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Strategies for Achieving JOY in the Workplace
Heather Farley, MD, MHCDS, FACEP
Chief Wellness Officer
Christiana Care Health System
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“I was forced into a silence of
shame, fear, and anxiety…
The accusation repeatedly
reconstituting as a tangible knot
of resentment, anger, insecurity,
and profound sadness.”
HEALTHCARE PROVIDERS GO SILENT
“At the end of every day, I
experience a deep sense of
mourning and an overwhelming
compulsion to walk away from
this profession.”
“My lifelong dream is
becoming a nightmare.”
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WHAT IS BURNOUT?
Prolonged response to
long-term emotional
and interpersonal
stressors on the job.1
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Sense of
ineffectiveness
and lack of
accomplishment2
Feelings of
cynicism &
detachment
(depersonalization)
Emotional
exhaustion
KEY DIMENSIONS
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CONSEQUENCES OF BURNOUT
PATIENT CARE
COSTS
PERSONAL
COSTSECONOMIC
COSTS
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HOW BAD IS IT?
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Of physicians report at least
one symptom of burnout2017 Mayo Clinic Study
44%
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Add newest stats- medscape
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CHANGES IN BURNOUT BY SPECIALTY
2011-2017
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CAUSES OF BURNOUT
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MEDICAL CULTURE
TRIAD OF CAUSES
EXTERNAL
PRESSURES
PERSONALITYTRAITS
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BASIC TRAINING TAKES 8 WEEKS
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MEDICAL CULTURE
TRIAD OF CAUSES
EXTERNAL
PRESSURES
PERSONALITYTRAITS
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Would not recommend
medicine as a career to
their children2018 Physicians Foundation Survey
49%
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One in fifty physicians intend to leave
medicine altogether in the next two
years to pursue a different career.Professional Satisfaction and Career Plans of US Physicians
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WELLBEING AT WORK
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PROVIDERS ARE HUMANS!!!
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PSYCHOLOGICAL NEEDS OF PROVIDERS
CHOICECAMARADERIE MEANING
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DRIVER DIMENSIONS
Workload
and job
demands
MEANING IN WORK
Social
support and
community
Efficiency
and
resources
Culture and
values of
organization
Control and
flexibility
Work-life
integration
Shanafelt TD, Noseworthy JH. Mayo Clin Proc. 2017;92:129-46.
BURNOUT
• Exhaustion
• Cynicism
• Inefficacy
ENGAGEMENT
• Vigor
• Dedication
• Absorption
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THE PATH FORWARD
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ORGANIZATIONAL COMMITMENT
+
MULTI-MODAL APPROACH
THE PATH FORWARD
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To foster joy
and meaning
in work for
providers and
their teams.
CENTER FOR PROVIDER WELLBEING
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AVAILABLE WELLBEING MODELS
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Humanizing Adverse Events
Destigmatizing Mental Health
Elevating Workplace
Civility
PROFOUND CULTURE CHANGE
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Humanizing Adverse Events
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PROVIDER SUPPORT INITIATIVES
CARE FOR THE CAREGIVER PEER SUPPORT
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Destigmatizing Mental Health
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Free,
Confidential,
available
24/7 to
provider
AND family
Psychological
Support
Work Life
Assistant
Services
Coaching and
Professional
Development
** In-house resource liaison also available to connect
provider with internal and community resources**
PROVIDER SUPPORT INITIATIVES
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Elevating Workplace Civility
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COMMUNITY BUILDING INITIATIVES
COMPASS
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PSYCHOLOGICAL NEEDS OF PROVIDERS
CHOICECAMARADERIE MEANING
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Multi-modal intervention
✓ TEAM resiliency education
✓ Social connection
✓ Recognition
✓ OASIS room
OASIS PROJECT
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DRIVER DIMENSIONS
Workload
and job
demands
MEANING IN WORK
Social
support and
community
Efficiency
and
resources
Culture and
values of
organization
Control and
flexibility
Work-life
integration
Shanafelt TD, Noseworthy JH. Mayo Clin Proc. 2017;92:129-46.
BURNOUT
• Exhaustion
• Cynicism
• Inefficacy
ENGAGEMENT
• Vigor
• Dedication
• Absorption
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Add slide about efficiency of practice, lean, MTH, or
stones in shoes from IHI; include stuff re leading
differently, and reference our exec coaching,
resilient leaders series, and hot spotting
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WHY DO I COME TO WORK?
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What Can I Do NOW?
✓ Engage senior leadership
✓ Track the business case for wellbeing
✓ Measure wellbeing and the drivers of
burnout/professional fulfillment
✓ Resource a wellness infrastructure
✓ Determine scope, launch pilot projects,
evaluate efficacy
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“For most (providers )who find themselves burning out or disillusioned with
the job, the cause is most likely the loss of the human connections that they
expected when they entered the field, and the loss of their own idealism.
That is not irretrievable. What is needed is the courage to identify and
reinvigorate some of the illusions.”
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ONLINE
stepsforward.org
https://nam.edu/initiati
ves/clinician-
resilience-and-well-
being/
RESOURCES