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From Burning Out to Burning Up: Tending the Flames of your Professional Career

Sara Scheller BSN, RN, NBC-HWC, HNB-BC

Integrative Nurse Health Coach

Hackensack Meridian Health

Objectives

• Discuss risk factors for burnout in nursing

• Define purpose

• List 3 values

• List 3 strengths

• Write your story and a purpose statement

9th Annual Holistic Nursing Conference New England Holistic Nursing

“Walking Our Path:

Grounding Wisdom for

Contemporary Times”

My Story

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Live a Life Worth Telling a Story About

How do we go from burning out to burning up with passion, desire and

purpose?

This Photo by Unknown Author is licensed under CC BY

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Are you at risk for burnout?

Have you become cynical or critical at work?

Do you drag yourself to work and have trouble getting started once you arrive?

Have you become irritable or impatient with co-workers, customers or clients?

Do you lack the energy to be consistently productive?

Do you lack satisfaction from your achievements?

Are you using food, drugs or alcohol to feel better or simply not feel?

Have your sleep habits or appetite changed?

Are you troubled by unexplained headaches, backaches or other physical complaints?

Mayo Clinic. (2018, November 21). Know the signs of job burnout. Retrieved from

https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642

Causes of Burnout Syndrome Among Nurses

Paul et al., 2018, p.4

Burnout

How do we

treat it?

Healthy Nurse=Healthy Patient

The American Nurse Association (ANA):

“A healthy nurse is one who lives life to

its fullest capacity across the

wellness/illness continuum, as they

become stronger role models, advocates,

and educators, personally, for their

families, their communities and work

environments, and ultimately for their

patients.”

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Holistic Nursing Practice

Core Value 1: Holistic Philosophy, Theories, and

Ethics

Core Value 2: Holistic Caring Process

Core Value 3: Holistic Communication, Therapeutic

Healing Environment, and Cultural Diversity

Core Value 4: Holistic Education and Research

Core Value 5: Holistic Nurse Self-Reflection and

Self-Care

Core Value 5: Holistic Nurse Self-Reflection and Self-Care

• Self-reflection-turning inward to examine one’s

thoughts, values, beliefs, experiences, behaviors and inner wisdom-enhances self-understanding and facilitates reflective practice

• The nurse values himself/herself and his/her calling to holistic nursing as a life purpose

(AHNA & ANA, 2013, p. 8)

Self-Care The nurse’s self-reflection, self-assessment, self-care, healing and personal development are necessary for service to others, growth/change in the nurse’s own well-being, and understanding of the nurse’s own personal journey.

-Holistic Nursing: Scopes and Standards of Practice, 2nd

Edition, 2013

SLEEP

Prioritize high quality sleep

ACTIVITY

Move your body

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PURPOSE

Live a purposeful life

NUTRITION

Food as medicine

RESILIENCE

Choose to thrive vs. survive

Can a break in a hospital garden reduce your risk for burnout?

Healing Gardens at Jersey Shore University Medical Center

Holistic Modalities for Nurses • Physical exercise

• Meditation (primordial sound meditation, mindfulness-based stress reduction, zen, transcendental, concentration, heart-centered)

• Yoga (kundalini, yin, hatha, vinyasa flow, ashtanga, bikram/hot, power, restorative)

• Aromatherapy

• Acupuncture/Acupressure

• Massage

• Pet therapy

• Music therapy

• Spending time in nature

• Biofeedback

• Self-hypnosis

• Guided Imagery

• Energy work: Reiki/Healing Touch/Therapeutic Touch

How do we find meaning?

If you were given a camera,

and asked to take pictures

of what you love…

what would you see?

What patterns emerge?

90% of people took pictures of others,

in relationships with significant others.

Next most common was photos of nature,

the beauty of the world.

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Purpose

That which gives

meaning to one’s life

“Purpose is actively living your

values, leaning toward

compassion for others, and

getting up in the morning to

contribute value to the world.”

Richard J. Leider

Why did you choose nursing?

