Transcript
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The views expressed in this podcast are solely those of the podcast host and guest and do not necessarily represent those of our distribution partners, supporting business relationships or supported audience.
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Welcome to Transacting Value, where we talk about practical applications for instigating self-worth when dealing with each other and even within ourselves, where we foster a podcast listening experience that lets you hear the power of a value system for managing burnout, establishing boundaries, fostering community and finding identity.
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My name is Josh Porthouse, I'm your host and we are redefining sovereignty of character.
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This is why values still hold value.
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This is Transacting Value.
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Many nurses actually don't realize that they're working and living in a values mismatch and that's what leads to your moral injury and your mental health concerns, because you're constantly living in a battle almost.
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Value on Transacting value.
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Training to be a nurse is complicated and grueling enough, but what happens when you neglect yourself in the process or when you don't know who to talk to, how to talk to or what advice to take in the process?
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Today we're talking with the author of Nursing the Nurse the ultimate six-step guide to beating burnout.
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She's also got an app.
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She's also got a walkthrough program to fix some of this.
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Her name is Janelle Klassen Guys, I'm Josh Bordaus, I'm your host and from SDYT Media.
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This is Transacting Value.
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Janelle, how are you doing?
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Hello, thank you so much for having me.
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Yes, I love that introduction, because what do you choose?
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How do?
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you navigate it, oh man.
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So here's something that I've learned real quick is that there's a lot of different industries and applications.
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Especially when you're new, you're learning the science and the material and the doctrine and publications and resources, but then you've got to navigate you in the process.
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It's like puberty in high school is the first exposure to that dichotomy.
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And then whatever industry you choose medicine for you, defense for me it's all the same sort of problem set.
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So I'm really looking forward to this conversation, but let me just say I appreciate you taking time out of your morning and just a willingness to share some of it.
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So thank you for your time and your insight 100%.
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I love conversations like this, so I'll do my very best to be fully present.
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As I said, we were just briefly talking before.
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I've got my kids in the background, so there's a small chance I might have to jump out, but otherwise, you know I'm here for this conversation.
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I can talk about this for hours and hours, because I am so passionate about exactly that, like living congruently with your values and actually realizing what are they, because so many of us don't actually know what they are.
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And then we're wondering why we're experiencing what we're experiencing, and it's usually because we're living out of sync with them.
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So, yeah, yeah, absolutely so.
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Let's start there then.
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I mentioned earlier that your preference was in medicine, so let's just set the baseline here for everybody who's just jumping in and watching the conversation and listening.
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Who are you, janelle?
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Where are you actually from as a person?
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And then, what are these considerations that are helping you focus on nursing and medicine and your perspective?
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Yeah for sure.
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So yes, my name is Janelle Klassen.
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I am a registered nurse here in Australia, so I've been nursing for coming on five years now.
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Man, it's not that long compared to many.
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However, I very quickly came tumbling down, came crashing down in my own bout of burnout within the first six months of starting my career.
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And essentially, yeah, and I mean, you know it may or may not have happened during this time period, you know, end 2019, early 2020.
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Don't know what happened there, but I did burn out.
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So you know, I really have no idea.
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No, in all seriousness, it happened in the first few months of COVID.
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And no surprise there, because I always say this if the skill of and I pay very close attention to my words if the skill of self-care was drilled into me as much as doing my documentation was drilled into me in nursing school, we'd be having an entirely different conversation.
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We might not even be having a conversation because we get drilled.
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You know, you ask a nurse, you ask any medical professional.
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What is one of the first things you learn in med school?
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It's do your documentation and then PS, make sure you look after yourself.
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Okay, well, how do I do that?
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What does that look like?
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Okay, well, how do I do that?
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What does that look like?
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Um, you know, because as soon as I started my career, I started noticing very, very quickly, like I said, within the first six months, I wasn't sleeping well, I wasn't eating well, my personal relationships started breaking down.
