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Preventing Burnout in Human Services
Totally Fried
I have a nickname. One of the docs I used to
work with still calls me "Fried," which is short for Fried Social Worker.
That's what I christened myself after developing a classic case of
burnout. I used to wake up before the alarm sounded, but I didn't want to
get out of bed. I'd hide under the covers wishing I didn't have to go to work
today ... or any other day for that matter! I no longer felt effective and
I had lost my desire to excel. After all, what was the point? There was
no appreciation from management, the same clients kept using the system,
and no amount of salary seemed to justify the torment I felt on the job.
How did this happen? What transformed me from energetic,
efficient, and optimistic social worker into an exhausted, cynical
individual who hated her job? Like many other burned-out Human Services
professionals, I fell victim to a host of negative working conditions
which sapped
my desire, drained my health, and nearly destroyed my spirit. I didn't see the warning signs
until it was too late. While there are many who perceive burnout as an
employee's personal inability to cope with job stress, my experience with
other burned-out Human Services professionals is that the work environment itself is
largely to blame.
Why We Burn Out
It's easy to see why those of us who work in
Human Services, charities, or nonprofits
(1) burn out. We have excessively large caseloads with
an ever-shrinking resource budget available to assist our clients. This
tight budget also forces us to work under the constant fear of
downsizing and the potential threat of job loss. Some of us are subjected
to forced overtime, on-call after hours, and other schedule imbalances
which blur the distinction between time at work and time off. We face
overwhelming caseload numbers. Some of our clients are violent or
otherwise jeopardize our safety. Unrelenting demands upon our time
prevent us from taking meal or rest breaks. And
despite working at a frantic pace, our efforts are
frequently not appreciated by management
or clients. Is it any wonder that workers in the Human Services
have high rates of burnout?
Prevention
Fortunately, there are some prevention
strategies you can employ to avoid the perils of burnout. If you make a
conscious effort to recognize its warning signs, you may be able to avoid exhaustion and heartache down the road.
According to Maslach & Leiter, burnout is the degree of
"dislocation between what people are and what they have to do
(2)
." It manifests itself in the form of chronic exhaustion, cynical
detachment, and feelings of ineffectiveness (2). It
results from the "gradual process of loss during which the mismatch
between the needs of the person and the demands of the job grows ever
greater (3)."
Maslach & Leiter's research has brought to light the causal role of the organizational environment in
staff burnout. It is therefore imperative that any Human
Services worker who wants to prevent burnout carefully consider a variety of
factors in the workplace. An excellent starting point is to
take stock of what is presently positive and motivating in your current job.
Satisfaction Inventory
Identify every aspect of your work duties
and office environment which is presently satisfying. Consider factors
such as scheduling flexibility, wages and benefits. Survey your work tasks
for those which you find most enjoyable, such as the direct client
contact, report-writing, etc. It may be helpful to develop your
Satisfaction Inventory over an extended period of time rather than
composing it hastily. What satisfies you today may not be so satisfying 6
months from now. You may also find it helpful to include dates in your
satisfaction inventory, which will allow you to track your levels of satisfaction over time.
Sample Satisfaction Inventory
| I am satisfied with ... |
I am satisfied because ... |
June 2003 |
Sept 2003 |
Dec 2003 |
Mar 2005 |
|
Work flow |
Can set my own pace |
Yes |
No |
No |
No |
|
Salary |
Competitive wage, Annual raise |
Yes |
Yes |
Yes |
No |
|
Client contact |
Can set my own caseload limits |
Yes |
No
|
Yes |
No |
|
Documentation |
Computerized, self-designed |
Yes |
Yes |
Yes |
Yes |
| Weekly debriefing meeting |
Helps to de-stress with colleagues |
Yes |
Yes |
Yes |
Yes |
| Staffing levels |
I get extra help when needed |
Yes |
No |
Yes |
No |
| Projects |
Flexibility to develop projects,
programs, grant-writing, etc |
Yes |
Yes |
Yes |
Yes |
Change is inevitable in any work setting. This is
especially so in Human Services, where people and their problems are our
business. High rates of staff turnover, frequent policy changes, and
financial considerations will constantly evolve in ways which alter your
work and your work setting. If you have clearly identified what is
satisfactory in your work, you are in a better position to evaluate
the way in which workplace changes impact you. This is crucial because burnout doesn't happen overnight. It
usually has an insidious onset and often we don't notice it until its
advanced stages. If you're truly serious about avoiding burnout, you will
want to develop a course of action to address any organizational changes
which negatively impact the variables you have identified as most
satisfactory to you. Failure to do this can result in a gradual loss of
many once-satisfactory elements of your job and work environment. And when you
begin to lose what you enjoy at work, your risk of burnout increases.
