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Chapters
Background to Nursing Burnout | Burnout in the Radiology Setting?
Background to Nursing Burnout | Burnout in the Radiology Setting?
chaptercontinuumdifferenceemotionalfallNonenurseradiologyspecialtytalk
What Causes Burnout | Burnout in the Radiology Setting?
What Causes Burnout | Burnout in the Radiology Setting?
absolutelycarecaringcategorychapterdealdepartmentdirectoremailfatigueleadershipNonenursenursingshiftssignsslidesstresssurvey
Signs of Burnout | Burnout in the Radiology Setting?
Signs of Burnout | Burnout in the Radiology Setting?
breathbusychapterdeepexhaustedinsensitiveloveNonepatientpatientssicksignstomachstresswarning
Strategies to Avoid or Alleviate Burnout | Burnout in the Radiology Setting?
Strategies to Avoid or Alleviate Burnout | Burnout in the Radiology Setting?
chapterholderjournalloveNonepresentationstresstimely
Develop Your Emotional Intelligence | Burnout in the Radiology Setting?
Develop Your Emotional Intelligence | Burnout in the Radiology Setting?
abilitybehaviorchapteremotionalknowledgemanageNonestress
Self Awareness | Burnout in the Radiology Setting?
Self Awareness | Burnout in the Radiology Setting?
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Self-Management | Burnout in the Radiology Setting?
Self-Management | Burnout in the Radiology Setting?
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What Comes Next | Burnout in the Radiology Setting?
What Comes Next | Burnout in the Radiology Setting?
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Q&A- Nursing Burnout | Burnout in the Radiology Setting?
Transcript

[Music] since all right I like to move around a lot when I present so I'm gonna struggle so if I am ever away from the microphone and you can't hear me just give me a signal or a hand wave or something but because there's so many words on my

slide I'm gonna try and stay right here okay so I heard somebody say when you

heard the title of my presentation is what we burn out in radiology yes we do just like every other nursing specialty and every other first responder that you

can think of some a lot of the research that I found was for police officers because they have the same give your 110 percent all the time every day on every shift and it burns you out okay so yes we do have it in the radiology setting

but in our case nurses are the fabric that hold the healthcare system together who sees the patient more than anybody else in their stay it's us okay so normally when I give this presentation to a smaller group this is a bit of a

big group so we're not gonna do this as an activity but I want you to just think back why did you become a nurse in the first place what led you to do it anybody brave enough to give me a story cuz if not

I'll give you mine okay I'll give you mine I was unfortunate enough to have to be in the hospital at 13 for surgery the hospital I was in did not allow mom to stay overnight put me in a two bedded room

with a spanish-speaking only woman that had just had a hysterectomy and was screaming III all night okay so here I am terrified and the evening nurse came in and said I'm gonna give you a pain shot

and then I'm gonna sit with you until you fall asleep that was it and I know I'm gonna get teary here and there so please excuse me I knew right then and there I wanted to do that I wanted to make a difference so anybody

else brave enough okay what you got Thank You Joanna PO did everybody hear her do you need me to repeat that I do hear a lot of my mother was a nurse and I saw how much she cared my sister was a nurse my father was a nurse or a doctor

there's a lot of that that happens but ultimately it always comes down to now granted you're gonna have those few and far between people and I hope they're few and far between but say they went into nursing because you can get into it

with an associate's degree and make a decent amount of money and it's all about the money there are some in our career and I've even met some that I even to this day I became a nurse so I could meet a doctor

and quit working not kidding I am hoping that that's few and far between honestly most of us it's because we want to make a difference we wanted to help we wanted to show compassion for someone else but the problem with burnout is we get into

compassion fatigue which if you made Kathy Brown's lecture the other day I only made half of it so I may repeat some of what you said but that's where we get when we're burned out okay so that's what we're gonna talk about today

okay the objectives for today it's very simple this is going to be a very relaxed this is not stressful I want everybody to just sit back relax and I want you to reflect and think if taking notes helps you great

but just enjoy this one okay so at the end of the lecture I want you to be able to define the difference between stress and burnout because I can tell you just ten years ago I wouldn't have known the difference so we're gonna talk about

that understand where you are as far as a burnout level and that's the activity we're gonna do you all have an opportunity to take a burnout survey and you will get that I can email it to you if you want to take it back to your

peers to see where you fall on that continuum because no matter where you fall on the continuum even if you're at a low risk you want to stay at a little risk so it's good to know where you are so we're gonna do that we're gonna

describe a little bit about the topic of emotional intelligence I'm not gonna go into it a lot I could talk eight hours on emotional intelligence alone because it happens to be one of my passion but it really feeds well into this so we're

going to talk about what emotional intelligence is and it's one of the few things that you can actually increase and improve and change so we're going to talk about that just a little bit and then I want you all to be able to walk

away with one thing that you can do to alleviate or mitigate burnout okay so

what is burnout the description is a broad-based syndrome that develops gradually over time associated with mental and emotional exhaustion but the

problem is aren't I always mentally and emotionally exhausted after a 17-hour shift because I happen to be on call so this is where I really came into the conversation in my own head and yes I talked to myself am I just stressed or

am i burned-out and it is a really good question because stress can be good stress gets your adrenaline going and it gets you in the moment it makes your concentration sharper and it allows you to do a really really good job so stress

is good but when it's continuous stress it can lead to burnout so this is described ascribes the difference as while stress is characterized by over engagement meaning I've got I'm going above and beyond I'm giving my hundred

and ten percent which I've always hated as a saying because how can you give more than a hundred but it fits for this presentation but burnout is characterized by that disengagement of I don't care anymore

okay which none of us want because we all went into nursing because we are carrying people okay the way I like to think about the difference between stress and burnout and this is how I one of the reasons why

