May 19, 2019

WHO Recognizes Burnout as ‘Occupational Phenomenon’

A survey finds 63% of hospital nurses report burnout.

The World Health Organization (WHO) this week said it now officially recognizes workplace burnout in the 11th edition of its International Classification of Diseases (ICD-11). This comes as the healthcare industry is seeing an increasing number of cases of clinician burnout.

The WHO defines burnout as “a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed.” A WHO statement made it clear that burnout is listed as an “occupational phenomenon. It is not classified as a medical condition.”

The ICD-11 says burnout is characterized by three dimensions:

  1. Feelings of energy depletion or exhaustion
  2. Increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job
  3. Reduced professional efficacy

A recent survey of registered nurses employed in hospitals found that 63% say they experience burnout. A report from Press Ganey released last fall found that resilience, seen as an antidote to burnout, varies according to demographics such as generation, role, and shift.

“Nurse burnout is a direct consequence of administrative processes that leave nurses overworked and underappreciated,” said Will Eadie, vice president of sales and strategy for WorkJam, a workforce management application used by healthcare providers, in an email. “Addressing these problems demands process-based, high-level changes.”

Eadie recommends making the following process updates to relieve pressure on nurses:

  1. Increasing schedule flexibility. “When nurses don’t have the freedom to make changes to their intensive schedules, excessively long workweeks become normalized. By using a more agile scheduling system, healthcare providers can eliminate the feeling of being boxed into an unmanageable workweek.”
  2. Improving internal communications. “When nurses feel excluded from high-level health system communications, it only compounds feelings of powerlessness. By consolidating communications on a single, navigable platform, healthcare organizations can provide nurses with an added level of connectivity, which can help them feel more engaged in their work.”
  3. Providing better training. “Too often, nurses—particularly traveling nurses—are thrown into a new role without proper training on how to navigate job-related stress. The absence of on-demand, self-service training is a recipe for burnout. Instead, healthcare organizations should carefully evaluate their learning management systems to ensure these processes account not only for patient care, but for the nurses, too. Nurses should emerge from training with a sense of understanding and accomplishment.”

Jay Kumar / HealthLeaders

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