priority – Grow Mindfulness

Self-Care for Healthcare Professionals

Dr. Reena Kotecha presented at the 2020 Mindfulness & Compassion Global Summit on the topic of self-care for healthcare professionals. Reena highlighted the irony of healthcare professionals caring for everyone but themselves and, in the process, suffering pain, disillusionment and burnout. She shared her own story of depression, mental illness and suicidal thoughts resulting from working as a young doctor in an emergency department in a hospital. She was drowning in self-doubt, suffering anxiety about the future and trying to cope with her present level of stress symptoms such as palpitations and sleeplessness. Reena found her way out of the dark hole of depression through meditation.

She highlighted the stresses that healthcare professionals are experiencing in these challenging times of the Coronavirus. Reena spoke of frontline healthcare workers who had to move out of home to protect their family and/or elderly parents, of the sadness and grief they experienced with the death of patients, of the frustration of having inadequate resources (such as personal protective equipment) and of their fear for their own safety in terms of the impact of their work on their mental and physical health. Frontline professionals experience the intensity and immediacy of Coronavirus-related stress and emotional inflammation as a result of the risks to the life of their patients and their own life.

Barriers to healthcare professionals seeking help

Reena emphasised that healthcare professionals not only tended to overlook caring for themselves but also failed to seek help for their mental welfare when they really needed it. She spoke of the barriers that stop healthcare workers from seeking professional support (some of which she experienced herself):

Training focus – all the focus of their training is on how to care for others, very little of the training is focused on caring for themselves or how to seek professional help for themselves
Priority focus – healthcare professionals are singularly focused on caring for others and they fail to give priority to their own mental and emotional health that would actually enable them to care for others more effectively and in a more sustainable way. As Reena points out, healthcare professionals are much more comfortable and more proficient in the role of caregiver than that of “care-taker”.
Career focus – healthcare professionals become concerned about what others, including management, would think of them if they admitted to not coping and experiencing some form of mental illness (which still carries its own stigma). They can be concerned about how others will judge them and what impact this would have on their career.
Expectations focus – the community has highlighted the heroic efforts of the frontline healthcare workers but this brings with it an unrealistic set of expectations that they are all strong and courageous, free from normal human emotions of fear, anxiety and self-doubts and the resultant experience of depression with its concomitant impacts of inertia, exhaustion, reticence and lack of energy. In the light of this community expectation set, they are reluctant to admit to “weakness and fragility”.

Young healthcare professionals may begin their career with an unerring focus on their patients, giving priority to their caregiver role and ignoring their own needs. They may feel really uncomfortable about being seen as “needy” or becoming a “care-taker”. Professionalism is interpreted by them as being strong and efficient, able to cope with any situation. Gradually, however, the singular focus on patients begins to take its toll and is compounded by the fact that no matter how hard or fast they work, demand continues to outpace resources and capacity. They begin to experience stress, fatigue and sleeplessness. Despite these signs of not coping they push on – driven by their own expectations and the perceived expectations of others, including the “worshipping” community. Burnout results when the gap between what they are putting in and their intrinsic satisfaction with their work widens to the point where they lose belief in the value of what they are doing – burnout occurs on the physical, emotional and spiritual levels.

Mindfulness as self-care for healthcare professionals

Self-care for healthcare professionals is a lifetime passion for Reena, partly generated by her own early professional experience but also reinforced by the healthcare workers who seek her help and support during these highly stressful times. She is the founder of Mindful Medics – an 8 week course for healthcare professionals incorporating mindfulness, emotional intelligence, neuroscience and positive psychology. Participants in the course have experienced significant benefits for their mental and physical health as well as in their overall personal and professional lives.

Reena is also a highly recognised public speaker on the topic of her lived experience. For example she presented at the Happiness and Its Causes Conference in 2018 on the topic, Personal Story: Healthcare Starts with Self-Care. In her Summit presentation, Reena provided a gratitude meditation designed to focus on appreciation for what we have in the present to displace a focus on a disturbing past or anticipatory anxiety about the future. There is so much that we can be grateful for and savour in our life – nature and our environment, the development of our children, our achievements and rewards and the space of being alone.

Reena in an article, titled I am grateful…, recommends strongly that we develop a constant practice of expressing gratitude for the simple things that we have in our lives and highlights the neuroscience research that supports the benefits of gratitude for mental health and wellbeing.

Reflection

It is important to express compassion for others, especially healthcare professionals and those directly impacted by the Coronavirus. However, we have to recognise the enormous stress healthcare workers are experiencing in these challenging times and be more aware of not adding to that burden by perpetuating the expectation that they, individually and collectively, can cope with any challenge at no cost to themselves. We can also offer our support for people like Reena who are helping healthcare professionals to develop mindfulness as a means of self-care. The Mindful Healthcare Speaker Series is one ongoing event that we can support.

As we grow in mindfulness by focusing on self-care through mindfulness practices and gratitude meditation, we can become more conscious of what we are thinking and feeling and be better able to appreciate the present moment and all it has to offer in terms of overall wellness and happiness. Mindfulness enables us to identify our barriers and expectations, acknowledge when we need help, develop strategies to cope more effectively and progressively build our resilience.

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Image by Petya Georgieva from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Reprioritising Your Mindfulness Practice

In my previous post, I identified five strategies I could use to establish and maintain a daily practice of Tai Chi. The strategies can be applied to any form of mindfulness practice, whether some form of meditation or a practice such as mindful walking, mindful eating or open awareness. In reflecting on these strategies, I realised that underpinning them was the need to reprioritise my mindfulness practice according to its level of importance to various aspects of my life. Reprioritising means
to arrange things in a new order of importance.

