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Psychosoc Final > BURNOUT > Flashcards

BURNOUT Flashcards

1
Q

COMPASSION

A COGNITIVE, AFFECTIVE, AND BEHAVIORAL PROCESS:

A

1) RECOGNIZING SUFFERING

2) UNDERSTANDING THE UNIVERSALITY OF SUFFERING IN HUMAN EXPERIENCE

3) EMOTIONAL RESONANCE

4) TOLERATING UNCOMFORTABLE FEELINGS AROUSED IN RESPONSE TO THE SUFFERING PERSON (E.G. DISTRESS, ANGER, FEAR)…REMAINING OPEN TO AND ACCEPTING OF THE PERSON SUFFERING

5) MOTIVATION TO ACT/ACTING TO ALLEVIATE SUFFERING

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2
Q

compassion in healthcare

A

patients who
consistently identify compassion as a central feature of their overall experience of
healthcare

greater attention needs to focus on addressing the growing theory-practice gap

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3
Q

BURNOUT

A

ORGANIZATIONAL HAZARD

  • SLOWER PROGRESSION
  • CONSEQUENCE OF UNRELENTING STRESSORS IN THE WORKPLACE
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4
Q

COMPASSION FATIGUE (CF)

A

OCCUPATIONAL HAZARD

  • PROGRESSES RAPIDLY (E.G. PANDEMIC!)
  • CONSEQUENCE OF WORKING WITH PEOPLE WHO EXPERIENCE TRAUMA
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5
Q

EXCESSIVE STIMULI + INSUFFICIENT REGULATION =

A

RESOURCE DEPLETION

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6
Q

burnout vs compassion fatigue

etiology

A

burnout: Reactional: response to work or environmental stressors (i.e., staffing, workload, managerial decision making, inadequate supplies or resources)

cf: Relational: consequences of caring for those who are suffering (i.e., inability to change course of painful scenario or trajectory)

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7
Q

burnout vs compassion fatigue

chronology

A

burnout: Gradual, over time

cf: Sudden, acute onset

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8
Q

burnout vs compassion fatigue

outcomes

A

burnout: Decreased empathic responses, withdrawal; may leave position or transfer

cf: Continued endurance or ‘giving’ results in an imbalance of empathy and objectivity; may ultimately leave position

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9
Q

PERSONAL DIMENSIONS pf burnout

A

exhaustion

ineffectiveness

cynicism / detachment

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10
Q

Exhaustion

A

Emotional exhaustion-
psychological overextension and fatigue

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11
Q

Ineffectiveness

A

Feelings of low personal accomplishment- feelings of low self-efficacy

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12
Q

Cynicism/detachment

A

Depersonalization of the patient-

self-defense mechanism of detached concern, become emotionally numb

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13
Q

BURNOUT ENVIRONMENTS

A

workload mismatch

control mismatch

reward mismatch

community mismatch

fairness mismatch

values mismatch

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14
Q

workload mismatch

A

taking on too much work

doing the wrong kind of work when lacking necessary skills - causing exhaustion

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15
Q

control mismatch

A

having responsibility with insufficient authority or power

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16
Q

reward mismatch

A

insufficient financial compensation, social recognition, or self-acknowledgment or pride in a job well done - causing feels of inefficiancy

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17
Q

community mismatch

A

social isolation or chronic unresolved conflict with coworkers

18
Q

fairness mismatch

A

unequal pay or workload

shoddy employee evals

inappropriate promotions

poorly handled grievances

unfairness generates emotional upset, emotional exhaustion, and cynicism

19
Q

values mismatch

A

people must do things they believe are unethical

work for organization with mission that does not match the product or practice

20
Q

SIGNS AND CONSEQUENCES OF BURNOUT - WORKPLACE BEHAVIORS

A
  • CYNICISM, PESSIMISM, GOSSIPING/ COMMISERATING
  • BLAMING OTHERS
  • DISPLAYS OF ANGER
  • FREQUENT COMPLAINING
  • APATHY
  • DEHUMANIZING INTERACTIONS WITH PATIENTS
  • ISOLATION FROM COLLEAGUES
  • POOR JOB PERFORMANCE, LOW PRODUCTIVITY
21
Q

