Tackling burnout in care homes

Unless burnout is dealt with properly, things usually get worse before getting better. Burnout will only start to ease off once underlying problems have subsided. In addition to stress, there’s also a good chance that physical and mental health is being harmed.

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Tackling burnout in care homes

According to YouGov research, this year (2022), 52% of workers in Britain say they felt “very” or “fairly” stressed at work. One result of chronic stress at work is ‘burnout’, which has become more prevalent in recent years and worsened by the coronavirus pandemic.
The care sector is one of the most affected by higher stress levels. It faces constant staffing and funding challenges, meaning extra strain is placed on the workforce. When you also throw COVID-19 into the mix, it’s really no surprise that so many health professionals are reportedly suffering from burnout.
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What is burnout?

If you’ve ever felt fatigued or deflated at work for long periods of time, then you may have had burnout. It’s a state of physical and emotional exhaustion which can occur in any job role. It’s brought on by feeling continuously stressed or overwhelmed at work, and usually develops when there’s little-to-no downtime to recover.

In 2019, the World Health Organization deemed burnout to be an “occupational phenomenon” and doesn’t classify it as a medical condition. However, job burnout is extensively spoken about in the UK health industry, with the government, NHS, the BMJ, and various non-profit organisations spreading the word about the causes and risks.

Symptoms of burnout

Everybody experiences some level of stress at work. But when that escalates to burnout, what does it feel like? Burnout comes in many forms and can affect people differently. It can also be exacerbated by factors outside of work, such as financial stress, childcare planning or other personal commitments.

Although burnout can affect anybody, women and young people reported feeling more prone to extreme stress and pressure at work. When Mental Health UK conducted a survey on the subject, 85% of adults were able to correctly identify symptoms – demonstrating how widespread burnout has become. Typical signs of burnout include:

  • Feeling tired or flat throughout the day.
  • Feeling overwhelmed and stressed.
  • Feeling helpless, trapped and/or defeated.
  • Feeling isolated
  • Being more negative.
  • Self-doubt.
  • Procrastination or finding yourself being generally slower to work.

It’s common for people to have multiple symptoms at once, which can quickly take its toll on physical, emotional and mental wellbeing. Occupational burnout can easily transfer to other areas of your life, so you constantly feel under pressure both inside and outside of the workplace.

Consequences of ignoring burnout

Unless burnout is dealt with properly, things usually get worse before getting better. Burnout will only start to ease off once underlying problems have subsided. In addition to stress, there’s also a good chance that physical and mental health are being harmed. If burnout isn’t tackled then it could lead to the staff member being signed off from work.

People who suffer from burnout tend to find themselves unable to continue performing their role effectively. For many, this can lead to anxiety or emotional distress. In severe cases, the affected individual may choose to end their employment. Stepping away from the stresses associated with the job provides invaluable time to recover and focus on wellbeing.

From a business perspective, care home residents/patients also end up experiencing a lower quality of service. Because staff duties may not be fulfilled as quickly or efficiently as before, it can also have a financial impact. In extreme circumstances, burnout may also begin to affect judgement or contribute to mistakes being made. It’s in everybody’s best interest that burnout is rectified as soon as possible.

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How to recover from burnout

Addressing the root cause is perhaps the most effective way to treat burnout. In most cases, this involves having a conversation with someone who can take action to support you. However, burnout is often misunderstood and stigmatised, which can make it difficult to seek help. It’s natural for people to have feelings of shame or guilt for not being able to cope at work – so overcoming this is often the first step to recovery.

There is no single treatment for burnout. It develops gradually and can encroach into other areas of life, such as disrupting sleep or causing anxiety. So tackling burnout from multiple angles at the same time is a strong approach to adopt. It can take weeks or months to regain the lost energy, enthusiasm, positivity and passion for your work.

Here are some key steps that will help you reset:

Identify the issue/s

Before you begin your road to recovery, it’s important to try and establish what exactly is causing you excessive stress. Identifying issues will help you open up about the problem and find appropriate resolutions. Try starting a stress diary to help you keep track of events.

