9/25/2019 It begins with a purpose Im fine. (but not really) - - PDF document

9 25 2019
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9/25/2019 It begins with a purpose Im fine. (but not really) - - PDF document

9/25/2019 It begins with a purpose Im fine. (but not really) -Anita Fischer, Chaplain 1 2 Trauma Exposure Response Burnout or Second Victim A state of dissatisfaction with ones work. A response to the work environment


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9/25/2019 1

“I’m fine.” (but not really)

  • Anita Fischer, Chaplain

It begins with a purpose

Burnout

  • A state of dissatisfaction with one’s work.
  • A response to the work environment and factors

associated within a work system

  • A feeling of powerlessness.
  • Typically, burnout begins gradually and progresses as

continued stressors continue.

  • Symptoms of burnout look like:
  • Irritability
  • Inability to concentrate
  • Low energy or boredom
  • Increased illness, frequent absences
  • Use of unhealthy coping mechanisms (alcohol,

drugs, overeating, etc.)

  • Thoughts of quitting one’s job.

Trauma Exposure Response

  • r Second Victim

A transformation that takes place within us as a result of exposure to the suffering of other living beings or the planet.

  • Deliberate or inadvertent
  • Formal or informal contact
  • Paid or volunteer work

The world looks and feels different as a result of what you experience. Critical to examine our own responses because how we are impacted BY our work in the present directly affects our work in the future.

Van Dernoot Lipsky, 41-42

Compassion Fatigue

Compassion fatigue: profound emotional and physical erosion that takes place when helpers are unable to refuel and regenerate (Mathieu, 14). Some symptoms include:

  • Forgetfulness, short attention span, losing things
  • Anger too frequent or intense for the situation
  • Easily startled, feeling on edge
  • Difficulty falling / staying asleep
  • Depression, feeling of hopelessness
  • Guilt
  • Apathy – lack of empathy
  • Physical symptoms (headaches, stomach issues, fatigue)

Discussion

  • Have you ever experienced symptoms of burnout /

compassion fatigue / trauma exposure?

  • What did that look like for you?
  • Have you reflected on trauma within the church?
  • How has this affected you in your work, Spiritual life,

social life?

  • Have you felt particularly connected to someone because
  • f what they are going through?
  • How have you created appropriate boundaries with

that person?

  • What causes you to feel overwhelmed?
  • At work, at home, at church
  • What triggers might you experience in your work that could

bring up significant events from your own past?

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What is Resilience?

Internet Definition: Resilience is the capacity to recover quickly from difficulties; the ability of a substance or

  • bject to spring back into shape; elasticity.

My Definition: The ability to restore equilibrium (balance) after distressing / stressful events

  • Physical
  • Mental
  • Emotional
  • Spiritual
  • Social
  • Not “one size fits all”

From facebook site: Spiritual Humor

Strategies for Resilience

  • What tools in your life have you found that helps you to

release stress?

  • What can you do at the end of a stressful day to leave

work at work? What about home at home?

  • Personal / Professional rituals
  • Mantras / Meditation / Prayer
  • In what ways can you lift each other up in your work?
  • What does your “self talk” look like when you feel you

have made a mistake or “failed.”

Professional Strategies for Resilience

  • Accept your reactions as normal.
  • Support system – a safe place to vent
  • Professional feedback and discussion
  • Professional recognition
  • Regular debriefing
  • Group counseling
  • Acknowledge grief when experiencing a loss
  • Maintain professional boundaries and set limits.
  • Professional rituals – leave work at work

Personal Strategies for Resilience

  • Solitude
  • Find time for breaks / vacation
  • Examine, “What can I change and what can’t I change?
  • Eat healthy and exercise. Get enough sleep.
  • Nurture supportive relationships:
  • family, friends, professional colleagues.
  • Nurture your spirituality
  • Engage in meditative activities – reboot!
  • Rediscover your roots.
  • Recommit yourself to ministry yearly (Chrism Mass)
  • Remember the value, importance and meaning of

your work.

  • Continuous reframing
  • seeing positive amongst the negative
  • Sense of humor  Ability to laugh at oneself

When all else fails, laugh a little

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9/25/2019 3 Sources

  • Absolon, P, RN, MA, OCN, ANP-BC and Krueger C. LCSW, 2009,

‘Compassion Fatigue Nursing Support Group in Ambulatory Care Gynecology/Oncology Nursing’, Society of Gynecologic Nurse Oncologists 19:1.

  • Doolittle, B.R., 2015, ‘Burnout, compassion fatigue and job satisfaction

among hospital chaplains: A systematic review’, Research in the social scientific study of religion 26, pg 180-197.

  • Kelly, L.A, RN, PhD, and Lefton, C, RN, PhD, 2017, ‘Effect of Meaningful

Recognition on Critical Care Nurses’ Compassion Fatigue’, American Journal of Critical Care 26 (6). http://ajcc.aacnjournals.org

  • Louw, D.J., 2015, ‘Compassion fatigue: Spiritual exhaustion and the

cost of caring in the pastoral ministry. Towards a “pastoral diagnosis” in caregiving’, HTS Teologiese Studies/Theological Studies 71(2), Art. #3032, 10 pages. http://dx.doi.org/10.4102/hts.v71i2.3032

  • Mathieu, F., 2012, The Compassion Fatigue Workbook, Routledge, New

York, NY.

  • Van Dernoot Lipsky, L., 2009, ‘Trauma Stewardship: An Everyday Guide

to Caring for Self while Caring for Others,’ Berrett-Kohler Publishers, Oakland, CA.

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