{"id":2825,"date":"2024-08-04T13:00:48","date_gmt":"2024-08-04T12:00:48","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=2825"},"modified":"2024-08-02T14:47:24","modified_gmt":"2024-08-02T13:47:24","slug":"why-are-nurses-at-particular-risk-of-chronic-exhaustion","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2024\/08\/04\/why-are-nurses-at-particular-risk-of-chronic-exhaustion\/","title":{"rendered":"Why are Nurses at Particular Risk of Chronic Exhaustion?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2024\/08\/Alison-McGrath.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-2826 alignleft\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2024\/08\/Alison-McGrath-300x300.jpg\" alt=\"\" width=\"210\" height=\"202\" \/><\/a><em>This week&#8217;s blog comes from Alison McGrath, a nurse now working as an independent wellbeing coach, and explores whether nurses may be at risk of chronic exhaustion.<\/em><\/p>\n<p>Why do nurses smoke?\u00a0 Because the doctors have eaten all the chocolate.<\/p>\n<p>So went the joke when I was a student nurse in the early 1990s.\u00a0 We all laughed wryly at the unspoken reality underpinning the joke: a job that drove us to smoke or comfort-eat just to get through a shift. The NHS, as always, was in crisis. Headlines screamed that nurses were losing their vocation and quitting in huge numbers.\u00a0 I became one of those \u2018quitters\u2019 when I burned out in 1999.<\/p>\n<p>I went on to study for a PhD, exploring what experiences lay behind those judgemental headlines: Why did nurses want to leave?\u00a0 But, my academic career ended, in part, because I was told that nursing research is about patients, not nurses. I descended into years of escalating symptoms, eventually diagnosed as fibromyalgia, leaving me bed-bound for months and feeling as if my life had ended.\u00a0 My doctors told me that I should adapt to my exhaustion since recovery is not possible. Fortunately, as a nurse, I am not a good patient who accepts medical advice without question. I kept looking for answers, advice and support and I am now a fully recovered wellbeing coach, supporting recovery from chronic exhaustion. So many of my clients are nurses that I ask, \u2018Why are nurses at particular risk of developing chronic exhaustion \u2013 CFS, ME, fibromyalgia, long Covid?\u2019<\/p>\n<p>Why do nurses smoke?\u00a0 Why do they leave?\u00a0 Why are they exhausted? Aren\u2019t the answers obvious?\u00a0 Nursing is a tough profession, and we need to be strong, dedicated superheroes to do it.\u00a0 Really? I believe that the nursing workforce deserves more than this superficial response. From the few statistics recording nursing leavers and illness, it is impossible to say that nurses are at particular risk of chronic exhaustion.\u00a0 The lack of interest in compiling meaningful workforce statistics continues, and the choices made during the pandemic, to stop collating long Covid statistics, points to the politically explosive consequences of collecting this evidence.\u00a0 However, the patterns I see in my work cry out for attention: a notably high proportion of nurses, and a strong profile seen across clients, which resonates strongly with the nursing profile.<\/p>\n<p>The ME profile, developed by the online recovery programme that I work with, is one that nurses might like to reflect on, to consider how it applies to themselves, and whether they need to take action to avoid a descent into the chronic exhaustion and incapacity that I experienced.<\/p>\n<p>People who develop chronic exhaustive conditions are:<\/p>\n<p><strong>Driven<\/strong><\/p>\n<ul>\n<li>Hard-working, perfectionists, often in the service of others;<\/li>\n<li>Over-givers who feel that nothing they do is ever enough.<\/li>\n<li>Resting and self-care are only acceptable when everything is finished and everyone else is OK, except, they never seem to reach that point. They may struggle to even know what they need or want.<\/li>\n<\/ul>\n<p><strong>Highly Sensitive<\/strong><\/p>\n<ul>\n<li>From childhood they experience discomfort with loud noise, smells, crowds etc<\/li>\n<li>In adulthood there is an increasing sensitivity to foods, chemicals, medicines.<\/li>\n<li>They are empaths, deeply attuned to other people\u2019s emotions, often absorbing those feelings into themselves and taking them home.<\/li>\n<\/ul>\n<p><strong>Live in their head<\/strong><\/p>\n<ul>\n<li>They ruminate about the past, are anxious about the future, and are constantly problem solving and fixing.<\/li>\n<li>They are disconnected from their emotions and body in the present, often resulting in chronic pain and clumsiness.<\/li>\n<\/ul>\n<p><strong>A square peg in a round hole<\/strong><\/p>\n<ul>\n<li>There is often a lifelong feeling of never fitting in or being enough.