Combating Phar mac ist Bur nout by Building Co rtne y M. Mo spa - - PowerPoint PPT Presentation

Combating Phar mac ist Bur nout by Building F aith- Base d Re silie nc y

Co rtne y M. Mo spa n, Pha rmD, BCACP, BCGP

Obje c tive s

 De fine the te rms b urno ut a nd re silie nc y a nd the ir a pplic a tio n to the

pro fe ssio n o f pha rma c y

 Disc uss fa ith-b a se d stra te g ie s to de ve lo p re silie nc y  E

mplo y hig hlig hte d stra te g ie s to de ve lo p o ne ’ s o wn re silie nc y

Disc losur e s

 I

, Co rtne y Mo spa n, ha ve no re a l o r a ppa re nt fina nc ia l disc lo sure s re le va nt to this pre se nta tio n.

Bur nout De finition  “A syndro me c ha ra c te rize d b y e motional e xhaustion tha t

re sults in de pe r

sonalization a nd de c r e ase d pe r sonal ac c omplishme nt a t wo rk”

Una b le to fa c e de ma nds o f the jo b Una b le to e ngage with othe r

s

Do no t fe e l a b le to c ontr

ibute me aningfully

https:/ / psne t.a hrq .g o v/ pe rspe c tive s/ pe rspe c tive / 190/ b urno ut-a mo ng -he a lth-pro fe ssio na ls-a nd-its-e ffe c t-o n-pa tie nt-sa fe ty

Bur nout F ur the r E xplor e d

E mo tio na l E xha ustio n De pe rso na liza tio n a nd Cynic ism De c re a se d se nse

• f pe rso na l

a c c o mplishme nt

Freudenberger HH. J Soc Issues. 1074;30:159-165. Maslach C, et al. Maslach Burnout Inventory manual.

Stage s of Bur nout

Physio lo g ic a l So c ia l I nte lle c tua l Psyc ho - E mo tio na l Spiritua l

Re -e sta b lishme nt o f b a la nc e in the se five a re a s c a n he lp c o mb a t b urno ut

Ra ddle PO. Am J Ho sp Pharm. 1982;39:1161-1166.

Bur nout F ac tor s

 Cha lle ng e s o f c linic a l wo rk  Co mpe ting de ma nds  T

ime c o nstra ints

 L

a c k o f c o ntro l o ve r wo rk pro c e sse s a nd sc he duling

 Co nflic ting ro le s a nd re la tio nships with le a de rship  F

re ude nb e rg e r: b urno ut is a c ulmina tio n o f the e ffe c ts o f pro fe ssio na l re spo nsib ilitie s a nd wo rk e nviro nme nt

No t an ac ute c o nditio n

Bridgeman PJ, et al. Am J Health-Syst Pharm. 2018;75:147-152.

Conse que nc e s of Bur nout

 Affe c ts b o th the b usine ss side o f pro viding c a re a nd q ua lity o f c a re L

• we r le ve ls o f sta ff e ng a g e me nt

L

• we r pa tie nt sa tisfa c tio n

L

• we r pro duc tivity

I

nc re a se d risk o f e rro rs

L

• we r q ua lity o f c a re

De c re a se e mpa thy

Feeley D, et al. Institute for Healthcare Improvement: Healthcare Executive. 2016;70-71.

Bur nout Pr e vale nc e

Bur nout Pr e vale nc e

 Jo b sa tisfa c tio n a nd sub se q ue nt b urno ut ma y va ry b y pra c tic e se tting  Hig he st in c o mmunity pha rma c y Pha rma c ists ha ve re po rte d lo w le ve ls o f pe rso na l a c c o mplishme nt Ove r 50% o f pha rma c y te a ms ha d b urno ut de te c te d o n the Ma sla c h

Burno ut I nve nto ry

10.5% re po rte d se ve re b urno ut De pre ssio n a nd a nxie ty we re c o mmo n a s we ll  2016 Pha rma c ist Sa la ry Surve y: 63.4% re po rte d inc re a se d jo b stre ss in the

pre vio us ye a r

Durha m ME , e t a l. Am J He alth-Syst Pharm. 2018;75(suppl 4):S93-S100. Bridg e ma n PJ, e t a l. Am J He alth-Syst Pharm. 2018;75:147-152. Ba la yssa c D, e t a l. PL

• S ONE

. 2017;12(8):e 0182956. Ga ithe r CA, e t a l. I nt J Pharm Prac t. 2012;20:80-89.

