Preventing Burnout As A New Nurse Practitioner: Interview with a Self-Care Strategist

Feb 9

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Show notes:

Burnout is a hot topic in all aspects of healthcare. You might be thinking that it’s something that affects other people. You might think it’s something that impacts Nurse Practitioners who are more established in their careers. You might think it’s one of the last things that you need to think about as a new grad Nurse Practitioner. Until you start to experience symptoms of burnout.

Preventing Burnout as a New Nurse Practitioner

Burnout provides equal opportunity to everyone in healthcare. Early in your career, late in your career. Working in outpatient or inpatient settings. Seeing only a handful of patients a day or seeing dozens of patients a day. Burnout doesn’t care; it’s nothing personal. Or is it?

This week, we are talking with Diana from Catalyst for Self Care. She’s a well-seasoned Nurse Practitioner, and a self-care strategist. What makes her an expert? Because she also has experienced burnout as a Nurse Practitioner. In this interview, we will cover:

Recognizing the signs and symptoms of burnout
The benefits of addressing burnout
Resources for preventing, assessing, and/or managing your burnout
The importance of regular reflection as a part of your practice as a Nurse Practitioner
Self-care and why it is so important

Learning about burnout sometimes happens the hard way, but it doesn’t have to. If you think you might be on the path to burnout, the time is right to address the issue. Watch this interview and get tips that you can start using right away. Understand what boundaries are, how to define yours, and why they are so vital to preventing and treating burnout. Self-care can mean a lot of things, and is very unique to each of us. One thing is universal: we need to identify what works for us in a constructive way and make a plan to implement it for ourselves. When we care for ourselves, we can take the best care of our patients.

If you know a colleague who is being stretched really thin, suggest this interview.

Resources mentioned in this episode:

Atomic Habits by James Clear
Start With Why by Simon Sinek
Heart Talk by Cleo Wade
Journey To The Heart
Attending: Medicine, Mindfulness and Humanity by Ronald Epstein

If you liked this post, also check out:

WEBVTT
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Hey there, welcome to the Real World NP podcast.
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I'm Liz Rohr, family nurse practitioner, educator,
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and founder of Real World NP,
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an educational company for nurse practitioners
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in primary care.
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I'm on a mission to equip and guide
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new nurse practitioners so that they can feel confident,
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capable, and take the best care of their patients.
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If you're looking for clinical pearls
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and practice tips without the fluff,
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you're in the right place.
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Make sure you subscribe and leave a review
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so you won't miss an episode.
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Plus, you'll find links to all the episodes
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with extra goodies over at realworldnp.com slash podcast.
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Well, hey there, it's Liz Rohr from Real World NP,
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and you're watching NP Practice Made Simple,
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the weekly videos to help save you time,
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frustration, and help you learn faster
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so you can take the best care of your patients.
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So in this week's video,
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I did an interview with Diana from Catalyst for Self Care,
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where we talk about the role transition,
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what we wish we knew as new nurse practitioners
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as it relates to compassion fatigue, burnout, stress.
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I've talked about this a little bit before
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in a previous video,
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but we're just talking about a little bit
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of a different kind of side to it,
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as well as talking about boundaries
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and the things that we can do to get ourselves out of,
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how to know when we're in
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or heading towards burnout or in burnout
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and the things that we can do to get out of there
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as well as additional resources.
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So I really hope you enjoy our conversation.
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Just, I think one thing if I can impart to you,
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when I was a new grad,
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I really was so focused on the clinical medicine
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and learning as much as I could as fast as I could.
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And so I think new grad me
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might have overlooked a video like this,
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but if you can trust me,
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I would love for you to watch this and soak it all in
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because it is important enough
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that I'm taking an entire week's video
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to talk about it instead of another clinical topic,
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which I know that you also need.
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Anyway, coming up is my interview with Diana.
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And before we jump in,
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if you haven't grabbed the ultimate resource guide
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for the new NP,
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head over to realworldnp.com slash guide.
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You'll get the resource guide
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that these videos sent straight to your inbox
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every week with notes from me,
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patient stories and bonuses
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I really just don't share anywhere else.
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Without further ado, here's my interview with Diana.
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Well, thank you so much for being here.
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Would you like to introduce yourself?
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Yeah, sure.
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So I'm Diana.
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I'm an NP.
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I work in Maine.
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I am a neurology outpatient nurse practitioner.
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And I work mostly with epilepsy patients,
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but I also do a lot of like headache
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and general neuro, depending on the day.
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And then sort of on the side,
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I am a burnout educator,
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a self-care strategist and nurse support.
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Oh, I love that.
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Self-care strategist is so beautiful.
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It's like, oh, give me that.
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So you have a platform,
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Catalyst for Self-care on Instagram.
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Yep.
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So tell me a little bit about how that started,
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how you got into that
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and how long you've been doing it for.
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So February 22nd is my one year anniversary.
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Awesome.
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Congratulations.
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Thanks.
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So it started actually as a blog.
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So I have selfcarecatalyst.com was my blog initially.
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And that was sort of something that I started
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because I just felt there was a need
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to talk about burnout and prioritizing clinician wellness
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and supporting nurses and advanced practice providers
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who were struggling because that was pre-COVID.
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This was like December of 2019.
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And then COVID hit, of course.
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So of course it wasn't even more needed.
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But at the time I just looked around
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and I saw most of the people I went to grad school
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with were burning out.
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And a lot of people I work with are burning out.
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So I just thought someone needs to do something
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and I looked around and there are some people
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talking about it, but I just felt we could do a better job.
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So I just, and I learned a lot on my own
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because I'm actually a burnout survivor.
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I had burned out in my first job
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back when I was a new NP.
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So I've spent actually years just cultivating tools
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so it would never happen to me again,
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mostly out of personal paranoia
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that I would have to go through it again.
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So I had all these tools in my little toolbox
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and I learned a lot about burnout over the years.
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So I felt like, hey man, I should share this knowledge.
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Totally, totally.
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So you've been an NP for 10 years, is that right?
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Yes, so 09, so a little over 10 years.
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Cool.
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It goes so fast, it's crazy.
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That's so awesome.
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Yeah, I swear.
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Well, I just, I love that
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because I feel like when I started talking with you,
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I feel like you just like, it's very clear to me
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you have a huge knowledge base when it comes to burnout
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because it's like, clearly you have a ton of knowledge
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and experience in understanding this
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and learning about it and teaching it.
