PA Wellness: Workplace Stress and Burnout

Transcription

1 PA Wellness: Workplace Stress and Burnout Laura Lang, HOA Sarah Marsaw, CMEA Tracy Mitchell, CMEA University of Ottawa

2 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. PA Wellness: Workplace Stress & Burnout

3 Objectives At the end of this session, participants will be able to: Recognize symptoms of workplace burnout and be given intervention suggestions; Provide effective tools for recovery from burnout. 3

4 Let s have a conversation. 4

5 Ground Rules 5

6 Wellness is about recharging your battery 6

7 Let s get to the root of things... 7

8 Stakeholders 8

9 Team Effectiveness Unity is strength when there is teamwork and collaboration, wonderful things can be achieved. Mattie Stepanek 9

10 Team Effectiveness 3 essential qualities for your team to be effective:» trust among members» a sense of good group collaboration/participation» good group efficacy / likemindedness An effective, successful team will bring you and your team members a good sense of wellbeing. 10

11 Leadership Qualities You need vision, energy, authority, and strategic direction and 4 additional qualities:» show you re human» be a sensor, rely on your intuition» manage with strong empathy» dare to be different, capitalizing on our uniqueness 11

12 Session/Presentation Name Presenter Name Find Your Advocate 12

13 CanMEDs ATA - Advocate Role Volunteer Support your trainees and colleagues Know your limits Share experiences Listen Resilience Show empathy Self advocate 13

14 Job Satisfaction and Stressors Job Satisfaction Is Not A Factor Of Burnout How many of you believe this? 14

15 Job Satisfaction and Stressors What brings you satisfaction in your current job? 15

16 Job Satisfaction and Stressors What are your stressors in your job? Why are you allowing stressors to outweigh your satisfaction? 16

17 Group Exercise: Sharing 3 P s Something I am PROUD of over the past year. Something I am truly PASSIONATE about in my work. Something that brings me great PLEASURE in my work. 17

18 Know your own limitations You can only put so many pennies in the jar. Work Family Me 18

19 Gail agrees with us! 19

20 Who puts it on first? 20

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22 Energy Audit Yes=10 points No=0 points 22

23 Energy Audit 1. I am happily engaged in my work 2. My everyday behavior is aligned with my values 3. I prioritize tasks against a strategy and use my time accordingly 4. I bring focused attention to everything I do 5. I take periods of rest and recovery throughout the day 23

24 Energy Audit 6. I eat whole foods and regular meals 7. I exercise more than 3x per week 8. I manage my negative self talk and emotions 9. I reflect, take quiet time, practice meditation 10.I am optimistic about my own capabilities and life 24

25 Energy Audit Results Your Energy Management Skills Score Excellent Reasonable Borderline Survival State Under 40 Burnt-Out Presentation by Greg McQueen, PhD, Canadian Conference on Physician Leadership

26 Reflection 1. I am happily engaged in my work 2. My everyday behavior is aligned with my values 3. I prioritize tasks against a strategy and use my time accordingly 4. I bring focused attention to everything I do 5. I take periods of rest and recovery throughout the day 6. I eat whole foods and regular meals 7. I exercise more than 3x per week 8. I manage my negative self talk and emotions 9. I reflect, take quiet time, practice meditation 10. I am optimistic about my own capabilities and life 26

27 Burnout Widely used and incorrectly Describes physical and emotional exhaustion From workplace stress and frustration Can be resolved 27

28 Compassion Fatigue (CF) Profound emotional and physical exhaustion (gradual erosion) that helping professionals and caregivers can develop over the course of their career as helper When unable to refuel or regenerate Is an occupational hazard, because we care Described as the cost of caring for others pain 28

29 Consequences of CF Gradual erosion of empathy, hope, compassion for other and ourselves Changes in personal and professional lives Increased errors, boundary violations Irritable, guilt ridden, avoidance, try to work harder Can lead to mental or physical illness if not recognized 29

30 Warning signs of CF What do you think are some of the warning signs? Physical: fatigue in every cell of my body Behavioral: absenteeism, avoidance, addictions, forgetfulness, problems in personal relationships Psychological: mood changes, cynicism, helplessness, depersonalization, loss of hope 30

31 Burnout and Compassion Fatigue: Exercise What signs and symptoms stand out most for me? What signs and symptoms do I bring home with me most often? What signs and symptoms do I experience at work? 31

32 4 Steps to Wellness 1. Take stock of your stressors (honest look at yourself) 2. Look for ways to enhance your self-care and work/life balance 3. Develop resiliency skills 4. Make commitment to implement changes Humour yes humour. The Compassion Fatigue Workbook 32