I finally realized at what point I was burned-out stress if you get to take a vacation you go back to point zero you're able to rest and recoup go back to work and you're at even level if you go back to work and on five minutes in

on day one you're already back to the state that you were at before you left for your vacation that's not stress that's burnout that was the easiest way for me to tell when it went from stress to burn okay I hear

people laughing okay got a couple of cartoons in here because as you will learn over the next hour I'm a bit of a bit of a goofball in my life in my family we handle stress by laughing we are very inappropriate at

the most weirdest times but that's how we deal with stress and I pulled that into my nursing career in my personality because that's how I do it so hope you like that one okay so burnout NIR or radiology

so burnout has been described as having three core dimensions an overwhelming feeling of exhaustion with compassion fatigue and we're gonna go over that a little bit more in the next few slides feelings of cynicism and detachment for

the job I'm a sarcastic girl by heart this was a tough one for me to figure out where I fell on that am I just my normal sarcastic self or am i a little past that and now I'm truly being cynic it's a tough one and a sense of

ineffectiveness and lack of accomplishment again that's the difference between stress and burnout stress is your overachiever and you're burned-out person is your disengaged okay so what causes burnout these next

two slides and I know you probably could have written these slides for me but what causes burnout specifically in our area so number one long shifts a lot of us choose and have the opportunity work ten or twelve hour shifts which is

phenomenal because you only have to be there three or four days a week but they're long shifts and then god forbid you're on call that night and a cold leg comes in at 5:30 guess what you're staying

so sometimes we end up I broke almost my own record recently and did a 21 hour straight shift before I got to go home and go to bed and thank God I was off the next day because I can tell you by the time I was driving home it was a bit

scary but it happens it's happened to all of us okay and we often find ourselves being put into some people mandatory overtime or like myself I'll get the phone call that the department is short my manager is not forcing me to

come but I feel bad and I want to support my co-workers so I'll pick up an extra shift even though I'm exhausted but I want to be a team player so okay putting others first is the other reason now we all went into nursing because we

care we want we are caring people we most often put everyone in our lives before us let's be honest especially people whose kids I do not have those I only have the furry variety but as a whole the nursing community is

notoriously selfless we feel that it's our calling to help others but do we care do we put enough attention and caring into ourselves and I bet you most people would say no honestly but we because we want to care so much for

others we are more likely to get burned out does that make sense okay I'm gonna have the two girls that I've asked are going to pass out a survey while we do this last slide if you need a pen they'll give it to you

the other two causes that I like is busy high stress environments is it high stress and busy in your department absolutely but we even you know one of the slides that the last presenter did said that errors occur when you are

under what was it under productive or over productive I forget the verbage she used but how many times I've made a stupid mistake because our first case got delayed for two hours and I sat there doing

absolutely nothing so my mind wasn't engaged now that it's time to work I'm not there so both can be absolutely yucky and let's be honest I have some nurses in here that the nurses for a long time there is a lot more technology

and computers and requirements as far as charting now than there ever was so you've become very detached from things but to me one of the most important ones is the fourth one and I know Cathy talked about this a lot in her

compassion fatigue lecture yesterday is that we deal with sickness and death all the time we see those patients that are the same age as us and they're not going to make it another year we see that person or that child that doesn't

survive we deal with that every day okay so my question to you in general as they pass out the stuff how do you distress how do you get rid of some of that give me some ideas on how people do that I was waiting for that that is usually the

number one answer and he said drink which while it is an immediate fix if that is your only decompression strategy you're in for some trouble but then that's guaranteed work for us later so you know that's okay

how else does some some of you deal with stress gardening dancing I love it what you got Cathy whoo she said horizontal adult activity is how she deals with stress okay you know the point is I don't care how you want to deal with it

but you have to deal with it I know all of you must know somebody who is in the field whether it be a nurse a physician and EMT or whatever that their only mechanism to release that stress was drinking or whatever or bottling it up

which could be even worse and they ended up quitting the profession because they couldn't deal with it so bottom line is I don't care how you deal with it but you have to have a way to get rid of it some people like

crafting some people exercise I don't know why the only time I'm the only time I want to be running is when there's a car running behind you no chasing behind me what did you say Johanna mm-hmm oh no I

know why don't give me the nursing answer so bottom line you all have to have a mechanism to release some of that stress so what I want you guys to do if you want to participate you don't have to I am gonna be quiet which is very