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The thought of going into work filled me with anxiety, you know it was.
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It was horrific, um and I I approached my clinical nurse educator, who's supposed to be kind of like um, the senior on the floor.
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She's supposed to be someone that you can come to with a question and get a genuine answer, and the answer that I got was get used to it, it's not going to change.
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Not very useful.
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And so when I offered to kind of look into it further and and see if we can find a solution to it again, the response was no, don't add that to your plate, you know if you already got so much going on blah, blah, and I was like, well, I'm not just gonna let this happen to me.
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And that's what led me to to creating.
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You know's what led me to creating the book, creating the program, creating the app, because I just realized very quickly how little support there was that was tailored to the very unique needs of nurses, or shift workers, for that matter.
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So yeah, Okay, your, I guess, burnout origin story.
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I'm sorry, but it's not that original.
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Actually, there's a lot of people that are experienced I don't know about six months in a new industry, but some of that may be a learning curve, I don't know.
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What about it do you think caused you to burn out, though, like the friction, the putting in more effort than you thought was being appreciated or recognized, the time demand, I mean, what was the specific causation, do you think for you?
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yeah, yeah, no, I totally agree, it is not.
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It's not unique.
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Like I was talking to nurses who've been 5, 10, 15 years in the industry and they were talking about the same stuff.
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You know, they were struggling with the same stuff and I was like, oh man, I don't want to become this bitter nurse, so, anyway.
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So for me, what was?
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I think one of the biggest things for me was there's this massive drinking culture.
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There's massive toxic guilt tripping culture in the in the nursing world and in other industries as well.
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But obviously I can speak to nurses and you know, there's this whole thing of like oh, I can't wait for my glass of wine Sorry, I mean bottle of wine at home after the shift, like you know, I deserve it.
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And it's like don't get me wrong, I've got nothing against drinking wine.
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My husband and I have, or used to have I don't even know if it's current a wine subscription Like wine is good.
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Wine subscription like wine is good.
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The problem comes when you're wanting to grab a glass of wine, bottle of wine every time after shift and that's the only thing that will get you to calm down.
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Um, so I think for me it was, you know, this guilt trip around picking up double shifts when we were understaffed, because understaffing is a chronic issue where, you know, we've gotten as a saying, oh like, what about your colleagues, what about your patients?
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If you don't pick up this extra shift, we're going to be short, and it's like.
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Well, of course I will do it, because I'm a nurse, like I'm supposed to be, this caring person, giving, giving, giving.
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I always say that nurses need to learn how to become healthily selfish, because they're, you know, I was talking with someone last night, actually, and she was saying that nurses who, um, they think they need to give all the time, but and?
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And we think that selfishness is this very negative word, but when you look it up, it's actually, it's actually not a negative word, it's just, uh, looking after yourself as well.
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Um, you know, depends on what context you use it, of course, but you know, it was just.
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It just comes back down to that of creating that balance between just giving, pouring from an empty cup, versus also allowing to receive and allowing to set yourself boundaries, and that's where your values come in, and I know we're going to talk about our values in a minute.
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So, you know, it's just so, so important that many nurses actually don't realize that they're working and living in a values mismatch and that's what leads to your moral injury and your mental health concerns, because you're constantly living in in a battle almost of like yeah I'm supposed to be doing this one thing and yet I value this other thing, and they're just constantly in conflict.
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Yeah, and I think that the biomechanical conflict that results just complicates your stress way far over, and maybe exponentially above, your tolerance for it which doesn't help anything either.
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No, no, yeah, yeah, okay, sorry, go ahead no no, no, that's what's what I was gonna ask you.
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What about for you in your case?
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yeah.
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So for me, I think it was a matter of, like I a very I was like I was dull-eyed coming into the industry, like many of us are.
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As soon as you come out of your, your training or you study or whatever, I was like, oh, I'm gonna be saving and I'm going to be the best team member that there is, and, like you know, to my own horn, I do think I'm a good nurse.