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What do you feel like,
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I guess there's just so many things
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and you and I talked before this video
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of there's so many things we could talk about
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and I just wanna give all the things all the time
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and I think you feel that way too.
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But what do you feel like, I guess maybe to start,
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what do you wish you kind of knew,
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what are, if you could talk to your previous self
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or to new grads now,
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what do you feel like you wanna say to them
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or what do you wish that you knew or they knew?
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Concisely, of course, because it's a huge topic, right?
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I mean, you don't have to be concise,
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but just know, I just, I acknowledge
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that that's a hard question to answer.
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That's a great question though.
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I mean, honestly, I think number one,
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I would just give myself a hug
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and be like, girl, it's gonna be okay.
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It's great.
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It's hard.
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It makes me so emotional
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because I need a hug.
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Hug myself and just give myself the confidence
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to enter the force and be like, you know what?
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It's okay not to know it all.
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No one expects you to know it all in the beginning.
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I think we all graduate our programs
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and we think that we need to have everything down pat.
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And we're gonna be awesome at our jobs.
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We're gonna change lives.
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And that's all true,
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but it doesn't mean you have to know everything.
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And I don't think any employer expects that of you,
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but we put that pressure on ourselves.
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So I think number one,
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I would just tell myself to just take a deep breath
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and you don't have to spend every hour
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you're not at work reading
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the things that you're just gonna learn on the job anyway.
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And you can read it in a book,
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but it's better to just learn it as you go.
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Yeah.
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And just asking questions,
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I think I would have told myself,
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ask the questions.
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Don't feel scared to ask questions.
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People don't judge you.
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You're not a dummy.
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You're not a failure.
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So I think those are two major ones.
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And then I think definitely looking back
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for me having gone through burnout in that first job,
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I think I'd say, you really need to nurture yourself
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outside of work and set really healthy boundaries
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with your job.
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Yeah.
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Because I think my lack of,
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I didn't even know what a boundary was, to be honest.
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I didn't have any boundaries.
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Totally.
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I was gonna say, this is our next topic.
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So I think I would say to myself,
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you need to think about
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where you can set healthy boundaries
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so you can then nurture yourself outside of work.
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Because at the end of the day,
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we are not a nurse, first and foremost.
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We're a human being that has,
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and we need to nurture those needs
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in order to stay sane for the long haul.
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Totally.
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We want it to be sustainable.
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Totally.
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Well, I wanted to,
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so you and I talked about this a bit,
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but like boundaries, I feel like is such,
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is so important to talk about.
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So like, I think like,
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I'm just like from personal experience
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and you can share whatever you want
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from personal experience and just, you know,
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stop where you don't want to share.
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But I know for me,
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like I don't feel like we're taught about boundaries
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and what that means and how to hold them,
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how to understand them.
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And yeah, I mean,
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I definitely came from a burnt out place.
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Like, I don't know like what you would classify
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as like the line of burnout,
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but I feel like I was on the verge
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of leaving the profession myself
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before I started this platform.
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So I don't know, what do you feel like,
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I guess that's kind of like two questions in there
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of like, what are the kind of warning signs?
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And then I'd love to talk about boundaries too,
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but whatever one you want to talk about first.
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Sure.
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So yeah, I think it's definitely important
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to know what to look out for
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because I know for me,
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I didn't have any formal education
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in my nursing or NP programs about burnout.
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Like there was nothing about clinician wellness.
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There was nothing about any of this stuff.
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I mean, I know a lot of programs now
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do incorporate that into their curriculum,
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which is amazing
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because I really think every program should.
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But it definitely was not.
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So I didn't even know,
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like it completely took me by surprise.
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Yeah.
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I realized what was happening
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and then I'm like, what?
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Like this has been going on for so long.
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How did I not see this sooner?
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But you just kind of get caught up
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and again, you put those like pressures on yourself
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and you fear that people are going to judge you
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00:09:20.530 --> 00:09:22.510
if you say no, or you set them, you know?
252
00:09:22.510 --> 00:09:25.890
So I think, you know, with burnout,
253
00:09:26.710 --> 00:09:28.710
it's not just like, oh, I'm really tired.
254
00:09:29.170 --> 00:09:29.650
Yeah.
255
00:09:29.650 --> 00:09:30.830
I had a really bad day.
256
00:09:30.910 --> 00:09:32.110
Like we all have bad days.
257
00:09:32.110 --> 00:09:33.750
Like I love my job right now.
258
00:09:33.750 --> 00:09:35.130
Like it's a great job.
259
00:09:35.610 --> 00:09:36.510
Love the people I work with.
260
00:09:36.590 --> 00:09:37.570
It's definitely not toxic.
261
00:09:37.910 --> 00:09:38.910
Do I have bad days?
262
00:09:39.450 --> 00:09:40.030
Of course.
263
00:09:40.170 --> 00:09:41.110
Like we all do.
264
00:09:41.230 --> 00:09:41.530
Yeah.
265
00:09:41.530 --> 00:09:42.250
That's not burnout.
266
00:09:42.370 --> 00:09:46.410
Burnout is when the exhaustion is so profound
267
00:09:47.750 --> 00:09:50.790
that your traditional methods
268
00:09:51.270 --> 00:09:53.550
of bringing the energy back into your body
269
00:09:53.550 --> 00:09:56.530
and that traditional rest that would rejuvenate you
270
00:09:56.530 --> 00:09:57.670
doesn't do that.
271
00:09:58.690 --> 00:10:00.350
You know, feelings of apathy.
272
00:10:00.830 --> 00:10:03.690
It's feelings of like that emotional numbness
273
00:10:03.690 --> 00:10:06.670
where you feel so much that you actually feel nothing,
274
00:10:06.810 --> 00:10:08.030
which I know sounds crazy.
275
00:10:08.390 --> 00:10:09.850
No, I think it's so accurate
276
00:10:09.850 --> 00:10:11.150
and I think people who are experiencing that
277
00:10:11.150 --> 00:10:12.530
is going to be so resonant.
278
00:10:12.730 --> 00:10:12.970
Yeah.
279
00:10:12.970 --> 00:10:15.110
And I think so it's, you know, that exhaustion piece.
280
00:10:15.110 --> 00:10:17.770
It's like the depersonalization piece
281
00:10:17.770 --> 00:10:20.150
where it's like, I don't feel connected to this job.
282
00:10:20.150 --> 00:10:24.170
I don't feel like I'm making a difference, you know,
283
00:10:24.170 --> 00:10:25.070
or you're just like,
284
00:10:25.190 --> 00:10:27.410
I just really don't want to do this anymore.
