Most of the health workers are experiencing these burn out syndrome because of work overload and insufficient staffs

2. BURNOUT SYNDROME

3. BURNOUT SYNDROME
• BOS has been described as an inability to cope with
emotional stress at work or as excessive use of energy
and resources leading to feelings of failure and
exhaustion. Although depression affects nearly every
aspect of the person's life, symptoms of burnout occur
only at well-being work.

4. DEFINITION
“Burnout is a syndrome made up of emotional exhaustion,
depersonalization, and reduced personal accomplishment “
(Beck, 1995)
An emotional condition marked by tiredness, loss of interest,
or frustration that interferes with job performance. Burnout
is usually regarded as the result of prolonged stress.
(Medical Dictionary)

5. “Burnout is a syndrome in which there is feeling of
exhaustion, cynical attitude towards the job and people
involved in job and through reduced personel
accomplishment or work efficiency”

6. BURN OUT//DEPRESSION
Certain symptoms described that burnout also occur in
depression. These include
• extreme exhaustion,
• feeling low, and
• reduced performance
Some characteristics of burnout are very different from those
of depression. These include alienation, especially from
work..In depression, negative thoughts and feelings are not
only about work, but about all areas of life.

7. Other typical symptoms of depression are;
• lack of self-esteem,
• hopelessness, and
• suicidal tendencies
These are not regarded as typical symptoms of burnout. So not
every case of burnout will have depression at its root. But
burnout symptoms may increase the risk of someone getting
depression.

8. CAUSES
• providing care around the clock
• patients becoming vulnerable and too needy
• health care constantly changing
• development of new technologies
• constant noise & business
• critical ill patients
• crisis of patients and family's (Cooper, 2001)
• work environment- work overload ( limited time, resources, staff)
• demographic- young age, early in career, high level of education personality-
low self esteem, need for approval, perfectionism, impatience etc…

11. RISKS
• JOB CHARACTERISTICS : excessive work load, scarcity of resources,
time, pressure, role conflict
• OCCUPATIONAL CHARACTERISTICS : nurses, teachers, social-
workers
• FAMILIAL CHARACTERISTICS : family environment,
responsibilities, familial demands

12. BURN OUT CYCLE

13. STAGES

14. STAGES:BURICSH,2016
FOUR STAGES OF BURNOUT SYNDROME
STAGE I
High stress, workload, job expectations
STAGE II
Physical and Emotional exhaustion
STAGE III
Depersonalization ,cynicism and indifference
STAGE IV
Despair helplessness and aversion

15. BURNOUT SIGNALS
• AFFECTIVE SIGNALS
• Depressed mood
• Changing mood
• Tearfulness
• Emotional exhaustion
• Tension and
• Anxiety
BEHAVIOURAL SIGNALS
• hyperactivity
• increased consumption of
tobacco, beverages
• abandonment of
recreational activities
• turnover
• absenteeism

16. COGNITIVE SIGNALS
sense of failure
hopelessness,
powerlessness
poor self esteem
guilt
inability to concentrate
PHYSICAL SIGNALS
headache
nausea
dizziness ,muscle pain
sleep disturbances
ulcer
chronic fatigue

17. ..
MOTIVATIONAL SIGNALS
• resignation
• disappoinment
• boredom

18. SIGNS SYMPTOMS
Emotional exhaustion: People affected feel drained and exhausted,
overloaded, tired and low, and do not have enough energy. Physical
symptoms include pain or problems with the stomach or bowel.
Alienation from (job-related) activities: People affected find
their jobs increasingly negative and frustrating. They may develop a cynical
attitude towards their work environment and their colleagues.
Reduced performance: Burnout mainly affects everyday tasks at work,
at home or when caring for family members. People with burnout regard
their activities very negatively, find it hard to concentrate, are listless and
experience a lack of creativity.
OTHER SYMPTOMS : Frustration, fatigue, hypertension and
depression.

19. DIAGNOSTIC EVALUATION
• Various questionnaires can be used for
self-assessment (“Maslach Burnout
Inventory” (MBI))
• Assessing signs and symptoms and
consulting doctor for confirmation.

20. • The Maslach Burnout Inventory (MBI) is
an introspective psychological inventory
consisting of 22 items pertaining to occupational
burnout. The original form of the MBI was
constructed by Christina Maslach and Susan E.
Jackson with the goal to assess an individual's
experience of burnout

21. Health problems related
• Stress related physical illness include: Heart disease, migraines,
hypertension
• Stress related mental health problems include: anxiety, depression,
insomnia, and feelings of inadequacy
• Nurses that are encountering ongoing stress are more likely to eat
poorly, smoke cigarettes, use alcohol and drugs
• All of these health related problems lead to negative health conditions
affecting personal well being and subsequently, the quality and
efficiency of patient care

22. COMPLICATION
• Illness and disability
• Exhaustion
• Extinction of passion
• Mental breakdown
• Extreme depersonalization

23. MANAGEMENT
1.Person Or
Organisational
Approaches
Person Directed
Organisational Directed
Combined
Person Directed
Psychotherapy
Counselling
Adaptive Skill Training
Communicative Skill
Training
Social Support
Exercises For Relaxation

24. ..
ORGANISATIONAL APPROACHES
• training supervisors and managers
• changing organisational practices
• training for better coping and stress management
techniques
• change shift work system and introducing vacations
• counselling and exercises

25. ..
2.PSYCHOTHERAPEUTIC APPROACHES
Group therapies like experimental group therapy and group analytic therapy
A)SYMPTOMATIC INTERVENTIONS
physical relaxation techniques for fatique
behavioural training for frustration
social support
identifying interesting areas and motivating
B)ETIOLOGICAL INTERVENTIONS
cognitive restructuring
self control training
training of active coping
rational training for frustration

26. .
3.Coping Strategies
Objectives
• Coping Oriented To Problem
• Coping Oriented To Emotion
Coping Methods
• Active Cognitive Coping (Management By Assessing Potential Stressful
Events)
• Active Behavioural Coping(observable Efforts Managing Stressful
Conditions)
• Coping By Avoidance( Avoiding Stressful Conditions And Problematic
Situations)

27. PREVENTION
Set boundaries with those around you or else people will expect too much
from you
Keep a distinct balance between friends and colleagues
Do not allow family members to place responsibility on you
Make sure you are involved in a friendship where both people are giving
and taking an equal amount of social support from each other
Get a significant amount of sleep each night (8 hours), eat healthy and
exercise
make full use of mentoring programs available within the workplace
positioned toward new faculty, and help socializing between faculty to
aid in sharing responsibility of humor.

28. ..
• Self-renewal techniques must be implemented into daily routine
• Renewal practices ultimately leads to increased energy, and enhanced
self-worth feelings
• Organizational engagements via institution leaders
• Self awareness - recognize the signs of stress within yourself. Identify
feelings, thoughts and behaviors you exhibit when under stress
• Support - Share your concerns with empathetic family members, co-
workers, and friends. If necessary seek professional counseling
• Learn effective relaxation techniques that work for you, think
positively, prioritize, set limits and develop a sense