Nurse Burnout: How Hospital Administration Can Help

Nurse Burnout: How Hospital Administration Can Help

Nurse burnout is common.

As a second career RN with 7 years of experience as a med/surg, telemetry, emergency room and resource nurse I have struggled tremendously with nurse burnout.  In fact, I often wonder how long I can continue working as a nurse when I often feel so spent.  The caregiver burden is real.

Nurse burnout is often described as the physical, mental and emotional exhaustion of nurses.  Causes for nurse burnout include working arduous 12 hour shifts, working in high stress environments, dealing with sickness and death and constantly having to put the needs of others before one’s own.

Like most nurses, I am very passionate about my profession. It is a privilege and an honor to advocate for and serve my patients during some of the most difficult points of their lives.  But there has to be a better way to help nurses find a better balance between patient care and self-care.

The nurse burnout problem is not going away.

Left unchecked, nurse burnout can lead to exhaustion, physical injuries, and even depression. Furthermore, disengagement caused by nurse burnout can negatively impact patient care, increase the risk of medical errors and lower overall patient satisfaction.

In addition, nurse health must be taken more seriously.  Too many nurses are on their way to becoming patients themselves due to overwork.

Nursing burnout: How administration can help

Nursing burnout: administration can help.

Hospital administration can help.

Here are a few ideas that hospitals should consider to help nurses create more balance and achieve some self care during work hours.

1.  Create a meditative space for nurses away from patients and visitors

Caregiver burden is an issue for nurses.  It is not uncommon for hospitals to have a space for spiritual prayer or meditation for patients and their families.  However, nurses should also be offered a meditative space to clear their heads, and have a quiet moment to themselves.  This would help nurses return to their work environments with renewed energy and focus to give better patient care.

2. Offer yoga and meditation classes

Offering yoga and meditation classes during the nurse’s lunch breaks would be beneficial.  Studies show that yoga and meditation can greatly improve quality of life for nurses by reducing stress levels.  In turn, nurses are able to give better patient care.

study published in the National Institute of Biotechnology Information investigated the effects of yoga on stress coping strategies of ICU nurses. After only 8 weeks of yoga the results showed that the participating ICU nurses had significantly better focus coping strategies and reduced mental stress.

Yoga at work could also help many nurses manage the chronic back pain they have developed as a result of nursing.  An evidenced based review at the Texas Women’s University reported that estimates of chronic low back pain among nurses range from 50%-80%.  A 30 minute gentle yoga class during a nurse’s lunch break could help nurses manage this issue.  Yoga stretching not only increases flexibility, but also increases muscle strength and prevents injuries such as chronic lower back pain.

3.  Make sure nurses get adequate breaks

Working for 6, 8 or even 12 hours without eating or sitting would make anyone become resentful after a while.  Patient loads can often feel so overwhelming that sometimes nurses will work right through a break without even realizing it.  Exhaustion from not eating or drinking enough water and being on your feet for grueling 12 hour shifts will eventually lead to nursing burnout.

4. Recognize nurses for their hard work

This should be a given, but for some reason it isn’t in many facilities.  A “thank you” goes a long way. It is very much appreciated by nurses who work extraordinarily hard to keep patients healthy and safe.

Too many hospitals put little to no effort into helping nurses celebrate for nurses week every year.  This sends a very strong message to nurses that management does not care about the hard work and dedication they put into caring for their patients.

5. Involve management in nurse bullying and cliques

Unfortunately, too many facilities allow bullying in their workplace.  According to a 2017 survey by RN network, 45% of nurses have been verbally harassed or bullied by other nurses at work.  Some forms of nurse bullying are obvious.  However, many times the bullying is much more subtle, such as a nurse talking down to another nurse in front of a patient.

Building a supportive working environment is important to the health and well-being of nurses.  Bullying should never be considered acceptable behavior and hospital management should be more involved in helping to prevent it.

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Additional recommended reading:

7 Ways To Beat Nurse Burnout

7 Ways To Beat Nurse Burnout

I experienced nurse burnout after 2 years of being a nurse.

That’s right.  After only TWO YEARS, I was already feeling over stressed, exhausted and negative about my career.