285
00:10:27.650 --> 00:10:30.470
Or I can't do this anymore if it's that extreme.
286
00:10:30.670 --> 00:10:32.550
And then it's just like the feelings
287
00:10:32.550 --> 00:10:34.850
that you're just not effective in your role
288
00:10:34.850 --> 00:10:35.910
and that you're not,
289
00:10:36.370 --> 00:10:38.970
that your role isn't serving any sort of purpose.
290
00:10:39.710 --> 00:10:40.390
Yeah, yeah.
291
00:10:40.410 --> 00:10:41.450
And then there's just, you know,
292
00:10:41.450 --> 00:10:43.370
there can be physical symptoms, you know,
293
00:10:43.570 --> 00:10:45.730
headaches and GI symptoms, anxiety.
294
00:10:45.970 --> 00:10:48.650
I mean, a lot of burnout symptoms can overlap
295
00:10:48.650 --> 00:10:51.790
with depression, you know, depressive symptoms.
296
00:10:52.590 --> 00:10:54.530
So it's like that kind of overlaps.
297
00:10:54.910 --> 00:10:55.910
I think, you know,
298
00:10:56.330 --> 00:11:01.490
if people really have significant emotional involvement
299
00:11:01.490 --> 00:11:02.970
with their symptoms of burnout,
300
00:11:03.210 --> 00:11:06.470
it's not a bad thing to talk to somebody and ask them,
301
00:11:06.470 --> 00:11:07.230
you know.
302
00:11:08.270 --> 00:11:09.630
But yeah, so there's, you know,
303
00:11:09.630 --> 00:11:10.810
there's definitely physical symptoms.
304
00:11:10.930 --> 00:11:12.470
There's definitely emotional symptoms
305
00:11:12.470 --> 00:11:14.990
and, you know, people get irritable.
306
00:11:15.250 --> 00:11:16.190
You know, if you start to notice
307
00:11:16.190 --> 00:11:17.610
that you're drinking more alcohol
308
00:11:17.610 --> 00:11:19.130
or that you're self-medicating
309
00:11:19.130 --> 00:11:20.830
with like really junky foods
310
00:11:20.830 --> 00:11:23.910
or you're just really snippy with your partner
311
00:11:23.910 --> 00:11:26.510
and you just, you know, you don't feel yourself.
312
00:11:26.730 --> 00:11:28.050
These are all the effects.
313
00:11:28.730 --> 00:11:28.990
Yeah.
314
00:11:29.210 --> 00:11:32.170
And in terms of like the getting out,
315
00:11:32.730 --> 00:11:33.730
and again, feel free to share
316
00:11:33.730 --> 00:11:35.190
or not share your experiences
317
00:11:35.190 --> 00:11:37.550
or like just whatever you've understood so far.
318
00:11:37.810 --> 00:11:39.310
Like, what do you feel like the first steps are
319
00:11:39.310 --> 00:11:40.590
for people if they're noticing
320
00:11:40.590 --> 00:11:42.150
or they're worried about that burnout?
321
00:11:43.030 --> 00:11:44.630
You've talked about, you mentioned boundaries,
322
00:11:44.690 --> 00:11:45.910
but like, what do you feel like
323
00:11:45.910 --> 00:11:47.130
if somebody's in that place and they're like,
324
00:11:47.130 --> 00:11:48.570
oh gosh, that's where I'm not.
325
00:11:48.650 --> 00:11:50.210
Like, what do you feel like the first steps are?
326
00:11:51.450 --> 00:11:53.650
So I think step one is really just like,
327
00:11:53.650 --> 00:11:55.350
I'm a big believer that every single day
328
00:11:55.350 --> 00:11:56.750
we should be checking in with ourselves
329
00:11:56.750 --> 00:11:58.870
and auditing like where we're at.
330
00:11:59.870 --> 00:12:02.670
I highly recommend doing like a post shift reflection
331
00:12:02.670 --> 00:12:03.770
every single day.
332
00:12:03.770 --> 00:12:04.910
You know, when you get in your car,
333
00:12:05.210 --> 00:12:07.330
just asking yourself, you know,
334
00:12:07.350 --> 00:12:08.670
what did I do really well today?
335
00:12:08.770 --> 00:12:10.170
You know, celebrate those moments.
336
00:12:10.470 --> 00:12:12.450
And then what did I did not, you know,
337
00:12:12.450 --> 00:12:13.970
what didn't go so well and why?
338
00:12:13.990 --> 00:12:15.070
And just like, how am I feeling?
339
00:12:15.190 --> 00:12:15.930
Do a body scan?
340
00:12:15.930 --> 00:12:17.070
Like, is your body tense?
341
00:12:17.270 --> 00:12:17.850
Did you eat?
342
00:12:17.910 --> 00:12:18.550
Did you drink?
343
00:12:18.690 --> 00:12:20.390
You know, are you low energy?
344
00:12:20.470 --> 00:12:21.410
Why are you low energy?
345
00:12:21.530 --> 00:12:22.670
Did you not sleep well?
346
00:12:22.670 --> 00:12:23.670
Like all these things.
347
00:12:23.750 --> 00:12:26.250
And so I think checking in with yourself is step one
348
00:12:26.250 --> 00:12:28.070
because it's hard to know what to take action on
349
00:12:28.070 --> 00:12:29.750
unless you know what the problem is.
350
00:12:29.790 --> 00:12:30.670
Yeah, yeah.
351
00:12:31.070 --> 00:12:33.650
So if you know, if you know that, okay, you know,
352
00:12:33.650 --> 00:12:34.610
I'm really low energy,
353
00:12:34.630 --> 00:12:36.470
but I really didn't eat today at all.
354
00:12:36.530 --> 00:12:39.010
Like I had, like we're in the staff room.
355
00:12:39.550 --> 00:12:40.970
No, I haven't peed at all today,
356
00:12:40.970 --> 00:12:42.550
which is probably sign I'm dehydrated.
357
00:12:42.670 --> 00:12:43.570
Yeah, yeah.
358
00:12:43.910 --> 00:12:44.930
Which we've all been there.
359
00:12:44.990 --> 00:12:45.710
I've definitely been there.
360
00:12:45.710 --> 00:12:48.950
I haven't peed today, like crazy.
361
00:12:49.570 --> 00:12:50.370
That's true.
362
00:12:52.090 --> 00:12:54.590
So I think like knowing what the problem is
363
00:12:54.590 --> 00:12:56.930
allows you to decide what you need help fixing.
364
00:12:57.190 --> 00:12:59.310
Is it again, is it a mobile thing?