Bur nout Pr e vale nc e

 Ove r ha lf o f he a lth-syste m pha rma c ists re po rte d b urno ut o ne a t le a st 1 o f 3

sub sc a le s in the Ma sla c h Burno ut I nve nto ry Huma n Se rvic e s (MBI

• HSS)

8.5% re po rte d fo r a ll 3 sub sc a le s  Amo ng he ma to po ie tic c e ll tra nspla nta tio n (HCT

) he a lthc a re pro fe ssio na ls,

• ve r 50% o f pha rma c ists ha d b urno ut

Mo re like ly to re po rt if ina de q ua te wo rk-life b a la nc e a nd lo w le ve l o f

c a re e r sa tisfa c tio n

 I

n ho spita l pra c tic e , lo w-de ma nd/ unple a sa nt e nc o unte rs we re sig nific a ntly ne g a tive ly c o rre la te d with jo b sa tisfa c tio n, pro fe ssio na l c o mmitme nt, a nd fre q ue nc y a nd inte nsity o f e mo tio na l e xha ustio n

Durha m ME , e t a l. Am J He alth-Syst Pharm. 2018;75(suppl 4):S93-S100. Bridg e ma n PJ, e t a l. Am J He alth-Syst Pharm. 2018;75:147-152. Ga ithe r CA, e t a l. I nt J Pharm Prac t. 2012;20:80-89.

Re silie nc y De finitions  Oxfor

d Dic tionar y:

“the state o r

fac t o f c o ntinuing to live o r e xist, typic ally in spite o f an ac c ide nt, o r de al, o r diffic ult c ir c umstanc e s”

 Re al Re silie nc y “T

he pr

• c e ss o f c o ping with disr

uptive , str e ssful, o r c halle nging life e ve nts in away that pr

• vide s the individual

with additio nal pr

• te c tio n and c o ping skills than pr

io r to the disr uptio n, that r e sults fr

• m the e ve nt”

https:/ / mo na d no c kc hristia nministrie s.o rg / re silie nt-fa ith/

A Re silie nt F aith

 Ac c e pta nc e – Psa lm 19:14  Co nte ntme nt – Phillippia ns 4:12-13  F

• rg ive ne ss – Psa lm 32

 Co nne c tio n – Ga la tia ns 6:2  Pe a c e – Philippia ns 4:7  Who le ne ss – Ja me s 1:2-5  Re so lutio n – He b re ws 4:15-16

https:/ / mo na d no c kc hristia nministrie s.o rg / re silie nt-fa ith/

Chr istianity and Re silie nc y

 F

a ith c a n re duc e ne g a tive impa c t o f:

Une mplo yme nt I

mmig ra tio n

Ge ne ra l distre ss Sub sta nc e use diso rde rs I

mpro ve s me nta l he a lth o utc o me s

Georgiades SD. Journal of Spirituality in Mental Health. 2016;18(1):24-42.

Chr istianity and Re silie nc y

 L

ite ra ture ha s de mo nstra te d tha t fa ith pla ys a po sitive ro le in re silie nc e b uilding

 T

hre e c o mpo ne nts o f re silie nc y tha t a re de rive d fro m fa ith

Ha ving divine suppo rt Ma inta ining purpo se E

xpre ssing g ra titude

Ögtem-Young Ö. Societies. 2018;10.

