SUBMITTED TO

PRO. RAJI RAJU

HOD, MEDICAL SURGICAL NURSING

VIJAYA COLLEGE OF NURSING

SUBMITTED BY

MRS. JISHA JANARDHAN

II YEAR MSC NURSING

MEDICAL SURGICAL NURSING

VIJAYA COLLEGE OF NURSING

SUBMITTED ON

22/05/2021
Name of the student teacher : Mrs. Jisha Janardhan

Subject : Medical Surgical Nursing

Unit :

Topic : Burnout syndrome

Group : 3rd year B.Sc Nursing

Place : Vijaya Hospital, Kottarakkara

Duration :30 mt

Date and time : 21/05/2021

Previous knowledge of the class : from previous theory class

Method of teaching : lecture cum discussion

A.V. AIDS : Charts and PPT

GENERAL OBJECTIVE
On completion of the class, the students acquire knowledge regarding the definition, incidence, risk factors, causes, clinical
manifestation, and management of burnout syndrome, understand its importance and apply this knowledge in their future practice.
SPECIFIC OBJECTIVE
On completion of the class the students,
o define burnout syndrome
o explain incidence of burnout syndrome
o list down risk factors of burnout syndrome
o enumerate causes of burnout syndrome
o describe the clinical manifestations
o explain the prevention of burnout syndrome
o describe the copying with burnout syndrome
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1 3mnt Introduction
Burnout is a psychological concept for
the experience of long term exhaustion
and diminished interest
(depersonalization) especially in work
environment. Burnout usually occurs
as a result of period of expending too
much effort at work while having too
little recovery. Health care workers are
more prone to get burnout. High stress
work can lead to burnout than low
stress work. Burnout is an
occupational hazard, especially in
nursing. Compassion fatigue, bullying,
chronic fatigue, weight gain and a
host of other stress-related health
challenges can result from unchecked
stress and burnout.
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2 define 3mnt Definition Lecture cum ppt Teacher What is burnout
burnout discussion explains syndrome?
"Burnout is a syndrome made up of
syndrome student listen
emotional exhaustion,
depersonalization, and reduced
personal accomplishment "
Beck 1995
An emotional condition marked by
tiredness, loss of interest, or frustration
that interferes with job performance.
Burnout is usually regarded as the
result of prolonged stress.
(Medical Dictionary)
"Burnout is a syndrome in which there
is feeling of exhaustion, cynical
attitude towards the job and people
involved in job and through reduced
personnel accomplishment or work
efficiency"
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3 3mnt Incidence Lecture cum What is the
discussion incidence of
 The rates of stress and burnout burnout
syndrome?
among nurses have been found

to be higher than the rates

among other health care

professionals, with

approximately 40° of hospital

nurses having burnout levels

that are higher than the morn

of health care workers.

 The prevalence of burnout is

higher among nurses who work

in stressful settings, such as

oncology, mental health

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emergency and critical care

 The rates of burnout among

African American workers

have been shown to be lower

 Burnout is less prevalent

among older individuals

because they tend to be more

stable and have a more

balanced perspective on life

 Family status plays an

important role in burnout; rates

of burnout are higher among

single workers and workers

with no children, due to the

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lack of support
4 3mnt Lecture cum What are all the
Risk factors
discussion risk factors of
burnout
Both individual and organizational
syndrome?
risk factors are associated with an

increased susceptibility to develop

BOS.

Individual risk factors:

 having poor self-esteem

 maladaptive coping

mechanisms

 younger adults with an

idealistic worldview

 unrealistically high

expectations

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 having financial issues

Organizational risk factors:

 heavy workload

 conflicts with co-workers

 diminished resources

 lack of control or input

 effort-reward imbalance

 understaffing

 rapid institutional changes

Specific to the critical care

environment, risk factors for nurses:

 variability in work schedules

 rapid turnover of patients

 end-of-life event
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5 4mnt Difference between burnout and Lecture cum What is the
discussion characteristics
depression of depression?

Certain symptoms ascribed to burnout

also occur in depression. These

include

 Extreme exhaustion

 feeling low

 reduced performance

Some characteristics of burnout are

very different from those of

depression. These include alienation,

especially from work. In depression,

negative thoughts and feelings are not

only about work, but about all areas of

life. Other typical symptoms of

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depression are;

 lack of self-esteem

 hopelessness

 suicidal tendency

These are not regarded as typical

symptoms of burnout. So not every

case of burnout will have depression at

its root. But burnout symptoms may

increase the risk of someone getting

depression.
6 3mnt Causes of Burnout Lecture cum What are the
discussion causes of
Work-related causes of burnout burnout
syndrome?
 Feeling like you have little or

no control over your work.

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 Lack of recognition or rewards

for good work.

 Unclear or overly demanding

job expectations. Doing work

that's monotonous or

unchallenging. Working in a

chaotic or high-pressure

environment.

Lifestyle causes of burnout

 Working too much, without

enough time for relaxing and

socializing.

 Being expected to be too many

things to too many people.

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 Taking on too many

responsibilities, without

enough help from others.

 Not getting enough sleep.

 Lack of close, supportive

relationships.

Personality traits can contribute to

burnout

 Perfectionistic tendencies;

nothing is ever good enough.

 Pessimistic view of yourself

and the world.

 The need to be in control;

reluctance to delegate to others

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Stages
a) Physical, Mental and
Emotional Exhaustion
7 Lecture cum
Normally, you pride yourself on doing
4mnt What are the
discussion
a thorough job, a high quality
physical signs
performance. Now you are looking for
and symptoms
shortcuts, if not cutting corners. And
of burnout
this gnaws at your self-esteem. There
syndrome?
may even be pangs of guilt. A case of
the "brain strain" is developing,
accompanied by an energy shortage
and feelings of exhaustion. If stress
levels continue unabated, you may be
ripe for the second stage.

b) Shame and Doubt

Are you starting to feel I've been

looking in your window? Or, as a

reader recently emailed: "Have you

been a fly on the wall in my house?"