• To be of service/help people

• Flexibility

• It was a “calling”

• I have a family member who is a nurse

• Career opportunities/growth

• Independence/autonomy

Purpose as the key to longevity?

“How to adult on purpose” -Dr. Christine Whelan

• One study of 18-24 year olds believe having a clear purpose in life is a big part of being a “real” adult • 86% young adults making decisions aligned with purpose

make them an adult

• 43% clear on what they want

• 30% know why they are here

• 36% of 18-24 year olds say the career path they have chosen is aligned with their purpose

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The Power of Purpose

Three themes:

1. More reflective

2. More courageous

3. Clear earlier about

purpose

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Conclusion: “The Power of Purpose”

“…purpose naturally resides deep inside the

human soul”-Richard J. Leider

The Purpose Journey

Our priorities and values shift…purpose is not

discovered once and then we are done with it. It is re-

examined at various points throughout the life cycle,

typically during crisis and major life transitions.

– Richard J. Leider

Myths Around Purpose

1. To have purpose means I must do something original.

2. Only a few special people have true purpose in their lives.

3. True purpose comes as inspiration or revelation, until that time comes, I might as well keep plodding ahead.

4. Purpose is a luxury. I need to earn money and make a living.

You already have it…

Unlocking your life purpose is a process of self-awareness

Purpose is a Choice

It is the choice to bring who we are – our gifts and talents to respond to something we believe in, something larger than ourselves.

Purpose Moments

There are moments when you get a hint of your life’s purpose.

“I was just trying to get home from work.”- Rosa Parks

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Life is our Moments: Time is our most precious currency Do you discard these moments?

…or do you savor them?

How to Live on Purpose:

• Unlock your story

• Doing a deed

• Experiencing a value

• Suffering

• Unlock your gifts

• Unlock your curiosity

Unlocking Your Story: Three Paths to Purpose

Path 1: Doing a deed

Path 2: Experiencing a value

Path 3: Suffering

Path 1: “Doing a Deed”

Do you love what you do?

• Volunteer work

• Community work

• Paid work

Consider…What are you doing when you lose track of time?

Path 2: “Experiencing a Value”

Who do you love to serve?

Values Factor

“…until you understand specifically what you

truly value most, what truly inspired you, who

you truly are, and what your true purpose is, a

completely inspired, fulfilling life will elude you.” (Demartini, 2013, p. 2)

This Photo by Unknown Author is licensed under CC BY

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Experiencing a Value Values Factor

Your beliefs become your thoughts, Your thoughts become your words, Your words become your actions, Your actions become your habits, Your habits become your values, Your values become your destiny.

-Mahatma Gandhi

What Do You Value? Path 3: “Suffering”

Sometimes purpose is discovered through a crisis

The benefit of a crisis is often the letting go of petty concerns, conflicts, and the need for control and the realization that life is short and every moment is

precious

How to live on Purpose:

• Unlock your story

• Doing a deed

• Experiencing a value

• Suffering

• Unlock your gifts

• Unlock your curiosity

Unlock Your Gifts

“Purpose feeds three deep spiritual hungers: to connect deeply with

the power of choice in our lives; to actively know that we have a

unique gift to give in the world; and to use our gifts to make a

contribution in some meaningful way.”-Richard J. Leider

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What Are Your Strengths?

How to live on Purpose:

• Unlock your story

• Doing a deed

• Experiencing a value

• Suffering

• Unlock your gifts

• Unlock your

curiosity

Unlock Your Curiosity

“Once we discover our music-what moves us-life takes on a new energy.” Richard J. Leider

What do you

This Photo by Unknown Author is licensed under CC BY-SA

? Visualization

Connecting with Meaning & Purpose

Questions about Purpose

• What makes your life meaningful?

• What do you identify as your sense of purpose?

• What activities make you feel “fully engaged” or “in flow”?

• What special “gifts” or abilities have friends or family described in you?

• Who are your models or mentors?

• Have you ever known that you have “made a difference” in this world, or to a person?

• What were you giving or doing?

