Signs & Symptoms of Nurse Burnout

cropped-img_4226.jpgNurse burnout is an epidemic not just in the U.S.  It happens here in Sweden as well, the world over for that matter.  It’s called “hitting the wall” in Sweden and fortunate for any individual living here, there is both financial and emotional support for those suffering.  According to a 2010 study, “the hospital nurse workforce is experiencing greater workloads resulting from shorter hospital stays, rising average patient acuity, fewer support resources, and a national nurse shortage. Higher nurse workloads are associated with burnout and job dissatisfaction, precursors to voluntary turnover that contribute to the understaffing of nurses in hospitals and poorer patient outcomes.  Indeed, more than 40% of hospital staff nurses score in the high range for job-related burnout, and more than 1 in 5 hospital staff nurses say they intend to leave their hospital jobs within 1 year.”

Burnout is a very personal story for me.  It is a story I have not shared with anyone but my closest friends and family.  Until now.  Moving to another country, learning to communicate in another language, and working in intensive care in said language threw me over the edge and became my downfall.  I then lost someone dear to me, a support I had counted on most of my life.  I felt hopeless.  I would drive to work holding on to some hope that I would make it through my shift and regain what little confidence in myself as a nurse I had left.  I left most mornings with doubt, tears, and a feeling of hopelessness.  I couldn’t sleep at night.  I would toss and turn.  On my days off I was so consumed with a lack of self confidence and worry.  Something had to give.

Why share this extremely personal story?  Because I was in denial for a long time.  Because I thought it would never happen to me.  Because it did happen to me and I want to give those experiencing burnout some sense that their is hope.  Burnout does not mean the end of your career.  It is not a reflection of you the individual.  It is a series of misfortunate circumstances.

Are you headed in that direction?  The following are a few signs and symptoms to be aware of ❤

Signs & Symptoms of Nurse Burnout

6 Ingredients for a Succesful Shift

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“It is a simple fact that working with your tribe of people can sometimes make all the difference in the world. You know that no matter what, you have one another’s backs unconditionally. No matter how difficult the day, you have a second pair of eyes, ears, and another trustworthy opinion. Somewhere, in the calmer moments, you can have a laugh.”

A shout out to the amazing nurses, nursing assistants, and docs in the NICU at Queen Silvia’s Hospital for Children in Gothenburg, Sweden.  Here is my latest for Mighty Nurse…

6 Ingredients for a Succesful Shift

A Crayfish Party in Sweden

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Happy Monday friends!  Today’s post comes from one of my favorite parts of Sweden, Skåne.  Last week I shared with you the splendors of Northern Sweden.  This past weekend we headed to Skåne, a region in the most southern part of Sweden, a short drive from Denmark.  It’s a three hour drive from where we live in Gothenburg.  Our good friends live there and this weekend invited us to a traditional Swedish crayfish party-kräftskiva in Swedish.

History

Although crayfish have been eaten since the 16th century in Sweden, then a delicacy savored by aristocrats, the crayfish celebration came later.  The history of crayfish parties in Sweden date back to the mid nineteenth century. Originally, parties were planned around the time of year fishermen were legally allowed to harvest crayfish from the sea, which was often the first week in August.  They were considered the last party of the summer.

Atmosphere

No kräftskiva party is complete without party hats, decorations, and bibs.  The hats are usually adorned with pictures of the guest of honor, the crayfish.  At the center of the brightly hung streamers and paper lanterns usually hangs a large and happy  paper lantern of the Man in the Moon.

Food

Crayfish is the highlight here-served cold with a delicious hint of dill.  The little crustaceans can be eaten alone, with a little aoli, or on fresh baked bread with aoli.  It is considered completely polite and actually a treat to suck the juice from the shell.  In addition, salad, delicious cheeses, and quiche of different varieties are served.

Drink

Traditional drink for a kräftskiva party is Schnaps of multi flavors, beer, and/or wine.  While I am not usually a fan of taking shots, I was all in for this party.  I tasted two different flavors-elderberry and cinnamon.  I loved the elderberry and according to our host, you have to let the Schnaps roll around in your mouth a bit to truly enjoy the flavor.

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Song

Swedes are known for their love of song, which usually preclude the drinking of Schnapps (snapsvisor).  There is a song for every occasion and a crayfish party is no exception.  While our party was a little reluctant, once the Schnapps started flowing and inhibitions dampened, we managed one song  to the melody of Popeye the Sailor Man.

A great time was had by all. Already looking forward to next year’s party.  Thanks to our friends Per and Malin for the invite!!  Thanks for taking the time to read!  Have a great week 😊

July Nurse Feature: Ladies on a Mission

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Nancy & Cecille

It’s always intriguing to me discovering what drives an individual in their path of life, particularly in nursing.  Aside from the cliche desire to help those in need, what plants the seed?  Is it not interesting knowing the story behind the person?

This month’s nurse feature is of one of the first nurses I met after graduation from nursing school.  She was one of my preceptors as a new graduate on the Postpartum unit at Halifax Health in Central Florida.  A quick witted lady, she always made the work day fun-often joking and being silly, but equally skilled and serious.

Nancy, originally from Pennsylvania, has worked the last 14 years as a Labor & Delivery nurse.  Yearly, she makes her way to Guatemala with her friend and obstetrician, Cecille, where they treat women in desperate need of surgery and educate local midwives.