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However, I didn't know, I didn't know how to set those boundaries and I actually didn't know consciously what my values were around creating work-life balance.
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What my values were around um, you know, how how much do I work over time, how many shifts I accept for over time?
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Because I was regularly working double shifts, and so in Australia, shifts are either eight hours or 12 hours.
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I think it's very, very similar in other parts of the world and so for me, I was like working 16 hour shifts, because I was picking up doubles, because I felt guilty that my colleagues were going to be understaffed or that my patients were going to be neglected, and then I approached my nurse manager and said, hey, like I'm really struggling, what can we do?
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That just like we're just doing the same thing over and over again and you guys are saying it's not going to change but like, seriously, we need to do something and bless her.
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I think this came from a point of her own burnout.
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But she basically just turned to me and she turned around, grabbed something out of the cupboard and passed it to me and said, um, here is a card for um, uh, three free council sessions on the hospital.
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By the way, there's only three for the entire year.
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I hope it helps.
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I was like, okay, thank you so much.
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Three council sessions.
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You know counseling, great, sure, like we do need it.
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You know we work in trauma.
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You know you've got patients passing away, you've got abuse, you've got exhaustion.
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Three council sessions isn't going to change anything.
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Um, and, and that's why I was like, okay, mental health is, is goes beyond just three counseling sessions, um, and burnout as well, because it's just it's burnout is, it's your, it's your physical, it's your emotional, mental, physical, all all of the things that are running on empty and I'm not saying that you need to have everything empty before you reach burnout, but it's.
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All of those are taxed and that's what leads to burnout.
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All right, folks, sit tight and we'll be right back on Transacting Value.
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Maybe he was born with his witty humor.
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Some people bring joy wherever they go.
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Transacting Value argue with a fool.
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Onlookers may not be able to tell the difference.
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Wherever he went, mark Twain found humor all around Humor.
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Pass it on from passitoncom.
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It's your physical, it's your emotional, mental, physical, all of the things that are running on empty and I'm not saying that you need to have everything empty before you reach burnout, but it's all of those are are taxed and that's what leads to burnout yeah, yeah, absolutely trying to find a balance, I think only comes with experience, because otherwise you don't know what you don't know.
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you're trying to perform and do well and, like you said, prove to yourself you, you're capable, right, anything and everything in between.
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That is no different in, at least in the us case, our department of defense.
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It's the exact same thing.
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And then eventually, this isn't always the case, okay, but I think this is going to be a very similar, uh, parallel concept where eventually you get a little experience, or enough experience, whatever it is, respective to each person's purview and you start to see I don't want to become that person if I stay around longer and they're everywhere the more you see them.
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It's like I'm looking for a red scooter I've never seen.
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Wait, there's a red scooter, hold on, there's another.
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My neighbor's got three red scooters and you just start to see it everywhere.
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The pattern how do you recommend, based on your book, your research, your experience, whatever you prefer, but how do you recommend working through that?
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Because, you stayed after you identified it.
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No, you know, I laugh because it is exactly like how many I see.
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So many nurses, so many professionals leave the industry because they think, hey, I, I must not be cut out for it anymore, or maybe I was never cut out for it, or this is the only way that I'm going to survive.
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I must quit.
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And my whole mission is to help equip nurses and empower them, saying there's a, there's a third option.
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That third option is learning the skills necessary to maintain a healthy balance between being the best nurse that you can be, that you want to be, that many of us um, couldn't, you know, trained hard to be um and then also being present for your loved ones, being there for yourself, looking after your own wellbeing so that you can have a long, sustainable career, and doing that guilt-free, because the guilt part is a massive one In the industry.
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In life, we think, like I said before, we need to just give, give, give and then, as soon as we want to just take a little bit, as soon as we have that sort of what about me?
