Stress

&
Burnout
Syndrome
The harmful physical and emotional
responses that occur when the requirements
of the job do not match the capabilities,
resources, needs of the worker.
National Institute of Occupational
Safety & Health (1999)

The adverse reaction people have to

excessive pressures or other types of demand
placed on them.
Burnout is a popular term for the
condition of having mental or
physical energy depletion after a
period of chronic unrelieved job-
related stress characterized
sometimes by physical illness.

Mosbys dictionary
Maslach (1981) defined Burnout
as

physical , emotional & intellectual

exhaustion syndrome manifested by
adverse attitude to professional life
and other people with the
development of a negative self-
esteem in the individual
experiencing chronic fatigue and
 Stress
Stress is characterized by over-
engagement
In stress, the emotions become
over-reactive.
In stress the physical damage is
primary.
The exhaustion of stress affects
physical energy
Stress produces dis-integration
Stress can be best understood as a
loss of fuel and energy.
The depression of stress is
produced by the bodys need to
protect itself and conserve energy
Stress produces panic, phobic and
anxiety type disorders.
Burnout
Burnout is a defense characterized by dis-
engagement.
In Burnout the emotions become blunted
In burnout the emotional damage is
primary
The exhaustion of burnout affects
motivation & drive.
Burnout produces de-moralization
Burnout can be best understood as a loss
of ideals and hope
The depression of burnout is caused by the
grief endangered by the loss of ideals of
hope.
Burnout produces paranoia,
depersonalization & detachment
 Stressful & Dangerous work environment- Daylight
exposure
Lack of support
Long working hours
Work overload
Low wages
Lack of incentives and rewards
Shift duties
 Resource inadequacy
Inadequacy of equipment &
materials
Role conflict
Lack of recognition
Lack of respect
 Giving care to patients with -
Debilitating diseases
Urinary incontinence
Cognitive deficits, Behavioral disturbances,
Communication & Speech deficits
Poor prognosis
Dying and dead patients
Pressure of providing quality care over long periods
of time
Socio-demographic variable
Age
Sex
Marital status
Number of children & other
domestic load
Educational Status
Job title
Type of institution
Experience
Personality Factors
Hardy personality
Personal coping strategies
Other
Sleep & other disorders
Occupational Diseases
Poor self concept
Quitting ones job
Job dissatisfaction
Lack of marital and familial harmony
Decrease in self-esteem
Difficulty in concentrating
Social isolation
Fatigue
Loss of libido
Headache
Cold
Gastro-intestinal problems
Sleep disorders
Alcohol & drug abuse
Financial losses
Decreased quality service
Organizatio Safe working environment
nal Peer group and social
Changes
support
Distribution of work
Adequate nurse: patient
ratio
Clear job descriptions
Formal and informal
recognition
Individual Effective coping strategies
changes Opportunities for higher
education
In-service education
Social support
Assistance in family chores
Stress management strategies
THANKS