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Talking About Burnout, Moral Injury and Mental Health at Work: Tips for Healthcare Workers

Tuesday, April 2, 2024  
Three healthcare workers in scrubs talk excitedly as they walk down the hallway of a medical facility. An African American woman and a south Asian woman wearing a hijab look over to an African American man speaking.

Photo by ©SDI Productions/Getty Images

Burnout is common among healthcare workers and is linked to

mental health conditions like anxiety and depression.1,2 Healthcare

workers can also experience moral injury when they are required to

witness or participate in an event that violates their moral code.3

Although addressing the underlying causes of burnout and moral injury

starts with hospital leaders, there are actions healthcare workers can

take to work for change in workplace culture. One important way to

do this is to normalize talking about mental health. Your colleagues

understand what you’re going through and can be a valuable source

of support. These tips can help you start conversations about burnout

and mental health with your peers.

Know your benefits and other resources

Find out what resources your employer offers. These may include

traditional mental health and substance use disorder benefits in

your health insurance, an employee assistance program (EAP), a

peer support group, or other resources. Check on confidentiality

and the rules around disclosure for EAP and traditional therapy,

so you feel comfortable using and speaking to colleagues about them.

The human resources department is a good source to gather this

information and no one should feel stigmatized for seeking assistance.

If you have a union, your local leader or steward also can help your find

information on benefits and providers. Like physical health issues, mental

health challenges are just another part of life that affects most people at

some point. Asking for help is a sign of strength, not weakness.

If you do not want to ask human resources or the union for help, consider

asking a trusted colleague to find the information for you. Think about who

in your workplace is supportive of those with mental health conditions. This

could be through sharing their own story or using respectful language when

speaking with others. Consider starting a conversation with them about what

these resources are and how to access them.

Check in with your colleagues

Show your support by regularly checking in with your colleagues. Simple

questions like “how are you doing, really?” can show your peers that they

are not alone. They can open the door to further conversations about

burnout.4 The National Alliance on Mental Illness (NAMI) provides

healthcare peer support resources. NAMI has additional guidance on

how healthcare workers can form genuine connections with colleagues

during these conversations. They also have steps to take when you’re

worried about a peer.

Make a list of 2-3 colleagues with whom you have developed a

connection and can lean on during challenging situations. These

coworkers can offer a shared perspective and advice when you need support.

Use respectful, person-first language

We all have a role in normalizing conversations around mental health and substance use disorder. Demonstrate inclusive, non-stigmatizing language when discussing experiences of burnout or mental health conditions in the workplace. For example, don’t use words like “crazy” or “insane.” This is important whether you’re speaking about your and your colleagues’ experiences or your patients. Avoid labels or stereotypes and emphasize the person, not the condition. For example, use phrases like “a person with schizophrenia” rather than “a schizophrenic.” The American Hospital Association’s People Matter, Words Matter offers resources to equip healthcare workers with compassionate, non-stigmatizing language. This can help your colleagues feel safe discussing mental health concerns.

Close up of a woman in a sweater with wavy hair hugging an African-American woman.

Photo by ©fotostorm/Getty Images

If these people don’t exist for you at work, it’s even more important to have someone to check in with regularly. This may include friends, family, a counselor or therapist, external colleagues, a clinician support group, or anyone else you feel comfortable with.

Total Worker Health® is a registered trademark of the U.S. Department of Health and Human Services (HHS).

References

1. Nigam JA, Barker RM, Cunningham TR, Swanson NG, Chosewood LC [2023]. Vital signs: Health worker–perceived working conditions and symptoms of poor mental health — quality of worklife survey, United States, 2018–2022. MMWR Morb Mortal Wkly Rep 72:1197–1205.
2. Koutsimani P, Montgomery A, Georganta K [2019]. The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis. Front Psychol. 10:284.
3. Griffin BJ, Purcell N, Burkman K, Litz BT, Bryan CJ, Schmitz M, Villierme C, Walsh J, Maguen S [2019]. Moral injury: An integrative review. J Traum Stress. 32(3):350-62.
4. U.S. Surgeon General [2022]. Addressing health worker burnout: The U.S. Surgeon General’s advisory on building a thriving health workforce. Washington, DC: Office of the Surgeon General.


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This website was developed [in part] under grant number SM080855 and SM082663 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services. The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.