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People are at the heart of Critical Care Services.

Supports for Burnout in Critical Care Teams

Critical care practitioners are reported to be at a particularly high risk of burnout due to the unique job demands present in intensive care unit environments.  As a result of findings in CCSO’s 1-measure Burnout Survey conducted in the June / July 2019, CCSO has identified potential resources and tools that may be useful resources for critical care staff, unit managers or hospital leadership seeking solutions to address issues of burnout. These resources and tools are collated here with access through the links below.   


The resources provided here are identified through literature searches, jurisdictional reviews and tools made available from quality improvement organizations. The intent is to offer possible tools and resources to assist individuals, unit managers as well as to hospital leadership to support teams in understanding and addressing factors that can contribute to burnout in the critical care system. 

What Can Be Done to Support Teams Feeling Burnout?

Burnout Resource Tools

The following practices, tools and resources are presented for use by  individuals and teams dealing with issues related to burnout.  This includes resources for: 

Click on the image that will take you to the website for more information. 


For each resource,  the level of targeted utilization (eg.  Critical Care Leaders, Unit Managers, or for Direct Care Providers) is indicated. 

  

The effectiveness of these tools and degree to which any individual resource may be of value will vary between individuals and teams. CCSO does not endorse any one resource or tool over another with regard to effectiveness in addressing issues of burnout. The goal is to share potential resources for consideration by critical care teams. The following list /links to resources is by no means an exhaustive collection and will evolve over time. If you are aware of, or have used, other tools, resources or practices to address issues of burnout please feel free to forward these to CCSO for consideration of including in the list below. 

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If you are in crisis, talk to someone.

Crisis Services Canada

 If you are in crisis there are a number of resources available.  Most hospitals have an Employee Assistance Program (EAP) available 24/7.  There are also local, provincial, and national resources.  Nationally, Crisis Services Canada is available to you whenever you need. 

Call the 24/7 crisis line 1-833-456-4566

www.crisisservicescanada.ca

Develop Healthy Self-Care Habits

Self Care for the Care-Giver

Self Care for the Care-Giver

Self Care for the Care-Giver

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An article that identifies 5 areas of focus to promote caregiver wellness.


  Level of Intervention

  • Unit Managers
  • Direct Care Providers

Resilience Tools

Self Care for the Care-Giver

Self Care for the Care-Giver

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The Center has a series of more than 15 evidence-based interactive online well-being tools that are intended to support busy healthcare workers.  Tools include activities for self-compassion, gratitude, sleep, and work-life balance plus many others.


Level of Intervention

  • Unit Managers
  • Direct Care Providers


Responding to Stressful Events

Self Care for the Care-Giver

Responding to Stressful Events

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A guide which identifies signs of stress for care providers as well as identifying stress relieving activities.


 Level of Intervention

  • Unit Managers
  • Direct Care Providers

Self-Care for Nurses

Self-Care for Nurses

Responding to Stressful Events

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  To be able to offer the best care to patients, nurses have to make sure they’re caring for themselves. The included resources have been developed to support self-care for nurses. These resources are focused on three domains: mental well-being, physical well-being and emotional well-being.


 Level of Intervention

  • Unit Managers
  • Direct Care Providers

Self-Care Toolkit

Self-Care for Nurses

Self-Care Toolkit

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 This is a collection of tools and resources to support awareness about the state of well-being for care providers. Originally created for nurses, the resources may be helpful to anyone. It starts with an inspirational video, a quality of life assessment, handouts, links to practices, apps, and ends with opportunities for continuing education credits.  


Level of Intervention

  • Unit Managers
  • Direct Care Providers

Issues of Moral Distress

Goals of Care e-Learning Module

Decision Making for Escalation of Treatment

Decision Making for Escalation of Treatment

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CCSO's e-Learning Module guides care providers on how to have the end of life conversation with patients and families. 


