Friday, April 27, 2012

What Burnout and Burnt Food Have In Common


Working in this field comes with a price. Increased workload, high turnover, and increased patient acuity: these are only some of the issues that plague the nursing field today, and they have very real repercussions. Translation: hospitals are short staffed, and consequently their nurses are overworked. Many studies correlate understaffing with decreased patient satisfaction and increased nurse burnout. According to one 2010 Survey, the average turnover rate for RNs practicing at the bedside is 13.8%, and that number is even higher for Med/Surg RNs like me at 16.9%. The majority of these nurses leave their jobs within one year of accepting the offer. 

Burnout [burn-out]: a state of emotional exhaustion, overextension, and decreased sense of personal accomplishment associated with increased psychological distress, physical illness and alcohol and drug abuse.

Voluntary Turnover. With 8.2% unemployment nationally. This tells me that many who love nursing are finding the hospital environment unsustainable. Although the nursing workforce is growing, studies suggest that by the year 2020 there will still be a shortage of approximately 800,000 nurses. That means that the correlation between understaffing, patient satisfaction and nurse burnout is far from over.  We, as nurses, must therefore learn to cope with the strains of our profession if we are to have any longevity in our chosen career.

I advocate a simple principle: guard both the quantity and quality of your free time.  


1.)  Quantity.   A nursing professor once advised me to not work overtime during my first year out of school. It was some of the best advice I ever received. The pressure to work overtime is immense in short-staffed hospitals, and the money is good. Resist the temptation. To this day, I can count on one hand the number of overtime shifts I have worked. If we are to believe what the statistics and examples above imply, working just 36-40 hours a week is hardly sustainable for many nurses, let alone 50-60. Know your limits. To be able to provide the quality care we pledge ourselves to when we become nurses, we must also provide quality care to ourselves. That means leaving the hospital and nurturing other parts of our lives.

2.)  Quality.    As nurses, we are constantly giving of ourselves to other people. We can only give as much as we have stored. A wise person once told me that the most excellent ministry comes from our spiritual overflow. Sustainable nursing must also come from personal overflow. I don’t mean to get to philosophical here, so stay with me. We need to find activities, hobbies, etc. that give back to us, that refill our empty storehouses to the point of overflowing. It’s the classic work hard, play hard principle with a twist.

Homemade Lemon Squares
For me, that replenishing time happens in the kitchen. I hole myself away to try out delicious recipes I dog-eared months ago. Do they always turn out? No. But there is something so innately satisfying about using simple ingredients to attempt culinary magic. Cooking feeds the creative side of my brain that gets neglected during the week. There is this je-ne-sais-quoi that is simply celebratory about the kitchen, connecting you back to the holidays and special occasions that have long since past. Even the food itself, raw and earthy, is therapeutic. The fresh scents and bright colors are a welcome break from the recycled air and stale hospital light.

A while back I hit a wall. Although I rarely have a lack free time, the quality of my spare time took a serious plunge. I wasn't living inspired, and the old hobbies had lost their luster. Coincidentally, I was frequently coming home from work exhausted and frustrated. I realized that I was trying to put my work, however vocational it may be, in a place it was never meant to be. I needed to revitalize my spare time. My husband bought me a DSLR camera for my birthday with instructions simply to try it. I had often ogled at photography over the years, a pastime that reached nearly obsessive levels while we were planning our recent wedding. With his encouragement, I dipped my toe in the water of a new hobby, and with much success found my inspiration again. It even revitalized old familiar friends, like my tiny kitchen, with new life. With my creative needs furnished, work found its proper place in the rest of my life. It became enjoyable again, as it was able to meet much more reasonable expectations.

Maple Walnut Scones with Vanilla Orange Glaze
If you are a nurse or a caregiver in any capacity, you must take care of yourself or you will quickly burn out. The quality of your alone time is equally as important as the time itself. What are you doing to nurture yourself today?



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