365
00:12:59.670 --> 00:13:01.290
And then, you know, what triggers are there?
366
00:13:01.650 --> 00:13:03.730
Was it a really difficult patient interaction?
367
00:13:04.310 --> 00:13:06.390
You know, sometimes it's just you had a really hard day
368
00:13:06.390 --> 00:13:08.630
because, you know, a patient died
369
00:13:08.630 --> 00:13:10.310
or, you know, you made a mistake
370
00:13:10.310 --> 00:13:12.210
and you freaked out about that.
371
00:13:12.210 --> 00:13:13.690
Or, you know, you got reprimanded by someone
372
00:13:13.690 --> 00:13:15.010
or someone was bullying you.
373
00:13:15.010 --> 00:13:17.510
Maybe there's a really nice colleague that you work with.
374
00:13:17.990 --> 00:13:20.970
So I think step one is really figuring that piece out.
375
00:13:21.070 --> 00:13:24.350
And then the whole action piece of that is really,
376
00:13:24.610 --> 00:13:26.150
I mean, we could talk about that forever
377
00:13:26.150 --> 00:13:28.230
because it's really dependent on what the issue is.
378
00:13:28.350 --> 00:13:31.170
You know, if it's a colleague, that's one scenario.
379
00:13:31.430 --> 00:13:34.410
You know, if it's, you know, your own self-care needs
380
00:13:34.410 --> 00:13:35.470
and you're not meeting those,
381
00:13:35.490 --> 00:13:36.970
that's a very different scenario.
382
00:13:37.230 --> 00:13:40.010
If it's a boundary issue, that's another scenario.
383
00:13:40.050 --> 00:13:42.370
But I think doing that check-in is really important.
384
00:13:43.030 --> 00:13:43.390
Yeah.
385
00:13:43.650 --> 00:13:46.830
And how do you feel like you learned about boundaries?
386
00:13:46.910 --> 00:13:47.870
Like, when did it occur to you?
387
00:13:47.950 --> 00:13:49.350
Like, oh, boundaries are a thing.
388
00:13:50.710 --> 00:13:52.050
And I'm like, where did you,
389
00:13:52.050 --> 00:13:53.210
I mean, it sounds like a silly question,
390
00:13:53.210 --> 00:13:54.110
but it's so true.
391
00:13:54.170 --> 00:13:56.230
Like, people talk about boundaries all the time
392
00:13:56.230 --> 00:13:58.850
and just, I'm still understanding them
393
00:13:58.850 --> 00:14:00.370
and getting used to practicing them.
394
00:14:00.390 --> 00:14:02.870
And like, so I guess how did you come to understand?
395
00:14:02.910 --> 00:14:05.330
Like, I don't realize, I didn't know what a boundary was
396
00:14:05.330 --> 00:14:06.650
and like, here I am learning about it
397
00:14:06.650 --> 00:14:08.050
and like what helped you with that?
398
00:14:08.130 --> 00:14:10.530
And I guess some examples for people up there,
399
00:14:10.530 --> 00:14:11.910
like, I don't know what boundaries mean.
400
00:14:13.190 --> 00:14:16.170
Well, I mean, there can be boundaries for your home life,
401
00:14:16.230 --> 00:14:18.690
for your relationships, for your work life.
402
00:14:18.770 --> 00:14:21.570
I mean, boundaries are not just about your work life.
403
00:14:21.670 --> 00:14:23.510
I mean, obviously that's kind of what we're talking about
404
00:14:23.510 --> 00:14:24.190
when it comes to burnout,
405
00:14:24.290 --> 00:14:26.670
but burnout can be parental burnout.
406
00:14:26.810 --> 00:14:29.350
It can be burnout for art regions other than your job.
407
00:14:29.470 --> 00:14:31.970
So I think boundaries in general are a thing.
408
00:14:33.970 --> 00:14:38.870
For me, I realized that I need to set boundaries
409
00:14:38.870 --> 00:14:43.530
when, like I had already hit the burnout threshold.
410
00:14:43.750 --> 00:14:49.230
I was in a million hours, I was never a no person
411
00:14:49.230 --> 00:14:50.730
because it was just ripping me out
412
00:14:50.730 --> 00:14:52.870
and I felt like it was gonna make me look bad
413
00:14:52.870 --> 00:14:54.670
or what have, you know, and my job,
414
00:14:54.950 --> 00:14:57.250
I mean, again, it was all here, you know,
415
00:14:57.290 --> 00:14:58.230
it wasn't real.
416
00:14:59.310 --> 00:15:01.270
So a lot of this is mindset, honestly,
417
00:15:01.410 --> 00:15:03.530
but also confidence to have the confidence
418
00:15:03.530 --> 00:15:04.930
to like actually say like, look,
419
00:15:04.930 --> 00:15:07.110
this is what I can and can't do.
420
00:15:07.110 --> 00:15:07.490
Yeah.
421
00:15:08.390 --> 00:15:13.070
Around that time, I sort of came to the conclusion
422
00:15:13.070 --> 00:15:16.370
that when I'm saying yes to something,
423
00:15:17.190 --> 00:15:20.050
I am by nature saying no to something else.
424
00:15:20.810 --> 00:15:24.290
And that was like a mindset game changer for me
425
00:15:24.290 --> 00:15:26.310
because then I started to think, okay,
426
00:15:26.910 --> 00:15:29.710
I need to be more intentional with my yes.
427
00:15:30.610 --> 00:15:32.970
It's not just about like, no, no, no,
428
00:15:32.970 --> 00:15:34.790
I'm not gonna do that, you know.
429
00:15:34.790 --> 00:15:37.710
It's about, okay, if I say yes to this,
430
00:15:37.790 --> 00:15:40.610
this extra shift or, you know, covering this person
431
00:15:40.610 --> 00:15:44.410
or what have you, I mean, I don't get to put kids to bed.
432
00:15:44.550 --> 00:15:45.610
Does this mean, you know,
433
00:15:45.650 --> 00:15:47.390
my relationship with my husband suffers?
434
00:15:47.390 --> 00:15:48.950
I mean, I don't have time to exercise
435
00:15:48.950 --> 00:15:51.150
and that's really important for my mental health.
436
00:15:51.310 --> 00:15:54.830
So once I decided that piece, that helped me a lot.
437
00:15:56.450 --> 00:15:59.050
And then when I left that job,
438
00:15:59.050 --> 00:16:01.290
so I did end up leaving for a couple of reasons,
439
00:16:01.290 --> 00:16:03.150
that was part of it, but we also wanted to move here,
440
00:16:03.150 --> 00:16:04.410
which is where we're from.