difficult for me for the next couple of minutes to give everybody a chance to fill out the burnout survey that you got be honest you don't have to share your answers with anybody it's only it will only help you if you are completely

honest alright so while you're totaling in essence what causes burnout and specifically in our department are you ready for the list I did a a group whole of some of the people that were around me ready staffing schedules long shifts

fatigue excess noise in the workplace no it's never noisy work load time pressures difficult co-workers and challenging patients and Families lack of control in the work environment inadequate resources exposure to toxic

substances what sorry that one made me laugh potential for hostility and violence so basically just about everything we do can lead to burnout if we don't help you figure out a way to deal with it does that make sense is

everybody done with their survey okay so let me tell you why I did this survey in the first place and then we're gonna talk about if anybody's brave enough you don't have to stand up I'm just gonna do a show of hands and see where everybody

fell I first saw this survey I have been interest for 28 years I was a nurse for about 15 years when I decided to go back for my BSN as soon as I finished my BSN I decided I wanted to go into leadership so I went back for my msn in leadership

just as I was finishing that degree a great leadership opportunity opened for me in the organization I worked in to go and be a manager so here I am all excited fresh and chipper felt like I was a new grad all over again

and I can tell you the first five years were absolutely some of the most stress mode but invigorating years of my life I had a very supportive person over me who helped me grow helped me learn how to stand in front of a group

and not vomit in the garbage pail because I can tell you before I started that job I had to have a garbage pail any time I presented but even though it was a stressful work environment I loved it I thrived on it I was that over

engaged person you know I had to force myself to put it away at night because I was just so excited about the idea that even though I'd been a nurse for almost 20 years now I was finally in the position to

help make some changes okay so that director decides to retire damn hip for being so selfish okay so the way the hierarchy was in that department we had our director who is the one that decided to retire and myself and another senior

manager or assistant directors whatever you wanted to call us so it was the three of us director retired one week later my Cove manager got a promotion to director at another facility so it ended up being me

for nine months while we looked for partners now I would love to say that I was able to pull my supervisors but where I worked they were working supervisors 99% of the time they were taking care of patients and in the count

and barely had that 1% of their time to squeeze in to do evals and all of that managerial stuff so there was no way I could pull them so here I was for that nine months thinking oh I'm just stressed I'm just stressed it's no big

deal but I started seeing you know in the middle of this absolutely crazy day the only thing I could think of and this is gonna sound stupid the only thing I could think of doing was a crossword puzzle it was my way to decompress and

get away from all of the stress but I started to realize I was doing them more and more so am i handling my stress or am i getting burned out see what I see where I'm going so we get a new director in and guess what she and I are like oil

and water so for the six months after that was not nice either let's just put it that way so I had a very good friend of mine come to me and hand me a piece of paper very much like the one I just handed you and said please take this

survey I think you're beyond stress I think you're burned out and I'm worried about you and I laughed at her and I actually got a little angry and said I don't know what you're talking about I'm just stressed it's

been a tough year leave me alone well my desk didn't do anything for about three or four days and finally I was cleaning my desk a couple of days later and I'm like you know what she did it out of a place of caring I really didn't handle

that well let me at least take it so I can throw it back in her face and say see I'm not burned out I'm just stressed well I took the survey and the first time I took it I was in that highest category of 60 to 75 I believe my score

was 72 and it was such an aha moment for me now my situation was management and of course it was influenced by a million different things but it doesn't matter if it was management iron nurse Ct nurse pet nurse doesn't matter when you're

burned out you're burnt out okay I had to do a lot of soul-searching I am obviously worse off than I thought meaning very burned out it's here on paper it's black and white I started to get really involved in the topic doing a

lot of research and saying okay now I know I'm burned out but now what what the heck do I do now so that's why I got so passionate about doing this presentation because even if you took the survey we also talked about what

causes it and I'm going for the next few slides they're going to be sometimes that you or maybe your co-workers are burned out so it's not only the survey it's everything but do I have anybody in the room that is brave enough to raise

their hand if they fell into that very high category well thank you for being so brave we did have I think two or three people welcome to my club it's not a lot of fun but you it can improve I promise you it can improve this in my

personal history was three and a half years ago I have since taken the test two more times and each time I am moving down in categories the last time I took it was before we came and I was at risk of burnout I was no longer in the

burnout category so it is possible to come back from that highest category was anybody surprised by where they fell no do we know in our heart of hearts and in our sub just that we are a bit burned out

probably a little bit was there anybody that was lucky enough to get 15 to 18 no signs of burnout oh my god I love you you are my hero I want to grow up to be you there you go that could do it she said she just changed jobs oh my

goodness gracious all right we're gonna toast we're gonna talk about signs of when you're burned out and then we are gonna talk about strategies to alleviate how the heck do I get out of this hole that I've dug myself in because I love

being a nurse and at this point in my life I was actually considering leaving and doing something else I'm like you know what I want to go back to working in a clothing store where I don't have to deal with life and

