Burnout Burnout with Mindfulness

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Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations burnout is all too prevalent. This is the fatigue, cynicism, and professional inefficacy that comes with work-related stress.

Healthcare is a high stress occupation. It is estimated that over 45% of healthcare workers experience burnout with emergency medicine at the top of the list, over half experiencing burnout. With there being a shortage of doctors and nurses preventing existing healthcare workers from burning out is a priority.

How can burnout be prevented or mitigated? One potential treatment is mindfulness training. A study investigating mindfulness’ association with burnout in emergency room nurses is reported in today’s Research News article “Protective benefits of mindfulness in emergency room personnel. Journal of affective disorders”

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Westphal and colleagues report that indeed stress is prevalent in the ER. It is most frequently associated with interpersonal conflicts and large numbers of consecutive days working. But mindfulness appeared to help as high mindfulness was associated with lower levels of anxiety, depression, and burnout in the ER nurses.

Mindfulness may help in this high stress context by helping with the interpersonal conflicts that are reported to be at the root of their stress and burnout. Mindfulness has been shown to improve interpersonal relationships and social connectedness. This may be very helpful in dealing effectively with co-workers and thereby reducing stress and improving social resources for dealing with the stress.

Mindfulness has also been shown to reduce distress contagion. This occurs when one person observes another suffering a disease or injury and experiences in one’s physical body a similar or related distress. This is common in nurse–patient relationship particularly with empathetic nurses. In fact, this distress contagion is the physical equivalent to empathy. By reducing this distress contagion mindfulness may be reducing stress and burnout.

Mindfulness has also been shown to improve emotion regulation. Mindful people are better at recognizing their emotions and responding to them effectively. Mindful people experience emotions fully, but recognize them and don’t let them dictate what they do. This allows them to work effectively in an emotionally charged environment like the ER.

Finally, mindfulness is known to reduce the psychological and physical responses to stress. Being mindful doesn’t inoculate the individual from stress. Rather it blunts stress’ effects on them. This occurs on a physical level with lower stress hormone responses and lower sympathetic activation in response to stress. It also occurs on the psychological level with less anxiety and depression produced by the stress.

So, burnout burnout with mindfulness!

CMCS

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