November Newsletter: Nursing Student Burnout

Recognizing, reversing and building resilience to burnout.

Welcome to the Beating Burnout Newsletter. A digital magazine dedicated to living mindfully, deeper reflection and personal growth.

Note: Images may not display properly on uOttawa accounts! Be sure to click on the display images option or read this newsletter in your browser at https://beating-burnout.beehiiv.com/ 

🟣 A quick check-in…

We’re taking care of people. That’s our job.
But we are human too, and all we have is our own health.
That health is the resource we need to work, play, connect and live.

Just what is it that we’re chasing, that we’re sprinting so hard for?
Are we putting other people’s needs in front of our own sleep, exercise and meals?

Sometimes we find ourselves with no choice but to run,
But this high-stress state is not sustainable over time.

We must find ways to protect and nurture ourselves.

📔 What is Burnout?

Nursing school can be a continuous go-go-go with overwhelming amounts of information to memorize, clinical hours to attend, exams and written essays, and emotionally taxing interactions. This can drive our bodies to shift into the sympathetic nervous system.

In the short term, it can help increase our energy and focus. But as the semester progresses, chronic stress can lead to increased feelings of burnout - a state of complete mental, physical, and emotional exhaustion.

A Swedish study found the burnout rate among first-year nursing students was 29.7% and for second-year students, it was 36.9%. Although common, there are 3 key steps we can take to manage burnout!

 

1: Recognize the Signs and Symptoms

Listen to your body. All too often, we push aside our fatigue thinking that it is what is expected of nursing school. Although having resilience and discipline to get through hard times can be useful, we need to remember to pause and check-in: am I having persisting and pervasive symptoms of burnout?

Physical manifestations

  • headaches 🧠 

  • stomach aches and indigestion 🤢 

  • fatigue 💤 

  • frequent illness 🏥 

  • changes in appetite/sleep 😴 

  • general decline in physical health 📉 

Cognitive manifestations

  • feeling exhausted 💤 

  • depersonalization 🫥 

  • lack of focus ✍️ 

  • lack of motivation 💪 

  • decreased creativity 🎨 

  • reduced academic performance 🏫 

2: Reverse Burnout Through Prevention and Micro-Breaks

Prevention is key: Planning

“At certain times, students will be extremely busy with courses and activities - the trick is to have them plan ahead so that they can avoid being overwhelmed when deadlines appear”

  • 📆 Deadlines: Writing all of your deadlines in an accessible list, and inputting them in your calendar.

  • 🛠️ Long Projects: Set short goals in your calendar to avoid procrastinating until the last minute. The University of Toronto has a free to use assignment planner that can break down academic assignments into a set of reasonable steps.

  • 📜 Tests: Set reminders every few days or weeks that prompt you to practice active recall of previous lecture materials! The more often you review the course material, the easier it will be to remember.

  • ☑️ Small Assignments: Set alarms and reminders a few days before for assignments that are easy to forget, such as Mastering A&P Assignments, CEO Reflection Posts, odd certificates for online simulations, etc.

  • 💕 Breaks and Downtime: Set aside time in your calendar for ‘downtime’. You don’t have to specify whether it will be a walk, nap, bake, knit, etc. By inputting these breaks into your calendar, they can serve as important reminders!

Reflection is crucial: Prioritize

“When things get overwhelming, and we have 10+ balls to juggle, we need to strategically drop a few of the balls or we risk losing all of them at once”

  • 🤔 WHAT matters to me? 

    • Prioritize your base needs - adequate sleep, proper diet and moderate exercise.

    • ie. If I already don’t have time to do things, do I really have the time to get sick?

  • 🤹 Do I NEED to be doing everything?

    • Constant busyness or distraction doesn’t necessarily mean we aren’t still experiencing difficult emotions beneath the surface.

    • ie. Do I have the energy to work an extra shift this weekend? What happens if I say ‘no’?

  • ♻️ Are there tasks I can DROP?

    • Sometimes, doing a few things very well might be more worthwhile than taking on too many things at one time and barely getting by.

    • ie. What am I involved in, but not feeling a direction or a path forwards?

Acute management is next: Micro-Breaks

“Microbreaks is a form of brief psychological detachment from work tasks that puts high demands on our resources, and allows us to replenish our energy temporarily until we find time to rest”

Physical Micro-Breaks (improves mood and decrease fatigue)

  • 🌊 Fill up water bottle with ice cold or boiled warm water and take big sips

  • 🧘 Go to the staff washroom, clean hold or med room and do something active: 10 squats, 10 jumping jacks, arm swings, shoulder rolls, neck rolls, etc.

  • 🫁 Close eyes or focus on one spot in the room, take 5 deep and slow breaths in through the nose and out through the mouth

Relational Micro-Breaks (increases vitality)

  • 💭 Take a second, think about your favorite person and the last fun thing you did with them

  • 📜 Write down 1 thing to be grateful for on a piece of paper

  • 🖼️ Look at a favorite photo of a loved one on a phone wallpaper, or polaroid in phone case

3: Build Resilience through Individual Recovery and Systemic Changes

“Addressing burnout requires a multi-faceted approach. While personal time management skills can help individuals cope to some extent, the responsibility should not solely fall on individuals. It's crucial to push for systemic changes that prioritize mental health and well-being within the structures of society.”

Individual Recovery: Self-Care and Resources

  • 💻️ The following are a few amazing resources you can read to build your knowledge on burnout!

  • ☎️ The following are some crisis lines worth saving in your phone or as a screenshot, in case you or your loved ones need them for the future:

    • Mental health crisis - 1+ (866) 996-0991

    • Ottawa and the counties of Prescott Russell, Renfrew & Stormont Dundas and Glengarry - 1+ (613) 722-6914

    • Leeds and Grenville district - 1+ (866) 281-2911

    • Pembroke Regional Hospital Mobile Crisis Team -  1+ (613) 732-3675 ext. 8116 or 1+ (866) 996-0991

    • Youth Services Bureau 24/7 Crisis Line - 1+ (613) 260-2360 or 1+ (877) 377-7775

Systemic Changes: Notice and Report

  • Have you noticed practices in the nursing program (academia, clinicals, labs, attitudes, stigmas) that are conducive to burnout?

  • Reach out to lab coordinators, student associations (UNSA) or even our email at [email protected] and express your experiences and opinions!

  • If you are noticing it, you are probably not the only one. Speaking out about unreasonable practices can help us bring evidence to the school of nursing and eventually foster a safer environment for everyone!

Resources Corner 🌳 

@nurse.johnn

Other than I have a rent to pay, internet, phone bill, insurance, dogs to feed, filled amazon basket and sephora cart. I can’t think of an... See more

@nurse.johnn

Like I cant even have a minute to myself to cry it out. Its like being a mom but with adults. #nursejohnn #nurselife #nursesoftiktok #nurs... See more

  • Podcast highlight 🎤 

Positive Affirmations 💗 

  • It can be tempting in our goal-oriented society, to push ourselves beyond our capacities in pursuit of success. But when we do this we tell ourselves that our work is more important than our health. Without our health our success means nothing. No promotion, no raise, no accolade will mean anything if you aren’t happy and healthy. -Oliva Kram 🌸 

  • We’re totally guilty of doing too much at once, all while trying to manage the noise in our heads that says we’re not doing enough. - Vanessa Autrey 🌟 

  • Nobody’s perfect, so give yourself credit for everything you’re doing right, and be kind to yourself when you struggle. - Lori Descheme 😊