BANNING BURNOUT, and beating the Blues Presenter: Hugh Irons RN., Master of Nursing (Community...

BANNING BURNOUT

and beating the BluesPresenter Hugh Irons RN Master of Nursing

(Community Health) MRCNA Member Australian

Counselling Association Training 14th December 2010

Hugh Irons RN December 2010

Distinguishing between stress and burnout

bull Burnout is a form of chronic strain that develops over time in response to prolonged periods of high stress (Dollard et al (2003) Occupational stress in the service professions Taylor amp Francis London)


Distinguishing between stress and burnoutbull The state of burnout is qualitatively

distinct to stress Burnout may include some of the signs and symptoms of stress but it also has its own features over and above stress reactions

bull Burnout is a long-term process characterised by ldquochronic malfunctioningrdquo and negative and cynical attitudes towards clients and work in general



bull Whilst most people will experience periods of work stress most people do not experience the more chronic and long-term condition of burnout Three core dimensions of burnout have been identified



bull 1 Emotional exhaustion (feeling overextended and drained of emotional and physical resources)

bull 2 Depersonalisation (negative detached or cynical view of one s work)



bull 3 Reduced personal accomplishment (low sense of achievement feelings of incompetence low sense of efficiency)

bull While the symptoms of stress and burnout differ the factors that contribute to stress and in the longer term to burnout are quite similar



BURNOUTbull May be mild moderate or severe which at itrsquos

most intense combines physical and mental exhaustion together with

Low moraleFeelings of insecurityWorkplace phobiaOverall pessimismDefence mechanisms denial projection angerReducing ability to cope with stressorsGradual lack of concern for others including

colleagues


OBSERVABLE BEHAVIOURAL WARNING SIGNS

bull BLAMING OTHERSbull CRYINGbull IRRITABILITYbull SHORT ATTENTION SPANbull OVERACTIVITYbull NEGATIVE ATTITUDEbull SHORT TEMPERbull TAKING RISKS


EMOTIONAL WARNING SIGNSbull ANXIETYbull DEPRESSIONbull FEARbull FRUSTRATIONbull GRIEFbull ISOLATIONbull FEELINGS OF

POWERLESSNESSbull FEELINGS OF

WORTHLESSNESSHugh Irons RN December 2010

PHYSICAL WARNING SIGNS

bull DIARRHOEA

bull DRY MOUTH

bull EATING DISORDER

bull CLAMMY HANDS

bull UPPER BACK PAIN

bull STIFF NECK


And from a Managerrsquos viewpointbull Declining performance

bull Increasing time at work lack of leave requests

bull Memory lapses

bull Uncharacteristic mistakes andor accidents

bull Unwarranted criticism of others

bull Lack of cooperation

bull Declining enthusiasm


Preventing stress from becoming burnout

bull Timely interventions are required Burnout occurs when stressful working conditions are experienced over a prolonged period of time

bull Therefore it is important to regularly monitor workersrsquo stress levels and to take action to address stressors or stressful working conditions at the point when they begin to emerge


An interesting findingbull ldquoRNrsquos had a negative correlation

between burnout and personal accomplishmenthellipindicating that as their lack of personal accomplishment increased their burnout decreased This linkage may have been based on detachment of the nurses or it may have indicated disengagementrdquo ( Kennedy B R ldquoStress and Burnout of Nursing Staff Working With Geriatric Clients in Long-Term Carerdquo in Journal of Nursing Scholarship 2005 374 381-382)


Important pointbull If we are to prevent biopsychosocial

dysfunction of nurses and instead promote their physical and mental health ( ie a therapeautic workplace) the predominant factors contributing to nursing burnout should be crystal clear But they are numerous part of a complex phenomenon


