Qual é o seu segredo para gerenciar o estresse e o burnout como líder de defesa do paciente?

Understanding who you are and what makes you happy is a major factor in managing your stress day in and day out. In the workplace we are being pulled in so many directions with varying priorities, leading to internal and external stess. I find it important and useful to breathe; take a beat or two to think about what has to be done, and in which order. Based on deliverables for a successful day, moving high internal stress inducing tasks up the priority board if able. As things are complete, take a beat or two and breathe to recenter and focus before moving on.

As a patient advocacy leader, self-awareness is a factor that allows me to manage life's daily stressors. A practice of intentional minutes of pause and mindfulness for my self-care. Additionally, appraising myself for the positive attributes that I possess. I believe that I can not give what I do not have. So in order to render or provide sound advice on how to manage stress, I have to model that, to be credible. Being honest with oneself and seeking feedback from colleagues is essential. Furthermore, I acknowledge that I do not have to be always perfect. Mistakes are opportunities for learning and growth. Be kind to yourself and know your limits.

I think a lot of us find it easier to advocate for others over ourselves so much so that we don't realize it may be impacting the effectiveness of our advocacy. I have been working on establishing boundaries and priorities that are more realistic and less corporate. What I have found most helpful are two grounding techniques. The first is 4x4 breathing [4 repetitions (in 4 counts, hold 4 counts, out 4 counts, hold 4 counts)] when I just need a break but can't get away yet. The second is the senses countdown (5 things I see, 4 things I can touch, 3 things I hear, 2 things I smell, 1 thing I taste/tasted) when I feel overwhelmed with an emotion.

One should take time out at the end of or near the end of the work day to reflect on the "days happenings" envision what wasn't as planned and review same for solution or necessary actions to result in a amicable situation for self or for all involved. Therein lies my method to manage "stress and burnout"

The key to managing stress and burn out is learning to balance your work and personal life. - Do a work check. If you find that your job is taking more and more of your time and your family and personal things your enjoy are slowly seeing less of you and spending less quality time with you, it might be time to do a work inventory. What extra work responsibilities can you delegate safely to others? If you don’t have anybody to delegate to, are you a micromanager? -plan a relaxing activity once a week to unwind from the work week. It can even be sleeping in a few more hours. It works for me. -plan a mini gateway once a month or every 3 months. Make time for it. Don’t say, “I am so busy at work.” Just plan it and go. I hope these help.

There are times at work when we all would love to say no. The key in my opinion is understanding the power of saying no. When your time and contributions to your team are valued, the power of your judicious use "no" will carry loads of weight.

In South Africa it is not easy to manage burnout as Nurses, as it is regarded as patient negligence so most nurses die in the line of duty not being able to take care of themselves and their families. Life is expensive and it requires that one has 2 jobs in order to provide for their families now when can one find time to manage burnout

So often its easy to forget to prioritize our own well-being while trying to meet the needs of our patients day to day. I have found it so helpful to plan mindfulness periods at least once a day to take a few minutes to pay some attention to personal needs. Our body, mind, and spirit have to be strong enough to do the job.

Practice self care by removing yourself from the “noise” and everything else that exacerbate your stress at lest once a week.

A positive mindset is key. I find it important to start each day with gratitude and positive affirmations. Our mind is a magnet and we attract what we focus on. Starting each day with a grateful heart and positive outlook has transformed my days and maximized my productivity. Even hard days are not as devastating as they once would have been because I am able to find a silver lining or some positive takeaways. It also helps to remind me of the things I can control and those I cannot. I also utilize reframes often. For example, Instead of thinking “I have to…” I change my words to “I get to.” This simple reframe has positively impacted my perspective and outlook and helped me to see all that I am able to accomplish with my days.

I believe maintaining a positive mindset is vital, both in and out of the workplace. There is much convincing data suggesting the significant health benefits one has by remaining positive and catching yourself before you head south. It is very easy to slip into a negative mindset when faced with situational bumps in the road, which have the propensity to be major negative deterrents. It takes practice to stay on track and catch one's self before negativity consumes you, but with practice, becomes rote. I teach patients this as well. In psych, if a patient is able to have insight and identify what causes their triggers, it improves their mood to practice mindfulness, positive self talk and affirmations to reverse the process. Breathe deep.

In addition to what was stated in here in terms of cultivating a positive mindset, it is best that you have also like minded people that develops there positive mindset as well. As the saying goes "Show me your friends, and i will show you who you are" is applicable with topic since despite having a positive mindset, if you have a weak support from your peers which most of them have a negative mindset, which would turn you from having a positive mindset into a negative one. #qualityhealthcare #patientsafety #patientexperience #patientadvocacy

As a patient advocate, it is easy to get frustrated at times due to a plethora of obstacles. Sometimes the situation look hopeless. However, for every challenge there is always an opportunity to grow and even find a new way to problem solve. I find that I am often a “starter” of projects and new ideas. But I am not always the one to necessarily finish them up. That is because new hands often jump in to help once the boat is afloat again.

Seeking professional help such as mental health counseling is just one step toward self care. Often thought to be a selfish act, self care is the key to better mental health. Rest, nutrition, and exercise can help gain new perspective Being in a group of like-minded positive people will also improve your mood and having a social life can help understand we are not alone in our struggles we all have mental health issues that can be managed with the right tools.

Seeking professional help is easier said than done. Must people health insurance won’t even cover MH therapy. We must advocate for “mental health” days off at the work place. If not MH days off, what about a company therapist on duty for employees to reach out to when things are getting too tough? Most employers don’t see it as a benefit. However, in the long run, it is.

Stress and burnout should be approached proactively. Talk about it. Provide openings for your team to talk to you about it. Provide training for self care. The more stress and burnout are discussed the less stress and burnout is experienced. Also, work to present a calm demeanor regardless of the presenting situation. Being mindful of presenting in a calm demeanor becomes part of your day to day approach. The age old advice of “fake it until you make it” is actually true! Demonstrate a calm response to stress and you will decrease your teams overall stress. Lead by example.

Prioritizing self-care through Continuous learning about new resources and techniques for managing stress is encouraged, as is delegation of tasks to prevent overloading any one person on a team. Celebrating even the smallest successes can maintain a positive perspective and motivation. If the stress becomes excessive or signs of burnout appear, seeking professional help from a mental health professional is advised. Ultimately, it's about balancing personal well-being with work demands, learning to manage stress, and seeking help when needed.

Delegation is a key principle to a smooth running system. If you are caught up in too many jobs, it can be cognitively taxing and detract from patient care. As a physician leader, being able to bring people of differing skills sets together is fundamental to a well-polished health system, and will reduce burnout rates and stress.