death issues anymore thank God I didn't because I do love what I do but you've got to do something to get out of that hole so I invite the two people that unfortunately said they're in hi to please email me I will help you out of

that hole any way I can okay so we're gonna go over a few of the slides if you chose not to take the survey that is absolutely fine I have a million extra copies because I didn't know how many people were gonna come if you want to

take a handful back to your department and do it as a group you're absolutely welcome to take them okay I absolutely you will eventually get every single one of the presentations that you got that you saw at this convention including the

ones that you didn't get to see but it's gonna take a couple of weeks so what I'm committing to you is if you want the presentation and the burnout questionnaire now because this is an issue for you I want you to put your

email in my notebook up here when I get home tomorrow I will email those to everyone tomorrow okay because this is something that's important for you and remember my slides are coming up that are so busy you're gonna nod off but I

want you to be able to use it right away if you think this is an issue for your group all right signs that you are

burned out so if you chose not to do the survey you can certainly go through this and see how many

you can say yes on so are you constantly sick and tired do you ever find yourself struggling to keep your eyes open even when you're out with friends or is it getting harder to get out of bed than it used to be physical exhaustion is one of

the earliest warning signs of burnout but don't we all attribute it to the stressful day that we just had that we're busy with the kids we're taking them to soccer we're taking them here I don't have children but I have very sick

elderly parents so for me it's the other way but when I was feeling exhausted I just I'm just tired it's busy it's busy but it can truly be one of the first signs that you're getting past stress and into burnout so burner can also

cause physical symptoms including headaches insomnia stomach upset weight loss or gain and it can make you more susceptible to illness do you have those people in your department that are always flippin sick do you wonder if

maybe they're burned-out and that's why they're always sick it's a really good question I was talking to the people I currently work with and even though I happen to work at a phenomenal organization right now and it's the best

job I've ever had it's still stressful I was shocked out of the 12 of us seven of them said they suffered from insomnia seven I think that's higher than usual so we had that conversation of you may be starting to burnout you may need to

help you know pull back a little bit so it definitely is an issue so if you're constantly sick or tired and I'm not making a joke on that one even though I could please seek out medical attention to find out if there is a medical reason

maybe your hypothyroid your vitamin D is low because surprisingly most of us are there may be a medical reason that you're always exhausted but if you've ruled that out it may be that you're going past stress into burnout warning

sign number two and I love this one because I can come up with every single day where I feel just a little underappreciated but this is warning sign number two and I love that cartoon is that not adorable

and yes stress can kill you it's easy to feel underappreciated on a given day what we do we do so much stuff all at the same time and most of the time our patients and our supervisors don't even see

what we do let's be honest we do but we're so busy doing it we don't feel all the good that we do if you start to seriously feel underappreciated you need to kind of take stock and why am I so upset

is it me am I having some issues is it I don't have good communication with my supervisor is it an issue with my coworker and maybe I need to sit down with them and work on our relationship it's okay to say no to extra assignments

I know that's a tough one no is the hard word for me those of you that know me yes I am the chair of the Planning Committee I am also one of the master faculty they teaches the review course to study for your certification exam

I'm also the state chapter president I have a hard time saying no I get so passionate about getting involved that I realize I'm under a mountain I learned how to say no ask Pauline we were at a meeting the other night and they asked

someone to step up and do something and my answer was I'm sorry but I have to say no I have to figure out how and when I have enough it's okay to do that you just have to do it professionally and not snarky which as you can tell by my

personality I sometimes have troubles with I did say no I was very proud of myself I waffled a bit but I said no and yes and it's a hard thing to do especially when you want to help okay do you spend your drive home chastising

yourself on how you handled a certain situation I know I sure as heck do so I'm in a couple of slides I'm gonna share with you how I process that information and I'm finding it's being very helpful in moving me down that

burnout scale okay sign number three dreading going into work I just love the guy over on the right I had so much fun with these people okay nobody wants to work on a holiday or a weekend but if your stomach is getting tied up in knots

when you wake up going oh crap I have to go to that job again it's probably a sign that it's more than just stress okay but we don't want you to just soldier through this is your body's Way of

telling you this is not just stress this is abnormal okay now it's gonna happen to all of us some days granted if I had to work that next day or after I worked my 21 hour shift do you think my stomach would have

been in knots getting up absolutely but it shouldn't be consistent okay I loved the third one if an unsupportive nurse manager or co-workers from hell do you have any of those are making your work life a living nightmare it might be

time to look for another job I'm being honest for me that was it that was my solution I was so uncomfortable in the situation I was in feeling like I wasn't getting the support even when I shared with the person that I would realized

how burned out I was I got no support for my well-being and for my marriage it was time to find a new job but it doesn't have to be if you have a supportive group you can come back from it and stay in a job that you love it is

possible okay so if you're not ready to leave the do job try picking up a new skill or taking a class so let's say you always work in IR maybe you go to your boss and say hey can I start picking up a few shifts in CT just to do something

new to challenge myself with a new task it's a great way to refresh that passion for what you do without leaving the job if that makes sense okay our fourth sign does anybody remember what that blow-up guy was from airplane I love Tim so