441
00:16:05.890 --> 00:16:09.250
In my new job on day one, I was like,
442
00:16:09.250 --> 00:16:11.170
I was like in the mirror like,
443
00:16:11.470 --> 00:16:13.730
you are just gonna make sure you set boundaries,
444
00:16:14.390 --> 00:16:15.730
you're really good at this.
445
00:16:16.730 --> 00:16:19.350
Like you have to like be your own self advocate.
446
00:16:21.030 --> 00:16:23.910
It was like this serious like heart to heart with myself,
447
00:16:23.910 --> 00:16:26.130
like you have to always advocate for yourself.
448
00:16:27.790 --> 00:16:31.350
And so that's what I've done since day one at this job.
449
00:16:31.350 --> 00:16:32.810
So, and I think the boundaries,
450
00:16:32.970 --> 00:16:35.390
it's important to do it like the earlier, the better,
451
00:16:35.390 --> 00:16:38.070
because then set up that expectation from the get go.
452
00:16:38.130 --> 00:16:39.130
Yeah, yeah.
453
00:16:39.250 --> 00:16:42.030
I just like honestly, this comes into play all the time,
454
00:16:42.030 --> 00:16:43.650
like literally a couple of weeks ago,
455
00:16:43.650 --> 00:16:45.570
I had to set a boundary at my job.
456
00:16:45.790 --> 00:16:47.570
And it was, I won't tell you the whole story,
457
00:16:47.570 --> 00:16:49.030
but basically, and attending,
458
00:16:49.230 --> 00:16:51.890
I work with this going out because she needs a surgery.
459
00:16:52.630 --> 00:16:54.610
And she has very challenging patients
460
00:16:54.610 --> 00:16:56.790
that require a lot of energy.
461
00:16:57.030 --> 00:16:59.950
And I have to cover her while she's gone.
462
00:17:00.650 --> 00:17:03.030
So they're like, okay, we need you to cover so and so,
463
00:17:03.910 --> 00:17:04.829
which is fine.
464
00:17:05.050 --> 00:17:06.589
But I was like, okay,
465
00:17:06.589 --> 00:17:08.569
I know that that's gonna be a lot on me.
466
00:17:08.710 --> 00:17:10.890
Like I'm gonna be probably crying in my office.
467
00:17:11.609 --> 00:17:15.109
So I went to my supervising physician
468
00:17:15.109 --> 00:17:16.210
in the management and I said,
469
00:17:16.270 --> 00:17:17.589
look, I'm happy to do this,
470
00:17:17.730 --> 00:17:21.130
but I need these urgent slots
471
00:17:21.130 --> 00:17:22.390
for when urgent things come up,
472
00:17:22.390 --> 00:17:23.369
I need admin time,
473
00:17:23.430 --> 00:17:25.270
I need these things while she's gone.
474
00:17:26.970 --> 00:17:28.510
And they were like, okay.
475
00:17:29.290 --> 00:17:30.010
Totally reasonable.
476
00:17:30.270 --> 00:17:31.850
And I'm like, okay, this is great.
477
00:17:32.230 --> 00:17:33.370
Now, I'm helping her.
478
00:17:33.610 --> 00:17:35.090
I'm not gonna be overwhelmed.
479
00:17:35.350 --> 00:17:37.510
It's gonna be, I feel good about this.
480
00:17:37.710 --> 00:17:38.590
Everybody's happy.
481
00:17:38.870 --> 00:17:39.290
Totally.
482
00:17:39.850 --> 00:17:41.650
And it's just about self-advocating
483
00:17:41.650 --> 00:17:43.750
and knowing what's gonna work for you and what's not.
484
00:17:44.530 --> 00:17:46.870
Yeah, and I think that one of the things
485
00:17:46.870 --> 00:17:49.330
I see so commonly is that,
486
00:17:49.750 --> 00:17:52.170
in terms of how to describe a boundary,
487
00:17:52.450 --> 00:17:55.390
it's kind of like what you need and what you want
488
00:17:55.390 --> 00:17:56.530
compared to what other people,
489
00:17:56.830 --> 00:17:58.410
this is the most common scenario I see
490
00:17:58.410 --> 00:18:00.190
is what other people need and want
491
00:18:00.190 --> 00:18:01.550
versus what you need and want.
492
00:18:01.930 --> 00:18:04.710
And there's so much of the time with caregivers,
493
00:18:04.810 --> 00:18:08.250
there's a lot of people pleasing that happens.
494
00:18:09.850 --> 00:18:12.870
And yeah, and I think that that's potentially
495
00:18:12.870 --> 00:18:15.170
an intro point of where are you over giving,
496
00:18:15.350 --> 00:18:16.530
where are you overdoing it?
497
00:18:16.550 --> 00:18:18.430
Because when are you abandoning yourself
498
00:18:18.430 --> 00:18:20.170
and your own needs for somebody else,
499
00:18:20.530 --> 00:18:21.770
that is not sustainable.
500
00:18:21.890 --> 00:18:23.190
And I think it's really hard for people
501
00:18:23.190 --> 00:18:25.770
to have that confidence and sense of self
502
00:18:25.770 --> 00:18:27.830
and self-esteem and all this.
503
00:18:27.830 --> 00:18:29.150
And it gets into a lot of deeper stuff
504
00:18:29.150 --> 00:18:29.930
like you're talking about
505
00:18:29.930 --> 00:18:32.350
because you need to feel solid in yourself
506
00:18:32.350 --> 00:18:34.190
to ask for the things that you want,
507
00:18:34.210 --> 00:18:36.190
especially if it's gonna disappoint somebody,
508
00:18:36.290 --> 00:18:37.090
quote unquote, right?
509
00:18:37.110 --> 00:18:38.690
Because a lot of the times we assume like,
510
00:18:38.690 --> 00:18:39.830
oh, this is gonna be so hard for them.
511
00:18:39.830 --> 00:18:42.330
And it's like, no, who are you choosing here?
512
00:18:42.350 --> 00:18:44.650
You're choosing yourself, which is sustainable,
513
00:18:44.650 --> 00:18:46.650
which is again, if you can't do it for yourself,
514
00:18:46.710 --> 00:18:47.670
do it for your patients.
515
00:18:47.790 --> 00:18:48.890
Because if you can't do it for yourself
516
00:18:48.890 --> 00:18:49.650
and you're gonna get burnt out,
517
00:18:49.670 --> 00:18:51.130
then you can't do it for the patients, right?