For example

bull WORKLOAD

bull AGE

bull HARDINESS

bull ACTIVELY COPING

bull SOCIAL SUPPORT

bull ROLE AMBIGUITY


The Cost of Complacencybull Decreased level of client care low

staff morale increased sick leave loss of productivity increased workcover claims

bull Minimal Team Spiritbull Reduction in Staff Loyalty bulllitigation


COST TO PERSONAL HEALTH bull Physical eg sleeplessness nausea

headaches stomach and bowel problems skin complaints lethargy hypertension

bull Psychological eg Lost confidence and self-esteem lost motivation depression and suicide anger and homicidal ideation anxiety disorders irritability

bull Social disruption to family and friendships


COST TO HEALTH SERVICES

bull Victims may waste between 10 and 50 of work time

bull Increased sick Leavebull Increased staff turnoverbull Reduced efficiency and

profitability absenteeism low morale poor performance levels increased training and recruitment costs


REMEMBERbull The absence of action (doing

nothing) against workplace stressors does not ease the troubled waters rather it may be seen as condoning the problem Therefore doing something is crucial

bull So consider thehellip


Twenty Top Tips


Twenty self-help steps

bull 1 ACKNOWLEDGE THE DAMAGE THAT CAN OCCUR

bull 2 ACKNOWLEDGE Y O U

bull 3 LET OFF STEAM APPROPRIATELY

bull 4 STOP DENYING

bull 5 AVOID ISOLATIONHugh Irons RN December 2010


bull 6 BE PREPARED TO CHANGE CIRCUMSTANCES IF NECESSARY

bull 7 FIND PRESSURE BUBBLES AND BURST THEM

bull 8 STOP OVERNURTURING OTHERS AND NURTURE YOURSELF

bull 9 LEARN TO SAY NObull 10 DELEGATE (at work and home)bull 11 REASSESS YOUR VALUES


Twenty self-help stepsbull 12 PACE YORSELFbull 13 TAKE CARE OF YOUR BODY AND

MIND (Itrsquos the only one yoursquove got)bull 14 MINIMISE WORRY ANDbull 15 MAINTAIN A SENSE OF HUMOURbull 16 TAKE ADVANTAGE OF DEBRIEFINGbull 17 FULLY UNDERSTAND THE CONCEPT

OF PROFESSIONALISM (more on this later)bull 18 UNDERSTAND THE CONCEPT OF

ldquoRATIONAL DETACHMENTrdquoHugh Irons RN December 2010


bull 19 Utilise assertiveness skills as oppo9sed to possible disrespect

bull 20 Learn the Top Twenty Tips And usersquoem


What a staff member can do 1bull As the health care staff shortage

apparently continues staff are working harder and burning out faster

bull For instance too many battle-weary nurses are leaving the profession

bull Burnout creeps up on you Look inside yourself for signs of unusual fatigue insomnia and general unhappiness in your practice


What a staff member can do 2bull Recognize how hard you work how

much you do and how stressed you may be

bull Consider your colleagues too especially those at the 2- or 3-year mark Theyve worked so hard developing their nursing skills that they may not recognize how much pressure theyre under Even if they do they probably havent yet learned how to cope with the stress


What a staff member can do 4bull STOP DENYING Listen to the wisdom of your body Begin to freely admit the stresses and pressures which have manifested physically mentally andor emotionally


What a staff member can do 5bull AVOID ISOLATION bull Dont do everything alone

Develop or renew intimacies with friends and loved ones Closeness not only brings new insights to stressors but also fights agitation and depression


What a staff member can do 6bull CHANGE YOUR

CIRCUMSTANCESbull If your job your

relationship a situation or a person is dragging you under try to alter your circumstance or if necessary leave


What a staff member can do 7bull DIMINISH INTENSITY IN YOUR

LIFE bull Pinpoint those areas or

aspects which summon up the most concentrated intensity and work toward alleviating that pressure


What a staff member can do 8bull STOP OVERNURTURINGbull If you routinely take on other

peoples problems and responsibilities learn to gracefully disengage Try to get some nurturing for yourself Pamper yourself


What a staff member can do 9bull LEARN TO SAYNO

Youll help diminish intensity by speaking up for yourself This means refusing additional requests or demands on your time or emotions


What a staff member can do 10

bull BEGIN TO BACK OFF AND DETACH

bull Learn to delegate not only at work but also at home and with friends In this case detachment means rescuing yourself for yourself


What a staff member can do 11bull REASSESS YOUR VALUES

bullTry to sort out the meaningful values from the temporary and fleeting the essential from the nonessential