warning sign number fours you're going through the motions okay so here's my question were you inspired and motivated after nursing school where you went into your shift and you were so excited to go in and take care of that patient and I

can tell you after I got that leadership job I went in everyday all excited on how I could make a difference but do you see that now you're almost trying to avoid the interactions with your patient and you may not and I hope you don't but

there have been times even now as I'm healing that I'm thinking in my head I just wish this patient was shut up please be quiet and then I have the other side you know the devil and the angel

and then the angel goes Lauren take a deep breath it is not your patients fault you're having a bad day you love what you do go back to that take a deep breath and go back but it happens it happens to all of us and it's not that

we're bad people and that we don't care anymore we just we're overstimulated is the best way I can describe it okay all right and our last sign is that you're becoming insensitive to your patients and the the situation I just just

described and it admitted to which I can tell you is an embarrassing thing to have to admit but I admit it you you can absolutely become insensitive to your patients how they're feeling what they're going through this meta port

I've done seven of these today I'm frustrated I want to go home I have a headache I don't feel well but you forget that for this patient this is life-changing probably in the last week their life has been turned upside down

with a million procedures and new diagnoses so it's taking that deep breath and refocusing okay so if you can and that happens take that deep breath try and take a break which I know is hard some of us don't even get lunches

but even if all you do is I've actually turned around and faced the corner and done three deep breaths and my staff because I've shared with them the struggles that I'm going through if they see me facing the corner they just let

me be because they know I just need five seconds to compose myself okay burnout is not a moral failing I struggled with this a lot because I kept thinking like that okay so now we're

gonna talk about is now you know where

you fall on the burnout scale we've gone over some of the signs if you have found out that you are either on the way or already burned out what the heck do I do with that information should I just quit nursing and hopefully the answer is no

because we all love what we do we just have to figure out how to reconnect with that okay again these are all the slides with a lot of stuff on there but I want you to have the information for you and your peers so

number one is set boundaries knowing when to say no okay I've been working on this burnout and my over stress or whatever you want to call it for three and a half years and I'm still struggling with how to say no I'm not in

a store key way because that will get you in trouble but just to be able to say you know what I'm done I'm saturated I can't take on one more project unless I get rid of one okay no shame in that set boundaries on your commitments both

in and out of the workplace I had someone say to me the other day when I told them what I was presenting on oh I'm not burned out in my workplace but I'm burned out at home same rules apply it's still burn out and you're still

gonna take it out on someone else not meaning to you're not trying to hurt anybody but you're going to because you're past the point of stress okay process your emotions and this was a tough one for me so that's why I had

asked earlier what do you do to de-stress you have to have a way to process them okay especially after a taxing shift I would love to hear every single one of you say if you lost a patient in a very traumatic way like a

code that didn't go well or you just found out that paracentesis patient that you've known for twenty years just passed away whatever it is that you have a debrief but I know we work in a hospital where you have to go oh I'm so

sorry mr. Jones died okay are we taking care of next and you don't have a chance to process that I will warn you I am NOT a journaling person I have never done a journal in my life I find it waste of time I've always thought it was stupid

or I would do one page and never come back to it I have started committing to journaling not every day but if I had a day where something was bugging me my drive home because remember I said if you spend your whole drive home

chastising yourself for how you handled something what I then do is go home I don't like writing in a book I rather do it on my computer and I don't even save the document it's just the act of putting it down on paper okay and where

it little later if we have time we can do a journaling exercise just to show you how I do it but I will literally write down what happens how I felt and I have to be honest with myself and

that's not always easy because then I feel bad for feeling some negative emotions but you have to acknowledge them to deal with them and then think about how I could have handled that situation differently then I erased the

document and walk away and I let it go and I have found it to be extremely extremely helpful and as I said I'm not a journaling person this is not my thing but it's been a way for me to get it down out of my head out of my heart on

paper move on and I've noticed that I'm having to journal less and less so I'm considering that a success okay put yourself first so I said this to someone the other day as I was trying to get my presentation ready and they looked at me

and said I have five children when the hell do you think I'm gonna be able to put myself first between working full-time and this person is going to school and five children when the hell can I put myself first I'm like okay do

you get a shower in the morning she said yes I said make it three minutes longer and stand there under the hot water doing some deep breaths and relaxation it may be fifteen seconds here fifteen seconds there but you've gotta find

those times for you and it doesn't mean you don't love your children it doesn't mean you don't love your job but as I said if you don't decompress you will implode or worse explode and you'll end up hurting

somebody by making a mistake because you're emotional because we already taught had the lecture this morning which was so timely I didn't even realize when we put this talk after that one how timely and connected the two

presentations would be okay and again manager stress we've talked about this a little bit okay exercise is definitely a strategy to get rid of some of that stress for those of you that enjoy the exercise please go ahead I find a

torture I still do it because I know I need to and it's the healthy thing to do but for me it doesn't make me feel any less stressed if it works for you though great as I said everybody's gonna be different I like to so that's my thing

so I find when I am really overwhelmed I will literally go in and make a pot holder do I need another flippin pot holder no but by the time I'm done with the pot holder I feel better

so you got to figure out what that is for you and broaden your network get involved and that's what I love about this conference somebody said it in a presentation the other day and I don't remember who it might have been Kathy

but they love coming to this convention because it reaffirms that I love what I do I'm passionate about what I do so in that busy moment I go back to I love what I do okay so the way I think of these conventions of what I love the

most about them and I always love to make sure we have at least one presentation that and I call it the pull on the heartstrings moment that AHA of why I do what I do and for me this year it was the Johanna Poe lecture about rad

eight and making a difference in other countries could you imagine being in a country that had 60 million people and didn't have a cat scanner so for me that was the moment in this convention but I love coming to these conventions because