518
00:18:51.130 --> 00:18:53.930
Because I think that this is the common scenario
519
00:18:53.930 --> 00:18:55.410
I think that I see from a lot of new grads
520
00:18:55.410 --> 00:18:57.990
where I try to help them see that for themselves.
521
00:18:59.290 --> 00:19:01.870
And it's really hard, it's really hard
522
00:19:01.870 --> 00:19:03.210
and people are not really ready to do that.
523
00:19:03.370 --> 00:19:04.890
I mentioned when we were chatting before,
524
00:19:04.970 --> 00:19:07.350
there's a book called, Codependent No More,
525
00:19:07.470 --> 00:19:09.010
which sounds really odd,
526
00:19:09.410 --> 00:19:11.470
talking about codependency and people pleasing,
527
00:19:11.470 --> 00:19:14.170
but it's actually really a lot more comprehensive
528
00:19:14.170 --> 00:19:16.530
than just like the typical thing
529
00:19:16.530 --> 00:19:18.010
that you're thinking about with codependent,
530
00:19:18.010 --> 00:19:19.830
like intermittent relationships, for example,
531
00:19:20.190 --> 00:19:21.610
where it's kind of like this paradigm
532
00:19:21.610 --> 00:19:24.290
of like wrapping yourself around somebody else.
533
00:19:24.950 --> 00:19:26.470
And it's based on a person
534
00:19:26.470 --> 00:19:29.290
who is struggling with alcohol use herself
535
00:19:29.290 --> 00:19:30.610
and her family has alcohol use.
536
00:19:31.230 --> 00:19:32.110
And like, regardless of that,
537
00:19:32.110 --> 00:19:33.170
it's actually really applicable
538
00:19:33.170 --> 00:19:34.550
to caregivers and to burnout.
539
00:19:34.630 --> 00:19:36.070
So I do recommend that book
540
00:19:36.070 --> 00:19:37.590
for people to consider reading,
541
00:19:37.690 --> 00:19:39.130
especially if they're having a hard time,
542
00:19:39.210 --> 00:19:40.790
if they're like, I'm not sure what boundaries are,
543
00:19:40.790 --> 00:19:41.690
I don't know what this means.
544
00:19:41.710 --> 00:19:44.930
And they're really involved with people pleasing too,
545
00:19:45.470 --> 00:19:49.030
because yeah, I think it's really well-intentioned
546
00:19:49.030 --> 00:19:50.550
and I think it's the way that we're brought up,
547
00:19:50.610 --> 00:19:53.330
especially like for cis women and feminine people.
548
00:19:53.330 --> 00:19:58.410
But it's ultimately detrimental to ourselves.
549
00:19:59.390 --> 00:19:59.590
That's true.
550
00:19:59.790 --> 00:20:02.930
I think most people view boundaries as like a wall,
551
00:20:03.010 --> 00:20:03.670
like you're drawing,
552
00:20:04.270 --> 00:20:05.830
you're putting up this boundary.
553
00:20:06.070 --> 00:20:06.570
It's like this,
554
00:20:07.030 --> 00:20:10.050
but I honestly think that it reinforces relationships.
555
00:20:10.750 --> 00:20:12.590
I think, again, like you said,
556
00:20:12.690 --> 00:20:15.010
if you are putting yourself first,
557
00:20:15.070 --> 00:20:17.250
you're only better able to do the things
558
00:20:17.250 --> 00:20:18.110
that you do best,
559
00:20:18.270 --> 00:20:20.350
caring for your community like that.
560
00:20:20.770 --> 00:20:22.470
If we don't do those things,
561
00:20:22.470 --> 00:20:23.910
then the apathy creeps in.
562
00:20:24.050 --> 00:20:24.790
There's actually like,
563
00:20:24.950 --> 00:20:25.910
I read a quote just the other day,
564
00:20:25.970 --> 00:20:27.590
it was a primary care provider
565
00:20:27.590 --> 00:20:28.590
who was sitting with a patient
566
00:20:28.590 --> 00:20:29.850
and she started to cry.
567
00:20:30.350 --> 00:20:34.510
And he was thinking like,
568
00:20:34.950 --> 00:20:36.190
is it how much time is this gonna take?
569
00:20:36.270 --> 00:20:37.450
Is this gonna get me behind?
570
00:20:37.710 --> 00:20:39.010
Da-da-da-da-da-da-da-da-da-da-da-da.
571
00:20:39.350 --> 00:20:40.850
And he was just like going through the motions
572
00:20:40.850 --> 00:20:43.250
and feeling very robotic and putting his hand on him.
573
00:20:43.730 --> 00:20:46.150
You know, like I'm running behind,
574
00:20:46.150 --> 00:20:47.750
this is kind of a time stuck.
575
00:20:49.870 --> 00:20:51.570
That's the kind of things that you see with burnout,
576
00:20:51.570 --> 00:20:53.090
which obviously the patients suffer.
577
00:20:53.890 --> 00:20:54.970
And you know, it's just,
578
00:20:54.970 --> 00:20:56.810
you're more likely to make mistakes.
579
00:20:57.810 --> 00:21:00.310
So yeah, I think it reinforces relationships
580
00:21:00.310 --> 00:21:00.950
within teams,
581
00:21:00.950 --> 00:21:04.130
but also with the provider patient relationship
582
00:21:04.130 --> 00:21:04.990
and with yourself.
583
00:21:05.150 --> 00:21:06.830
I think when you advocate for yourself,
584
00:21:06.830 --> 00:21:07.950
it makes you feel really good.
585
00:21:08.070 --> 00:21:09.850
I think it helps you build confidence
586
00:21:09.850 --> 00:21:12.730
by doing those hard things and saying like,
587
00:21:12.770 --> 00:21:14.990
you know what, I am worthy of this, you know?
588
00:21:16.570 --> 00:21:17.050
Absolutely.
589
00:21:18.430 --> 00:21:19.950
Yeah, and I think it's so tricky
590
00:21:19.950 --> 00:21:23.690
because for me, at least when I work with new grads
591
00:21:23.690 --> 00:21:25.510
or when I'm in community with them
592
00:21:25.510 --> 00:21:27.530
and I see stuff like that happening,
593
00:21:28.050 --> 00:21:30.630
I don't know, it just feels like a monstrous issue.
594
00:21:30.830 --> 00:21:32.690
You know, it feels like a big thing
595
00:21:33.230 --> 00:21:34.270
because it's not simple.
