1 / 13

Stress and burnout

Stress and burnout. Stress is a physiological response to an inappropriate level of pressure. Causes (in doctors). Escalating workload Frequently imposed change patients expectations fear of litigation Conflict ?lack of career structure. Definition of Burnout.

martina-oriole
Download Presentation

Stress and burnout

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Stress and burnout

  2. Stress is a physiological response to an inappropriate level of pressure

  3. Causes (in doctors) • Escalating workload • Frequently imposed change • patients expectations • fear of litigation • Conflict • ?lack of career structure

  4. Definition of Burnout • Burnout is a state of mental and/or physical exhaustion caused by excessive and prolonged stress. • [Girdino, DA, Everly, GS, and Dusek, DE, Controlling Stress and Tension, Allyn & Bacon, Needham Heights, MA, 1996]

  5. Possible features of burnout include: • guilt at taking time off work • minimising contact with patients • excessive discussions about past mistakes • excessive discussion about future workload • becoming cross with a colleague or employee at least once per day • drinking alcohol before working • inability to concentrate on the matter in hand • emotional exhaustion

  6. Predisposing factors to Burnout/ stress reaction • Type A or obsessional personality • Conscientiousness • Reluctance to decline work • Reluctance to delegate • Single handed or dysfunctional partnership • long hours • lack of variety

  7. Signs to watch for (1) • Temper outbursts • Over drinking or smoking • Changes in eating habits • Withdrawing from usual activities • Becoming unreasonable • Rushing around • Forgetfulness

  8. Signs to watch for (2) • poor timekeeping and decision making • sick leave • increased frequency of mistakes • strained relationships

  9. BMA Counselling Service • 150 calls per month to the counselling service • "Emotional" problems are by far the biggest category • 35% of emotional problems are depression • This is 3 times the rate of all physical problems combined • Doctors have a lifetime risk of 1in 15 for alcohol and/or substance misuse

  10. Suicide • Male doctors have a suicide rate lower than the general male population (SMR=66.8) • Female doctors have a much higher suicide rate than the general female population (SMR = 201) • 4 times as many male suicides as females overall and absolute numbers are low • Community health, Public health, Anaesthetics, General Practice have the highest rates. GP the highest absolute numbers Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995 K Hawton et al J Epidemiol Community Health 2001;55:296-300 ( May

  11. Watch for This

  12. To avoid this

  13. AndGet back to This

More Related