1. WORK-RELATED STRESS AND BURNOUT

2. Objectives
Identify signs and symptoms of stress, reality shock, and burnout
Describe the impact of stress, reality shock, and burnout on the individual and the health-care team
Evaluate his or her own colleagues’ stress levels
Develop strategies to manage personal and professional stresses

3. Statistics
More people have heart attacks on Monday morning as they prepare to go to work than on any other day of the week
Two-thirds of all office visits to physicians are the result of stress
Stress plays a role in the two major killers of adults: heart disease and cancer

4. Stress Effects of Stress
Hans Selye first explored the concept of stress in the 1930’s
His description of the general adaptation syndrome (GAS) has influenced our present-day notions about stress and its effects on humans
Stress is assessed on four levels
Environmental
Social
Physiological
Psychological

5. Good Stress versus Bad Stress
Seven factors identified:
Good stresses allow people to exert a high level of control over outcomes. Bad stresses allow little or no control
Positive feelings are associated with good stress and negative or ambivalent feelings occur with bad stress
Eagerness is associated with good stress

6. Good Stress versus Bad Stress
Exhaustion and avoidance are associated with bad stress
Good stress associated with personal growth and improved interpersonal relationships. Bad stress is associated with limitations and bad relationships
Processing all stress requires human action

7. Reality Shock First few weeks are the “honeymoon’’ phase
Honeymoon phase won’t last forever
Graduates often feel a conflict between professional and work goals

8. Differences in Expectations
To cope with reality, you must recognize:
Expectations are distortions of reality (this can bring about disappointment)
To some extent, you need to fit yourself into your work, not fit the work to suit your needs or demands
The way you perceive events on the job will influence how you feel about your work

9. Your mental attitude will affect whether work is a pleasant or unpleasant experience
Feelings of helplessness and powerlessness cause frustration and unrelieved job stress

10. Additional Pressures on the New Graduate
Acceptance by a new group?
Competence?
Ideals
Loss of protection of clinical supervision
Loss of sense of collegiality and trusted relationships
Grounded feedback
Set boundaries

11. Ineffective Ways to Cope
Abandon professional goals- will eliminate conflict but leaves you as a less effective caregiver
Give up professional ideals- work for the paycheck
Leave the profession

12. Effective Ways to Cope Develop a professional identity
Learn more about the organization
Use your energy wisely
Communicate effectively
Seek feedback often and persistently
Develop a support network
Find a mentor

13. Burnout The ultimate result of unmediated job stress
Often attributed to frustration in the nurses ability to deliver ideal care

14. Aspects (4 stages) of burnout
High expectation and idealism
Pessimism and early job dissatisfaction
Withdrawal and isolation
Irreversible detachment and loss of interest

15. Stressors Leading to Burnout
Personal factors- age, gender, children, education, experience, and favored coping style
Job Related Conditions
Human Service Occupations- caring for sick and dying persons
Conflicting Demands- balancing work and family

16. Technology
Lack of Balance in Life- inability of a person to set limits

17. Consequences???? Burnout can cause: Financial implications
Physical implications
Emotional implications
Social implications

18. Buffer against burnout
PERSONAL HARDINESS
Sense of personal control
Commitment to work and life activities
Viewing demands and change as a challenge
Adaptive coping mechanisms

19. Stress Management Only you can manage your reaction to stress!
ABC’s of Stress Management
Awareness- be honest with and to yourself
Belief- believe in yourself
Commitment- be committed to work on stress recognition and reduction

20. Physical Health Management
Take a deep breath!
Stand up straight!
Go to bed early (get at least 8 hours of sleep per night)
Relax!!!
Take a break!
Eat properly
Exercise

21. Mental Health Management
Take responsibility for your own thoughts and attitudes!!!
Realistic expectations
Reframe your thoughts
Laugh
Social support- make a friend!!

22. CONCLUSION
Ultimately- you are in control! You need to cut out the next frame, put it on your bathroom mirror, and read it to yourself before starting your day!!!

23. I CHOOSE… I choose to relish my days I choose to enjoy this moment
I choose to be fully present to others
I choose to fully engage in the activity at hand
I choose to proceed at a measured, effective pace
I choose to acknowledge all I have achieved so far
I choose to focus on where I am and what I am doing
I choose to acknowledge that this is the only moment in which I can take action.