<\/li>\n<li>This is often accompanied by experiences of bullying by siblings and\/or at school\/work.<\/li>\n<\/ul>\n<p><strong>A high ACE score<\/strong><\/p>\n<ul>\n<li>A history of Adverse Childhood Experiences (ACES)<a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a><\/li>\n<li>Additional small-t traumas that often include being a parentified child. I.e., taking on adult responsibilities, developing an identity as a strong carer at a very young age.<\/li>\n<\/ul>\n<p>Does any of this sound familiar to you?<\/p>\n<p>Nurses don\u2019t just develop chronic exhaustive conditions because they have a demanding job.\u00a0 We choose nursing because we are the sort of people who are already at risk, having learned to prioritise others needs over our own.\u00a0 We enter a profession that amplifies those tough, self-sacrificial expectations, while making inhuman demands and rendering trauma a normalised experience.<\/p>\n<p>Yes, we need to demand reform of the NHS and greater support for nurses, but don\u2019t we also need to start a conversation about the binary world view that artificially divides us into strong carers and vulnerable patients?<\/p>\n<p><strong>What can I do to lower my risk?<\/strong><\/p>\n<p>If the ME profile feels familiar, and especially if you are already chronically exhausted, it is important to take action now. Your health matters as much as that of your patients, colleagues and family. \u00a0Your first step is to click below to explore an Early Warning Signs checklist for chronic exhaustion. These are the signs that our bodies give as warnings that we are being overwhelmed physically and emotionally.\u00a0 It is important to recognise and listen to those signs, to begin addressing your own needs \u00a0before your body steps in, as mine did, to say \u2018No more!\u2019<\/p>\n<p>Link to Early Warning Signs Checklist\u00a0 <a href=\"https:\/\/www.campsiecoaching.com\/Signs-and-Symptoms\/\">https:\/\/www.campsiecoaching.com\/Signs-and-Symptoms\/<\/a><\/p>\n<p>For information on ACEs and their role in chronic illness read Gabor Mat\u00e9\u2019s book, When the Body Says No,<\/p>\n<p>Alison McGrath, BSc (Hons) Nursing, MSc by Research, PhD, MFHT, is an ILM Accredited, Trauma Informed Wellbeing Coach and Specialist Recovery\u00a0Practitioner working with The Chrysalis Effect online recovery programme.<\/p>\n<p>Email\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <a href=\"mailto:alison@campsiecoaching.com\">alison@campsiecoaching.com<\/a><\/p>\n<p>Alison\u2019s Website\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <a href=\"http:\/\/www.campsiecoaching.com\">www.campsiecoaching.com<\/a><\/p>\n<p>Facebook id\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <a href=\"https:\/\/www.facebook.com\/profile.php?id=100089564316586\">https:\/\/www.facebook.com\/profile.php?id=100089564316586<\/a><\/p>\n<p>The Chrysalis Effect website\u00a0\u00a0\u00a0 <a href=\"http:\/\/www.thechrysaliseffect.co.uk\">www.thechrysaliseffect.co.uk<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> For information on ACEs and the ACE questionnaire: <a href=\"https:\/\/mft.nhs.uk\/rmch\/services\/camhs\/young-people\/adverse-childhood-experiences-aces-and-attachment\/\">https:\/\/mft.nhs.uk\/rmch\/services\/camhs\/young-people\/adverse-childhood-experiences-aces-and-attachment\/<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This week&#8217;s blog comes from Alison McGrath, a nurse now working as an independent wellbeing coach, and explores whether nurses may be at risk of chronic exhaustion. Why do nurses smoke?\u00a0 Because the doctors have eaten all the chocolate. So went the joke when I was a student nurse in the early 1990s.\u00a0 We all [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn\/2024\/08\/04\/why-are-nurses-at-particular-risk-of-chronic-exhaustion\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":388,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,3802,3762],"tags":[],"class_list":["post-2825","post","type-post","status-publish","format-standard","hentry","category-uncategorized","category-wellbeing-of-nurses","category-workforce-issues"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Why are Nurses at Particular Risk of Chronic Exhaustion? - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/?p=2825\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why are Nurses at Particular Risk of Chronic Exhaustion? - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"This week&#8217;s blog comes from Alison McGrath, a nurse now working as an independent wellbeing coach, and explores whether nurses may be at risk of chronic exhaustion. 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