SIGNS AND CONSEQUENCES OF BURNOUT - PERSONAL SYMPTOMS

A
  • FATIGUE, INSOMNIA
  • DECREASED MENTAL CLARITY
  • PHYSICAL SYMPTOMS, INCREASED ILLNESS
  • ANXIETY
  • CATASTROPHIC THINKING
  • DECREASED POSITIVE EMOTIONS
  • DEPRESSION
22
Q

those at risk for compassion fatigue

A

NATURAL CONSEQUENCE OF WORKING WITH PEOPLE WHO HAVE BEEN TRAUMATIZED AND/OR ARE EXPERIENCING EXTREME STRESS; SECONDARY TRAUMA

HEALTHCARE PROFESSIONALS ARE ARE HIGHER RISK, ESP. IN CERTAIN SETTINGS (ED, ICU, ONCOLOGY AND TRAUMA UNITS, VETERAN AND PEDIATRIC POPULATIONS, UNDERSERVED POPULATIONS, IMMIGRANT POPULATIONS, MISSION TRIPS)

PEOPLE WITH HIGHER LEVELS OF EMPATHY MAY BE AT HIGHER RISK

23
Q

DOMAINS OF COMPASSION FATIGUE (STSD): PARALLELS OF PTSD

A

HYPERAROUSAL/HYPERVIGILANCE-DISTURBED SLEEP, IRRITABILITY, OUTBURSTS

AVOIDANCE-THOUGHTS/FEELINGS/ CONVERSATIONS ASSOCIATED WITH PATIENT’S PAIN AND SUFFERING

RE-EXPERIENCING INTRUSIVE THOUGHTS OR DREAMS

24
Q

PROFESSIONAL QUALITY OF LIFE SCALE (PROQOL)

A

COMPASSION SATISFACTION AND COMPASSION FATIGUE SELF-ASSESSMENT

25
Q

HOW TO PREVENT AND MITIGATE COMPASSION
FATIGUE AND BURNOUT

(INDIVIDUAL)

EMOTION-FOCUSED AND PROBLEM-FOCUSED

A
  • PRACTICE OF SELF-CARE SKILLS/ACTIVITIES
  • REFLECTIVE WRITING
  • MENTORING
  • MINDFUL MEDITATION AND MINDFULNESS-BASED STRESS REDUCTION * ENHANCE HEALTHY COPING (PERHAPS WITH COUNSELING)
  • COGNITIVE BEHAVIORAL STRESS PREVENTION (RELAXATION TECHNIQUES, ETC.)
26
Q

HOW TO PREVENT AND MITIGATE COMPASSION FATIGUE AND BURNOUT

(WORKPLACE)

A

Sustainable workload; shift in workload acuity or patient case mix (CF)

Balint group model (safe space, patients as human beings, deepen understanding)

Promotion of feelings of choice and control; increase autonomy

Appropriate recognition and reward

Continuing educational activities

Development of self- awareness and self- regulation skills

Promotion of fairness and justice in the workplace

Supportive work community/culture

Address organizational dysfunction, bullying

Training in communication skills, boundary-setting, “professional distance”

27
Q

EXQUISITE EMPATHY

A

HIGHLY PRESENT, SENSITIVELY ATTUNED, WELL-BOUNDED, HEARTFELT EMPATHIC ENGAGEMENT

TRAUMA THERAPISTS WHO ENGAGED IN EXQUISITE EMPATHY WERE “INVIGORATED
RATHER THAN DEPLETED BY THEIR INTIMATE PROFESSIONAL CONNECTIONS WITH
TRAUMATIZED CLIENTS” AND PROTECTED AGAINST COMPASSION FATIGUE AND BURNOUT

FACILITATED BY CLINICIAN SELF-AWARENESS; SENSE OF EQUANIMITY- RETURNING TO BASELINE, FINDING HEALTHY EMOTIONAL STATE (INTERNAL BALANCE)

28
Q

PSYCHOLOGICAL RESILIENCE:

A

THE CAPACITY TO RESPOND QUICKLY AND CONSTRUCTIVELY TO CRISES

PROCESS OF ADAPTING WELL IN THE FACE OF ADVERSITY, TRAUMA, TRAGEDY, THREATS OR SIGNIFICANT SOURCES
OF STRESS — SUCH AS FAMILY AND RELATIONSHIP PROBLEMS, SERIOUS HEALTH PROBLEMS OR WORKPLACE AND FINANCIAL STRESSORS

IT MEANS “BOUNCING BACK” FROM DIFFICULT EXPERIENCES

ABSORB RATHER THAN SHOW AGGRESSION AGAINST CHALLENGES

29
Q

BUILDING RESILIENCE
AMERICAN PSYCHOLOGICAL ASSOCIATION:

A

Make connections

Avoid seeing crises as insurmountable problems

Accept that change is a part of living

Move toward your goals

Take decisive actions

Look for opportunities for self- discovery.

30
Q

Make connections

A

Good relationships

Accepting help and support

active in civic or faith- based groups or other local groups for social support and can help with reclaiming hope

helping others in their time of need

31
Q

Avoid seeing crises as insurmountable problems

A

You can’t change the fact that highly stressful events happen, but you can change how you interpret and respond to these events

32
Q

Accept that change is a part of living

A

Certain goals may no longer be attainable as a result of adverse situations

Accepting circumstances that cannot be changed can help you focus on circumstances that you can alter

33
Q

Move toward your goals

A

Develop some realistic goals

Do something regularly — even if it seems like a small accomplishment. ask yourself, “What’s one thing I know I can accomplish today that helps me move in the direction I want to go?”

34
Q

Take decisive actions

A

Act on adverse situations as much as you can

Take decisive actions, rather than detaching completely from problems and stresses and wishing they would just go away

35
Q

Look for opportunities for self- discovery

A

People often learn something about themselves and may find that they have grown in some respect as a result of their struggle with loss

36
Q

NURTURE A POSITIVE VIEW OF YOURSELF

A

DEVELOPING CONFIDENCE IN YOUR ABILITY TO SOLVE PROBLEMS AND TRUSTING YOUR INSTINCTS HELPS BUILD RESILIENCE

37
Q

KEEP THINGS IN PERSPECTIVE

A

EVEN WHEN FACING VERY PAINFUL EVENTS, TRY TO CONSIDER THE STRESSFUL SITUATION IN A BROADER CONTEXT AND KEEP A LONG-TERM PERSPECTIVE

AVOID BLOWING THE EVENT OUT OF PROPORTION

38
Q

MAINTAIN A HOPEFUL OUTLOOK

A

TRY VISUALIZING WHAT YOU WANT, RATHER THAN WORRYING ABOUT WHAT YOU FEAR

39
Q

TAKE CARE OF YOURSELF

A

PAY ATTENTION TO YOUR OWN NEEDS AND FEELINGS

ENGAGE IN ACTIVITIES THAT YOU ENJOY AND FIND RELAXING

EXERCISE REGULARLY

SLEEP

40
Q

BUILDING RESILIENCE: HUMOR

A

INCREASED HUMOR CAN OFTEN HELP AN INDIVIDUAL COPE MORE SUCCESSFULLY WITH TRAUMATIC SITUATIONS

INCREASED HUMOR CAN CONTRIBUTE TO THE ENHANCEMENT OF POSITIVE LIFE EXPERIENCES, AND LEAD TO GREATER POSITIVE AFFECT AND PSYCHOLOGICAL WELL-BEING

NEED TO CLARIFY THE EFFECTS OF VARIOUS STYLES AND TIMING OF HUMOR ON RESILIENCY TO STRESS AND TRAUMA

41
Q

THERE IS VERY LIMITED EMPIRICAL SUPPORT THAT GREATER USE OF HUMOR RESULTS IN

A

POSITIVE PERSONAL GROWTH AND A “BOUNCE-BACK FROM ADVERSITY” POSTURE

Psychosoc Final (18 decks)

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