596
00:21:34.290 --> 00:21:36.190
It's not really like a quick fix kind of thing,
597
00:21:36.190 --> 00:21:39.070
but I think that there are pathways in.
598
00:21:39.310 --> 00:21:40.990
There are like self-reflective practices
599
00:21:40.990 --> 00:21:41.990
as a way to reach out.
600
00:21:42.210 --> 00:21:43.450
There's educating, you know,
601
00:21:43.530 --> 00:21:44.590
people can educate themselves.
602
00:21:44.870 --> 00:21:45.790
I mentioned like that book
603
00:21:45.790 --> 00:21:46.850
and then there's another book I mentioned
604
00:21:46.850 --> 00:21:49.210
in another video that I made about
605
00:21:49.210 --> 00:21:50.390
To Weep for a Stranger
606
00:21:50.390 --> 00:21:53.130
and it talks about compassion fatigue and caregiving
607
00:21:53.130 --> 00:21:55.590
as it relates to animals and people and all that stuff.
608
00:21:56.050 --> 00:21:59.190
Do you have other resources that you particularly love
609
00:21:59.190 --> 00:22:02.350
for people to kind of like start on that journey
610
00:22:02.350 --> 00:22:05.050
of the self-reflection and the confidence
611
00:22:05.050 --> 00:22:07.510
and the boundary learning and that kind of stuff?
612
00:22:07.650 --> 00:22:09.510
Yeah, I mean, there's a lot of really great books
613
00:22:09.510 --> 00:22:11.950
for just like mindset and things like that.
614
00:22:12.490 --> 00:22:15.430
You know, for habits, Atomic Habits is a really good book.
615
00:22:15.770 --> 00:22:16.330
It's on my list.
616
00:22:16.350 --> 00:22:17.930
I haven't read it yet, but that sounds amazing.
617
00:22:17.930 --> 00:22:18.610
Good.
618
00:22:19.470 --> 00:22:22.710
And start with Why, which is the Simon Sinek book
619
00:22:23.610 --> 00:22:26.230
about kind of knowing your purpose, your values,
620
00:22:26.390 --> 00:22:28.830
sort of why, the why is really important.
621
00:22:30.810 --> 00:22:32.430
You know, just for beautiful poetry,
622
00:22:32.550 --> 00:22:35.050
there's Heart Talk, which I'm sure you've looked at.
623
00:22:35.230 --> 00:22:36.630
I have not, no.
624
00:22:36.970 --> 00:22:37.690
It's poetry?
625
00:22:38.630 --> 00:22:40.890
Yes, but it's like very much about self
626
00:22:40.890 --> 00:22:43.690
and self-love and all of those things.
627
00:22:43.890 --> 00:22:44.910
It's very empowering.
628
00:22:46.770 --> 00:22:48.450
There's a daily meditation book,
629
00:22:48.610 --> 00:22:51.330
which is lovely Journey to the Heart.
630
00:22:51.550 --> 00:22:54.630
I actually have a whole book list on my Instagram page.
631
00:22:54.630 --> 00:22:56.510
Oh, good, oh, good.
632
00:22:57.210 --> 00:22:58.330
Something you're interested in,
633
00:22:58.430 --> 00:23:00.230
just click on the link in the bio, it's there.
634
00:23:01.170 --> 00:23:02.670
There's a lot of great books out there.
635
00:23:02.730 --> 00:23:04.090
I mean, there's some, there's a great book.
636
00:23:04.250 --> 00:23:05.530
So I don't know, you might have read this,
637
00:23:05.530 --> 00:23:09.550
The Burnout, Closing the Stress Cycle,
638
00:23:09.550 --> 00:23:10.550
I think is what it's called.
639
00:23:10.630 --> 00:23:11.550
It's by two sisters.
640
00:23:11.670 --> 00:23:13.690
It's a very like feminist perspective,
641
00:23:13.690 --> 00:23:14.850
but it's really great.
642
00:23:15.210 --> 00:23:15.750
That's awesome.
643
00:23:15.790 --> 00:23:17.430
I'm gonna look at this list, I'm excited.
644
00:23:18.030 --> 00:23:18.930
Good, it's a really good book.
645
00:23:19.010 --> 00:23:21.650
And then, you know, this is written by an attending,
646
00:23:21.770 --> 00:23:24.370
but I think, and it's like targeted towards physicians,
647
00:23:24.510 --> 00:23:27.750
but I think it's actually like a really powerful book,
648
00:23:27.770 --> 00:23:30.190
a lot about mindfulness and medicine.
649
00:23:30.350 --> 00:23:31.770
It's called Attending,
650
00:23:32.370 --> 00:23:34.750
and it's by Lassing's Epstein,
651
00:23:34.810 --> 00:23:37.010
but I can't remember the first, Ronald, I think.
652
00:23:37.870 --> 00:23:39.230
That's a really great book.
653
00:23:39.390 --> 00:23:40.990
And it's a lot, I mean, I'm a science nerd,
654
00:23:40.990 --> 00:23:43.130
so it has a lot about the brain and like.
655
00:23:43.130 --> 00:23:45.470
Totally, totally, that's awesome.
656
00:23:45.510 --> 00:23:47.990
Like the benefits of mindfulness and things like that.
657
00:23:48.530 --> 00:23:50.350
Definitely, and it's like, and maybe,
658
00:23:51.650 --> 00:23:54.650
and I can hear my people in my head
659
00:23:54.650 --> 00:23:56.430
when I make all this stuff.
660
00:23:56.710 --> 00:23:58.450
And like it's, I don't know,
661
00:23:58.490 --> 00:23:59.930
I think that, and especially thinking back
662
00:23:59.930 --> 00:24:02.750
to my own experience, I think that like as a new grad,
663
00:24:03.010 --> 00:24:05.290
I was so overwhelmed and I wanted to read
664
00:24:05.290 --> 00:24:06.770
about all the things all the time.
665
00:24:06.770 --> 00:24:07.790
And I was like, I don't have time
666
00:24:07.790 --> 00:24:09.550
for all of that stuff, you know?
667
00:24:09.590 --> 00:24:10.390
And so this type of,
668
00:24:10.390 --> 00:24:11.990
this is not a clinical video, right?
669
00:24:11.990 --> 00:24:14.190
We are clinicians and we love the science,
670
00:24:15.230 --> 00:24:17.470
but like I hope that it lands
671
00:24:17.990 --> 00:24:19.350
for someone that's watching this,
672
00:24:19.390 --> 00:24:20.550
how important this is,
673
00:24:20.590 --> 00:24:22.930
that we're taking this time to talk about this stuff,
674
00:24:23.190 --> 00:24:25.710
because it is in fact impossible.