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Need to just give, give, give and then, as soon as we want to just take a little bit, as soon as we have that sort of what about me?
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We're like, no, I shouldn't, I shouldn't, it's not for me, I'm not deserving, I'm not worthy.
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So I think you know you mentioned earlier about how things get better with experience and I must say I agree to a point with that yes, you get better with experience.
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However, when it comes to a toxic environment that we work in and I'm interrupting myself because we often hear nurses or medical staff saying the medical system is broken.
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And I mean the medical system is broken in that it's not broken in that when someone presents with, let's say, chest pain, we usually know and we usually are able to manage that and someone will go home and they'll be okay.
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However, why do nurses still burn out, like?
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Why do we still have such high dropout rates?
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Why do we have, you know, burnout rates and mental health concerns?
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And it's not necessarily because the medical treatment aspect is broken, it's because our work culture aspect is broken.
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There's this whole culture around nurses eating their young, going like.
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I went through it, so you must go through it.
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It's like you know, yeah, like it's like haha, your turn and it's.
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That's just, and if you don't, then you didn't earn it you didn't have it as tough as we did, yeah yeah, exactly like you know this it's you must.
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You must do this because I, because I did, now it's your turn, and and that in and of itself just goes to show how.
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That's just one little insight into the toxic culture, because then you start having people you know nurses going so, and so you know you start having like back, uh, what do you call it bullying?
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You start having gossiping and it's just like not a safe environment to be working in when you're supposed to be trusting each other with other people's lives um and so yeah, anyway, um, in terms of to answer your question sorry, I know, I just went a little bit of a roundabout.
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Um, I'm so sorry, I want you to repeat your question.
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Sorry, I know, I just went on a little bit of a roundabout.
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I'm so sorry.
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I want you to repeat your question because I want to make sure I really answer it rather than going on a tangent.
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Well, so essentially, my question is how did you manage to stay around?
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Right, of course, of course.
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So for me, after I had that initial conversation with my nurse manager and my clinical educator, who both said like here's your counseling sessions.
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You know, get used to it, it's not going to change.
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It took me on a, on a journey, it took me on a rabbit hole, um, to try and figure out like, well, I don't want to become those bitter nurses and I genuinely love what I do.
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How do I keep loving what I do?
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How do I stop resenting it?
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Because I started seeing resentment creeping in, you know, like dread, and I started noticing like the resources that were available to help manage shift work, to help manage stress, to help manage all these things were tailored to everything but nurses.
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It was tailored to CEOs who for some reason, have the capacity to wake up at 4 am every morning and have an hour of power.
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Or for, you know, like nurses don't do that.
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Or for stay-at-home moms, who stay-at-home moms work hard, like I'm currently stay-at-home while I look after my two young kids but it was tailored to them where they didn't have to get up and come home and do this and do that Like it's just managing a household is one thing in and of itself.
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Whereas nurses wear that hat, they wear the nurse's hat, they usually wear the partner hat, the mother hat, you know all the hats.
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And so I was like, okay, well, how am I going to tailor this to nurses?
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And I started to create resources that I could tailor to the very unique needs Because, like I said before, there's so many hats to wear, and then you throw shift work into the mix and then you start having sleep issues, you start having, you know, metabolic issues, so, like you know, you're not eating.
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Well, because, you're either snacking because you need that sugar rush or you're snacking because you're emotional eating because of the stress and the trauma that you experience, and and I kind of that's what led to my six steps.
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Uh, in my book, because I I identified that there's six aspects to this is just simple and it's not a one-size-fits-all, it's very much I always advocate for these aspects are aspects.
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The nitty-gritty inside of it is going to be individual to what works for you, because you know, in my first I, if you, if you don't mind, I'm happy to run through the six steps that I've got in my book yeah, go ahead, yeah, great.
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So the first, the first step.
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I always say like you need to know where you want to go.
