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: Challenges and rewards for hospice professionals. Hopice J 1987;3:121-146.3. Fawzy Fİ, Fawzy NW, Pasnau RO. Burnout in health

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

med.1996;22(7):626-630.5. Maslach C. Burned-out. Hum Behav

1976;5:16-22

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