I'm able to fill that cup that I can draw on for the next year or in this case now just six months if you come see us in Ohio the other thing I want to point about out about broaden your network and this

takes courage is sharing your struggles with your co-workers now it doesn't have to be everybody we all know we have that co-worker that would just laugh in your face if you told them you were feeling burned out but I'm hoping every single

one of you has at least one co-worker that would understand and want to help you with it partner with that person because there are a few people in my job that I have shared it with and they can tell when I'm starting to get there

because they know me and they'll just say turn around take a few deep breaths go get a coffee come back and it's amazing how much I feel better after just recognizing the emotion even if it was negative it doesn't make us bad

people and then get back to work so try and partner with your group and that's why I suggested taking this presentation bringing these burnout surveys back to your job and do it as a group if you guys all find out that

you're at the same spot even if you're on the lower end of the scale guess what you want to stay there okay so as I said I could probably do an

eight-hour talk on emotional intelligence so I am fairly gonna

scratch the surface if this ends up being a topic that's interesting to you and I'll tell you in a few minutes of why I decided to add this for me the reason why I love the concept of emotional intelligence is unlike IQ and

we'll talk in a minute about the difference which is knowledge okay I could read books all I want I am NOT going to retain it my IQ is not gonna go up no matter how hard I try but you can absolutely increase your EQ okay so

emotional intelligence was first defined in 1990 as AI or emotional intelligence sometimes called EQ so emotional quotient so you may see it both ways as a learned ability to perceive understand and express our own feelings accurately

and manage our emotions so that they work for us not against us as you can tell I am a bit of a passionate person I have a very short fuse I can lose my temper I had to figure out what my triggers were and when it was going to

happen so that I could stop it and do my deep breathing and make it so that I wasn't making a fool out of myself and having to because I can't tell you how many times I had to go to somebody afterwards and say I was not mad at you

I really hope that you didn't take that personally I was frustrated with the situation but if I'm being perfectly honest I want to catch it before I had that blow up and had to apologize for my behavior okay

with AI or EQ we have the ability to identify use understand and manage our emotions in positive ways to relieve our stress communicate effectively empathize which let's be honest is the key of what we do

overcome our challenges and defuse conflict okay so that's a basic of what E is and this is just a quick slide because people go well I've heard of IQ but I haven't heard of EQ so what's the difference

IQ is intelligence so it's we collaborated or what's the word calculated based on a standardized test it's knowledge knowledge of the world how you reason how good is your memory and I could omit mine is not the

greatest and how you reason your EQ refers to a person's ability to perceive control evaluate and express their emotions by identifying them controlling them then perceiving how others feel using the emotions to facilitate social

communication and relating to others so doesn't it sound like EQ is something you'd want to work on I mean I admit when somebody first gave me the first book I'm looking at them thinking you know it's this new age kind of stuff and

I don't want it but when I realized it was something I could work on and I had the chance to improve it it really did pull me in okay so why bother to develop your EQ I just pulled a few quotes from all of the research that I went through

okay police officers who are able to identify and manage their own emotions report lower levels of stress have you ever seen those videos on YouTube and I know there's a lot of them that show our police officers in a bad light and I

hate that because I love our police officers okay but have you ever seen the ones where the person is just pushing that police officers every button and they manage to stay calm and I'm sitting there watching the TV going how the heck

did they do that it's all about your EQ and recognizing those emotions and being able to handle them and not react to the poke in the shoulder okay male and female nurses who possess a high EQ experience less stress and lower levels

of burnout so wouldn't you love to be less stressed and burnout at work in nursing emotionally intelligent leaders for the leaders in my room influence retention quality of patient care and patient outcomes and as we heard in our

previous lecture less errors emotionally intelligent health managers inspire their teams to go above and beyond because they get back to that passion of why we're doing what we're doing because we want to help when we want to be great

nurses and make a difference okay so I'm not gonna go into detail there is a lot as I said I could do eight hours on emotional intelligence alone what I want you to walk away from is literally the part on the Left which is all about

self if you've never looked at EQ or AI and this is the first time you're talking about how burned out am I is it stress or burnout I don't want you to get too overwhelmed with all the details start with number one self-awareness and

number two self management so we're gonna talk about those separately okay so self-awareness what kind of

relationship do you have with your emotions are you that person that just shoves it inside and ignores it for

