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Preceptor Burnout

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by

Karla Herrington

on 6 January 2016

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Transcript of Preceptor Burnout

What is burnout?
Why did YOU become a preceptor?
A state of physical and emotional exhaustion caused by excessive and prolonged stress.
Gradual process, does not happen overnight.
High-achievers
"I can do everything"
Working exceptionally long hours
Taking on exceedingly heavy workloads
Enormous pressure to excel
Who is at risk?
Contributing Factors
Four Rs:

Lack of
results
or feelings of achievement

Absence of
rewards
, both tangible & intangible

Lack of
recognition
for accomplishments

No
relief
or hope of relief from job stressors
Stages of Burnout
Physical & emotional exhaustion
Shame & doubt
Cynicism & callousness
Failure, helplessness, & collapse
Signs & Symptoms of Burnout
Contributing Factors for Preceptors
Shortage of preceptors
Lack of compensation
"Babies precepting babies"
Minimal to no preceptor training
Little to no notice prior to precepting (voluntary vs. involuntary, prior experience)
Lack of time to accomplish responsibilities associated with the role
High volume of staff turnover*
Effect on Organization
Poor staff morale
Increased turnover
Decreased patient satisfaction
Financial loss
Solutions
Have a nursing goal
Celebrate yourself
Avoid gossip
Be aware
Get involved (PERK, Shared Governance, Committees)
ABCs of prevention (awareness, balance, choice, detachment, egoism, focus, goals, hope, integrity)
More collaboration with managers, educators, and academic faculty
Preceptors are VITAL to recruitment and retention!!
References:
Karla Herrington, MSN, RN
Objectives
Define nursing burnout.
Compare and contrast factors that contribute to nursing vs. preceptor burnout.
Identify signs and symptoms of burnout.
Distinguish between the stages of burnout.
Discuss the impact of burnout on the patient, organization, and orientee.
Discuss solutions to prevent/overcome burnout.
"A ship is always safe at the shore, but that is NOT what it is built for."
Role of the Preceptor
Educator

Role Model

Protector

Evaluator

Socializer
Effect on Patients
Increased LOS
Higher morbidity rate
Increase in falls, complaints, HAIs, pressure sores
Increase in medication errors
Alspach, G. (2008). Calling all preceptors: How can we better prepare and support you?
Critical Care Nurse, 28
(5), 13-16.
Carter, S. B. (2013). The tell tale signs of burnout...do you have them? Psychology Today. Retrieved from https://www.psychologytoday.com/blog/high-octane-women/201311/the-tell-tale-signs-burnout-do-you-have-them
Crabbs, N., & Smith, C. (2011). Healthy work environments.
Med Surg Matters, 20
(2), 8-9.
Gorkin, M. (n.d.). Combat strategies at the burnout battlefield. Retrieved September 10, 2015 from http://www.stressdoc.com/Stress_burn.htm
Hanlon, T. (2014). Relationship-based precepting and preceptor program development. Creative Health Care Management.
Henry, B. J. (2014). Nursing burnout interventions: What is being done?
Clinical Journal of Oncology Nursing, 18
(2), 211-214.
Milliken, T. F., Clements, P. T., & Tillman, H. J. (2007). The impact of stress management on nurse productivity and retention.
Nursing Economics, 25
(4), 203-210.
Ramsey, S. (2008). Keep the fire burning: Preventing preceptor burnout [PowerPoint slides]. Retrieved from http://www.ashpmedia.org/docs/NRPC2008/PDF/S.Ramsey%20-%20Keep%20the%20Fire%20Burning.pdf
Four Rs of Burnout Recovery
Running

Reading

Retreating

Writing
Fatigue
Irritability
Insomnia
Poor performance
Weight fluctuation
Headaches
Depression
Negative attitude
Inability to focus
High blood pressure
Emotional detachment
Effect on Orientee...
Burnout
Nursing Turnover
Nursing Shortage
Inadequate Staffing
Job Dissatisfaction
Nurse Preceptor Burnout
Causes of Burnout
Long hours
Desire to help others
Type-A personality
Unreasonable job demands
Difficult colleagues or staff
Scant recognition & rewards
Full transcript