Burnout in PT

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BURNOUT IN PT

Paige Papineau, SPT


Central Michigan University
BURNOUT

A work-related stress syndrome resulting from chronic


exposure to job stress.

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BURNOUT IS COMPRISED OF 3 DOMAINS

EMOTIONAL DEPERSONALIZATI LOW PERSONAL


EXHAUSTION ON OF CARE ACCOMPLISHMENT

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STAGES OF BURNOUT

Honeymoon Phase Onset Of Stress Chronic Stress Burnout Habitual Burnout

• Job Satisfaction • CV symptoms • Persistent Tiredness • Obsession with • Chronic Sadness


• Accepting • Inability to Focus • Procrastination Problems • Chronic Mental
Responsibility • Irritability • Resentfulness • Pessimistic Outlook Fatigue
• Sustained Energy • Reduced sleep • Social Withdrawal • Physical Symptoms • Chronic Physical
Levels quality • Aggressive • Self-Doubt Fatigue
• Unbridled • Lack of Social Behavior • Social Isolation • Depression
Optimism Interaction • Apathy • Chronic Headaches
• Commitment to job • Lower productivity • Chronic Exhaustion • Chronic GI
• Compulsion to • Anxiety • Cynical Attitude problems
Prove Oneself • Avoidance of • Denial of Problems • Neglect of Personal
• Free-flowing Decision Making • Feeling Threatened Needs
Creativity • Change in Appetite • Escapist Activities
• Feel Pressured
• High Productivity • Fatigue • Alcohol/Drug
• Headache Consumption
• Neglect of Personal
Needs

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FACTORS INFLUENCING BURNOUT
External Factors Internal Factors
• ↑ Work Demands • Lack of Resources
• High (Idealistic) • Suppressing
• Problems in leadership • Institutional Rules + Expectations Owns Needs
Structures
• Contradictory instructions • Lack of Perceived • Perfectionism • Feeling
Opportunities for Irreplaceable
Promotion
• Time pressure • Lack of Clarity about • Strong Need for • Overestimation to
Roles Recognition Deal with
• Poor work environment • Lack of Positive Challenges
Feedback
• Hierarchy Problems • Poor Teamwork
• Needing to Please • Work as Only
Others Meaningful
• Poor internal • Absence of Social Activity
communication Support
• Administrative • Poor work Organization • Work as
constraints
Substitute for
• ↑ Responsibility Social Life

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BURNOUT IN
PT

• Prevalence:

• 45-71% in PT

• Those in the first 10 years of PT


demonstrated increased
emotional exhaustion compared
to those with 30+ years of
experience (Link et. al. 2021)

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BURNOUT IN PT- RISK FACTORS

Years of experience Age Workload

Unsatisfactory work Lack of management


Working Hours
relationships/support and supervisor support

Inadequate staff or
Work Setting
resources

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WHY IS BURNOUT A PROBLEM?

During burnout, there is an ↑ in absenteeism or can lead to PT’s


leaving their position or field.

Leads to shortage of clinicians, ↑ workload, longer work shifts, + ↑


job stress.

Leads to negative personal consequences, ↑ medical errors, ↓ quality


of care, ↓ patient satisfaction.

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SOLUTIONS

Build in breaks and


Workplace Interventions personal check-ins
addressing autonomy, Build + enforce work-life Care for your mental
(i.e. Take time off when Exercise
competence, + boundaries health
relatedness you feel burnout setting
in)

Psychotherapeutic
Practice Mindfulness Explore + find hobbies Establish routines Emphasize relationships
interventions- if severe

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PERSONAL CHECK-IN TOOL

Maslach Burnout Inventory


(MBI)
• Self-assessment tool to determine risk for
burnout
• 21 questions categorized into 3 sections
• Section A: Burnout
• Section B: Depersonalization
• Section C: Personal Achievement
• High score in sections A + B, and low score
in section C indicate burnout

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REFERENCES

1. De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local Reg
Anesth. 2020;13:171-183. Published 2020 Oct 28. doi:10.2147/LRA.S240564
2. Link K, Kupczynski L, Aguilar S. A correlational study on physical therapy and burnout. International
Journal of Social Sciences and Education. 2021;11(1):63-78.
3. Patel RM, Bartholomew J. Impact of Job Resources and Job Demands on Burnout among Physical Therapy
Providers. Int J Environ Res Public Health. 2021;18(23):12521. Published 2021 Nov 28.
doi:10.3390/ijerph182312521
4. Burri SD, Smyrk KM, Melegy MS, et al. Risk factors associated with physical therapist burnout: a
systematic review. Physiotherapy. 2022/09/01/ 2022;116:9-24.
doi:https://doi.org/10.1016/j.physio.2022.01.005
5. Juszkiewicz A, Dębska U. Coping styles and empathy in professional burnout: A study of physical
therapists. Polish Journal of Applied Psychology. 2015;13(3):53-72.
6. Kim J-H, Kim A-R, Kim M-G, Kim C-H, Lee K-H, Park D, Hwang J-M. Burnout Syndrome and Work-
Related Stress in Physical and Occupational Therapists Working in Different Types of Hospitals: Which
Group Is the Most Vulnerable? International Journal of Environmental Research and Public Health. 2020;
17(14):5001. https://doi.org/10.3390/ijerph17145001

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THANK YOU
Paige Papineau, SPT

Central Michigan University

[email protected]

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