What a staff member can do 12bull LEARN TO PACE YOURSELF

bull Try to take life in moderation You only have so much energy available


What a staff member can do 13bull TAKE CARE OF YOUR BODY

AND MIND bull Dont skip meals abuse yourself with rigid diets minimise sleep or break the doctor appointments Eat well sleep well


13 CONTINUEDbull Thank yourself for doing a worthwhile

and sometimes difficult job task bull Ensure that regular breaks are taken

and use to relax Learn relaxation methods

bull Try not to do too much bull Take time to carry on with your

favourite activities walking exercise reading

bull Talk to the dogHugh Irons RN December 2010

What a staff member can do 14bull MINIMISE WORRY AND ANXIETY

bull Try to keep worrying to a

minimum - it changes nothing after all Youll see things more clearly if you spend less time worrying and more time taking care of your real needs Pamper yourself again


What a staff member can do 15bull KEEP YOUR SENSE OF KEEP YOUR SENSE OF

HUMORHUMOR

bull Bring happy moments into your life Very few people suffer burnout when theyre having fun



bull Ensure you lsquodebriefrsquo if necessary Talk things through with a workmate or colleague


Fully understand the concept of Professionalism 17

bull More on this later


Fully understand the concept of Rational Detachment 18



Fully understand the concept of Assertiveness 19



Use the Twenty Steps in your everyday practice 20


professionalismbull Exhibiting a courteous

conscientious and generally businesslike manner in the workplace But subject to

bull 1048708Boundaries Lines that are drawn to protect patients from being exploited by professionals who are more powerful

bull 1048708Communication style and self awareness


WHY CARE ABOUT PROFESSIONALISM

bull Network-Grievances often centre around professionalism

bull Employee-Code of Ethics builds confidence

bull Employer-Prevents burnout and promotes mutual respect

bull Patient is satisfied


The Pitfallsbull over self-disclosure-discussing personal

problems

bull Special treatment to a patient-bending the rules

bull Patient giving staff special attention

bull Selective communication

bull ldquoYou and Me against the Worldrdquo

bull Name calling

bull Threatening

bull Discussing employeremployee issues (salary staff errors etc)Hugh Irons RN December 2010

and even more pitfalls

bull Moralizing

bull Ordering

bull Psychological diagnosing

bull Gossip

bull Flirtations

bull Inappropriate dress

bull Gifts


as it should bebull Encouraging patient self-determination

bull Providing informed consent

bull Competence

bull Not taking unfair advantage of any relationship

bull Not having dual relationships

bull Respecting privacyconfidentiality

bull Explaining to staff our Codes of Ethics

bull Empowering patients rather than creating dependency


Why is professionalism hard in health care settings the dialysis unitbull Staff have baggagebull 1048708Difficulties at homebull 1048708Challenging situations at workbull 1048708Time constraintsbull 1048708Not enough staffbull 1048708Multiple lossesbull 1048708Patients have baggagebull 1048708Decreased ability to function independentlybull 1048708Multiple lossesbull 1048708Difficulties at home


Why is professionalism hard in health care settings

bull Patients have baggage too

bull 1048708Decreased ability to function independently

bull 1048708Multiple losses

bull 1048708Difficulties at home


How do we stop ldquobaggagerdquo from affecting us

bull MAINTAIN BOUNDARIES

bull 1048708What is your purpose here

bull 1048708Why are you here

bull 1048708What is the goal

bull 1048708Whose needs are supposed to be met

bull HELPING RELATIONSHIPS ARE NOT RECIPROCAL

bull PROFESSIONALS GET PAID


How to Promote Professionalism in health care settings

bull Be aware-if you deny power you are at risk of abusing it

bull 1048708Be observant

bull 1048708In-service over and over again


What if I am not sure whether I am being professionalbull Ask yourself these questions

bull 1048708Would this be allowed in another medical setting

bull 1048708How does this activity assist the patient in their care

bull 1048708Can this be documented in the medical record

bull 1048708Are you willing to do this for all patients


The concept of Rational Detachment hellip Rational Detachment hellipbull Rational detachment is the

ability to stay in control of onersquos own behaviour and not take lsquoacting-outrsquo behaviour personally


