The Issue Of Doctor Burnout

They serve as pillars of wisdom and guidance while exhibiting communication adroitness with care teams and patients to engineer top-notch medical care. To maintain high standards, effective medical professionals are constantly taking in new information through continuing education, placing providers at the pinnacle of knowledge. Moreover, physicians require affective aptitude as they must convey empathy during patient interactions. All these attributes draw me to seek the personal challenge and resulting responsibilities that are demanded. I desire to become an important contribution to society in a field I am passionate

The medical field is a career path that brings about many options and opportunities of great value. The noble idea of being a doctor tends to cloud the diligent studying and precise training that is actually required for this career. I have wanted to become a doctor since a very young age, and now that the opportunity is here for the taking, I have fully researched what it takes to succeed in this profession and various specialties of the practice. The road to a medical degree is one filled with thousands of notes, years of schooling, and many stressful nights, but the reward is one incomparable to any other. Saving people’s lives on a day-to-day basis has been one of my dreams for as long as I can remember, so the rigorous curriculum

Those of us who graduated from nursing school and started their first job were full of dreams, aspirations, and had every intention of making a difference. Now fast forward five years; these same nurses have been on their feet for 16 hours and have not had time to eat or use the bathroom since leaving their homes this morning. The call lights will not stop going off long enough for them to give report to the oncoming nurses and once again they are late for their children’s dance recitals or soccer games. They can forget about trying to squeeze a yoga class in this week. I understand what it is like to rush to your car feeling as if some important task was forgotten; was Mr. Smith’s tube feed restarted, did room 8 receive their pain medication? Nurses all over the world are experiencing “burnout”. To avoid burnout, nurses must properly care for themselves by separating work from personal life, knowing when to say no, and making time for enjoyable activities to manage stress, because we cannot provide quality patient care if we are neglecting ourselves.

From the moment they began their journey at Harvard Medical School, their entire life became medicine and medical related topics. Constantly studying for school, exams, board tests, and for their future, stress was no stranger. “Stress refers to physical and psychological responses to overwhelming stimuli… Burnout is actually a combination of factors” (page 115, DePru). Stress leads to burnout, and many medical professionals face both roadblocks in their careers. In Doctors’ Diaries the students stress did not subside when the graduated, it only increased. Once they were placed in their intern positions, adjusting to their new jobs brought on more stress than some could handle. The doctors had to learn to be modify their lives and their expectations in order to stay on top. In example, Jane learns to be a positive influence for her patient’s in her inner-city hospital for she fears that she might be the only flicker of light they see for awhile. Jay Bonner and Tom Tater display the greatest burnout and stress. Tom cannot seem to find his place within the hospital and even doubts his own abilities. Tom is a hard worker and he is more driven than his peers. When Tom is fired from his ER job, he realizes how burnt out he is with the system, not the

The term burnout, according to Catalano, is a continuing depletion of energy and strength combined with a loss of motivation and commitment after prolonged exposure to high occupational stress (2015). When a unit or facility is understaffed, not only do the nursing staff get burnt out, the patients also don’t receive the quality of care they deserve. Due to the increase in workload, nursing staff are more prone to making mistakes and medical errors and sometime times do not fellow facility policies. The nurse-patient ratio aspect sometimes gets overlooked at and that could lead to possible medication errors, lack of communication, falls, neglect, abuse and/or death may occur. Sometimes, it become so overwhelming people turn to leave the workforce all together. When nurses and CNA workload increase, they become frustrated and unhappy, and the desire to leave

I don’t come from a background that is heavily associated with medicine, nor have I ever really been immersed in a medical setting. As a result, I do not have a first-hand experience of what it is like to practice medicine. However, since my early years,

Burnout is a gradual onset with symptoms coming on over time slowly. Burnout symptoms may include physical exhaustion, hopelessness, negative self-concept, having difficulty leaving home, and inability to concentrate are just some of the symptoms. Due to the gradual onset of symptoms, it is often hard to detect early (Dass-Brailsford, 2007). In McCann and Pearlman’s article they discuss burnout as a, “psychological strain from working with difficult populations” (McCann & Pearlman, 1990).

With the passing of the Affordable Care Act, a rise in patient care was expected however there were several factors that weren’t expected. One such factor was the number of patients that had chronic illnesses that had been ignored for so long due to not having insurance. The care for these critically ill patients caused an increased strain on nurses and other health care professionals. The increased stress on workers caused them to consider an alternative career. Workplace stress is has contributed to an increase amount of depression and burnout in nurses, which caused a ripple effects of call outs, nurse shortage, and more burnout. Another factor that was not considered was the increased amount of paperwork that has been added. According to the new regulations of the Affordable Care Act, “190 million additional hours of paperwork annually” (heritage.com) has been added which inadvertently has reduced the amount of one on one patient time. This again, is another factor that will contribute to the burnout of the healthcare professionals.

