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Imma need a minute…

This session explores the importance of clinician wellbeing and provides strategies to identify and prevent burnout. Participants will learn how to create an action plan to address burnout and enhance resilience. Available resources to promote wellbeing will also be discussed.

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Imma need a minute…

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  1. Imma need a minute… Clinician resilience and wellbeing Lanita S. White, pharm.d.

  2. Objectives • Define terms surrounding well-being/clinician well-being • Explore ways to identify signs and symptoms of burnout among yourself and others • Strategize ways to reverse and prevent clinician burnout • Create an action plan to address burnout and increase resilience • Explore available resources to assist in increasing resilience and wellbeing

  3. Think on this…

  4. What does this all mean? • Well – being: the state of being happy, healthy, or prosperous • Self – care: actions and attitude which contribute to the maintenance of well-being and personal health and promote human development • Stress – your body's way of responding to any kind of demand or threat • Burnout – physical or mental collapse caused by overwork or stress. • Resilience – the capacity to recover quickly from difficulties; toughness. • Well-being - the state of being comfortable, healthy, or happy

  5. Your 3’s – Energetic Bank Accounts

  6. What are the numbers and the impact? • Loss in productivity  elimination of seven graduation classes of medical schools • Medical errors  10 – 70% of nurses, 30 – 50% of physicians, nurse practitioners, and physician assistants, 27 – 75% of medical residents • Community pharmacists likely experiencing lower job satisfaction and consequently, higher rates of burnout, compared with pharmacists practicing in other settings • Of 3,085 pharmacists in 2016, 72.5% of pharmacists are satisfied with their jobs, with 63.4% of respondents reporting increased job stress over the previous year • In Ireland, 64% of the medical residents who experienced symptoms of burnout also reported making a medical error compared with 22% of those who did not experience burnout symptoms

  7. Let’s talk about the “B” word - Burn-out • First described in 1974 by Freudenberger in the Journal of Social Issues • Research on staff burnout from volunteers in a free medical clinic • Described by:   • increasing anger, • frustration, • suspicion and paranoia regarding colleagues’ influences on one’s own personal career ambitions, • excessive rigidity and inflexibility in practice, • the appearance of characteristics of one who suffers from depression

  8. Your 3’s – Symptoms of Burnout

  9. How does this happen to us…

  10. Could this be depression? BURNOUT DEPRESSION Usually see weight loss Suicidal ideation can be seen Loss of enjoyment in personal life All encompassing • Weight loss unusual • Suicidal thoughts uncommon • Retain ability to enjoy personal life • Affects only work portion of life There is a fragile correlation between depression and burnout and there is work being done to quantify the exact relationship.

  11. Simple addition 3 + 1 = more • TRIPLE AIM • QUADRUPLE AIM

  12. Measuring Burnout • Maslach Burnout Inventory • 22 survey questions • 3 subscale dimensions of burnout • 15 minutes to complete • Assess personal feelings and attitudes towards work • Responses are rated on a 7 point scale (0 – 6) • Evaluation of risk factors for developing burnout divided into 7 categories

  13. What Can We Do? The 3 R’s Resist, Restore, Reduce

  14. Resist • Increase your ability to RESIST the forces of clinician burnout while you are on the job • Allows you to control your: • Intentions • Attention • Awareness Can be done through practicing mindfulness

  15. Restore • Must restore your energy and bring your accounts into a healthy and positive balance • Physical • Emotional • Spiritual Sleep, good nutrition and regular exercise What relationships, activities, hobbies, experiences build you up, make you smile? What is on your Bucket List? Creating (and defending) BOUNDARIES between your work life and your larger life

  16. Reduce Exposure • Reducing your day to day exposure to the draining effects of your workplace. • Reduce Exposure is about lowering the stress present in your workplace by exerting some control in one or more of the following four ways. • 1) Keep doing what you are doing now … just less of it. • 2) Change the stressors that lead to physician burnout without changing jobs • 3) Change Jobs to a position that is less stressful inside medicine • 4) Quit medicine to retire and/or make a living doing something different.

  17. Resist, Restore, Reduce • Resist is about building up your self defenses against physician burnout while on the job • Restore is about rebuilding the energy lost while at work • Reduce exposure is about lowering the stress present in your workplace by exerting some control in one or more of the following four ways.

  18. Moving Beyond the

  19. Well-being • Well-being – the state of being comfortable, healthy, or happy. • Clinician Wellbeing – a clinician in a state of being comfortable, healthy, or happy.

  20. Well-being • Well-being – the state of being comfortable, healthy, or happy. • Clinician Wellbeing – a clinician in a state of being comfortable, healthy, or happy. • Clinician well-being supports improved patient-clinician relationships, a high-functioning care team, and an engaged and effective workforce. • Clinician well-being ultimately supports better patient care.

  21. What’s included?

  22. Think on this… • Just imagine • You are skilled at remaining centered, calm, focused and compassionate at work even on hectic days • Your energetic bank accounts are full, your life is balanced because you have proactively structured it to be this way • Your workplace has a smoothly functioning team, seeing patients you enjoy in a reasonable volume for a satisfying wage

  23. Now - Think on this…

  24. References • Maslach C, Leiter MP. Early predictors of job burnout and engagement. J Appl Psychol. 2008; 93:498–512 • Chui MA, Look KA, Mott DA. The association of subjective workload dimensions on quality of care and pharmacist quality of work life. Res Social Adm Pharm. 2014 • From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. Ann Fam Med November/December 2014 12:573-576; doi:10.1370/afm.1713 • https://nam.edu/clinicianwellbeing/ • https://nam.edu/clinicianwellbeing/resources/factors-affecting-clinician-well-being-and-resilience-conceptual-model/

  25. Question 1 Which is not one of your 3 energetic accounts? • Physical Energy • Emotional Energy • Inner Energy • Spiritual Energy

  26. Question 1 Which is not one of your 3 energetic accounts? • Physical Energy • Emotional Energy • Inner Energy • Spiritual Energy

  27. Question 2 • Which is/are symptoms of burnout? • Outbursts • Cynicism • Exhaustion • Doubt

  28. Question 2 • Which is/are symptoms of burnout? • Outbursts • Cynicism • Exhaustion • Doubt

  29. Question 3 • Which is the 4th aim of the quadruple aim? • Patient Transition of Care • Corporate Compliance • Outcomes Management • Provider Satisfaction

  30. Question 3 • Which is the 4th aim of the quadruple aim? • Patient Transition of Care • Corporate Compliance • Outcomes Management • Provider Satisfaction

  31. Question 4 • What are the 3 R’s to reduce burnout and increase resilience? • Resist • Regroup • Restore • Reduce

  32. Question 4 • What are the 3 R’s to reduce burnout and increase resilience? • Resist • Regroup • Restore • Reduce

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