Previous research suggests that health care providers working with issues of death and dying may experience increased stress and risk of burnout. Despite previous research on the problem of burnout faced by palliative care providers, there have been few interventions studied to prevent further burnout. Research does support allowing time away from a stressful health care environment to promote wellness and to decrease burnout. This pilot study ensured that each palliative care advanced practice provider received an 8-hour day monthly to work on professional development activities remotely. The Professional Quality of Life Scale was completed before and after the addition of the professional development day to measure satisfaction, burnout, and secondary trauma impact. Qualitative feedback was also collected. Results indicated that this intervention decreased burnout, improved compassion satisfaction, and decreased secondary trauma for this team. Recommendations are to further investigate methods to further reduce burnout for this population of health care providers. Results from this pilot study demonstrate that professional development days should be expanded for those providers who are at a high risk for burnout in the hospital setting.

Background: Prolonged exposure to work-related stress can lead to nurse burnout, potentiating clinical and medication errors and low-quality patient care. Holistic approaches (such as mindfulness training, "zen rooms," and massage chairs, among others) have been shown to reduce nurses' anxiety, stress, and burnout.

Purpose: To evaluate the use of "serenity lounges" (dedicated rooms where nurses can take workday breaks for the purposes of relaxation and rejuvenation) and massage chairs on nurses' anxiety, stress, and burnout.

Methods: This quality improvement project analyzed 67 paired responses to surveys filled out by nurses before and after their use of serenity lounges at a medical center in Los Angeles between November 2020 and May 2021. Following successful implementation of a serenity lounge on a pilot unit, this project was expanded to a total of 10 units, including COVID-19 cohort units. As part of this expansion, massage chairs were added to 10 serenity lounges, along with items such as wipes, gloves, and shoe covers to enable nurses to adhere to infection control protocols.

Results: Analysis of the 67 paired responses to pre- and post-lounge-use surveys revealed a significant reduction in feelings of emotional exhaustion, burnout, frustration, being worn out, stress, and anxiety after use of the serenity lounge. Improvements in feelings of emotional exhaustion, being worn out, and being anxious were also noted after using the massage chair for at least 10 to 20 minutes.

Conclusions: These results highlight the importance of providing a holistic approach, including a serene space, massage equipment, and other amenities, to help nurses reduce feelings of anxiety, stress, and burnout, particularly during challenging times such as the COVID-19 pandemic.

Anxiété, surmenage, burn-out... ce n'est pas que dans la tête! L'épuisement est une réalité physiologique, et ce livre vous donne les clés pour lutter efficacement contre lui.

Dans ce livre, Cathy Assenheim vous éclaire et vous aide à:
* comprendre les causes nerveuses et hormonales des symptômes typiques;
* interpréter les signaux d'alerte physiologiques avant qu'il ne soit trop tard;
* faire le point sur votre état de résistance grâce à différents questionnaires.

Elle vous donne également (et surtout!) un guide pratique pour réagir concrètement lorsque la fatigue s'est installée ou qu'un diagnostic d'épuisement a été posé:
* un programme d'action globale pour agir tant sur le corps que sur la tête : organiser les journées pour s'économiser, réguler le système nerveux, calmer l'anxiété, gérer les émotions, diminuer les troubles du sommeil, optimaliser l'alimentation, etc. ;
* des réponses aux questions les plus fréquentes: par qui se faire aider? quelles sont les analyses médicales à effectuer? comment gérer l'entourage ? comment gérer l'arrêt de travail et éviter les rechutes lors de la reprise?

Vous êtes épuisé-e, mais à présent vous savez quoi faire pour aller mieux!

Un soignant sur dix lira ce livre... bientôt les neufs autres risquent de la consulter

Vous ne savez plus comment conjuguer vie familiale et activité professionnelle?

Vous adorez votre métier... mais détestez votre travail?

Vous présentez un épuisement psychique majeur après seulement quelques mois de travail dans un nouveau service?

Dans un ouvrage unique, trois soignants-auteurs mettent en commun les fruits de leurs formations, de leurs compétences et de leurs expériences afin de vous aider à garder ou à retrouver votre cap au sein du relief accidenté du système de santé dans lequel vous évoluez.

Que vous soyez à la recherche de réponses à vos questions afin de poursuivre votre route dans les meilleures conditions possibles, ou que vous vous sentiez perdu-e au milieu de votre itinéaire de vie, ce livre ne répondra pas seulement à vos attentes : il changera votre compréhension de vous-même et du monde qui vous entoure.

Fictional, but thorough and realistic, case studies are at the heart of Physician Well-Being. One per chapter, they allow readers to get inside the minds of physicians and understand their lives and stressors, from long hours and staff shortages to onerous administrative demands.

For although physicians tend to live, on average, 2 years longer than nonphysicians in the general population, when it comes to mental health, the situation is more dire: 10-15 years after entering medical school, the average physician has twice the level of burnout of the average professional nonphysician. Suicide rates among physicians are 1.4 and 2 times higher than in the general population for men and women, respectively. Abuse of prescribed drugs is also higher than in community control subjects.

Physician Well-Being argues that the major reasons for physician distress are organizational and systemic and focuses on solutions that work, maintaining that changes in the culture and process of medicine aren't just possible, they're essential--not only for improving the well-being of health care providers but also for patient care and safety.

The volume's opening chapter examines the current culture of medicine and the unintended drawbacks of professionalism. Subsequent chapters delve into - Scenarios in a large health system and multidisciplinary clinic, focusing on solutions that work in current typical health care environments- Solutions needed to improve the onboarding of physicians in the early years of their career, starting in pre-med programs- Finding meaning in medicine and navigating the challenges of medical marriages, focusing on solutions that range from alternative medical and nonclinical careers to the use of technology to work remotely and more efficiently Each chapter includes concise literature reviews that highlight the most salient points, as well as a detailed list of references for readers interested in further exploration. The insights in the book will be useful not only to physicians and medical students but to anyone with an interest in the culture of health care.

Bolstered by knowledge gleaned from the author's own 30-year career as a psychiatrist, during which he has treated hundreds of physicians as patients, Physician Well-Being offers real-world solutions that serve to make health care systems more effective as the population ages and medical practice becomes ever more complicated.