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You know it's like chunking in a, a suburb or a state or whatever equivalent you've got um into a gps versus putting in an exact address like it's an older, it's becoming an older saying now, but like it's so, so true, it's like if you just kind of, you know, shoot from the the hip or go like gunshot approach, you're not really going to get where you want to go.
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Yeah that's the wonderland.
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Yeah, exactly.
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So you've got to say like I want to go here, this is what I want, and even if you, then it's like the whole, like shoot for the.
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Was it the moon?
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You'll land on a star or whatever.
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Stars, you'll land on a star or whatever stars you hit the moon or something.
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Yeah, yeah, exactly like there's something.
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And so it's exactly that like, even if you don't get to that exact same spot, you are going to get closer to it in that direction and see it.
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So that's the first one.
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And so I actually I don't know if you're familiar with the wheel of life.
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Um, it's a very, very popular, for the most part self-help personal development tool where you essentially rate yourself in various aspects of your life, so that is usually your relationships, finance, so many I can't even remember.
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There's, I think, eight of them.
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And I took that and I tailored it to nurses, so I said like, how are you feeling in terms of your sleep?
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How are you feeling in terms of your nutrition, your exercise, all these things?
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Um, so that we can get a clearer picture of where am I at, because it's one thing to know where you want to go, but if you don't know where you're at, you still don't know what you need to get there.
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So that's what leads into the second step of like self-awareness leads to self-care.
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Join us for Transacting Value, where we discuss practical applications of personal values, every Monday at 9am on our website, transactingvaluepodcastcom, wednesdays at 5pm and Sundays at noon on wreathsacrossamericaorg slash radio.
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It's one thing to know where you want to go, but if you don't know where you're at, you still don't know what you need to get there.
00:22:45.490 --> 00:23:06.317
So that's what leads into the second step of, like, self-awareness leads to self-care, and that's where we start looking at, okay, what are my values, what are my beliefs, what are things that have, like, my defining moments, what are the things that I have I have come from, that influenced me to where I am now, and how might that influence me as I move towards my goal?
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Um, because, again, if we're not self-aware, you can't do anything about something you don't know um and so how often do you?
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I don't know if you've talked to you've probably talked to many people like me of they don't actually know they're in burnout, they think that it's normal, they think this is just the way things are.
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Like I say, like you need to know where you're coming from before you can get anywhere.
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So that's, those are the two things.
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You don't want to know where you're going, you want to know where you're coming from.
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And then the last four aspects kind of build on that.
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We look at what is sleep and how do you manage sleep when you're a shift worker?
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Because if you can't sleep, you're going to be a zombie, you're going to be making mistakes, you're going to be grumpy, you're going to try and sleep days away, which is not really great for your mental health, is it?
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Like you know?
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You're just sleeping days on end, you're not going into social interactions, you're becoming more and more isolated.
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It's just a, you know, a spiral.
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We're headed for disaster.
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Then we start looking at habits and getting organized and managing all the balls that are in the air because of the many roles that we play, all the hats that we wear.
00:24:12.269 --> 00:24:26.269
We look at eating and nutrition, because, even though the nutrition might fall into habits, nutrition in and of itself is again one of the biggest things I noticed.
00:24:26.269 --> 00:24:34.438
For me, when I was on night shift especially, I wasn't able to maintain a very good eating routine or anything like that.
00:24:34.438 --> 00:24:43.976
Like I said before, I don't know what the gifting rules are like in the States, but I know for Australia.
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Here we're not allowed to be gifted or be thanked in any way other than cards that are for everyone, flowers that are for everyone, so on the ward, or loll or lollies.
00:24:55.775 --> 00:24:56.936
food or you mean as a nurse?
00:24:58.729 --> 00:25:02.718
oh, I have no idea yeah, so we're not allowed to receive anything other than those things.
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Um, and so when someone wants to thank us, like even obviously people they were like thank you so much for doing this now, yeah, sure.
