Burnout in Healthcare: Peter Brindley
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Burnout in Healthcare: Peter Brindley
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Peter Brindley explains how burnout affects us all. It affects the cost, quality of care, organisational culture, performance and patient outcomes. Burnout is fatigue, loss of ideals, purposelessness, presentism and the sense of being under-appreciated. It is not tiredness, exhaustion, boredom, mid-life crisis, depression, PTSD, perfectionism or narcissism. Moreover, burnout involves the 4 C's: cutting corners, cynicism, callousness, and contempt. Peter explains when and why, and to whom a burnout occurs. A major reason for burnout is the difference between expectations and reality. This drives the thought, “this is not what I signed up for.” Furthermore, he presents the 12 steps which lead to a burnout. It begins by the need to prove yourself by working harder, neglecting your needs, avoiding issues, and losing friends or hobbies. This leads to denial, withdrawal, behavioural changes, depersonalisation, inner emptiness, depression and finally burnout. Peter suggests a few things that we can do to prevent burnout. He recommends purposeful imbalance and dividing career into thirds: learning, earning, and returning. Evidently, burnout is a chronic condition, and although it cannot be cured, it is manageable. It might take years to manifest and hence, we must always be on the lookout for the signs. Finally, for more like this head to our podcast page. #CodaPodcast
Burnout in Healthcare: Peter Brindley
- Burnout “In a culture where work is the new religion, burnout is its crisis of faith” Jennifer Senior; New Yorker Magazine
- Burnout: everybody pays! Montgomery. J Health Organizat’n and Managem’t 2011; Cost
- Why we need to discuss it?
- “Self love..not so vile as self neglect” Henry IV
- My mate
- What Burnout is? • Fatigue – “always tired” • Loss of ideals – “what’s the point” • Purpose-lessness – “why bother” • Dehumanized; robotic – “presenti-ism” • Sense you are under-appreciated
- What Burnout isn’t PTSD ML crisis Bore dom Perfe ct’ism Exha ust’n Tired -ness Narci -sism D’pre s’n
- Four C bombs • Cut corners • Cynicism • Callousness • Contempt
- Even simpler Expectations Reality
- adbusters
- “Not what I signed up for” • Asymmetrical Rewards – “To err is human” • Loss of autonomy – Paperwork; bureaucracy • Cognitive Scarcity – “Move the meat” Arch Intern Med 2001; 135; 2
- When ? “I can’t make things better”
- Why? 1 Prove yourself 2 Work harder 3 Neglect needs 4 Avoid issues 5 Lose friends/hobbies 6 Denial 7 Withdrawal 8 Behavioural changes 9 Depersonalization 10 Inner emptiness 11 Depression? 12…………….BURNOUT Freudenberger and Richelson
- Who(m)?
- Maslow’s hierachy of needs
- “Most men lead lives of quiet desperation and go to the grave with the song still in them.” Henry David Thoreau
- How common? • 40% all workers • 50% physicians • 30% surgeons • Yup, trainees too… • Yup, housewives too…
- With thanks, M Jacka
- Why isn’t it taken seriously…
- RICH HEALTHY PAMPERED
- adbusters
- …Or “Weltschmerz”
- Why me? “If you think you can do a thing or think you can't do a thing …you're right.” Henry Ford http://www.brainyquote.com/
- “The fault is not in our stars, but ourselves” Julius Caesar
- “being a doctor…one of the few acceptable reasons for abandoning a family” Dr Linda Clever, President of Renew
- Botrytis
- So, am I burnt-out? http://www.mindtools.com/stress/Brn/ BurnoutSelfTest.htm#Table
- Burnout: what to do…
- Chance. Psychol Theory Res Pract 1978
- F**K I’M GREAT JUST ASK ME
- Avoid fetishes! fetish: desire/dislike with excessive gratification/revulsion.
- What THEY can do 1) Stress management/counseling/mindfulness 2) MANDATORY sabbaticals 3) “PROFESSIONALISM” 4) REAL Socializing
- “We overestimate what we can do in a year, & underestimate what we can do in a decade” Bill Gates
- What can YOU do? 1) “Great: the enemy of good” 2) Balance OR…..“purposeful imbalance” 3) Divide career into thirds: • Learning, Earning, Returning Life on the wire: Todd Duncan
- Despair.com
- “Heavy hangs the head that wears the crown” Henry IV Educ Res’chAdmin Charity
- “Keep it above the line” http://www.ozprinciple.com/self/steps-to-accountability/ “Blame-storming” “Get angry” Be professional Stay calm Own solution “Not my problem”
- Relationships Spirituality Self-care Approach to life Work Renew-o-meter: http://renewnow.org/renew-o-meter/ Resilience
- “Curing vs managing”
- Emotional Psychiatric Physical Family/Social Financial Legal Work 10 yrs Discovery
- In closing…Be there for others… • Booze and drugs
- And look after yourself “To do well, you must be well” Anonymous…but darn smart MANY MANY THANKS….
Editor's Notes
- And why should I care
- Probably the NEXUS by which you either create resilient, innovative colleagues, safe patients, and innovative systems …or you FAIL And everyone pays More evidence every week: poor compliance; longer to get well. It’salso more serious than we realize. Soc sci med 1980; 14A: 495-9. more boundary violations; unethical behavior. Physician-patient sex; confidentiality issues; social contact with patients; self-prescribing.
- Presententi-ism:
- Making Dr Venn blush ‘cause again it can be dismissed
- But if that seems too pretentious Exaggerated sense of ownspecialness/distorted view of own replacability
- When does it happen
- Displcement of conflict: fail to understand root of the problam
- It also doesn’t happen to wimps: people that were previously highly engaged. Showing passion and a real sense of purpose and mission- that is
- Should we really complain; life is good- instead of the four horseman of apocalypse (war famine pestilence, and I dunno Miley Cyrus but maybe that’s the issue
- Rich Respected Healthy Pampered
- Weltschmerz…acceptance of the world as it is rather than as it should be
- “The fault dear Brutus, is not in our stars but in ourselves”
- grey fungus, Botrytis Noble rot So we volunteer
- Insert pictures: tool wrench etc
- Sylvia Boorstein Also understanding the diff btwn inside and outside; you compare your in and their out
- Charity work Education Research Administration ert pictures
- .