Monday, March 3, 2008

Burnout


"Burnout is a psychological term for the experience of long-term exhaustion and diminished interest (depersonalization or cynicism), usually in the work context." (Wikipedia.com).


I have had the “privilege” of working with a good many burned out healthcare professional in the eight years I have enjoyed (most often;) working in healthcare. There is a whole body of research and literature on this subject now but the major symptom, in my experience, is loss of joy. Not enjoying the client interaction anymore. Other beginning symptoms I have noticed are loosing ones insight: use of humor becomes increasingly inappropriate and comments are made to and about clients that are inappropriate. But the main symptom to look for is lack of joy, I think.

Because of the danger of this I do watch myself, emotionally, pretty intently, both throughout the day, and I do an inventory at night. I also do a bigger inventory approx. once a year. This hopefully all helps with my catching the early signs.


Also alerting my friends and close family of these symptoms so they can alert me if they see them popping up. Last but not least, it is beneficial, I think, to have a good collegial relationship with someone at the workplace. A person that has “permission” to alert me of potential beginning symptoms of burnout I might be displaying.


I am young and have not been in this business for that long, but still I have felt the stingy odour of burnout twice, emmiting from my sensitive skin. Both times I did not set down proper boundaries regarding my work hours and/or work conditions.


I am responsible for taking care of myself. And if my place of work is hurting me, I must do what is necessary to change the situation, and if that is not possible, leave.


Simple, not easy...

4 comments:

Anonymous said...

In real life I think it depends on who you work for whether typing is important during the session or not.
Where I work, you can not bill for the time it takes you to type your note. If a patient is scheduled for 30 minutes, you must use at least 25 minutes in face-to-face contact with them to charge for the 30 minutes. That leaves very little time for documentation, at least for me. Soo-typing while I see patients is necessary if I want to be paid for the time I spend on them. I can honestly say that I don't like, but if I do not, where does my salary come from? I would be willing to here others thoughts.

Anonymous said...

I don't know that I've ever approached burnout, but I do know that the first sign I am allowing stress to affect my practice is when I start to depersonalize the human being in my care. I've gotten much better at catching it, finding the source(s) of that stress, and renewing my commitment to compassionate care for people with mental illness. I don't get it right every time, sometimes I have to repair the damage I do when I get this way, but it's better than remaining in the "hole" described by Ms. Nelson.

Thanks for the reminder to think about this, and to share...

Keynan

Unknown said...

I can't bring myself to type and do psychotherapy. I just can't - it seems insincere to me, but I don't necessarily think that everyone who does it is insincere.

I'm SO glad you brought this up - it has sat in the back of my head for years, and I never mentioned it during training when I first started to struggle with it.

I've made my choice - I don't type and talk. Hopefully others will contribute with their views...

Keynan

APNA said...

Thanks for the feedback guys.

Great comments

I think the reality I will face, is either type, or stay until 8pm.

And I do like to see my kids awake, at least once in a while...