• What are your strengths?

• What do you value?

• Who do you want to impact?

• If you could do anything, what would you do?

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Telling Your Story

• Incident

• Action

• Benefit

• Write your

purpose statement

This Photo by Unknown Author is licensed under CC BY

Purpose Statement

“The reason I get up in the morning to go to work is

to:

awaken, ignite, organize, teach, support, empower,

develop, accept, encourage, help, care, inspire,

motivate, earn, enhance, serve, lead, act upon,…”

Adapted from Leider, R. (2015). Power of purpose: Find meaning, live longer, better (3rd ed.). Oakland, CA: Berrett-

Koehler. Page 95

Writing your Story

Time is up!

This Photo by Unknown Author is licensed under CC BY-SA-NC

-Natasha Bedingfield https://www.youtube.com/watch?v=b7k0a5hYnSI

Passion. Purpose. Impact.

“Whatever you have to do in your life today, make a

choice, to do what you need to do based on your

purpose…dig down deep…find your dream.

Empower yourself. Do what you have to do to live

your best life, NOW! Do not wait. Life is way too

fragile. Take your passion, align it with your

purpose, and that’s how you create impact.”

-Todd Durkin

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References • American Holistic Nurses Association, & American Nurses Association. (2013). Holistic Nursing: Scopes and Standards of Practice (2nd ed.). Silver Springs, MD: Nursesbooks.org.

• American Holistic Nurses Association. (2016). About us. Retrieved from: www.ahna.org/aboutus.

• American Nurses Association (ANA). (2013). Healthy Nurse. Retrieved from: http://www.nursingworld.org/ MainMenuCategories/WorkplaceSafety/Healthy-Nurse

• American Nurses Association. (2018, November). Healthy Nurse, Healthy Nation: Year One Highlights 2017-2018 (Rep.). Retrieved April 19, 2019, from American Nurses Association website: https://www.nursingworld.org/~4ab629/globalassets/docs/ana/practice/hnhn17-18highlights.pdf

• Blum, C. (Sept 2014). Practicing Self-Care for Nurses: A Nursing Program Initiative. The Online Journal of Issues in Nursing, 19(3). doi:10.3912/OJIN.Vol19No03Man03

• Bonsall, L. (2016, January 28). My Nursing Care Plan. Retrieved May 16, 2019, from https://www.nursingcenter.com/ncblog/january-2016/my-nursing-care-plan-for-2016

• Cordoza, M., Ulrich, R. S., Manulik, B. J., Gardiner, S. K., Fitzpatrick, P. S., Hazen, T. M., & Mirka, A. (2018, November 01). Impact of Nurses Taking Daily Work Breaks in a Hospital

Garden on Burnout. Retrieved from

• Demartini, J. (2013). The Values Factor: the secret to creating an inspired and fulfilling life. New York: Berkley Books.

• Dossey, B. M., Luck, S., & Schaub, B. G. (2015). Nurse coaching: Integrative approaches for health and wellbeing. North Miami, FL: International Nurse Coach Association.

• Kouzes, J. M., & Posner, B. Z. (2007). The leadership challenge (4th ed.). San Francisco, CA: John Wiley & Sons.

• Laporte, D. (2012). The Desire Map. Canada: White Hot Press.

• Leider, R. (2015). Power of purpose: Find meaning, live longer, better (3rd ed.). Oakland, CA: Berrett-Koehler.

• Mayo Clinic. (2018, November 21). Know the signs of job burnout. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642

• Paul III, D.P., Bakhamis, L., Smith, H., Coustasse, A. (2018, April). Hospital nurse burnout: A continuing problem. Paper presented at the 54th Annual MBAA Conference, Chicago, IL.

• Wagner, C. (2015). Moral distress as a contributor to nurse burnout. AJN, 115 (4), 11. doi: 10.1097/01.NAJ.0000463005.73775.9e

• Whelan, C. B. (2016). The big picture: A guide to finding your purpose in life. West Conshohocken, PA, PA: Templeton Press.