Burnout in Physicians - Health - Lecture Slides, Slides of Public Health

Download Burnout in Physicians - Health - Lecture Slides and more Slides Public Health in PDF only on Docsity! Burnout in Physicians  Dr. Hakan YAMAN is Assistant Professor in Sports Medicine at Süleyman Demirel University, Medical School, Isparta,Turkey.  He has finished a residency in Family medicine and has a master of science degree in sports sciences.  Since his residency he is involved in the study of burnout of health professionals.  He has published and presented several papers on burnout in physicians working in Turkey. İntroduction Practice of medicine is stressful Physicians must interact with intense emotional aspects of life Physicians are called on to cope and adapt with stress charecteristic of their job İntroduction-2  Burnout in physicians has many important implications for -persons experiencing it. -recipients of health care.  Knowledge on how stress and burnout develops is important.  This understanding will help how to prevent burnout. The Concept of Burnout  Burnout is a reaction to chronic, job-related stress.  “A literal collapse of the human spirit” (Storlie 1979).  “The loss of concern for the people with whom one is working”(Maslach 1976).  “psychological withdrawal from work in response to excessive stress and dissatisfaction” (Cherniss 1980). The Concept of Burnout-4  Three stage transactional model of burnout:  -Stage 1: demands exceeding emotional resources  -Stage 2: attempts to balance between demands and resources  -Stage 3: maladaptive coping mechanisms develop Three stage transactional model of burnout:Stage 3-Burnout  Maladaptive coping mechanisms  Responses  Physical Emotional  Adaptive coping mechanisms  balance restored  responses resolved Sources of Stress  House officers syndrome:  - long training hours  - excessive work loads  - sleep deprivation  - changing work conditions  - peer competition  - self denial Coping behavior working harder and longer  sense of entitlement  belief on immunity to difficulties  failure of self recognition of mental problems Coping behavior-2  alienating family members and friends- three explanations:  - anger and frustration are vented to family and friends  - unability to share troublesome experiences  -family and friends are another source of demand Coping behavior-3 Avoiding to be with family:  - Physician Dawdler  - Electronic Physician  - Out-of-town Academician İntervention-3  Aleviating stres at work:  - focusing on positive aspects and small success  - setting daily and weekly goals  - breaks and variation in daily schedule  - utilizing a team approach Conclusion  Burnout among physician is a serious problem, with a risk for suicide.  Programs and conferences are needed to alert physician against burnout.  Medical training should be re-evaluated and restructured to prevent burnout.  Physicians suffering of burnout need to learn new adaptive coping mechanisms. References:  1. Deckard GJ, Hicks LL, Hamory BH. The occurrence and distribution of burnout among infectious disease physicians. JİD1992;165:224-8.  2. Schneider J. Self-care: Challenges and rewards for hospice professionals. Hopice J 1987;3:121- 146.  3. Fawzy Fİ, Fawzy NW, Pasnau RO. Burnout in health professions. İn: Judd, Burrows, Lipsid, eds. Handbook on general hospital psychiatry. 1991.p.119-130.  4. Storlie FJ. Burnout: The elaboration of a concept. Am J Nurs. 1979;12:2108-2111.  5. Maslach C. Burned-out. Hum Behav 1976;5:16-22.  6. Cherniss C. Staff burnout:Job stress in the human services. Beverly Hills: SagePubl.1980.  7. Simendinger EA, Moore TF. Organizational burnout in Health care facilites:Strategies for prevention and change. Rockville:Aspen Syst Co.1985.  8. Edelwich J,BrodskyA. Burned- out:Stages of disillusion ment in the helping profession. NewYork: Human Sciences Press.1980.  9. Small G. House officer stress syndrome.Psychsomatics 1981; 22: 860-864.  10. Martin CA, Julian RA. Causes of stress and burnout in physicians caring for the chronically ill. Hospice j 1987;3:121-147.