Identifying the importance of your mindfulness practice

A starting point for reprioritising your mindfulness practice is to identify what it brings to your life, how it improves your life in its various aspects and what its importance is to your overall quality of life.

You can ask yourself a series of questions that will serve to highlight the importance of your mindfulness practice:

does it give you clarity, confidence and creativity in your daily work?
how does it help you to manage your stress at work and home?
in what way does it improve your significant relationships, e.g. with your partner, your children or your work colleagues?
what does it bring to your favourite sporting activity? (e.g. my practice of Tai Chi develops balance, coordination, timing and control in my tennis game)
does it help you to appreciate your life more and build a positive outlook?
what does it do for your physical health?
how does it improve your mental health and sense of equanimity?

If you can truly and comprehensively identify the ways in which your mindfulness practice contributes to your quality of life, you will build the motivation to reprioritise your mindfulness practice so that it assumes a regularity and consistency that reflects its importance to you.

Reprioritising your mindfulness practice

If you want to reprioritise your mindfulness practice, it means that you have to create space in your life to enable this to happen. This means that you have to give up something else if you have a life characterised by busyness. Again, you can ask yourself a series of questions and be honest with yourself:

do you really need to spend the time getting and drinking the extra cup(s) of coffee or tea?
do you feast on the news, forever checking what is happening in the world around you and beyond?
how often do you access email and divert your attention from your task at hand?
are you wasting time by multitasking?
how much time do you devote to watching television shows, movies or sports events?
how much time do you spend on social media and what does this activity add to your quality of life?

If you review how you spend your time, you can invariably find a way to reprioritise your mindfulness activity so that it assumes a priority that reflects its importance to your quality of life.

As we grow in mindfulness, we can become more aware of the importance of our mindfulness practice for our quality of life, identify how we spend our time and learn to accord our mindfulness practice the priority it deserves. This is, undoubtedly, an ongoing learning process.

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Image source: courtesy of Alexandra_Koch on Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Overcoming the Tyranny of Email

Every time I facilitate a manager development course, the topic of email arises along with an expression of hopelessness – people are suffering from the tyranny of email. They often feel out of control, overwhelmed by the volume of email and stressed by the “implied” deadlines involved. People sometimes perceive their inbox as a “ticking timebomb” if they don’t immediately process email as it arrives.

The emotional burden of email

Our communication patterns and related expectations have accelerated since the days of “slow mail” – the hand-written letter. The expectations of a timely response have grown with the increased speed of communication – how often are you asked, “I just sent you an email (or text message), didn’t you receive it?” The expectation of a speedy response is implied along with the underlying assumption that their communication is the only thing you have to deal with during the day.

Leo Babauta, author of the Zen Habits blog and related eBooks, found that reading his email before he got out of bed was actually a procrastination habit – putting off getting out of bed and also delaying doing something productive like researching, writing or planning his day. I have found that if I focus on writing a blog post before I read my email, I am much more productive and less distracted. I can relegate email to the role of a secondary, rather than primary, priority.

Recent research has shown that if you access your phone first thing in the morning (to check emails, texts and Instagram notifications), you are limiting your productivity and capacity for creative problem solving, adding stress to your life and making yourself unhappy.

The tyranny of email – capturing your attention

Besides adding to your stress, the volume of email and its implied deadlines serve to capture your attention and distract you from more important things that you are doing or have to do. Email is a form of disruptive technology more often driven by people who are actively trying to gain your attention to pursue their own ends. If you let it, email takes over your life, determines your priorities and undermines your capacity to focus.

Frequent checking of email takes you off-task and reduces your productivity because you have to take time to reset your brain when you return to your task at hand. Research has found that people who check their email only three times a day (instead of the average of 15 times per day) experience less stress, are more productive and achieve a greater sense of satisfaction during the day because they are better able to accomplish desired results.

How often do you find yourself following a “link-chain” in an email and going completely off-task to explore the latest news, social media post or “lifestyle” comment? Some people are driven by the desire for the latest news and pursuit of this desire consumes time and energy. If you find that you have no surplus in your life, you might find that your email-reading habits consume much of the space in your life.

A mindful way to handle email

Leo Babauta provides an approach to handling email which he calls, A Mindful Guide to Email in 20 Minutes a Day. The essence of his approach is to avoid starting the day reading email, allocate 20 minutes for reading email, have a system for sorting through your daily inbox, take action appropriately and reduce your inbox flow by unsubscribing from electronic newsletters, notifications, etc.

His system identifies three kinds of action that you can take:

delete (or store in a folder for future reference if you are going to use it later)
action in two minutes (brief responses where required)
add to your to-do list (if you need to take action that will be longer than 2 minutes).

One of the problems with email is that we become indecisive and put off action on individual items, only to return later and repeat the process – this is a waste of time and a major source of distraction. Having a clear system enables you to regain control from the tyranny of email, so that you are in the “driver’s seat”.

Leo’s final piece of advice is to treat the process of email as a mindful endeavour – undertaken consciously, thoughtfully, with compassion and kindness. It is important to realise that email amplifies the message because of the proximity of the screen – so, for instance, writing in all capitals is effectively experienced as shouting. Mindfulness, too, is developed if we express gratitude for the opportunity that email provides, especially being able to connect with others and maintain valuable relationships.

As we grow in mindfulness by treating email as a conscious, mindful endeavour undertaken in a systematic (rather than chaotic) way, we learn to overcome the tyranny of email, regain control over our priorities and improve our productivity.

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By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of geralt on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.