33 Why is Humour Important Decreases stress hormones (reducing stress) Immune system increases cells that fight disease Provides perspective Facilitates communication Builds relationships Promotes attendance Energizes Burns calories Fountain of youth 33

34 Top Ten Stresses In The Workplace 1. The Treadmill Syndrome 2. Random interruptions 3. Pervasive uncertainty 4. Mistrust, unfairness and office politics 5. Unclear policies and procedures. No sense of direction 6. Career and job ambiguity 7. No feedback good or bad 8. No appreciation 9. Lack of communication 10.Lack of control 34

35 On The Job Humour Is A Good Thing Help resolve conflicts Opens up communication Relieves office tensions Helps us cope with problems Promotes teamwork More creative and productive Better decision-makers Fewer days/hours away from work Humor with a hind of playfulness is a safety valve for aggression and an acceptable means to express anger Offers perspective and balance Makes work fun Means of creative expression Provides temporary relief from rules and regulations 35

36 More A way to express the truth even when the truth is feared Brings people together Humor often succeeds where other methods have failed Provides a temporary escape Helps with disappointments and provides the resilience to begin again Releases feelings of hostility Provides an acceptable means of expressing and decompressing anger and aggression Adds color to the human condition Contributes to positive morale 36

37 A Few Guidelines 1. Joke only about yourself 2. Don t put yourself down professionally 3. Share humor that is related to your job 4. Keep the amount of humor in line Appropriate Humor + Inappropriate Timing = INAPPROPRIATE HUMOUR 37

38 The human race has only one really effective weapon, and that is laughter. The moment it arises, all our hardnesses yields, All our irritations and resentments slip away, And a sunny spirit takes their place Mark Twain 38

39 Work / Life Balance - Exercise The Life Pie 39

40 Um NO. 40

41 Work The Life Pie Family and Friends Hobbies and Interests Exercise Travel Community and Spirituality Self 41

42 Lessons learned from patients Not to take life and health for granted Appreciating the people who are important to you, and telling them! Prioritizing what s important to you Life is not a dress rehearsal Express your feelings Bucket List/Dream Board 42

43 Self-Care Basics: sleep, rest, diet, exercise, vacations Renewal: activities that replenish you Rebalance your workload (mini breaks, delegate, learn to say no) Nourishing activities every day Access to regular debriefing process Having a family physician Make time for self-reflection, journaling Spirituality What are your ideas? Transforming the Pain, by Saakvitne & Pearlman 43

44 Mindfulness Few things are more elementally basic and simple, yet so hard to convey in words and instructions, than mindfulness. At its essence it is simply being present Steven D. Hickman, PsyD, UCSD Center for Mindfulness 44

45 Mindfulness 45

46 Mindfulness 46

47 What mindfulness can do for you o Train the brain o Improve relationships o Boost creativity o Reduce depression o Reduce chronic pain o Give deeper meaning to life o Reduce stress o Combat anxiety o Regulate eating habits o Increase happiness Alidina, Mindfulness for Dummies,

48 Mindfulness - Challenges Feeling restless Monkey mind Falling to sleep Boredom Distractions Physical discomfort Judging your progress Finding the time 48

49 Adding mindfulness to living Regular practice when, where Arriving at work, during the day Driving Daily tasks Mindful exercising Preparing for sleep Listening at home, at work 49

50 Be Mindful 50

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53 Wellness What can you do? Promote wellness among peers and fellow PAs. Look at your other PAs as a resource 53

54 Wellness What can you do? Consider starting a PA Wellness Committee at your University. Speak with your PA Executive Discuss with your PGME Manager Put out a call for membership Brainstorm outside of the boardroom! 54

55 Well U (get it? Ha!) 55

56 So? 56

57 Session/Presentation Name Presenter Name In summary.. Burnout Compassion Fatigue Recognizing Symptoms Life Balance Self-Care Humour Mindfulness Reflection What you can do 57

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59 Help us improve. Your input matters. Download the ICRE App, Visit the evaluation area in the West Ballroom Foyer, near Registration, or Go to: icreevaluations to complete the session evaluation. Aidons-nous à nous améliorer. Votre opinion compte. Téléchargez l application de la CIFR Visitez la zone d évaluation, foyer de la salle de bal Ouest, près du comptoir d inscription, ou Visitez le afin de remplir une évaluation de la séance. You could be entered to win 1 of 3 $100 gift cards. Vous courrez la chance de gagner l un des trois chèques-cadeaux d une valeur de 100 $.