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Avoiding burnout. How to manage stress in your career as a new nurse. By: Neva Brenneman, Brigett Gillespie, & Angela Vasco. WHAT IS NURSE BURNOUT?.
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Avoiding burnout How to manage stress in your career as a new nurse By: Neva Brenneman, Brigett Gillespie, & Angela Vasco
WHAT IS NURSE BURNOUT? “Burnout is a depletion of energy, in which personal resources seem to be at an end, leaving a continuing sense of helplessness and negativism in the face of normal everyday events” (Dolan 1987).
INCIDENCE OF BURNOUT Study in Medical Care nursing journal showed: • More than 1 in 5 hospital staff nurses say they intend to leave their hospital jobs within 1 year
SIGNS OF BURNOUT Warning signs: • Feelings of vague anxiety • Apathy • Fatigue • Boredom • Disinterest with your job Mild symptoms include warning signs plus: • Reduced emotional control • Sleep disturbances • Muscle aches • Loss of energy and focus • Nausea • Social withdrawal • Excessive fatigue
SIGNS OF BURNOUT CONT. Severe symptoms: • Serious career, personal, family issues • Skin rashes • Increased alcohol intake • Severe migraines • Excessive irritability • Development of irrational fears • Rigidity in thought processes • Loss of appetite • Muscle weakness • High blood pressure • Decreased libido • Complete social withdrawal
SIGNS OF BURNOUT CONT. Debilitating symptoms (Can ruin employment and future career opportunities) • Symptoms at this phase lead to a very ill individual who suffers emotionally, mentally and physically, and may include: • Coronary disease • Diabetes • Heart attack • Asthma • Complete agitation • Constant tension • Hostility • Suicidal thoughts • Uncontrollable crying
CAUSES OF NURSE BURNOUT • Understaffing • Mandatory overtime • Challenging emotional situations • Heavy workloads • Overwhelming responsibility • Power issues • Role conflict • Rotating shifts
ORGANIZATION TECHNIQUES FOR PREVENTING BURNOUT • Stress management programs • Counseling availability • Regular staff meetings and discussions • Adequate staffing • Group therapy for staff on difficult issues • Flexibility in scheduling • Scheduled rotation of unit assignments
STRESS MANAGEMENT From APA’s “Stress in America 2009”
WAYS TO PREVENT BURNOUT • Keeping active outside of work • Relaxation exercises • Voicing complaints about coworkers when appropriate • Adequate personal time • Adequate rest • Prioritization of tasks • Recognizing your own limitations • Eat a balanced nutritional diet • Make time for relationships outside of work
AROMATHERAPY • The use of essential oils extracted from plants and herbs to treat physical imbalances, as well as to achieve psychological and spiritual well-being. Oils are inhaled, applied externally, or ingested.
RELAXATION TECHNIQUES • Yoga & pilates • Tai-Chi • Deep breathing& progressive relaxation • Acupuncture
REFERENCES American Holistic Nurses Association. (2011). Holistic stress management for nurses. Retrieved June 13, 2011 from www.ahna.org/Resources/StressManagement/tabid/1229/Default.aspx American Psychological Association. (2009). Stress in America: Mind/body health: For a healthy mind and body, talk to a psychologist. Retrieved from http://www.apa.org/news/press/releases/stress-exec-summary.pdf Dolan, N. “The relationship between burnout and job satisfaction in nurses.” Journal of Advanced Nursing, v. 12 issue 1, 1987, p. 3. McHugh, M., Kutney-Lee, A., Cimiotti, J., Sloane, D., & Aiken, L. (2011). Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Affairs,30(2), 202-210. Schneider, M.A. (2007). Extinguish burnout. Nursing Management, 38(3). 44-48. Trossman, S. (1999). Stress! It’s everywhere! And it can be managed! American Nurses Association, Retrieved from http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/TAN/1999/Stress.aspx Vahey, D., Aiken, L., Sloane, D., Clarke, S., & Vargas, D. (2004). Nurse burnout and patient satisfaction. Medical Care, 42(2), 57-66.