Combating Phar mac ist Bur nout by Building Co rtne y M. Mo spa n, F aith- Base d Pha rmD, BCACP, Re silie nc y BCGP
Obje c tive s De fine the te rms b urno ut a nd re silie nc y a nd the ir a pplic a tio n to the pro fe ssio n o f pha rma c y Disc uss fa ith-b a se d stra te g ie s to de ve lo p re silie nc y E mplo y hig hlig hte d stra te g ie s to de ve lo p o ne ’ s o wn re silie nc y
Disc losur e s I , Co rtne y Mo spa n, ha ve no re a l o r a ppa re nt fina nc ia l disc lo sure s re le va nt to this pre se nta tio n.
Bur nout De finition “A syndro me c ha ra c te rize d b y e motional e xhaustion tha t re sults in de pe r sonalization a nd de c r e ase d pe r sonal ac c omplishme nt a t wo rk” Una b le to fa c e de ma nds o f the jo b Una b le to e ngage with othe r s Do no t fe e l a b le to c ontr ibute me aningfully https:/ / psne t.a hrq .g o v/ pe rspe c tive s/ pe rspe c tive / 190/ b urno ut-a mo ng -he a lth-pro fe ssio na ls-a nd-its-e ffe c t-o n-pa tie nt-sa fe ty
Bur nout F ur the r E xplor e d De c re a se d se nse E mo tio na l De pe rso na liza tio n o f pe rso na l E xha ustio n a nd Cynic ism a c c o mplishme nt Freudenberger HH. J Soc Issues. 1074;30:159-165. Maslach C, et al. Maslach Burnout Inventory manual .
Stage s of Bur nout Psyc ho - Physio lo g ic a l So c ia l I nte lle c tua l Spiritua l E mo tio na l Re -e sta b lishme nt o f b a la nc e in the se five a re a s c a n he lp c o mb a t b urno ut Ra ddle PO. Am J Ho sp Pharm. 1982;39:1161-1166.
Bur nout F ac tor s Cha lle ng e s o f c linic a l wo rk Co mpe ting de ma nds T ime c o nstra ints L a c k o f c o ntro l o ve r wo rk pro c e sse s a nd sc he duling Co nflic ting ro le s a nd re la tio nships with le a de rship F re ude nb e rg e r: b urno ut is a c ulmina tio n o f the e ffe c ts o f pro fe ssio na l re spo nsib ilitie s a nd wo rk e nviro nme nt No t an ac ute c o nditio n Bridgeman PJ, et al. Am J Health-Syst Pharm. 2018;75:147-152.
Conse que nc e s of Bur nout Affe c ts b o th the b usine ss side o f pro viding c a re a nd q ua lity o f c a re L o we r le ve ls o f sta ff e ng a g e me nt L o we r pa tie nt sa tisfa c tio n L o we r pro duc tivity I nc re a se d risk o f e rro rs L o we r q ua lity o f c a re De c re a se e mpa thy Feeley D, et al. Institute for Healthcare Improvement: Healthcare Executive. 2016;70-71.
Bur nout Pr e vale nc e
Bur nout Pr e vale nc e Jo b sa tisfa c tio n a nd sub se q ue nt b urno ut ma y va ry b y pra c tic e se tting Hig he st in c o mmunity pha rma c y Pha rma c ists ha ve re po rte d lo w le ve ls o f pe rso na l a c c o mplishme nt Ove r 50% o f pha rma c y te a ms ha d b urno ut de te c te d o n the Ma sla c h Burno ut I nve nto ry 10.5% re po rte d se ve re b urno ut De pre ssio n a nd a nxie ty we re c o mmo n a s we ll 2016 Pha rma c ist Sa la ry Surve y: 63.4% re po rte d inc re a se d jo b stre ss in the pre vio us ye a r Durha m ME , e t a l. Am J He alth-Syst Pharm. 2018;75(suppl 4):S93-S100. Bridg e ma n PJ, e t a l. Am J He alth-Syst Pharm. 2018;75:147-152. Ba la yssa c D, e t a l. PL . 2017;12(8):e 0182956. o S ONE Ga ithe r CA, e t a l. I nt J Pharm Prac t. 2012;20:80-89.
Bur nout Pr e vale nc e Ove r ha lf o f he a lth-syste m pha rma c ists re po rte d b urno ut o ne a t le a st 1 o f 3 sub sc a le s in the Ma sla c h Burno ut I nve nto ry Huma n Se rvic e s (MBI -HSS) 8.5% re po rte d fo r a ll 3 sub sc a le s Amo ng he ma to po ie tic c e ll tra nspla nta tio n (HCT ) he a lthc a re pro fe ssio na ls, o ve r 50% o f pha rma c ists ha d b urno ut Mo re like ly to re po rt if ina de q ua te wo rk-life b a la nc e a nd lo w le ve l o f c a re e r sa tisfa c tio n I n ho spita l pra c tic e , lo w-de ma nd/ unple a sa nt e nc o unte rs we re sig nific a ntly ne g a tive ly c o rre la te d with jo b sa tisfa c tio n, pro fe ssio na l c o mmitme nt, a nd fre q ue nc y a nd inte nsity o f e mo tio na l e xha ustio n Durha m ME , e t a l. Am J He alth-Syst Pharm. 2018;75(suppl 4):S93-S100. Bridg e ma n PJ, e t a l. Am J He alth-Syst Pharm. 2018;75:147-152. Ga ithe r CA, e t a l. I nt J Pharm Prac t. 2012;20:80-89.
