{"id":392476,"date":"2024-12-20T00:01:00","date_gmt":"2024-12-19T23:01:00","guid":{"rendered":"https:\/\/medizinonline.com\/?p=392476"},"modified":"2024-12-13T10:33:47","modified_gmt":"2024-12-13T09:33:47","slug":"burnout-prevention-in-the-practice-team-basics-and-strategies-3","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/burnout-prevention-in-the-practice-team-basics-and-strategies-3\/","title":{"rendered":"Burnout prevention in the practice team \u2013 basics and strategies"},"content":{"rendered":"\n

Burnout is a symptom complex with the cardinal symptom of exhaustion as a response to prolonged emotional and interpersonal stress in the workplace. Multimodal therapy management is based on psychoeducation, sleep hygiene, understanding the illness, psychological risk factors, self-care, coping strategies, conflict resolution and social skills. As good patient care is based on a well-functioning practice team, burnout should be prevented through a positive organizational structure. <\/strong><\/p>\n\n\n\n\n\n\n\n

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Burnt out, empty and powerless are the keywords that spring to mind when we think of burnout. First described in 1974 by the American psychotherapist Herbert J. Freudenberger, the problem mainly related to people in social professions [1]. He described burnout as a crisis of social workers who no longer felt able to maintain their previously high level of commitment. In the meantime, the disease is spreading. For a long time, there was no uniform definition of burnout. In ICD 10, the Z diagnoses were generally used, such as Z73.0 Burnout. In ICD 11, burnout was assigned to chapter 24. This includes factors that influence health or the use of health services. This includes the definition of burnout as a syndrome caused by chronic stress at work that has not been successfully managed. The reference to the professional context is important. A feeling of loss of energy and exhaustion, increasing mental distance from work or feelings of negativism or cynicism about work as well as reduced professional performance are perceived.<\/p>\n\n\n

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According to surveys, up to 1\/3 of the working population today fulfill the criteria for burnout or a preliminary stage of burnout [1].\nThis corresponds well with the data collected in Switzerland.\nAs part of Health Promotion Switzerland, the Job Stress Index 2020<\/em> found that almost 30% of employees are emotionally exhausted.\nThe Job Stress Index shows the average ratio of work-related stress and resources of employees in Switzerland.\nStress in the work context can be, for example, time pressure, conflicts or excessive demands.\nCertain characteristics of the working environment can make it easier to cope with these stresses and therefore represent resources for employees.\nThese include, for example, freedom of action or appreciation (Fig. 1) <\/strong>[2].\nThe pandemic has further exacerbated the situation in 2020-2022.\nAt 30.3%, the proportion of employees who feel emotionally exhausted exceeded the 30% mark for the first time since 2014.\nIn addition, the proportion of employees whose job stress index was in the critical range was 28.2% (Fig. 2)<\/strong> [2].\nWhat should not be underestimated: work-related stress accounts for 16% of the total costs of CHF 48 billion due to health problems [2]. <\/p>\n\n\n

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The burnout spiral<\/h3>\n\n\n\n

Burnout manifests itself clinically with the leading symptom of exhaustion in the context of various chronic psychosocial stresses against the background of a life-historically acquired increased readiness to cope with stress, certain personality variables and available coping strategies for dealing with stress [3].\nPathogenetically, the process is based on a complex interplay of personality traits and occupational environmental factors.\nPeople who overexert themselves at work appear to be at risk.\nThis also includes authoritarian or compulsive personalities who are unable to hand over work or accept help for fear of losing control.\nIn addition, the risk of burnout increases with high demands, little room for maneuver, little reward for achievements and little social support [3].\nBurnout then develops in the form of a process with its diverse physical, emotional, cognitive and behavioral symptoms (Table 1)<\/strong> [3]. <\/p>\n\n\n

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Diagnostics and differential diagnoses<\/h3>\n\n\n\n

There are no objective parameters for diagnosing burnout.\nThe diagnosis is made clinically on the basis of the characteristic triad of symptoms consisting of <\/p>\n\n\n\n