Rational Detachment

bull Staff not able to control baggage but can control how they react

bull 1048708DO NOT internalize feelings

bull 1048708DO NOT overreact

bull 1048708This is OUR responsibility not the clientsrsquo


How do we rationally detachbull Know yourself bull 1048708What pushes your buttons Donrsquot let

someone find out for you bull 1048708Recognize your limitsbull 1048708What is your tolerance levelbull 1048708Anticipate and have a planbull 1048708Positive outlets and coping skillsbull 1048708Our response can either escalate or de-

escalate the situation


bullTHE IMPORTANCE OF BEING ASSERTIVE


What is assertiveness

bull Assertiveness is the ability to ask questions express opinions and criticise constructively

bull As a way of having your voice heard

bull Assertiveness is a right and not a privilege


BENEFITS OF BEING MORE ASSERTIVE

bull This approach enables you to bull Reveal to others the assistance you need to

deliver high quality service bull Be the very best you can be in your role bull Have reasonable enquiries answered and needs

met rapidly and effectively bull Ensure that you work competently and

confidently bull Reduce your levels of stress to manageable and

motivating levels


DISADVANTAGES OF BEING NON-ASSERTIVE NON - ASSERTIVEbull This approach will interfere with your

ability to

bull To deliver a high standard of service and care bull Have your confusions clarified information

given and your reasonable workplace needs met

bull Have reasonable enquiries answered and needs met rapidly and effectively

bull Work competently and confidently bull Increase your levels of stress


Do you feel assertive Feeling confident Having self esteem Being myself Expressing myself Standing up for myself Feeling in control of my life Liking myself Respecting other and myself Making my own decisions Having the right to say yes and no for myself


ASSERTIVENESS SKILLS

bull Be SpecificDecide what it is you want or feel and say so specifically or directly This skill helps you to be clear about what exactly it is you want to say Avoid unnecessary words and keep your statement simple and brief

bull

Repetition (Broken record technique)This skill helps you to stay with your statement or request by using a calm repetition over and over again Using this technique you can maintain a steady position without failing prey to manipulative comment irrelevant logic or argumentative bait


ASSERTIVENESS SKILLS Fielding the response (fogging)

In order to achieve a smooth verbal interaction and communicate effectively you need to indicate that you have heard what the other person says without getting hooked by what they say This skill allows you to acknowledge the response and still continue confidently with your statement or request instead of feeling defensive or aggressive


ASSERTIVENESS SKILLS Workable Compromise

This is important to remember when there is a conflict between your needs and wishes and those of someone else Assertiveness is not about winning so you need to negotiate from an equal position This means finding a true compromise which takes both parties needs into consideration Compromising on a solution to a difficult situation need not compromise your self-respect


BUT BEWARE OF BEING TOO ASSERTIVE


ENOUGH ABOUT THE WORKERS WHAT ABOUT THE BOSSES


Action Plan employerbull REMEMBER THE ldquoBURNT OUTrdquo NURSE

BASICALLY WANTS TWO SIMPLE THINGS TO HAPPEN

bull 1) To stay in their job

bull 2) For the factors contributing to burnout to stop or at least be recognised and attempts made to reduce


What Management should do

bull Stress Auditbull Realistic expectations of the

jobbull Actively encourage all sorts of

professional developmentbull Actively support career

development



bull Flexible working conditions

bull Supervisors trained for recognising and minimising burnout

bull Redesign the job itselfbull Positive recognitionbull Active mentoring amp

Clinical SupervisionHugh Irons RN December 2010

THE ldquoS T R E S S A U D I Trdquobull The first stage in an

intervention to alleviate stress or prevent burnout is a comprehensive assessment of stressors in the workplace as experienced by individuals or groups and gauges the extent and nature of the difficulty (Skinner N amp Roche A M 2005 Stress and Burnout A Prevention Handbookhellip National Centre for Education and Training on Addiction (NCETA) Adelaide Flinders University)


