ADVERTISEMENT

Hospitalist Burnout

The Hospitalist. 2006 March;2006(03):

Find a Good Fit

One key to avoiding burnout is to make sure you find an employer you can be happy with.

“There are as many different styles of management as there are hospitalist groups,” says Michael-Anthony Williams, MD, president of Inpatient Services, PC, in Denver. “It’s important that the doctors in a group share values and have the same goal. There’s no right answer.”

Dr. Schapira agrees. “There needs to be a good fit between the physician and the workplace,” she says. “If you’re the only person constantly upset by the system, maybe you’re not working in the right place.”

Dr. Williams, a co-presenter with Dr. Wetterneck in Chicago, outlined how his hospital medicine group has combated burnout by hiring physicians who seem likely to be a good fit. Dr. Williams realized that the hospitalists at Inpatient Services value time off over monetary gain.

“Our group is not motivated by finances,” he explains. “The salaries aren’t as high here, and Denver attracts physicians who aren’t seeking a lot of money.” Therefore Inpatient Services provides more time off. “Everyone gets one vacation request each month,” [per person] says Dr. Williams. “Day-to-day, the job is very unpredictable. So we try to give people control over their schedule.”

Burnout is a serious emotional condition that can lead some hospitalists and other physicians to seek a change in career—or lead them to substance abuse or other problems. The good news is that identifying it in the first place and then advocating to change workplace conditions can overcome it. TH

A National Epidemic?

The following apply to all professions in the United States:

  • One-fourth of employees view their jobs as the No. 1 stressor in their lives.
  • Three-fourths of employees believe workers have more on-the-job stress than a generation ago.
  • Problems at work are more strongly associated with health complaints than are any other life stressor—more so than even financial or family problems.

Sources: Northwestern National Life, St. Paul Fire and Marine Insurance Co., National Institute for Occupational Safety and Health, Princeton Survey Research Associates

The Book on Physician Burnout

To find out if you or other physicians in your hospital medical group are suffering from burnout, get the bible of burnout: The Maslach Burnout Inventory Manual, Human Services Survey, is a 22-item licensed research tool for assessing burnout in physicians. The assessment must be administered by an expert, but you can purchase a copy online at www.cpp.com/detail/detailprod.asp?pc=35.

Tips for Avoiding or Easing Burnout

NurseWeek published a list of suggestions for coping with professional burnout. Keep in mind the caveat that there are no quick fixes for burnout and then consider these tips from professional healthcare counselors:

  1. Ask your employer to establish a weekly or monthly support group.
  2. Ask that a task force be set up to study solutions if an entire hospital unit seems fatigued.
  3. Try staying within the same realm, but moving to a less stressful role if your job takes a tremendous amount of personal energy.
  4. Keep your staff informed about changes if you are a manager. This method helps take away the sting that change might incur. Also, allow them to give feedback, which decreases the feeling of powerlessness.
  5. Take advantage of any individual or group counseling offered along with educational programs.
  6. Try taking up an expressive activity such as dancing, yoga, painting, writing, or drawing to get your feelings out.

Source: www.nurseweek.com/features/97-2/burn3.html

More than Half of Physicians Burned Out

A Florida International University (Miami) study of physician burnout found that 58% of physicians assessed reported scores in high emotional exhaustion, the key indicator of burnout.

Source: Deckard G, Meterko M, Field D. Physician burnout: an examination of personal, professional, and organizational relationships. Med Care. 1994;32(7):745-754.

More Patients = More Nurse Burnout

A study of 10,000 nurses and 230,000 patients from 168 hospitals in Pennsylvania found that each additional patient assigned to an individual nurse resulted in a:

  • 7% increase in 30-day patient mortality;
  • 7% increase in failure-to-rescue rates;
  • 15% increase in the likelihood of nursing job dissatisfaction; and
  • 23% increase in the likelihood of nurse burnout.

Source: Center for Nursing Advocacy, www.nursingadvocacy.org/news/2002oct23_ jama.html