00:25:10.431 --> 00:25:15.469
So like how often do we have this lollies or pizza or whatever sitting at the nurse's desk?
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It's like 2 am in the morning and you're just mindlessly eating, snacking, whatever 100, and so you know like we go into nutrition.
00:25:26.449 --> 00:25:57.530
And then the last one that's my absolute favorite and I think is the most vital skill that anyone but no matter whether they're a nurse or not can learn is learning how to unwind, learning how to leave work at the door and be present in the next phase of wherever you're going into, whether that's a family gathering or your own family or whatever, because how often do we carry the baggage of you know, I'm still wearing my nurse's hat of I just lost a patient or I've been physically or emotionally, verbally abused or anything like that.
00:25:58.164 --> 00:25:59.571
And then we come into home.
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I remember for me during my low moments, I would just be like no one, talk to me, leave me alone.
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I would go into my room, I would either sit in the shower, have a cry or go to sleep, and it's just because I didn't know how to deal with everything that I had experienced?
00:26:16.997 --> 00:26:21.634
Yeah, exactly, and so that is the biggest skill that I learned.
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It's my favorite chapter, like my absolute favorite chapter.
00:26:24.253 --> 00:26:34.752
I love writing that one, and I'm actually in the process of doing a second edition of the whole book because I've learned even more since then and I want to, you know, just make it better and better.
00:26:34.752 --> 00:26:42.068
So those are the six steps, and that's why I think it's so vital to then start taking each aspect and start tailoring it to.
00:26:42.068 --> 00:26:44.415
Okay, I'm going to try this for me.
00:26:44.415 --> 00:26:46.352
Is this part working, yes or no?
00:26:46.352 --> 00:26:47.730
If it's not working, let me tweak it.
00:26:47.730 --> 00:26:58.538
But these brackets, these umbrellas, I found were pivotal in kind of creating a bit more balance between work life burnout.
00:26:59.381 --> 00:27:07.612
So, yeah, that's it, though right balancing the burnout, not avoiding the burnout, because it's a matter of time yeah, yeah.
00:27:07.692 --> 00:27:11.666
And, like I, I recently came across this beautiful phrase of finding.
00:27:11.666 --> 00:27:19.326
It's not necessarily finding perfect balance or like equal, you know, um division between aspects.
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It's finding harmony, what works best together.
00:27:22.433 --> 00:27:24.637
And I love that so much.
00:27:24.637 --> 00:27:41.596
It's so good because, if we think like our balance must be even like no, no, it's okay for one thing to be a little bit heavier than the other, as long as they work together, and I love that it's a, you know, a seesaw like at a playground, the board on the fulcrum, yeah.
00:27:41.817 --> 00:27:44.426
Yeah, it's okay for one side to be heavier than the other.
00:27:44.426 --> 00:27:50.092
You just gotta work together to make it happen, yeah exactly, absolutely absolutely, and the point you brought up too.
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I guess I had totally forgotten the intricacies of the movie and the play and the musical and the show.
00:27:54.489 --> 00:27:59.663
But alice in wonderland, you mentioned it earlier and I till just now.
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The only thing that went through my head a couple minutes ago was when the cheshire cat was talking to alice saying well, if you don't know where you want to go, it doesn't matter how you get there, and she was trying to figure out how to make her way around.
00:28:09.406 --> 00:28:16.382
But as you were talking, I think unless I'm totally misrepresenting this, this plot line.
00:28:16.382 --> 00:28:35.392
But initially she's just trying to figure out who she is and her place in the world, and so she's so worried about the future that that gets represented early right and the, the rabbit and the uh, the white rabbit and the clock and he's late and all these things, and she's just as anxious but she's unwitting to it but no, no, clue yeah.
00:28:35.692 --> 00:28:45.211
No, and then she runs in I may be misrepresenting the sequence here, but eventually she runs into the Mad Hatter and he's got all these hats at this tea party and she's like, oh, this is great, all these hats.