THE ldquoS T R E S S A U D I Trdquobull But to be unbiased the

responsibility should lie with an entity outside of the organisation ldquoA stress audit conducted by a Manager is not likely to deal with one of the most common workplace stressors ndash a poor Managerrdquo (Jordan J et al 2003 Beacons of excellence in

stress prevention Norwich (U K) Health amp Safety Executive


Sobull IF WE PUT INTO PLACE ALL THE STRATEGIES DISCUSSED DURING

THIS PRESENTATION ARE WE LIKELY TO DEVELOP A WORKPLACE WHERE STAFF AT ALL LEVELS ARE ALWAYS SUPERB IN BEHAVIOUR AND WHERE STAFF BURNOUT NO LONGER EXISTS

bull SO ALL WE CAN DO IS ACCOMPLISH THE BEST WE CAN BUT BE PROACTIVE INSTEAD OF REACTIVE


BANNING BURNOUT and beating the Blues



Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT


EMOTIONAL WARNING SIGNS


And from a Managerrsquos viewpoint


An interesting finding

Important point

For example

The Cost of Complacency

COST TO PERSONAL HEALTH


REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be

Why is professionalism hard in health care settings the dialysis unit




What if I am not sure whether I am being professional

The concept of Rational Detachment hellip Rational Detachment hellip

Rational Detachment

How do we rationally detach

Slide 59



DISADVANTAGES OF BEING NON-ASSERTIVE NON - ASSERTIVE

Do you feel assertive


Slide 65

Slide 66


Slide 68

Action Plan employer


Slide 71

THE ldquoS T R E S S A U D I Trdquo

Slide 73

So


bull Burnout is a form of chronic strain that develops over time in response to prolonged periods of high stress (Dollard et al (2003) Occupational stress in the service professions Taylor amp Francis London)





















colleagues









bull DIARRHOEA

bull DRY MOUTH


bull CLAMMY HANDS


bull STIFF NECK




bull Memory lapses
















For example

bull WORKLOAD

bull AGE

bull HARDINESS


bull SOCIAL SUPPORT

bull ROLE AMBIGUITY




















Twenty Top Tips






bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So




















colleagues









bull DIARRHOEA

bull DRY MOUTH


bull CLAMMY HANDS


bull STIFF NECK




bull Memory lapses
















For example

bull WORKLOAD

bull AGE

bull HARDINESS


bull SOCIAL SUPPORT

bull ROLE AMBIGUITY




















Twenty Top Tips






bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So








bull DIARRHOEA

bull DRY MOUTH


bull CLAMMY HANDS


bull STIFF NECK




bull Memory lapses
















For example

bull WORKLOAD

bull AGE

bull HARDINESS


bull SOCIAL SUPPORT

bull ROLE AMBIGUITY




















Twenty Top Tips






bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So



bull Memory lapses
















For example

bull WORKLOAD

bull AGE

bull HARDINESS


bull SOCIAL SUPPORT

bull ROLE AMBIGUITY




















Twenty Top Tips






bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So











For example

bull WORKLOAD

bull AGE

bull HARDINESS


bull SOCIAL SUPPORT

bull ROLE AMBIGUITY




















Twenty Top Tips






bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So



















Twenty Top Tips






bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So





bull 4 STOP DENYING




































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So



































































HUMORHUMOR





























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So



























problems





bull Name calling

bull Threatening



bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So


bull Moralizing

bull Ordering


bull Gossip

bull Flirtations


bull Gifts




bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So



bull Competence






































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So
































Rational Detachment






















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So

















motivating levels



ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So


ability to










bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So





bull






















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So




















development





















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So




















Slide 4

Slide 5

Slide 6

Slide 7

BURNOUT







Important point

For example




REMEMBER

Twenty Top Tips



Slide 24

Slide 25













13 CONTINUED








professionalism


The Pitfalls


as it should be







Rational Detachment


Slide 59






Slide 65

Slide 66


Slide 68



Slide 71


Slide 73

So

BANNING BURNOUT, and beating the Blues Presenter: Hugh Irons RN., Master of Nursing (Community...

Documents

Transcript of BANNING BURNOUT, and beating the Blues Presenter: Hugh Irons RN., Master of Nursing (Community...