger and frustration are vented to family and friends Inability to share troublesome experiences Family and friends are another source of demand Alienating family members and friends
Out-of-town Dawdler Electronic Physician PhysicianAcademician Avoiding to be with family
Stress VS Burnout Burnout Stress Characterized by over engagement Emotions are over reactive urgency and hyperactivity Loss of energy Leads to anxiety disorders Primary damage is physical May kill you prematurely Characterized by disengagement Emotions are blunted helplessness and hopelessness Loss of motivation, ideals, and hope Leads to detachment and depression Primary damage is emotional May make life seem not worth living
Dealing with Burnout: The "Three R" Approach Recognize – Watch for the warning signs of burnout Reverse Undo the damage by managing stress & seeking support Resilience – Build your resilience to stress by taking care of your physical and emotional health
Burnout Prevention tips
Burnout Prevention tips Start the day with a relaxing ritual. Adopt healthy eating, eating, exercising, and sleeping habits. Set boundaries. Take a daily break from technology. Nourish your creative side. Learn how to manage stress.
Recovering From Burnout Burnout recovery Strategy #1 :Slow Down When you’ve reached the end stage of burnout, adjusting your attitude or looking after your health isn’t going to solve the problem. You need to force yourself to slow down or take a break. Cut back whatever commitments and activities you can. Give yourself time to rest, reflect, and heal.
Burnout recovery strategy #2: Get Support When you’re burned out, the natural tendency is to protect what little energy you have left by isolating yourself. But your friends and family are more important than ever during difficult times. Turn to your loved ones for support. Simply sharing your feelings with another person can relieve some of the burden. Burnout recovery strategy #3: Reevaluate your goals and priorities Burnout is an undeniable sign that something important in your life is not working. Take time to think about your hopes, goals, and dreams. Are you neglecting something that is truly important to you? Burnout can be an opportunity to rediscover what really makes you happy and to change course accordingly.
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