Level of Intervention 

  • Unit Managers
  • Direct Care Providers


Decision Making for Escalation of Treatment

Decision Making for Escalation of Treatment

Decision Making for Escalation of Treatment

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A structured framework is provided for critical care teams to support the process of decision making in end-of-life care.  


Level of Intervention 

  • Critical Care Leaders
  • Unit Managers
  • Direct Care Providers

Care at End of Life

Decision Making for Escalation of Treatment

Care at End of Life

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 This document provides recommendations for effective decision-making and resources. It hopes to encourage open, clear, honest discussions with patients and families enabling improved advance care.  


 Level of Intervention  

  • Critical Care Leaders
  • Unit Managers
  • Direct Care Providers

Debriefing Tools

Tallk Clinical Debriefing

Debriefing Assessment for Simulation in Healthcare (DASH)

Tallk Clinical Debriefing

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TALLK is designed to guide structured team self-debriefing after any learning event in clinical environments.  It promotes a supportive culture of learning and patient safety. 


  Level of Intervention 

  • Critical Care Leaders
  • Unit Managers
  • Direct Care Providers

Low Impact Debriefing

Debriefing Assessment for Simulation in Healthcare (DASH)

Tallk Clinical Debriefing

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 This 4-step process offers best practice parameters around informal debriefing.  This tool offers staff exposed to traumatic/distressing experiences a structured way to debrief or offload some of the burden they just experienced in a healthy and effective way. 


 Level of Intervention 

  • Unit Managers
  • Direct Care Providers


Debriefing Assessment for Simulation in Healthcare (DASH)

Debriefing Assessment for Simulation in Healthcare (DASH)

Debriefing Assessment for Simulation in Healthcare (DASH)

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Debriefing clinical simulation experiences is increasingly understood as a crucial step in clarifying and consolidating insights and lessons from simulations. The Debriefing Assessment for Simulation in Healthcare (DASH) is designed to assist in evaluating and developing debriefing skills. 


  Level of Intervention 

  • Critical Care Leaders
  • Unit Managers
  • Direct Care Providers

Patient and Family Interactions

The Patient Tool Kit: Dealing with Family

How to Deal with Patients & Families: 4 Step Action Plan

How to Deal with Patients & Families: 4 Step Action Plan

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The article identifies strategies that healthcare providers can use to show professionalism and address a patient’s or family’s concerns while managing negative behaviors and defusing potentially volatile situations.
 

Level of Intervention 

  • Unit Managers
  • Direct Care Providers

How to Deal with Patients & Families: 4 Step Action Plan

How to Deal with Patients & Families: 4 Step Action Plan

How to Deal with Patients & Families: 4 Step Action Plan

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Fear can motivate a lot of difficult behaviour from family members.  The author articulates 4 steps to take when dealing with these scared and seemingly difficult individuals.


 Level of Intervention 

  • Unit Managers
  • Direct care providers

Building Supportive Teams

Team STEPPS

Creating a Nurse Dream Team

Amazing and Awesome Rounds

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             TeamSTEPPS Canada™ is an evidence-based teamwork system that optimizes patient care by improving communication and teamwork skills among healthcare professionals. It includes a comprehensive set of ready-to-use materials and a training curriculum to integrate teamwork principles into a variety of settings.


Level of Intervention

  • Critical Care Leaders
  • Unit Managers
  • Direct Care Providers

Amazing and Awesome Rounds

Creating a Nurse Dream Team

Amazing and Awesome Rounds

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  Amazing and Awesome Rounds by CanadiEM  relies on active participation of a care teams to identify behaviours and processes that lead to exceptional results.
 

Level of Intervention 

  • Critical Care Leaders
  • Unit Managers
  • Direct Care Providers

Creating a Nurse Dream Team

Creating a Nurse Dream Team

Creating a Nurse Dream Team

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Teamwork is fundamental to successful nursing care. The article provides a framework for building a cohesive nursing unit.


 Level of Intervention 

  • Unit Managers

Let us know

Do you have other resources that would make a difference to addressing burnout in critical care? Let us know, so we can share them here too.