6 Tips for Reducing Nurse and Physician Burnout
As COVID-19 tears through the country, physicians and nurses are already experiencing extreme stress and healthcare burnout. It's bad enough that this pandemic is a marathon at the pace of a sprint. It's even worse that it has taken away most of our coping mechanisms. Spending time with loved ones is impossible for many. So are hobbies, work/life balance, a healthy diet, and other well-meaning suggestions. But it's more critical than ever for you to practice self-care. Under these extraordinary circumstances, lives depend on it. What can you do to lessen the chance of burnout in healthcare during the height of COVID-19?
What is Physician/Nurse Burnout?Nurse burnout (or physician burnout) is a long-term reaction to job stress. Healthcare workers are always at high risk for burnout. Roughly half of physicians and nurses experience symptoms of burnout under normal conditions. That's twice the burnout rate of other professions.
Signs of Burnout in the Healthcare IndustryHealthcare burnout can include physical, mental, and emotional symptoms. Symptoms include:
- Chronic emotional, mental, and physical fatigue
- Hypersensitivity or insensitivity
- Lack of sympathy or empathy
- Persistent irritability and lack of patience
- Forgetfulness and inattention
- Pessimism or cynicism
- Hopelessness, helplessness, or a persistent feeling you aren't making a difference
- Depersonalization (feeling numb, unreal, or detached from yourself)
- Changes in sleep patterns
- A weakened immune system
- Physical malaise, including aches and pains, flu-like symptoms, or gastroenteritis
The Dangers of Burnout in HealthcareHealthcare burnout is problematic by itself. The well-being of nurses, physicians, and their loved ones matters deeply. But burnout in healthcare also has a domino effect on the well-being of everyone they treat. Research has shown that healthcare burnout:
- Increases the likelihood of medical errors and malpractice suits
- Increases patient mortality rates
- Increases the rate of hospital-associated infections
- Increases the probability of unprofessional conduct in-patient care
- Decreases altruistic views of their responsibility to society
- Decreases workforce efficiency and productivity
- Leads to higher turnover and staffing shortages
How to Avoid Burnout in Healthcare During COVID-19Many standard coping strategies for healthcare burnout aren't practical right now. COVID-19 calls for a triage approach to self-care as much as it does for patient care.
Tip #1: Get Calories InHealthy eating is usually an essential part of stress management. But the fact is, you're working long hours on your feet and burning more calories due to stress. You have less time and opportunity to take breaks or sneak a quick bite. The healthiest options not only require preparation but are also light on calories. And you need calories. You're going to be exhausted, no matter what you do. But if you're also running a caloric deficit, you're making everything worse. This is a situation that calls for calorically dense foods. You can return to your normal eating practices after the dust settles. Even if you've been able to maintain your regular diet, you might need to increase portion sizes. It's still better to aim for the healthiest options you can – you don't want your blood sugar to spike and then crash. But right now, your main dietary concern should be that you have enough.
Tip #2: Hydrate a Little MoreDue to infection control protocols, it's harder than usual to stay hydrated as a healthcare worker. Likely, you'll only have access to fluids wherever you take your meals. Just like getting enough calories, staying hydrated will help keep your energy and mental function up – or at the very least, not make your fatigue worse than it has to be. There's no need to guzzle to meet "8 glasses a day." While your body does need roughly 64 ounces, you're getting most of that water through your food. However, to make up for the lack of opportunities between breaks, you may want to put a little extra effort into adding a beverage to meals or snacks.
Tip #3: Stretch When You CanYou're probably experiencing a lot of back and neck pain due to stress and the physical demands of your job. Your workout routine (and the endorphins that go with it) may have also disappeared. Two birds with one stone: stretch whenever and wherever you can. You can find standing stretches and wall stretches to help relieve back pain, as well as stretching or self-massage techniques for your neck. Don't count out a full-body stretching routine, either. Your feet are probably also killing you. Before you sleep, elevate them above your heart for at least 20 minutes to relieve swelling and aid circulation.
Tip #4: Breathe DeepYou're carrying a lot of anxiety right now. You can use deep breathing exercises both to relieve acute anxiety and prevent more of it. Remember, healthcare burnout is an accumulation of stress. You want to minimize the build-up. The great thing about deep breathing is you can do it anytime, anywhere. There are a few different breathing techniques you can try, but it's important to breathe from your belly, not your chest. It may help to use readily available apps, videos, or gifs to visualize and time your breathing exercise. If you're ambitious and/or having trouble getting to sleep, you can also try meditation or mindfulness exercises before bed. There are a ton of apps for that, and many are free or discounted right now.
Tip #5: Practice Burnout-Busting Self-TalkOne of the most significant and most damaging aspects of healthcare burnout is the building feeling that nothing you're doing matters. Or on the flip side, that the responsibility you hold is so great, you can't stop working long enough to care for yourself. Both extremes are natural and understandable but ultimately harmful. To counteract those thoughts and feelings, you need to remind yourself of a few truths regularly. (Yeah, this is going to get a little Stuart Smalley. Go with it). Examples of helpful self-talk include:
- It helps my patients when I take time to rest and recharge.
- Taking care of my health serves the common good.
- This will pass. Things will get better.
- I am making a difference for this patient by giving them my care and attention.
- I can only treat one patient at a time. My teammates will do what they can for others.
- I'm doing my best under extraordinary circumstances.