How long have you been a nurse?

I have been an RN since 1989. I took several years off to raise my family then returned to nursing full time in 2000.

What area of nursing do you work in?

I have been working in Obstetrics for 13 years

What inspired you to be a nurse?

I worked as a CNA while attending college, trying to figure out what I wanted to do with my life, what I wanted to be. I really enjoyed experiencing the caregiving aspect of nursing. I worked alongside some great RNs who encouraged me to become a nurse.

What advice would you give to a new nurse?

I would encourage you to jump up and volunteer to take every “difficult” patient or complex case, because by doing so, you will learn so much.

What advice would you give to a tired nurse?

Volunteer to precept a new nurse and teach her/him all you know. Their enthusiasm and fresh perspective can help give a boost to your approach to nursing. Also, volunteer to go on a medical mission trip to renew your love of being a nurse.

To read more about Nancy’s mission work with Cascade Medical Team in my latest AWHONN (Association of Women’s Health, Obstetric, and Neonatal Nurses) post….

Ladies on a Mission ❤

 

 

Foreign Nurse Feature: A South African Nurse

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I developed  wanderlust at a young age, but didn’t start nurturing it until I was older and able.  The most amazing part of my journey has been meeting so many fascinating people from every corner of the globe.  In this month’s foreign feature, we meet Betina-a young and enthusiastic nurse from South Africa.  In our interview, one could not help but be infected with her enthusiasm for nursing.  It is clear Betina has found her calling and interestingly enough as we will find, it was by way of a detour.

How long have you been a nurse?

I started my training in January of 2009 and graduated in December of 2012 at the University of Johannesburg.  I started my community service at Steve Biko Academic Hospital and worked there for two and a half years. I believe that although I was not yet qualified as a student, I was a nurse, because during our training we work with patients to accumulate the needed hours to qualify as a Registered Nurse, therefore I have been privileged to touch the lives of patients and their families for 7 years.

In what area of Nursing do you work?

I found my passion and the area in which I wanted to specialize during my training and since I graduated I’ve been working with the little miracles in the Neonatal Intensive Care Unit. I can’t describe the immense amount of belonging I feel when nursing these small and innocent beings. They are so vulnerable and completely powerless, yet such strong and determined fighters. I learn something new from them on a daily basis. We spend most of our lives at work, therefore finding a career where you want to get up in the mornings is of the utmost importance and I am truly blessed when I say that I am convinced I have found that, not only in the NICU, but in being a nurse.

What inspired you to be a nurse?

Since I was a little girl, I found myself playing “doctor doctor” where I would be the one taking care of the “sick patient” and being the eldest grandchild, I was always the one taking care of my sister and cousins when we were growing up. I suppose caring is in my nature. I have to be honest though and say that I didn’t always want to be a nurse, because in our culture being a nurse is looked down upon.  I wanted to become a doctor, but those doors didn’t open for me until someone told me to do nursing, get my foot in the door (so to speak) and then I could do a bridging course and become a physician.  Little did I know that in studying nursing I found where I belong and who I was destined to become. I no longer believe that nursing is a career to be looked down upon…in fact I am determined to change that perspective and rather have people realize that it is a profession where we make a difference on a daily basis, twenty four hours and that the health care system would not exist without us. Needless to say, I no longer wish to become a physician, although I respect them and love to gain knowledge from them, I feel that I have more of an influence at the bedside, taking care of my patient and knowing every aspect of their being.

What advice would you give to a new nurse?

I would tell them that being a nurse is more than just having a job to pay the bills. Being a nurse comes with the responsibility to care for another human being when they are in their most vulnerable state. Being a nurse means that you need to be passionate and professional, not only at work, but also at home and in the public, because we are looked to whether we have our uniform on or not. So my advice is to make sure that nursing is for you, because it is a life-long commitment and then to go out there and be exposed to every possible field of nursing.  Nursing is the one profession with an insane amount of fields and opportunities and places that you can find where you belong, therefore get exposure to as much as possible and then find the place where you feel like you can spend the rest of your life and make a difference there.

What advice would you give to a tired nurse?

Nursing is a physically, emotionally, and spiritually draining profession where patients and the multidisciplinary team demand a lot from us on a daily basis. It is of the utmost importance that you find something outside of nursing that you love and enjoy to do. An activity, where you can unwind and get rid of all the frustrations, turmoil, heartache and troubles which come with our career.  I find exercise and being active to be my ‘sanity’.  In the gym and jogging on the road is where I ventilate, release my emotions and find the strength to continue. I also recently found a love for obstacle racing, there is something about running and digging through mud and challenging myself through the most ridiculous obstacles that energizes me and pushes me past my own limits.  I also ensured that I have a strong support system, people to talk to. I find my best friend and sister to be my pillars of strength. But another piece of advice would be to never lose contact with the friends you studied with. There is a certain level of understanding that comes when one nurse talks to another about a challenge they faced, different to talking to your best friend in another profession and safer than sharing with your colleague.

Thank you for your honest words, wise advice, enthusiasm, and love for your tiny patients Betina!  To read more about Betina, check out my interview with her in Mighty Nurse in the link below.

A Mighty Nurse in South Africa

 

 

 

 

Doula Mimi

Postpartum Doula, New Smyrna Beach, Florida

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