In the ever changing world of healthcare, healthcare organizations in order to be the most efficient in their delivery of healthcare, streamline their organizational structure to stay competitive, while providing the best patient care possible. This process can place increasingly undue stress onto its staff resulting in nurses having to do more with less available resources which ultimately increases their workload, has them working longer hours due to staff shortage, which contributes to an increase in the nurse burnout rates. This eventually filters down to the patient’s level of care and means less time spent on each

There are certain population that can be at high risk for burnout such as mental health care providers and hospice professionals. Green, Albanese, Shapiro & Aarons (2014) did a study that examined the effects of demographics, work characteristic, and organizational variables on burnout among multiple mental health disciplines. The survey was completed across 49 mental health programs and completed by 285 providers. 285 providers completed surveys across 49 mental health programs in a large urban public mental health system. Variables representing dimensions of organizational climate and transformational leadership accounted for the greatest (Green et al. , 2014). The only demographic variable related to burnout was age of providers. The results of the study still suggested the necessity to reflect on the organizational development strategies. The study concluded the importance of creating strategies that would aim to produce more functional and less stressful

The issue of healthcare personnel scarcity continues to be an ongoing challenge across the globe. Invariably, nurses are at the pinnacle in the delivery of quality care in any healthcare setting. The ever-increasing demands for care stem from a patient populace that is emergent, growing older and needing more care due to the escalating shift in their disease process. Hence, nurses are torn between balancing an overloaded schedule, working extra hours and maintaining astuteness and professionalism. This transcends to compromised patient care, nursing burnout makes it difficult for them to experience the rewards of caring for patients in the way they had expected; thereby, adding to the shortage of

Additionally, the study found that a high patient to nurse ratio resulted in greater emotional exhaustion and greater job dissatisfaction amongst nurses. Each additional patient per nurse was associated with a 23% increase in the likelihood of nurse burnout, and a 15% increase in the likelihood of job dissatisfaction. Moreover, 40% of hospital nurses have burnout levels exceeding the normal level for healthcare workers, and job dissatisfaction among hospital nurses is four times greater than the average for all US workers. 43% of nurses involved in this study that reported job dissatisfaction intended to leave their job within the upcoming year. (Aiken et al.)

The health care reform laws have caused inevitable problems for doctors struggling to adapt to the bureaucratic and flawed industry. Insurance companies have largely taken control of patient care: choosing which doctors patients can see, dictating what procedures and treatments they will cover, and negotiating lower costs for medical services. The guidelines this third-party has established have put strain on the vital doctor-patient relationship. As physicians are pushed to see more patients per day to overcome pay cuts, patient satisfaction is dwindling due to rushed visits. If this trend continues, the biggest challenge I will face as a physician is preserving the crucial doctor-patient relationship, which I believe is a key ingredient of

Barry Hill (2017) performed studies related to the quality of care that patients receive and what factors are associated with those perceptions. One area that was noted to be of importance and directly related to quality of care provided to patients is staff dissatisfaction and burnout. This study also found that longer shifts contributed to increased amounts of emotional exhaustion leading to decreased quality of care for patients. Addressing staffing needs early and intervening can decrease the amount of nurse burnout and dissatisfaction that is often seen. This study has shown that hiring additional competent nurses reduces medication errors, falls, infections, wounds, and decreases hospital litigation costs, while improving staff morale, patient experience and care, and cost-effectiveness for the hospital.

Nurses, always involved in patient care, sometimes experience detrimental effects with prolonged stress or “burnout” during their career throughout the years. Burnout is defined as an extended response to physical or emotional stressors. Some examples of these stressors are; memories of witnessing death, patient and family suffering, emotional stress of losing patients, feeling emotionally and physically drained, or emotional disconnect from staff which can all contribute to burnout. As a result, nurses can experience; exhaustion, anxiety, dissatisfaction and low capacity. Overall, burnout can have negative effects not just on the emotional and physical health of nurses but also on; patient satisfaction, outcomes and mortality of nurses and patients. Although, there are ways to reduce or prevent these negative effects of burnout from manifesting. For example, nurses can apply interventions to reduce these risks including; staff support, onsite counselors and psychiatrists for nurses and salary increases and reimbursement opportunities for nurses through clinical ladder programs. Nurses can also start by just saying no to certain requests, being aware of their tolerance level, by taking care of themselves and having fun outside of work. On the other hand, others do not think nursing burnout is fatal and nurses just need a break from their job to initiate change. Although, the issue of burnout is prevalent in nurse’s careers which need to be addressed more in society in