I am happy to see that this issue is being addressed. I think it is important to remember that ‘burnout’ is really related to psychological and moral trauma and that any project to address ‘burnout’ needs to start from that gaze. There is extant literature on ‘burnout’ among nurses that goes back decades both in nursing research and in the military. The so called ‘burnout’ is related to this trauma that staff experience in ongoing overwhelming stress and/or from a significant event (think Hurricane Katrine, the Miami Riots in 1980 occurring around the UM hospital complex, 9/11 in NYC).
Part of hat has been identified in much of the research is that the hierarchal business focused culture of hospitals was in great part to blame, something we all understand all too well. I think this is a critical time for healthcare system cultural change and perhaps that is something that can be addressed. No amount of intervention works is the culture isn’t changed at its core structure.
Deb Sampson
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The recent NASEM document on nburnout has some suggested interventions (Schwartz rounds, etc), but a recent discussion between ANA and CMS just pointe dout there’s no short-term solution
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I was asked about any programs or support efforts for health care workers who are experiencing PTSD-like symptoms related to the pandemic – seeing all the death, drama, etc. Our EAP does offer counseling, so I am definitely recommending that. I was wondering if any other med centers have developed programs to specifically address this kind of issue?
The person who asked me theorized that the flood of staff leaving hospitals could be related to this stress, and it addressed, it might help some find coping mechanisms so that they can endure. Of course, the money draw for travelers is real, but I will leave that for a separate discussion.
Thanks,
David
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