Management Inventory
Fostering a healthy relationship with your
managers is an effective way to inoculate yourself against burnout. Maslach & Leiter have shown that workers "cannot bear the entire burden of
adjusting to fit the job (4)."
Management indeed plays an essential role,
both in the prevention of burnout and in addressing it after it surfaces.
In addition to your relationship with your supervisors, you may also find
it helpful to evaluate the degree to which your management makes effective
responses to problems you face on the job.
In constructing a Management Inventory, there are
multiple variables to consider. They include conflicting managerial
expectations or conflicting organizational management structures. Other
variables include policy conflicts and problems delegated to you but over
which you have no real authority to act. Still others include lack of
resources to meet demands, and evaluation or performance issues.
Management variables are highly unique to your situation and your
manager's personality and leadership style.
One starting point for your management inventory is to
identify those circumstances and factors which are negatively impacting
your ability to perform well, and for which you need managerial support to
solve the problem. In addition to identifying
such variables, you may also find it helpful to monitor your degree of
satisfaction with management's
response to your initiatives, suggestions, and concerns.
Sample Management Inventory
| Issues |
Description |
Outcome |
Satisfied |
|
Policy Conflict |
Conflict between Policy A &
Policy B. Two different policies direct me to perform different
interventions in same situation. |
6/3/03 Supervisor to discuss at
next senior management meeting and give me feedback. |
Yes, I have permission to use my
own discretion until policy conflicts are resolved. |
|
Conflicting Management Structure |
My immediate supervisor (Social
Work Director) says I should do X. But on the hospital floor, the
Nursing Director wants me to do Y. |
7/5/03
Supervisor to discuss with Nursing Director at 7/15/03 meeting and
give me feedback. |
No, Immediate feedback is
needed. Waiting puts me in an awkward position. |
| Broken equipment |
Computer no longer
functions |
8/3/03 Supervisor says
there are no funds in budget. |
No, can't look up records
or do documentation in timely fashion. |
| Lack of Information |
Confidentiality policy changed due to
HIPAA regulations. No one informed me of this change. |
8/17/03 Supervisor states a memo about
changes is coming soon. |
No, I've been out of compliance with
policy. I like to be informed of changes in advance in order to comply
with policy! |
| Safety |
Have had four threatening clients this
month. I am starting to feel unsafe more frequently. |
9/5/03 Supervisor states she will
pursue safety training and explore "buddy system" for meeting with
potentially-dangerous clients. |
Yes, provided these changes are
implemented soon. |
If your Management Inventory shows that you are
satisfied with supervisory responses to your concerns, consider yourself
lucky to have this burnout-busting support. If you discover that you are
having managerial issues which are unsatisfactory or chronically
unresolved, you are in the unfortunate position of being at a greater risk
of burnout.
Developing a Supportive Environment
This sounds like a no-brainer, but it can be
very difficult to sustain a positive working environment. Office politics
and difficult personalities can interfere with support and workflow and
negatively impact morale. Overwhelming caseloads and endless paperwork can
make it easy to miss meetings, resulting in feelings of isolation and
disconnection from the information flow. Therefore it's important that you
put forth your best effort to become part of a solid, productive team.
Likewise, it's important that your management provide you with the tools
to do so, such as providing coverage so that you can attend meetings,
provide timely communication on upcoming changes, etc.
Mentoring
One way to decrease isolation and to enhance overall
supportiveness is to engage in mentoring. It makes us feel good to offer our support
and the wisdom we've gained to those with less experience. Remember, too, that even
seasoned professionals will sometimes
benefit from being mentored. The complexity of our clients and the
problems they face can be enormous. Having a trusted mentor for peer
review can greatly enhance your overall satisfaction and your confidence
in your own job performance.
