Burn Out Flashcards
Burnout:
- Burnout leads to = ?
- List three-five common reasons for burnout = ?
Burn Out
Burnout:
(a) Burnout leads to:
- Higher tendency to withdraw from their job.
- Greater intention of leaving the profession.
(b) Reasons for burn out:
- Documentation
- Stress caused by tedious and time consuming paperwork.
- The physical demands of the job.
- Patient handling (transfers and lifting), often associated with work-related MSK disorders.
- Up to 90% of PTs experience work-related musculoskeletal disorders in their careers.
- The strain of providing support for individuals who have undergone some form of trauma.
- This level of caregiving requires additional emotional resources and has been associated with psychological distress.
- Compassion fatigue can occur and is linked with burnout
- Seeing a high volume of patients.
- Long working hours.
- Rising cost of education.
- Expectations of the career vs the reality.
- Unrealistic productivity demands.
- The traditional “pecking order” in medicine.
- Lack of non-clinical career opportunities for PT’s.
(c) Documentation:
- Paperwork is often cited as a big source of burnout for physical therapists.
- PT’s are often expected to work outside of their designated paid hours in order to complete all of it.
- Long hours can lead to burnout regardless, however working long hours that you are not being properly compensated for is a guaranteed path to burnout.
(d) Other reasons for burn out:
- A PT’s inability to apply the full use of their therapeutic skills due to lack of time or autonomy
- The physical demands of the job.
- Patient handling (transfers and lifting), often associated with work-related musculoskeletal disorders
- A systematic review found that up to 90% of PTs experience work-related musculoskeletal disorders in their careers (Veira et al, 2016)
- The strain of providing support for individuals who have undergone some form of trauma.
- This level of caregiving requires additional emotional resources and has been associated with psychological distress
- Compassion fatigue can occur and is linked with burnout
Pressures due to productivity requirements can lead to = ?
Burn Out
(a) Pressures due to productivity requirements can lead to:
- Fraudulent billing practices.
- Making haste with patients.
(b) Productivity:
- How much of your time on the job is spent performing productive (billable) tasks.
- E.g. Gathering of equipment, chart review, or conversing with an interdisciplinary team, is often considered non-productive time.
- Productivity has become a hot topic in the physical therapy world.
- Is often a major consideration regarding one’s work performance.
Three primary components/indicators of burnout among health care professionals = ?
Burn Out
Indicators of burnout in Health care
(a) Three primary components:
- Emotional exhaustion:
- Depersonalization of care (loss of empathy).
- Low personal accomplishments
(b) Studies amongst PT indicate:
- Emotional exhaustion is the domain most frequently felt by PT’s.
- Depersonalization is pretty low, even in PT’s who have high levels of emotional exhaustion.
- Personal accomplishments are inversely related to burnout.
- E.g. If you have high levels of personal accomplishment, you will have a lower rate of burnout.
Emotional exhaustion:
- What is it = ?
- What does it (usually) indicate = ?
- Why are younger health care professionals more at risk = ?
Burn Out
(a) Emotional exhaustion:
- Feeling overextended in your job, experiencing extreme fatigue, and feeling like your emotional resources have been drained.
- Emotional exhaustion is the first sign of burn out.
- Emotional exhaustion is an indicator of intent to leave the field.
- Could be a significant reason for the increased vacancies in PT throughout the US.
(b) Younger health care professionals may be more at risk for emotional exhaustion due to:
- Being dissatisfied when goals weren’t met in time-table they had set.
- Being the recent hire = taking on unwanted duties.
- E.g. pick up weekends or holidays.
Job-Person-Fit model of burnout development:
- What is it = ?
- The six work-life domains under this model = ?
- Significant mis-match between an individual and the job = ?
Burn Out
Job-Person-Fit model of burnout development:
(a) What is it:
- A popular model of burnout development.
- There are six work-life domains under this model.
- Significant mis-match between an individual and the job = higher likelihood of burnout.
(b) Six work-life domains:
(1) Workload:
- E.g. PT’s who work in environments with unrealistic productivity standards
(2) Autonomy:
- The more autonomy PT’s have on the job, the less burnout they tend to suffer
- Autonomy can be a “buffer” between high workload and burnout.
(3) Perceived efficiency:
- E.g. Scheduling, documentation
(4) Rewards:
- E.g. Bonuses, recognition
(5) Workplace community:
- E.g. Liking your co-workers; having time in your workday to converse/collaborate with them.
(6) Feeling compelled to work unethically:
- Increases burn-out when PT’s have moral distress due to these pressures
- E.g. Pressure to over-bill due to high productivity standards, or document off the clock.
Battling Burnout:
- Protective buffers against the job demands include = ?
Burn Out
Protective buffers against the job demands included:
- Developing autonomy in one’s work
- Competence in clinical skills
- Positive relationships within the team
Battling Burnout:
- List three to five suggestions to battle burout = ?
There are 9
Burn Out
Battling Burnout:
(1) Focus on maximizing autonomy
- E.g. Flexibility with scheduling, input into the electronic documentation templates, autonomous in your practice.
(2) Educate PT students about the issue:
- Understanding work-life balance and how to assess for burnout.
(3) Set boundaries:
- Setting boundaries is an important step in preventing burnout.
- Create boundaries with your boss, coworkers, and yourself.
(4) Increasing self-efficacy among employees has been demonstrated to reduce burnout.
(5) Continue to pursue growth in clinical skills:
- Clinicians who read more research, attend more conferences and/or CEU courses are less likely to feel as many stressors.
(6) Join and be active in the APTA:
- The more PT’s who join the APTA, the bigger our voice is, especially when it comes to things on Capitol Hill.
- Money talks! (PT-PAC) = PT’s would be able to push more initiates through Congress.
(7) More options today for non-traditional PT:
- Mobile PT services, cash pay and/or per diem PT, telehealth, travel PT…
(8) Building social networks:
- Collaboration with others experiencing the same challenges can be helpful.
(9) Encouraging PTs to follow their passion - and stay to patient along the way:
- It’s important to find your passion and harness it.
- Participate in events likePT Day of Service, can reawaken passion for our profession.
