Burnout Syndrome among Critical Care Physicians

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Information about Burnout Syndrome among Critical Care Physicians
Education

Published on February 4, 2014

Author: drasimrana

Source: slideshare.net

Description

Discussion of factors leading to increased frustration among Intensive Care Staff. A well known entity "BURNOUT SYNDROME" lecture to help establish the causes and to find solutions.

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

Studies we have gone through to prepare today's presentation 1. Deckard GJ, Hicks LL, Hamory BH. The occurrence and distribution of burnout among infectious disease physicians. JİD1992;165:224-8. 2. Schneider J. Self-care: ChallengesRO. Burnout in health professions. İn: 3. Fawzy Fİ, Fawzy NW, Pasnau and rewards for hospice professionals. Hopice J 1987;3:121-146. eds. Handbook on general hospital psychiatry. Judd, Burrows, Lipsid, 4. Storlie FJ. Burnout: The elaboration of a concept. Am J Nurs. 1979;12:21081991.p.119-130 2111 7. Simendinger EA, Moore TF. Organizational burnout in Health care facilites:Strategies for prevention and change. Rockville:Aspen Syst Co.1985. 6. Cherniss C. Staff burnout:Job stress in theof disillusion ment in the helping 8. Edelwich J,BrodskyA. Burned-out:Stages human services. Beverly Hills: SagePubl.1980. profession.House officer stress syndrome.Psychsomatics 1981; 22: 860-864. NewYork: Human Sciences Press.1980. 9. Small G.CA, Julian RA. Causes of stress and burnout in physicians caring for 10. Martin Barnett, Lisa andill. Hospice j 1987;3:121-147. the chronically Melissa Browne, Katherine Harris. “Fanning the Flames: Strategies Losyk, Bob Get a Grip! Overcoming Stress and Thriving in 2003. for Combatting Burnout and Reinvigorating Instruction.” LOEX the Workplace. Maslach, Christine and Michael P. Leiter. The Truth About Burnout: How Hoboken: John Wiley & Sons, 2005. OrganizationsAn Assessment of Burnout in Academic About It. SanAmerica Ray, Bernice. Cause Personal Stress and What to Do Librarians in Francisco: Jossey-Bass, 1997.Burnout Inventory (The MBI). Diss. Rutgers Using K. I.,Maslach & Ellis, B. H. (1988). Communication and empathy as precursors Miller, the Stiff, J. B., University, 2002. Ann Arbor: UMI. AAT 3066762 to burnout among human service workers. Communication Monographs, 55(9), 336341. Guntupalli KK, Fromm RE Jr, Burnout in the C. Burned-out. Hum Behav 1976;5:16-22 intensivist. Intensive care 5. Maslach med.1996;22(7):626-630.

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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