Nurse Wellbeing

🎉 I am excited to share that I'm presenting a Keynote for Carle Health's nurse wellbeing conference!

📈 Nurse burnout rates are incredibly high--with most studies showing a greater than 50% rate.

😢 When clinicians are burned out, it affects us all.

😑 The moral distress they experience can leave them feeling numb and hopeless.

😀 But it doesn't have to be that way! There are steps organizations can take to avoid burnout in the workforce. And steps burned-out coworkers can take to recover.

📢 I will share these steps and more with nurses at Carle Health later this year, thanks to the invitation of Danielle Lawler, MSN, RN, CMSRN, and her team.

#burnoutrecovery #nursewellness #keynotespeaker

One year after crashing

Labor Day 2022

I woke up with a strange feeling--like my heart was skipping beats over and over.

For years, I had been under considerable stress.

In 2020, I led our ethics committee as we hastily made preparations for the global pandemic. I led our chaplain team, which responded to 5,563 deaths during the pandemic.

2021 was a year of death and grief. Kristen Riecke's sweet dad died. Our good friend Bre died during childbirth just down the hall from my office at Parkview Health. And several other family members died before July arrived.

In 2022, I experienced my worst leadership struggles to date, and my leader at the time threatened to fire me. I didn't know it yet, but my anxiety was starting to drive the car, and I was along for the ride.

This resulted in new physical and mental health problems. "Vagally-mediated Atrial Fibrillation" Meaning that stress had compromised my nervous system so badly that my heart was out of rhythm. This is actually pretty common.

So, in the ER on Labor Day 2022, I received 255.1 joules of electric shock. Without sedation (my choice).

I was wide awake when the doctor said, "Charging. Clear. Clear." Then, whoosh!

My arms and legs shot up off the bed, my teeth slammed together, my eyes widened beyond capacity, and my belly jumped toward the ceiling. My heart returned to a sinus rhythm.

In the coming months, I experienced 30+ days on a heart monitor, a shaved chest (yuck), therapy, an official depression and anxiety diagnosis from my doctor, but most profoundly...

The sense that something had to change. Everything had to change.

In the 12 months since that day, here are SOME of the many steps I have taken to recover and overcome what I now know as MORAL DISTRESS and BURNOUT:

1. Secured intermittent FMLA

2. Daily nervous system work (thank you Sukie Baxter)

3. Decreased focus and intensity at work

4. Meditation

5. Worked on my bucket list (thank you, Ben Nemtin)

6. Adjusted my expectations of myself

7. Journaled 2-3x per week

8. Counseling (thank you, Cheryl Confer)

9. Committed to new boundaries (no more checking work email at all hours)

10. Regular walks

11. Self-discovery (thank you, Enneagram)

12. Opened up with trusted friends (thank you, William Curry, Matt Burke, Jana Vastbinder, Jon Swanson, and Kristen Riecke)

13. And I (finally) started some medication for my mental health

They say that recovery from burnout takes 1-3 years. Today, I have been in recovery for one year. I am not done.

hashtag#mentalhealthawareness hashtag#burnoutrecovery hashtag#burnout

10 years in one place

In June 2023, I celebrated 10 years at Parkview Health.

These are the top seven lessons I've learned in my first ten years in healthcare. ⬇️

🌎1. The world is a much more complicated place than I originally thought.

🛐2. Changing your beliefs in light of new experiences is a sign of maturity, not weakness.

💁🏻‍♂️3. Empowering others is more fun than your own success.

🏅4. Work isn't a family. It's a team. That's better and more healthy.

💓5. Believing the best in people will enable some coworkers to soar, and others to fall.

🧑🏻‍🏭6. If you really believe in something, don't take 'no' for an answer. Find another way.

👩🏼‍💼7. Executives put their pants on one leg at a time. Don't be intimidated by big titles. Instead, help them. They have a tough job.

Thank you, Ann Lantz and Jeannine Nix for hiring me, Ben Miles, Curtis Smith, Dena Jacquay, and Sarah GiaQuinta, MD for leading me, and Kristen Riecke and Daniel Riecke for supporting me.

There are too many coworkers to tag, but special shoutout to Jon Swanson for seldom agreeing with me, but always helping me to become better.

#healthcare #tenyears #leadershipskills #healthcareleadership

One way to stop burnout

7 Organizational Steps to avoid burnout

❓As a leader, can you help coworkers avoid burnout?

7️⃣ These seven steps will help you decrease the level of burnout your team experiences.

1️⃣ Number 1: Provide a way opt-out

😞If a coworker violates their own conscience at work, they experience moral injury. This can lead to burnout symptoms, including emotional exhaustion, cynicism, and feeling like they can't make an impact at work.

🔥Once they are burned out, it's hard to get UN-burned out. So, one way we can avoid or decrease burnout is to clearly communicate to our team: "If you have a moral objection to this course of action, you can opt-out."

⛔Of course, you still have to get the job done. But finding a way to do it without violating anyone's values will avoid disengagement and turnover.

❓Does your leader let you opt-out?

hashtag#moralinjury hashtag#burnout hashtag#burnoutprevention hashtag#wellbeingatwork hashtag#healthcareleadership

Erin Alexander EMSN, MSN-Ed, RN, CNEn

How I am recovering from burnout

❓ Can you overcome burnout?

🤷🏼‍♂️ I've researched the topic of burnout among healthcare workers extensively. But this question is generally unanswered.

📚 There are excellent studies on the prevalence of burnout, depression, suicide, etc.

🏢 Articles abound that detail necessary steps ORGANIZATIONS must take to reduce burnout in their coworkers.

🙍🏼‍♂️But what about the solitary individual, a burned-out person? What can she/he do to recover?

😞Is it hopeless? Un-recoverable?

My desperate search was selfish. I needed to know--can I come back from burnout?

🔎Since I could not find answers in the literature, I had to find my own way.

I had to survive.

So, here are 14 things I have done (or stopped doing) in the last 8 months to claw my way back from burnout.

They are descriptive. These things helped me. They might not help you.

Number 7 is embarrassing:

⚖️1. I adjusted my expectations of myself. The most important one, by far.

🙆🏼‍♂️2. I gave attention to my nervous system (I educated myself, then started new practices). Sukie Baxter was a huge help.

🎯3. I decreased my focus and intensity at work. (What's the opposite of working harder? Working lighter? Working softer?)

🧘🏼‍♂️4. I meditated with the use of Kristen Riecke's Peloton app.

📃5. I made a bucket list and started checking off items. Ben Nemtin changed my life.

💺6. I took time off and made a plan with my doctor.

🚽7. I stopped checking emails on the toilet. (This one is still hard to practice, ngl. Kind of embarrassing and gross.)

🌍8. I adjusted my worldview (again).

📒9. I journaled events, thoughts, and feelings.

🧱10. I drew boundaries and eliminated/limited energy suckers (aka, I said "no" and unfriended some people on social media👋🏼).

🧭11. I performed self-discovery (there were personality-specific reasons why the situations bothered me so much).

🫧12. I found a literal safe space--a physical bubble where I could retreat and be free.

⌚13. I used the mantra "Things can change at any moment."

💞14. I confided in exactly three trusted people (in addition to my doctor and counselor): Kristen Riecke, Jana Vastbinder, and Jon Swanson.

What is on your list? Comment below:

#selfhelp #personaldevelopment #mindfulness #humanresources #healthcare #mentalhealth #depressionawareness