Biblic al E xample

• f Re silie nc y

https:/ / visito we nsb o ro .c o m/ e ve nt/ jo se ph-a nd-the -a ma zing -te c hnic o lo r-dre a mc o a t-b ro a dwa y-se rie s/

De ve loping Me ntal Str e ngth

 I

nc e ptio n: “T he sc e ne o f the c rime is yo ur

mind”

De rwin Gra y: “Do n’ t le t pe o ple r

e nt spac e

in yo ur mind for

fr e e”

13 T

hing s Me nta lly Stro ng Pe o ple Do :

I

de ntify irra tio na l tho ug hts a nd re pla c e with re a listic tho ug hts

L e ve r aging Vulne r ability

 ”Vulne ra b ility is no t winning o r lo o sing ; it’ s

ha ving the c o ura g e to sho w up a nd be se e n whe n we ha ve no c ontr

• l o ve r the
• utc o me ”
• Bre né Bro wn

 E

me rg ing e vide nc e tha t no t o wning a nd inte g ra ting o ur e xpe rie nc e s a ffe c ts BOT

H o ur

e mo tio na l he a lth a nd physic a l we ll-b e ing

https:/ / www.the c e o lib ra ry.c o m/ pe o ple / b re ne -b ro wn

T he Rising Str

• ng Pr
• c e ss
• Walking into Our Sto ry
• Re c o g nize e mo tio n; c o nne c t o ur fe e ling s with ho w we think a nd

b e ha ve

T he Re c ko ning

• Owning Our Sto ry
• Ge t ho ne st a b o ut sto rie s we ma ke up a b o ut o ur strug g le s a nd

de te rmine wha t’ s truth

T he Rumb le

• Cha ng e ho w we e ng a g e with the wo rld b a se d o n wha t we

le a rn in the rumb le

• T

ra nsfo rm the wa y we lo ve , live , a nd le a d

T he Re vo lutio n

Bro wn, Bre ne ́. Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.

T he Rumble : In De pth

 Wha t mo re do I

ne e d to le a rn a nd unde rsta nd a b o ut the situa tio n?

 What do I

kno w o b je c tive ly?

 What assumptio ns am I

making ?

 Wha t mo re do I

ne e d to le a rn a nd unde rsta nd a b o ut the o the r pe o ple in the sto ry?

 What additio nal info rmatio n do I

ne e d?

 What c larific atio ns mig ht he lp?

 Wha t mo re do I

ne e d to le a rn a nd unde rsta nd a b o ut myse lf?

 What’ s unde rne ath my re spo nse ?  What am I

re ally fe e ling ?

Bro wn, Bre ne ́. Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.

 “Ho w c an we e xpe c t pe o ple to put value o n

• ur wo rk whe n we do n’ t value o urse lve s

e no ug h to se t and ho ld unc o mfo rtab le b o undarie s? ”

 “We do n’ t judg e pe o ple whe n we fe e l g o o d

ab o ut o urse lve s.”

 “Re se ntme nt is like drinking po int and the n

ho ping it will kill yo ur e ne mie s.”

Bro wn, Bre ne ́. Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.

Whe n We F e e l L e ss T han

 T

a lk to yo urse lf in the ma nne r in whic h yo u wo uld ta lk to so me o ne we lo ve

 Re a c h o ut to so me o ne yo u trust – so me o ne who ha s e a rne d the

rig ht to he a r yo ur sto ry a nd who ha s the a b ility to re a so n with e mpa thy

Bro wn, Bre ne ́. Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.

De ve loping Me ntal Str e ngth

• I

de ntifying irra tio na l tho ug hts a nd re pla c ing with mo re re a listic tho ug hts T ho ug hts

• Be ha ving in a po sitive ma nne r de spite yo ur c irc umsta nc e s

Be ha vio rs

• Co ntro lling yo ur e mo tio ns so the y do n't c o ntro l yo u

E mo tio ns

Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.