Let's not be premature. We still have

two more stages to go. And next, we'll

check out your "tude."

c) Cynicism and Callousness.

And there's another reason for paying

attention to this process. Burnout

doesn't just facilitate a hardening of

the psyche. When your stress starts to

smolder into frustration and anger;

then turns to suspicion and mistrust as

you enclose yourself in embattled

armor or a crusty shell...This is not

just how you harden an attitude, but

it's a formula for hardening the

arteries, as well. Cardiovascular

complications, high blood pressure,

even premature heart attacks can

ensue.

d) Failure, Helplessness and

Crisis

In fact, one reason the fourth stage is

so disorienting is that a person's

psychological defenses have worn

down. Cracks start appearing in the

defensive armor. Painful memories

and old hurts normally contained by

your emotional defenses are leaking

through the cracks. A slight or an

emotional bump can set off an overly

sensitive and personal reaction. Now a

mate's occasional, somewhat annoying

behavior really irritates as it reminds

you of a mannerism of your father. Or,

jealousy towards a colleague reeks of

sibling rivalry.

Warning Signs and Symptoms of

Burnout

Physical signs and symptoms of

burnout

Feeling tired and drained most

of the time.

Lowered immunity, feeling

sick a lot.

Frequent headaches, back pain,

muscle aches.

Change in appetite or sleep

habits.
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Emotional signs and symptoms of

burnout

Sense of failure and self-doubt.

Feeling helpless, trapped, and

defeated.

Detachment, feeling alone in

the world.

Loss of motivation.

Increasingly cynical and

negative outlook.

Decreased satisfaction and

sense of accomplishment

Behavioral signs and symptoms of

 burnout

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Withdrawing from

responsibilities.

Isolating yourself from others.

Procrastinating, taking longer

to get things done.

Using food, drugs, or alcohol

to cope.

Taking out your frustrations on

others.

Skipping work or coming in

late and leaving early.

8 List down 4mnt What are the

the Preventing Burnout
preventive
preventive
measures measures of
Evidence-based interventions to treat
 and prevent BOS are currently not burnout
syndrome?
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available in critical care healthcare

professionals. Interventions focused

on both the individual and

organizational interventions should be

developed. Resilience is a

psychological characteristic that

enables an individual to adjust in a

healthy way after a traumatic event.

Resilience has been recognized as a

mechanism to mitigate symptoms of

and the development of PTSD

following trauma and may prevent and

the development of PTSD following

 trauma and may prevent and treat of

BOS. While there are innate or

inherent qualities of resilience,

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there are qualities of resilience that

can be learned. Examples of resiliency

techniques include: being optimistic,

developing cognitive flexibility,

establishing and maintaining a

supportive social network,

mindfulness training, and exercising.

Organizational interventions should be

aimed at sustaining a healthy work

environment. The American

Association of Critical Care Nurses

(AACN) has identified six standards to

 establish and sustain a healthy work

environment that could be targeted to

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prevent and treat BOS. The six

standards include:

 having skilled communication

 appropriate staffing

 collaboration

 meaningful recognition

 effective decision-making

 authentic leadership

Other preventive measures

 Start the day with a relaxing

ritual.

 Adopt healthy eating,

 exercising, and sleeping habits.

 Set boundaries.
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 Take a daily break from

technology.

 Nourish your creative side.

 Learn how to manage stress.

9 3mnt Coping with Job Burnout Lecture cum How can we

discussion cop with
Actively address problems: Take a burnout
syndrome?
proactive rather than a passive

approach to issues in your workplace,

including stress at work.

You will feel less helpless if you assert

yourself and express your needs. If

you do not have the authority or

resources to solve the problem, talk to

 a superior.

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Clarify your job description: Ask your

boss for an updated description of

your job duties and responsibilities.

Point out things you are expected to do

that are not part of your job

description and gain a little leverage

by showing that you have been putting

in work over and above the parameters

of your job.

Ask for new duties: If you have been

doing the exact same work for a long

time, ask to try something new-a

different grade level, a different sales

 territory, a different machine.

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Take time off: If burnout seems

inevitable, take a complete break from

work. Go on vacation, use up your

sick days, ask for a temporary leave-

of-absence anything to remove

yourself from the situation. Use the

time away to recharge your batteries

and take perspective.

Complications

 Illness and disability

 Exhaustion

 Extinction and passion

 Mental breakdown
  Extreme depersonalization

 Diabetes mellitus

 hypertension

Summary
We have discussed about the definition of burnout syndrome, incidence of burnout syndrome, risk factors of burnout syndrome,
causes of burnout syndrome, signs and symptoms of burnout syndrome, prevention of burnout syndrome, and copying with burnout
syndrome.

Conclusion

Burnout syndrome (B05) associated with stress has been documented in health care professionals in many specialties. In the health
care organization, work stress may contribute to absenteeism and turnover, both of which detract from the quality of care. Hospitals in
particular are facing a workforce crisis. The demand for acute care services is increasing concurrently with changing career
expectations among potential health care workers and growing dissatisfaction among existing hospital staff. By turning toxic work
environments into healthy workplaces, researchers and nurse leaders believe that improvements can be realized in recruitment and
retention of nurses, job satisfaction for all health care staff, and patient outcomes particularly those related patient safeties.

Bibliography

1. P Hariprasath, Text book of cardiovascular and thoracic nursing, Published by Jaypee The health sciences publisher, page
number 509-510.
2. https://www.slideshare.net/krishnameera999/seminar-burnout-syndrome