Speak to a manager

Your manager is the best person to talk to about burnout. They should be able to put a support system in place for you to ease your recovery.

Don’t hide from your colleagues

Let your colleagues know you could use some extra support. Making others aware of your situation gives people a chance to take some pressure off your workload if they are able.

Don’t be afraid to say ‘No’

We all take on extra responsibility from time to time because we want to help each other. But when you’re already stretched, it’s okay to politely turn down jobs.

Improve your wellbeing outside of work

Ensure you make the most of your free time and focus on yourself. Do things you enjoy and keep active to help improve your mental and physical wellbeing.

Embrace positivity

Try to stay positive! Optimism works wonders for mental health and makes the workplace a happier environment for all.

Step away for a bit

If you’ve got annual leave, take some well-needed time off and try not to think about work. Come back rested with a fresh mindset.

Think about what you want

Do you still see yourself in your profession a few years down the line? Is your passion for the work still there? What would make you happy in your role? The answers to these types of questions will provide clarity to help you decide how you want to proceed with your career.

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Ways to support staff

Preventing stress is the best option. If you are able to remove obstacles or help your staff overcome their issues, then most people end their shifts happy. But realistically, this is no easy task in social care. There are certain challenges around staffing and funding that cannot be solved overnight. So with this in mind, take full advantage of the issues that you can solve.

Everyone deals with stress on their own terms or can be affected by different things. Some staff might be unhappy working with particular colleagues or residents, or struggle with their working hours due to outside commitments. Some people may be taking on too much responsibility, whereas others don’t feel their job is rewarding enough.

Creating healthy working environments where staff feel valued, supported, listened to and fulfilled is extremely important in keeping morale high and stress levels low. Here are some ways to help prevent and manage burnout:

Create support plans

Similar to person-centred care plans, develop personalised support plans to help affected individuals through their roads to recovery. This could include anything from reduced responsibility for a temporary period, working with more experienced team members, offering flexible-working options to help better manage personal commitments outside of work, or even extra financial incentives if money is a factor.

Train people to better understand mental health difficulties

Managers can be equipped with the knowledge and skills to help employees overcome a range of challenges. Consider training managers and some staff to identify symptoms of burnout and point people in the right direction to get appropriate support. Implement policies and procedures for dealing with high-stress levels so each case is handled with care and consistency.

You can take this support one step further by introducing a Mental Health First Aider program. Mental Health First Aiders or MHFA Champions are dedicated members of staff who have undergone specialised training to assist anyone who needs mental health support at work.

Maintain healthy channels of communication

Burnout shouldn’t be a taboo subject. Encourage everybody to speak about it openly to reduce the stigma and shame some people feel. Consider implementing regular wellbeing discussions, either as a team or privately, to find out how your staff are coping.

Have supportive resources at hand

Don’t wait until it’s too late – start accumulating online resources and printed literature on handling stress at the earliest opportunity. Mental Health UK has created help and information that can be accessed from their website.

Many employers have also begun offering some form of mental health service as an employee benefit. Read more about this here.

Another free resource is the Work Well Advice Line. This phone service – operated by South London and Maudsley NHS Foundation Trust – provides confidential wellbeing advice to people who are suffering from stress at work or experiencing a range of hardships.

Recognise & empathise with outside difficulties

In a sector where work-life balance is notoriously difficult to manage, being compassionate about personal difficulties outside of the workplace goes a long way to easing stress.

Provide access to the right tools

If part of the reason your staff are experiencing stress is due to outdated processes or feeling underprepared to handle certain situations effectively, then it could be time to invest in new equipment or systems to create a more organised and efficient working environment.

For example, digital care management systems like CareDocs have proven to save care staff hours each week by reducing the need to complete time-consuming administrative tasks. By using computers and mobile devices to record care, your workforce can spend more time on the parts of the job they love, and less on paperwork.

Sources

Originally published on November 28, 2022
Article updated on May 31, 2023

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