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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
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professions. İn: Judd, Burrows, Lipsid, eds. Handbook on general hospital psychiatry. 1991.p.119-1304. Storlie FJ. Burnout: The elaboration of a concept. Am J Nurs.
1979;12:2108-21116. Cherniss C. Staff burnout:Job stress in the human services. Beverly Hills: SagePubl.1980.
7. Simendinger EA, Moore TF. Organizational burnout in Health care facilites:Strategies for prevention and change. Rockville:Aspen Syst Co.1985.8. Edelwich J,BrodskyA. Burned-out:Stages of disillusion ment in the helping profession. NewYork: Human Sciences Press.1980.9. Small G. House officer stress syndrome.Psychsomatics 1981; 22: 860-864.10. Martin CA, Julian RA. Causes of stress and burnout in physicians caring for the chronically ill. Hospice j 1987;3:121-147. Barnett, Lisa and Melissa Browne, Katherine Harris. “Fanning the Flames: Strategies for Combatting Burnout and Reinvigorating Instruction.” LOEX 2003. Losyk, Bob Get a Grip! Overcoming Stress and Thriving in the Workplace. Hoboken: John Wiley & Sons, 2005.Maslach, Christine and Michael P. Leiter. The Truth About Burnout: How Organizations Cause Personal Stress and What to Do About It. San Francisco: Jossey-Bass, 1997.Ray, Bernice. An Assessment of Burnout in Academic Librarians in America Using the Maslach Burnout Inventory (The MBI). Diss. Rutgers University, 2002. Ann Arbor: UMI. AAT 3066762Miller, K. I., Stiff, J. B., & Ellis, B. H. (1988). Communication and empathy as precursors to burnout among human service workers. Communication Monographs, 55(9), 336-341.Guntupalli KK, Fromm RE Jr,
Burnout in the intensivist. Intensive care
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If constant stress has you feeling disillusioned, helpless, and completely worn out, you may be 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.
Burnout Syndrome in ICU physicians
Learning ObjectivesTo 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.
Burnoutreduces your productivity saps your energy
Feeling increasingly helpless
HopelessCynicalresentfulEventually, you may feel
like you have nothing more to give.
You may be on the road to burnout
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.
if
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 deterioration3rd degree: major physical and
psychological breakdown
Sources of Stress
Long training/working hours
Excessive work loads
Sleep deprivationChanging work conditions
Peer competition
Conflicts with colleaguesLack of Control
ICU Physician find new stresses waiting for them
Work faster and longer hoursMountains of paper work
Threat of malpractice suitsEconomic security prove elusive
Difficulties to keep up to dateChallenge to explain and defend workPerception of unfairness & insufficient
rewardValue ConflictsDaily confrontation with sickness and deathLack of routine unit level meetings
Coping BehaviourWorking harder and longer
Sense of entitlementBelief on immunity to difficulties
Failure of self recognition of mental problems
Alienating family members and friends !!!!
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
Avoiding to be with family
Physician DawdlerElectronic PhysicianOut-of-town Academician
Stress VS Burnout
Stress
Characterized by over engagementEmotions are over reactive
urgency and hyperactivity Loss of energy Leads to anxiety disorders Primary damage is physical May kill you prematurely
Burnout
Characterized by disengagement
Emotions are bluntedhelplessness and
hopelessnessLoss of motivation, ideals, and hope Leads to detachment and depression Primary damage is emotionalMay make life seem not worth living
Dealing with Burnout: The "Three R" Approach
Watch for the warning signs of burnout
Undo the damage by managing stress & seeking support
Build your resilience to stress by taking care of your physical and emotional health
Recognize –
Reverse
Resilience –
Burnout Prevention tips
Take a daily break from technology.
Learn how to manage stress.
Nourish your creative side.
Start the day with a relaxing ritual.
Adopt healthy eating, eating, exercising, and sleeping habits.
Set boundaries.
Burnout Prevention tips
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 SupportWhen 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 prioritiesBurnout 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.
THANK YOU