Don’t F e e l Sor r y for Your se lf

 Pro b le ms:

 I

t’ s a wa ste o f time

 I

t le a ds to mo re ne g a tive e mo tio ns

 I

t b e c o me s a se lf-fulfilling pro phe c y

 I

t pre ve nts yo u fro m de a ling with o the r e mo tio ns

 I

t c a use s yo u to o ve rlo o k the g o o d in yo ur life

 I

t inte rfe re s with re la tio nships

Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.

Don’t F e e l Sor r y for Your se lf

 Be ha ve in a ma nne r tha t Ma ke s it Ha rd to F

e e l So rry fo r Yo urse lf

 Wha t’ s a no the r wa y I

c o uld vie w my situa tio n?

 Wha t a dvic e wo uld I

g ive to a lo ve d o ne who ha d this pro b le m?

 Wha t e vide nc e do I

ha ve tha t I c a n g e t thro ug h this?

 K

e e p a g ra titude jo urna l

 Cha ng e the sto ry whe n yo u’ re e xpe rie nc ing se lf-pity  Ask o the rs wha t the y’ re g ra te ful fo r  T

e a c h kids to b e g ra te ful

Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.

Don’t Give Away Your Powe r

 Pro b le ms

 L

ife b e c o me s like a ro lle r c o a ste r

 Yo u’ re o nly a s g o o d a s so me o ne e lse ’ s o pinio n o f yo u  Yo u b e c o me hig hly se nsitive to c ritic ism

 Re c la im yo ur po we r

 I

de ntify pe o ple who ha ve ta ke n yo ur po we r

 Re c la im yo ur la ng ua g e  T

hink b e fo re yo u re a c t

 E

va lua te fe e db a c k c ritic a lly

 Re c o g nize yo ur c ho ic e s

Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.

Who Doe s Your Unfor give ne ss Impac t?

Don’t Give Away Your Powe r

 Do the y ha ve the a b ility to judg e my b e ha vio r/ skills in this a re a ?  Wha t e vide nc e is the re tha t this is true ?  Wha t e vide nc e do I

ha ve this isn’ t true ?

 Wha t mig ht this pe rso n b e g iving me this fe e db a c k?  Do I

wa nt to c ha ng e a ny o f my b e ha vio r?

Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.

Don’t Wor r y About Ple asing E ve r yone

 Pro b le ms:

 Yo ur a ssumptio ns a re n’ t a lwa ys true  Yo u da ma g e re la tio nships  Yo u lo se sig ht o f yo ur va lue s

 Avo id pe o ple ple a sing :

 De te rmine who yo u wa nt to ple a se  Cla rify yo ur va lue s  T

a ke time to de c ide to sa y ye s

 Pra c tic e b e ing a sse rtive

Mo rin A. Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.

Str ate gie s for De ve loping Re silie nc y

 Po sitive e mo tio ns Gra titude jo urna l  Ha rdine ss Be ing c o mmitte d to finding me a ning ful purpo se in life Be lie f tha t o nc e c a n influe nc e o ne ’ s surro unding s a nd o utc o me

• f e ve nts

Be lie f tha t g ro wth c a n c o me fro m b o th po sitive a nd ne g a tive

e xpe rie nc e s

Luthans F, Vogelgesang GR, et al. Management Department Faculty Publications. 2006;152.

Gr atitude Diar y  Write do wn 3 things e ve ry mo rning tha t yo u a re tha nkful fo r

Gr atitude Diar y  Write do wn 3 things e ve ry mo rning tha t yo u a re tha nkful fo r

Gr atitude Diar y  Write do wn 3 things e ve ry mo rning tha t yo u a re tha nkful fo r

Gr atitude Diar y  Write do wn 3 things e ve ry mo rning tha t yo u a re tha nkful fo r

Re c omme nde d Re ading

Jame s 1:2- 5 E SV

 Co unt it a ll jo y, my b ro the rs,

whe n yo u me e t tria ls o f va rio us kinds, fo r yo u kno w tha t the te sting o f yo ur fa ith pro duc e s ste a dfa stne ss. And le t ste a dfa stne ss ha ve its full e ffe c t, tha t yo u ma y b e pe rfe c t a nd c o mple te , la c king in no thing . I f a ny o f yo u la c ks wisdo m, le t him a sk Go d, who g ive s g e ne ro usly to a ll witho ut re pro a c h, a nd it will b e g ive n him.