When my mind finally wrapped itself around this understanding, I thought I’ve barely graduated with my BSN and i’m ALREADY burned out? How am I going to continue in the nursing profession for an entire career?  

I was frustrated, confused, and to be honest, a little heartbroken.  I was passionate about helping others and I did enjoy the mental stimulation that I got as a nurse.  But I couldn’t figure out how there were nurses on our unit who had been doing the same thing for the last 5, 10, or even 20 years.  Didn’t they feel the same way?

Lately, I have spoken with a lot of nurses about their experiences with burnout. The truth of the matter is that most, if not all nurses feel spent and exhausted  at some point over the course of their career.

Do you feel exhausted, anxious, physically ill, or dread the thought of going to work each day? If so, you too may be experiencing burnout. Here are some tips that can help you overcome this chronic, stressful state and learn to thrive again.

7 Ways To Beat Nurse Burnout

7 ways to beat nurse burnout:  reclaim your passion!

 1.  Find a work-life balance.

Are you rotating days and nights?   Constantly working overtime?   Or maybe just working too many hours per week?  That may work for a while but it is not a very good long term plan.  Everyone needs a break, especially nurses!  Consider taking a vacation (or stay-cation) and plan a few solid days of  “me” time.  A little TLC can go a long way.   You simply can’t continue to take good care of others before taking care of yourself first.

Becoming a per diem nurse helped me find a better work-life balance.  What can you do to help balance your life?

2.  Make your health a #1 priority.

One of the best things a nurse can do to help prevent nurse burnout is to take good care of themselves.  Often this notion is counter intuitive to nurses because the nature of their job is to constantly put others needs in front of their own.  Ask yourself, what do I need to be healthy?  Here are a few suggestions:

3.  Find the “why” in your burnout.

What is it that is really causing you to feel the burnout?  Try writing your thoughts down at the end of a few shifts to help figure out what is overwhelming you.  Is there a pattern?   Perhaps you need to plan your shifts differently.  Are there a few personalities in your workplace that you are not jiving with?  Or, maybe you just are not inspired by your chosen specialty.  Give yourself permission to be brutally honest about what you need to overcome nurse burnout.

4.  Challenge yourself.

Are you under-challenged at work?  There are so many ways to challenge yourself as a nurse:

  • Become a certified nurse in your specialty (or a completely new specialty!)
  • Take on a charge nurse role.
  • Be a preceptor to novice nurses on your unit.
  • Take on additional committee roles.
  • Attend a nurse conference.
  • Change your nursing specialty.
  • Consider advancing your nursing degree.

5. Surround yourself with positive support.

Compassion fatigue and nurse burnout is so common among nurses.  Left unchecked, it can lead to mistakes, unhappiness or even depression.   Share your burnout struggles with a close comrade from work who can empathize with your struggle.   If that doesn’t help, consider talking to a trusted mentor, a therapist, or find a career coach that can help you work your way out of nurse burnout.  Nurses are self-giving creatures by nature, but we must give to our own needs as well.  Crawl out of your shell and start talking it out!

6. Find an outlet.

What do you do on your days off that may you happy?  If you don’t have a stress-reliving outlet, then its time to find one!  Is your inner artist craving a creative outlet, such as painting, designing or even scrap booking? Does a day on the golf course  or an afternoon on the tennis court bring you joy?  Maybe you have been so busy that you have forgotten how wonderfully distracting in can be do become enveloped into an activity that you love do do.

Research has shown that finding a joyful outlet can enhance your mood, increase energy, lower stress levels, and even make your immune system stronger. Today is the time to find your joy!

7. Consider new options.

Have an honest discussion with yourself about your career.   Are you a med/surg nurse who has always dreamed of working in the ICU?  Or maybe you are an ER nurse with an interest in becoming a flight nurse.  A change in specialty might be exactly what you need to tackle nurse burnout.

On another note, nurses don’t have to work in a hospital.   Perhaps working with injectables in a dermatology office or as a home healthcare nurse would be a better fit . There are so many nursing careers to choose from.   The sky is the limit.  Go find your nursing passion!

What do you do to beat nurse burnout?  Leave a comment below!