Recognition
Another means of making your environment more positive
and supportive is to recognize the achievements of
colleagues. If your organization doesn't have a recognition committee or a
system of rewards for a job well done, take the initiative to create one!
Rewards don't always have to be serious. Humorous celebrations and
gag awards can go a long way toward promoting a pleasant and effective work
place.
Humor
Did you ever stop to consider what percentage of
your life you spend at work? If you work an 8 hour day, that's fully 1/3
of your day spent at the office. Do you really want to spend a third of
your day being totally serious and stuffy? Why not enjoy it a little? In
fact, numerous studies have shown that a fun workplace increases your
productiveness, quality of work, and overall job
satisfaction.
Paul McGhee, PhD, has a nifty web site which concisely
outlines the physiological, emotional, and work-related benefits of humor.
According to his site, aptly named LaughterRemedy.com, appropriate use of
humor enhances the way we cope with conflict, stress, and a variety of
other on-the-job situations (5).
Did you know that laughter triggers the body's release of endorphins, which are nature's
painkillers and mood elevators? Numerous studies have documented their
ability to lower your blood pressure, reduce your levels of stress
hormones, and boost immune system functions. So don't underestimate the
power of a good belly laugh!
Consider filling one of your desk drawers with office toys or
relaxation aids to provide a brief respite from work-related stress. My personal favorite for
humorous but inexpensive office toys and accessories is Office Playground (6). For other ideas to
promote healthy fun at work, pick up a copy of
301 Ways to Have Fun at Work (7) at your favorite
bookstore.
Plan for Professional Growth
You may be perfectly content doing face-to-face
interviews with clients for eight hours a day right now. But what about 5
years from now? Will you be happy doing the same thing? Exploring other
potential areas of practice within your organization gives you
options for the future. It gives you time to grow your professional
credentials now, so that later you can make a smooth transition into another
role within the organization if your current work environment changes in ways which are unhealthy
for you.
Know Your Limits!
It's always wise to have a clear sense of what
is and is not acceptable regarding your job. How much forced overtime is
too much for you? How many clients make up the maximum caseload you can
serve effectively? How many weekends on call are acceptable?
At some point in the future, if the demands of your job
become too great, you may find yourself needing to respectively set limits on your employer. If you're lucky, management will
respond in a healthy, supportive fashion. But you may also encounter the misfortune of
unresponsive management. What then? You need to know your limit, and to
know when to say enough is enough ... and leave. Sometimes the environment is too toxic to
allow you to thrive. And
sometimes it's too toxic to tolerate healthy change, which means your only
option is to resign.
I once found myself in that very position. One day at work I
had moment of insight: Every minute I was on the job, I didn't want
to be there. And I had no power to make the situation any better.
Therefore, I would be wishing away my life each day I came to work. Life
is too short to wish it away! I quit that job a short time
later. It was the healthiest thing I ever did.
Human Services workers are a special breed. We care
about others, and we care about making our world a better place. That
caring sometimes comes with the high price of burnout. I hope you'll start
now to identify what you find personally fulfilling at work ... and fight
to maintain it when the inevitable winds of change begin to blow.
Preserving those aspects of your job which motivate and sustain you can be
an effective tool in the burnout-busting arsenal of any Human Services
worker.
Back to
Burnout Articles
____________
FOOTNOTES
(1) For an excellent discussion of burnout and self care for those who
work with charities or nonprofits, please see
You Can't Do it All
by Kristin Duare McKinnon, MSW.
(2) Maslach, C. and Leiter, P.
The Truth About Burnout : How Organizations Cause Personal Stress and What to Do About It.
San Francisco: Jossey-Bass Publishers, 1997, p
17.
(3) Ibid, p. 24.
(4) Ibid, p. 149.
(5) Laughter Remedy web site
http://www.laughterremedy.com
(6)
Office Playground web site
(7)
Hemsath, D. and Yerkes, L.
301 Ways to Have Fun at Work
. San Francisco: Berret-Koehler Publishers,
1997.
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