Bro wn A. J Christ Nurs. 2011;28(1):38-39.

Re fe r e nc e s

 Ba la yssa c D, Pe re ira B, Viro t J. Burno ut, a sso c ia te d c o mo rb iditie s a nd c o ping stra te g ie s in

F re nc h c o mmunity pha rma c ie s—BOP study: A na tio nwide c ro ss-se c tio na l study. PL

• S ONE

. 2017;12(8):e 0182956.

 Bro wn A. De ve lo ping e ndura nc e . J Christ Nurs. 2011;28(1):38-39.  Bro wn, Bre ne ́. Rising Stro ng : Ho w the Ab ility Re se t T

ransfo rms the Way We L ive , L

• ve , Pare nt, and

L e ad. Ne w Yo rk: Pe ng uin Ra ndo m Ho use , 2017.

 Bridg e ma n PJ, Bridg e ma n MB, Ba ro ne J. Burno ut syndro me a mo ng he a lthc a re pro fe ssio na ls.

Am J He alth-Syst Pharm. 2018;75:147-152.

 Durha m ME

, Bush PW, Ba ll AM. E vide nc e o f b urno ut in he a lth-syste m pha rma c ists. Am J He alth- Syst Pharm. 2018;75(suppl 4):S93-S100.

 F

e e le y D, Swe nse n SJ. Re sto ring jo y in wo rk fo r the he a lthc a re wo rkfo rc e . I nstitute fo r He althc are I mpro ve me nt: He althc are E xe c utive . 2016;70-71.

 F

re ude nb e rg e r HH. Sta ff b urno ut-o ut. J So c I ssue s. 1074;30:159-165.

Re fe r e nc e s



Ga ithe r CA, Na dka rni A. I nte rpe rso na l inte ra c tio ns, jo b de ma nds a nd wo rk-re la te d o utc o me s in pha rma c y. I nt J Pharm Prac t. 2012;20:80-89.



Ge o rg ia de s SD. Christia n fa ith a s a re silie nc y fa c to r in c o ping with immig ra tio n a nd une mplo yme nt: Me nta l he a lth implic a tio ns. Jo urnal o f Spirituality in Me ntal He alth. 2016;18(1):24-42.



L utha ns F , Vo g e lg e sa ng GR, L e ste r PB. De ve lo ping the psyc ho lo g ic a l c a pita l o f re silie nc y. Manag e me nt De partme nt F ac ulty Pub lic atio ns. 2006;152.



Ma sla c h C, Ja c kso n S, L e ite r M. Ma sla c h Burno ut I nve nto ry ma nua l. www.re e a rc hg a te .ne t/ pro file / Christina _Ma sla c h/ pub lic a tio n/ 277816643_T he _Ma sla c h_Burno ut_I nve to ry_Ma nua l/ links/ 5574db d708a e b 6d8c 01946d7.pd f. Ac c e sse d April 01, 2019.



Mo rin A. 13 T hing s Me ntally Stro ng Pe o ple Do n’ t Do . Ne w Yo rk: Ha rpe r Co llins Pub lishe rs, 2014.



Ög te m-Yo ung Ö. F a ith re silie nc e : E ve ryda y e xpe rie nc e s. So c ie tie s. 2018;10.



Ra ddle PO. Re c o g nizing , re ve rsing , a nd pre ve nting ho spita l pha rma c ist b urno ut. Am J Ho sp Pharm. 1982;39:1161-1166.

Que stions?