Understanding Burnout in your Free Clinic

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Understanding Burnoutin yourFree Clinic
Barbara Tickton C.R.N.P. October 14, 2008
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Objectives

• Will obtain strategies of how to deliver best
  care to our patients
• Will have a better understanding of some barriers
  to health care
• Will learn strategies of how to relieve stress
  and help prevent healthcare provider burnout

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Prepare for a Fire
Know your patients

• The individuals condition
• Legal issues
• Belief systems

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The Barriers

• The individuals limitations
• Limited options
• No Social Security
• Medicaid Managed Care

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Rescue

• Compassion
• The new golden rule
• Do your best
• Have empathy
• Admit and apologize
• Caring attitude first class care

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Being Prepared

• Set goals
• Be flexible
• Plant a seed, it may grow
• Have faith
• Be patient
• Listen

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Back-Blast

• Once bitten, twice shy
• Utilize resources
• Ohio Automated PrescriptionReporting System
• Computer links

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Boiling

• H.I.P.A.A.
• Patient release of information
• Maintain positive, open relationship with outside
  resources

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Fight Fire with Fire

• Bargaining
• Patient contracts
• Warning
• Dismissal

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3rd Degree Burnout

• Wikipedia definition Burnout (psychology), a
  psychological term for the experience of
  long-term exhaustion and diminished interest,
  especially in ones own career.
• Healthcare profession
• Compassion fatigue
• Take the Burnout test

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Extinguish
Stress Relievers

• Exercise
• Relaxation
• Recreation
• Care for yourself
• Sleep
• Support systems

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Perform Safe Stress

• We all have stress
• Know your limits
• Delegate and Collaborate
• The Delegators Prayer
• Grant me the serenity to delegate when I cant
• The Courage to collaborate when I can
• And the wisdom to motivate when I should
• And to aggravate when I must!
• Staff meetings

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Prioritize

• Urgent do it now
• Important prioritize

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Experience

• Experiment (not with the patients!)
• Experience forms the foundation
• Embrace feedback (even if its bad)
• Go with the flow
• Use humor
• Join groups, committees, etc.
• Stay involved

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Bibliography

• Gorkin, M. (2000). More business owners
  tips for Practicing safe stress. The Stress
  Doc.
• Internet www.Wikipedia.com
• Hart, A. D., (2008). Burnout Prevention
  and Cure.
• Roberts, G. A., (1997). Prevention of
  Burnout. Advances in Psychiatric Treatment,
  3, 282-289.
• Shields, K. (1991). Stress management
  burnout prevention. In the Tigers Mouth
  An Empowerment Guide For Social Action.
  Millennium Books, Newtown, NSN.
• Smith, M., Jaffe-Gill, Segal, J., and
  Segal, R. (2007). Preventing Burnout Signs,
  symptoms, and strategies to avoid it.
  American Association of Family Practitioners.

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Relax