Re silie nc y De finitions Oxfor d Dic tionar y: “the state o r fac t o f c o ntinuing to live o r e xist, typic ally in spite o f an ac c ide nt, o r de al, o r diffic ult c ir c umstanc e s” Re al Re silie nc y “T he pr o c e ss o f c o ping with disr uptive , str e ssful, o r c halle nging life e ve nts in away that pr o vide s the individual with additio nal pr o te c tio n and c o ping skills than pr io r to the disr uptio n, that r e sults fr o m the e ve nt” https:/ / mo na d no c kc hristia nministrie s.o rg / re silie nt-fa ith/
A Re silie nt F aith Ac c e pta nc e – Psa lm 19:14 Co nte ntme nt – Phillippia ns 4:12-13 F o rg ive ne ss – Psa lm 32 Co nne c tio n – Ga la tia ns 6:2 Pe a c e – Philippia ns 4:7 Who le ne ss – Ja me s 1:2-5 Re so lutio n – He b re ws 4:15-16 https:/ / mo na d no c kc hristia nministrie s.o rg / re silie nt-fa ith/
Chr istianity and Re silie nc y F a ith c a n re duc e ne g a tive impa c t o f: Une mplo yme nt I mmig ra tio n Ge ne ra l distre ss Sub sta nc e use diso rde rs I mpro ve s me nta l he a lth o utc o me s Georgiades SD. Journal of Spirituality in Mental Health. 2016;18(1):24-42.
Chr istianity and Re silie nc y L ite ra ture ha s de mo nstra te d tha t fa ith pla ys a po sitive ro le in re silie nc e b uilding T hre e c o mpo ne nts o f re silie nc y tha t a re de rive d fro m fa ith Ha ving divine suppo rt Ma inta ining purpo se E xpre ssing g ra titude Ögtem-Young Ö. Societies. 2018;10.
Biblic al E xample of Re silie nc y https:/ / visito we nsb o ro .c o m/ e ve nt/ jo se ph-a nd-the -a ma zing -te c hnic o lo r-dre a mc o a t-b ro a dwa y-se rie s/
De ve loping Me ntal Str e ngth I nc e ptio n: “T he sc e ne o f the c rime is yo ur mind ” De rwin Gra y: “Do n’ t le t pe o ple r e nt spac e in yo ur mind for e e ” fr 13 T hing s Me nta lly Stro ng Pe o ple Do : I de ntify irra tio na l tho ug hts a nd re pla c e with re a listic tho ug hts
L e ve r aging Vulne r ability ”Vulne ra b ility is no t winning o r lo o sing ; it’ s ha ving the c o ura g e to sho w up a nd be se e n whe n we ha ve no c ontr ol o ve r the o utc o me ” -Bre né Bro wn E me rg ing e vide nc e tha t no t o wning a nd inte g ra ting o ur e xpe rie nc e s a ffe c ts BOT H o ur e mo tio na l he a lth a nd physic a l we ll-b e ing https:/ / www.the c e o lib ra ry.c o m/ pe o ple / b re ne -b ro wn
T he Rising Str ong Pr oc e ss • Walking into Our Sto ry T he Re c ko ning • Re c o g nize e mo tio n; c o nne c t o ur fe e ling s with ho w we think a nd b e ha ve • Owning Our Sto ry T he Rumb le • Ge t ho ne st a b o ut sto rie s we ma ke up a b o ut o ur strug g le s a nd de te rmine wha t’ s truth • Cha ng e ho w we e ng a g e with the wo rld b a se d o n wha t we T he Re vo lutio n le a rn in the rumb le • T ra nsfo rm the wa y we lo ve , live , a nd le a d Bro wn, Bre ne ́ . Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.
T he Rumble : In De pth Wha t mo re do I ne e d to le a rn a nd unde rsta nd a b o ut the situa tio n? What do I kno w o b je c tive ly? What assumptio ns am I making ? Wha t mo re do I ne e d to le a rn a nd unde rsta nd a b o ut the o the r pe o ple in the sto ry? What additio nal info rmatio n do I ne e d? What c larific atio ns mig ht he lp? Wha t mo re do I ne e d to le a rn a nd unde rsta nd a b o ut myse lf? What’ s unde rne ath my re spo nse ? What am I re ally fe e ling ? Bro wn, Bre ne ́ . Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.
“Ho w c an we e xpe c t pe o ple to put value o n o ur wo rk whe n we do n’ t value o urse lve s e no ug h to se t and ho ld unc o mfo rtab le b o undarie s? ” “We do n’ t judg e pe o ple whe n we fe e l g o o d ab o ut o urse lve s.” “Re se ntme nt is like drinking po int and the n ho ping it will kill yo ur e ne mie s.” Bro wn, Bre ne ́ . Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.
Whe n We F e e l L e ss T han T a lk to yo urse lf in the ma nne r in whic h yo u wo uld ta lk to so me o ne we lo ve Re a c h o ut to so me o ne yo u trust – so me o ne who ha s e a rne d the rig ht to he a r yo ur sto ry a nd who ha s the a b ility to re a so n with e mpa thy Bro wn, Bre ne ́ . Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.
De ve loping Me ntal Str e ngth T ho ug hts •I de ntifying irra tio na l tho ug hts a nd re pla c ing with mo re re a listic tho ug hts Be ha vio rs •Be ha ving in a po sitive ma nne r de spite yo ur c irc umsta nc e s E mo tio ns •Co ntro lling yo ur e mo tio ns so the y do n't c o ntro l yo u Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.
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