another day a lot of times I admit to that but it's gonna blow up at some point in it so you have to be able to recognize what emotions you're having even if it's negative I already shared my example of

thinking why won't that patient just be quiet I need to concentrate on my charting negative emotion I hate to admit that I had it but I had it it's okay I'm human recognize it and then act on it not in a

negative way but in a positive way so that makes sense okay and self-awareness simply put to be self aware is to know yourself as you really are it's a continuous journey of becoming more and more comfortable with the true essence

of who you are and just a few tips quit treating feelings as good or bad this one I struggle with every day when I have a negative feeling about a co-worker or a patient I feel guilty instantly but I have to learn that that

doesn't make me a bad person it was an inside thought I didn't shout it out to the world and hopefully it wasn't in my body language recognize that it happened take a deep breath and start over and start looking around what is the ripple

effect of your emotions okay I happen to be one of those people that feed off the emotion of whoever I'm with so there are certain people that I work with if I work with them I can guarantee you I'm gonna be cranky by lunch because there

are more of that negative not inappropriately negative but just less the fun to people to be around I end up acting like them by lunch where there's a few other people including someone who be happens to be sitting in the audience

that I work with when I put myself in her room I am happy all day long we may be stressed we may be working our tails off but we are having a good time while we do it so can you always pick your coworkers no but if you do have any say

in that it does help to figure out who makes you a better person and who brings you down okay lean into your discomfort this one was a very very tough one for me if I'm having a negative feeling I really just need to recognize it accept

it and now I'm gonna act differently than I would have if I did it by instinct okay let's see feel your emotions physically which I don't like in the workplace I tend to do that more in my journals later because I know in

the workplace I've got to be more professional no one pushes your buttons do you know what pushes your buttons yes you do and unfortunately your co-workers know how to push your buttons too okay keep a journal like I said I'm not a

general person but it has been helping me don't be fooled by a bad mood you can turn it around but don't be fooled by a good mood either cuz if you're someone like me that feeds off the energy of the room you can change it around regardless

because I've been having a great day until one person walked in the room and that's it I'm a crank now so you have to be careful with that and visit your values I've had to do a lot of self inspection I guess you could say over

the last few years on what I think is important if that makes sense okay so

the second part is about managing those emotions when you recognize them communication between your emotional brain and your rational brain is the

source of emotional intelligence so the next slide is going to explain what that means okay so here's how it works our brains are hard-wired to give your emotions the upper hand which is why we have to recognize them ready everything

you see hear taste smell and touch travels through your body in the form of electrical signals these signals pass from cell to cell until they reach your brain they enter the brain of the base near the place where rational logical

thinking takes place the trouble is they pass through your limbic system along the way where emotions are produced this ensures you experience things emotionally before reason even has a chance to kick in your body is working

against you so this is why it's so important to be able to recognize your emotions positive negative neutral doesn't matter recognize and then figure out how you want to handle this and not let your body just take over and have a

meltdown and I've had some I admit it but that's what EQ does is it it helps you recognize those emotions and figure out how to deal with them now we've only gone over a tiny little slice of EQ e i if you are all interested there are so

many wonderful books out on the market I can recommend a few but if you're gonna get into it at all this is where you need to start you love your literal mo Jian in in the corner there are times at work that I literally have to think of

that emoji and go because me saying something is not gonna make it better I just need to recognize the emotion in my head and figure out how I want to handle it it's hard it's hard you want to just react okay so what comes next you've

decided that you are burned out at whatever level you were at we've talked about some things we can do okay be aware of your emotions in the moment if this has at all sparked any passion or interest in you start to read those

self-help books I know it sounds corny but there is a lot out there that can be helpful practice meditation junk yoga journaling whatever you feel is gonna work for you try not to take things personally which I know is very

difficult I've had to focus more on expressing my empathy towards others and get out of my box of I am so overwhelmed because this is my tenth patient I have 10 more and I'm on call and I'm trying to chart and my computer's going slow

and oh god it just shut down and rebooted itself I have to go back to that patient on the table that's getting them my ninth met a part of the day who is terrified because they'd just been told they have terminal

cancer and go back okay so I don't think I'll do the exercise because we are running late on time and I want to be able to answer any questions if you have them but this is what I personally do with my journaling when I get very

frustrated at work or I'm constantly thinking about him something on the way home as I said I go home I write out the situation how did I handle it and I have to be honest with myself not always the best how could I have done it

differently so that the next time I'm in that same situation I might handle it differently and then for me I don't keep them I don't want to look back on them some people feel that it's helpful after you've been journaling for a while to go

back and see how far you've come I don't like that I just get rid of them for me it's the cathartic effect of just putting it on paper recognizing it recognizing I could have done something different and then just letting it go

okay but the key I want to tell you about journaling don't worry about grammar or spelling or penmanship this is just about acknowledging your emotions you'd be surprised there are some OCD

people I can think of right now that would be so focused on that they would miss the point it's not about any of that you're not publishing this okay so make it simple so here's my second cartoon I was suffering from burnout but

