BURN OUT

STATISTICS

Research shows 1 in 5 nurses will experience burnout in their nursing career and consequently leave the profession.

 More than 40% of hospital nurses reported being

dissatisfied with their jobs. University graduate nurses are more susceptible to burnout because, theoretical experience far outweighs practical experience.
Younger graduate nurses have a higher incidence of

burnout because of clinical inexperience. They also spend more time and become more involved with clients compared to senior nurses.

Definition of Burn Out

Usually is a gradual depletion of emotional, mental and physical energy due to work related stress.

Definition of Burn Out

Characterized by emotional exhaustion, a sense of depersonalization, and feelings of reduced personal accomplishment.

-Dr. Kenneth Cooper

BURN OUT
Period of prolonged stress Wearing down and wearing out of energy Exhaustion born of excessive demands Feelings state accompanied by an

overload of stress

Burn out also known as Listless

Fatigued Unmotivated

Drained
Exhausted Bored

Those at Risk?
Nurturing - anticipate the needs of

others Alone - need someone to fill us up Powerless Perfectionist and workaholic Struggling with their own power, autonomy and identity

Common Causes
Work Overload Lack of rewards Belief or lack of control

Issues of unfairness Emotional demands Role problems Work-family conflict Social support Feedback Participation in decision making

Why I burned-out: No leg to stand on

Long hours hospital meeting/no day off losing an associate

Exercising less: Not counteracting the stress response

Perceived lack of control: schedule

Lack of awareness of the impact of personality traits: the rock over-responsible to partners

Stages of Stress
The Alarm Phase

Perceive a threat (real or imagined)

Fight or Flight The Adaptive/Resistant Phase

Coping depletion of energy

The Exhaustion Phase Chronic stress leading to burnout Immediate intervention required

Symptoms of Burn Out

Poor work performance
Relationship problems Health problems Negative feelings Substance misuse/abuse Feelings of meaninglessness

 Loss of initiative Loss of interest Loss of efficiency Reduced work performance Insomnia Fatigability Headache Gastrointestinal disorders Depression

Lability of mood
Irritability Decreased frustration tolerance

Effects of Burnouts
On Nurse:

Physical symptoms Emotional symptoms High stress + lack of group

cohesiveness = horizontal violence absenteeism in errors in decision making of team work and group cohesiveness

On the Patients:
time at the hospital Higher morbidity rate

falls, complaints,

infections, pressure sores medication errors

The Biological Reactions to Stress

The brain signals the release of adrenaline,

dopamine, and norepinephrine, as well as the primary stress hormone coritisol.

Your heart rate and blood pressure elevate

and breathing becomes rapid and shallow. This restricts oxygen to the brain which increases the tension and stress.
The spleen pumps more red blood and white

blood cells into your bloodstream to enable increased transportation of oxygen to the body. The immune system is suppressed as white blood cells are transported to parts of the body that may be injured.

Phases of Burn Out

Stress vs. Burnout

Stress
Characterized by overengagement Emotions are overreactive Produces urgency and hyperactivity Loss of energy Leads to anxiety disorders Primary damage is physical May kill you prematurely
Source:Stress and Burnout in Ministry

Burnout
Characterized by disengagement Emotions are blunted Produces 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

What to do Ask for help!

Talk to others about your

difficulties and seek their support Develop a plan to address burn out

Increase Personal Power!

Find and establish ways to control and manage time, space, workload, pace, resources, future and perceptions.

Rest & Retreat Release Regroup

Make personal changes

Regenerate

 Find purpose and meaning in activities- at work, home

& community! Handle workplace stressors- before they manage me!

What I can do?

Reevaluate goals and priorities

Do not take the whole load himself!

Learn own limits, and set limits with others

Preventing Burn Out

Know your stress danger zones at work and at

home Avoid or address the dangers as soon as possible! Daily self care!

Burnout prevention tips

Start the day with a relaxing ritual.

Adopt healthy 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
Burnout recovery strategy #2: Get support

Burnout recovery strategy #3: Reevaluate

your goals and priorities

Coping with job burnout

Actively address problems. Clarify your job description. Ask for new duties. Take time off.