with some time off and a little yoga it's starting to go away okay and if you could have seen a picture of me a year ago this would have been the visual representation of how I was feeling and luckily if I could use this as a visual

representation each time I'm taking that survey I have less and less burnout so it is possible okay so I just threw this thing because I thought it was fun I found a survey done in 2014 by the Business Insider that was what were the

top 20 jobs for work-life balance and happiness and of course I had to look up what the heck an SEO specialist was search engine optimization specialist what can I tell you do you realize that there's no nursing on that list there's

no police officer on that list there is a firefighter and I think that's probably because they do the 24 hour shifts and then get two days off but I found this interesting that there are other jobs I don't want anyone to ever

leave nursing because they were burned out but I just thought this was kind of funny but if you noticed this was on a five scale like a 5.0 scale and even the highest work/life balance was only 4.4 how sad is that as as a definition of

our society 4.4 is the best ever it's kind of sad okay I just like this because for me it was the visual representation of how do you try and make it all work on one side you've got your work on the other side you've got

your life and how the heck do I make it work find time for me recognize my emotions deal with them appropriately and care for my patients the way I've always wanted to so I'm going to close with this quote professionally speaking

are you just a lot are you alive or just lingering are the people who work with you or for you thriving or surviving if the quality of your professional life is questionable prolonging it maybe a disservice there are worse things than

death for a professional person or a professional it's living in that weird limbo of I'm so burned out I have no happiness in my life if you have to make a choice go for quality all right any questions so while she

gets up I'm gonna share again that I have a notebook up here if you don't want to wait the two to three weeks it's gonna take Erin to get everything up on the website and you want this questionnaire and presentation emailed

to you tomorrow please come up and put your email down for me and I also have about 80 copies of the questionnaire if you would like to take some back to your hospital ok question anybody Joanne okay go ahead I know

hi my name is Lynn I'm from Orange California I was one of the lucky nurses I've been under for 35 years and I was a foreign graduate just to share you the stress of my life when I started working as a nurse from Manila they brought me

to Manhattan to work in an ICU department and as a young lady who went to Manhattan I don't know how I survived the six months of my life but we few friends that was with me I did but I think I become stronger because after

five years in Manhattan I went to San Francisco for two years and then now I'm in orange because I marry a nice man time I mean I thought I have everything but when I mean I'm not I mean I'm not perfect but that convent you're taking

care I mean between the the generation taking care of my parents because they're sick taking care of teenager and then my work load I don't know how I survived but I'm giving you an idea what I did I have enough I said to my manager

enter that CEO I've been there in that hospital for 25 years I'm taking a personal leave for two weeks I just left everybody and I take her of me first what we like - how will I handle this and it's the first time you

did that and 25 years I took I because we have their very and I will not have that kind of experience the burnout yeah I never thought it will happen it's kind of saying how little we take care of ourselves and take care of

everyone else instead yes so that's my suggestion I I love I personally baby you they pay for that so for two weeks then I'm ready again and and this I really like this is my first time I did a couple of attending the our

conference but this time my kids right right now in college my parents died already I have more time for myself right so I'll be attending because aside from visiting different state which I love to travel I can see other state

aside from California and because I love to get all Europe and Asia I haven't really visit us well you're the example that you can get better how's that right so I'm just letting you know there's always a light and then we jerk with

your presentation oh she is right everything you have said it's really it sank that is the reality of life but you know yeah I was very nervous about presenting but it wasn't about presenting I am comfortable enough

getting up in front of an audience for me it was I wanted to make a difference yes I wanted at least one person in this room to walk away going oh my god I now have some tools did I get at least one person

[Music] joana did you want to share with us your relaxation technique what my father used to tell me you can control your action and reaction but you cannot control somebody's else action and reaction so

you're in a situation where in your colleagues or your friends or the patients will scream at you allow that individual to finish you and then with that individual finish look at that person it right to the eyes and said now

it's my turn to talk and you listen to me that's the we have to approach it because the vendor anger now it's your it's their turn to listen to you so you control your emotion you did you acted so now it's their turn to listen so

anyway let me just demonstrate to all of you and I would like everyone to participate later on one is what we call a five six seven breathing exercise what it does is that when you breathe in you expand your stomach you count one two

three four five and let me show it to you and then in a few minutes and then after that you hold it for six minutes you count one two three four five six and then you squeeze in your stomach in and count all so one two three four five

six seven now as you as you do this on the daily basis it relax your shoulder it also tightens your butt woman at the same time it's also tighten your and for us nurses it helps a lot because we try to squeeze in start the cooking

with the bathroom but we still have to take care of the patient so let me show it to all of you just watch my stomach okay you can come one two three four five achieve so you you learn how to do it and let me

see if y'all can try it and see and the other one that I learned also in the hallway I just well I find when I'm really stressed I'll recognize it cuz my my shoulders are up around my ears and I'm like oh my god I didn't even realize

I was feeling stressed but this is my key signal I have no neck okay put him down and relax right oh I love it about what have you - then you stop what the middle your shoulder again so you

can go back to your workplace and do these and say Joanna po said so [Applause] [Music]

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