675
00:24:25.930 --> 00:24:26.870
I mean, you don't have to do it
676
00:24:26.870 --> 00:24:28.530
the way that we're telling to, you know,
677
00:24:28.630 --> 00:24:30.090
advising you to do it, but like,
678
00:24:30.370 --> 00:24:33.390
like this is, you can choose to ignore it
679
00:24:34.330 --> 00:24:37.770
and just read medicine all day long, all day every day,
680
00:24:37.770 --> 00:24:39.810
but we do not recommend that.
681
00:24:40.490 --> 00:24:43.130
I mean, you have the choice, right?
682
00:24:43.130 --> 00:24:45.030
You have the choice to see it for yourself
683
00:24:45.030 --> 00:24:46.250
or prevention, right?
684
00:24:46.290 --> 00:24:47.790
And I think sometimes new grads
685
00:24:47.790 --> 00:24:49.690
and our practitioners and caregivers in general
686
00:24:50.230 --> 00:24:51.770
are really good about caring for others
687
00:24:51.770 --> 00:24:53.170
and not really about themselves.
688
00:24:53.830 --> 00:24:56.890
So if you can just trust us as experienced clinicians.
689
00:24:59.250 --> 00:25:01.310
Yeah, I think people feel guilty, you know?
690
00:25:01.310 --> 00:25:02.430
It's all about the guilt,
691
00:25:02.930 --> 00:25:04.650
like, you know, or like feeling you're not worthy,
692
00:25:04.930 --> 00:25:06.970
but I mean, ultimately again,
693
00:25:06.970 --> 00:25:10.190
like you're living as your highest self
694
00:25:10.190 --> 00:25:11.870
when you are nurturing yourself
695
00:25:11.870 --> 00:25:13.790
and you're gonna have more energy,
696
00:25:13.810 --> 00:25:15.330
you're gonna be more on your game.
697
00:25:15.590 --> 00:25:17.610
I mean, your patients are gonna be far happier,
698
00:25:17.730 --> 00:25:19.310
your partner is gonna be far happier.
699
00:25:19.390 --> 00:25:20.510
I know like when I was growing up,
700
00:25:20.510 --> 00:25:23.590
I was irritable and no fun to be around, you know?
701
00:25:23.590 --> 00:25:25.670
And I think, you know, doing those things
702
00:25:25.670 --> 00:25:27.550
and, you know, exercising,
703
00:25:27.630 --> 00:25:29.710
all these things are so important, but you're right.
704
00:25:29.790 --> 00:25:31.610
It's not a one size fits all.
705
00:25:31.850 --> 00:25:35.730
Like, it's not about like the action that you're taking,
706
00:25:35.730 --> 00:25:38.990
it's just about doing something and trying different things
707
00:25:38.990 --> 00:25:40.550
and seeing what works for you.
708
00:25:40.590 --> 00:25:42.530
Some people thrive on like AM routines
709
00:25:42.530 --> 00:25:43.750
and having like a very specific,
710
00:25:43.850 --> 00:25:45.710
like they meditate, they do this, dah, dah, dah, dah.
711
00:25:45.710 --> 00:25:47.530
Other people hate, you know, hate meditation
712
00:25:47.530 --> 00:25:48.930
because they feel like their mind's too busy
713
00:25:48.930 --> 00:25:49.430
and what have you.
714
00:25:49.470 --> 00:25:51.530
I personally think they could like train their mind
715
00:25:51.530 --> 00:25:53.550
to like simmer, which is probably a good thing.
716
00:25:54.270 --> 00:25:54.850
Totally, totally.
717
00:25:55.290 --> 00:25:57.050
You know, other people really like, you know,
718
00:25:57.170 --> 00:25:58.790
nighttime brain dumps right before bed
719
00:25:58.790 --> 00:26:00.030
or meditation at night
720
00:26:00.030 --> 00:26:01.810
because it helps them transition to sleep.
721
00:26:02.030 --> 00:26:03.490
And there's all these things,
722
00:26:03.490 --> 00:26:04.790
but once you get into it
723
00:26:04.790 --> 00:26:06.250
and you see the difference it makes,
724
00:26:06.370 --> 00:26:08.590
I think it speaks for itself, like, honestly.
725
00:26:09.150 --> 00:26:09.550
Yeah.
726
00:26:09.730 --> 00:26:11.370
And I think like kind of two entry points,
727
00:26:11.390 --> 00:26:13.510
like you said, like, I just go back to,
728
00:26:13.710 --> 00:26:14.390
I hear so many people
729
00:26:14.390 --> 00:26:15.930
are not willing to do it for themselves.
730
00:26:16.010 --> 00:26:18.050
And so like, do it for the patients then,
731
00:26:18.050 --> 00:26:19.950
do it for your future, you know,
732
00:26:20.070 --> 00:26:21.230
ability to care for patients.
733
00:26:21.610 --> 00:26:24.890
And sometimes also we have like a lot,
734
00:26:24.950 --> 00:26:26.350
like if we don't have the confidence
735
00:26:26.350 --> 00:26:27.250
and the inner worthiness,
736
00:26:27.430 --> 00:26:32.690
we're not willing to like do the things anyway.
737
00:26:32.690 --> 00:26:34.630
And so sometimes it's helpful to just,
738
00:26:34.830 --> 00:26:37.170
like you said, take action, do something.
739
00:26:37.330 --> 00:26:40.150
And then if you're willing to commit to the action,
740
00:26:40.430 --> 00:26:42.870
then hopefully the inner work will catch up.
741
00:26:42.890 --> 00:26:44.030
If that makes sense.
742
00:26:44.050 --> 00:26:45.550
Like it's just, I'm just speaking from it.
743
00:26:45.550 --> 00:26:46.370
I'm just being real honest.
744
00:26:46.410 --> 00:26:47.870
I speak from experience here of like,
745
00:26:48.010 --> 00:26:49.310
I came from this place, you know,
746
00:26:49.310 --> 00:26:51.010
of like not having any of that stuff
747
00:26:51.010 --> 00:26:53.870
and putting myself last place for years.
748
00:26:54.090 --> 00:26:55.830
And I'm not perfect at it still.
749
00:26:55.870 --> 00:26:58.610
I don't think there is perfection in general, but you know.
750
00:26:58.610 --> 00:26:59.730
There's never a finish line.
751
00:26:59.830 --> 00:27:00.550
Definitely not.
752
00:27:00.550 --> 00:27:03.710
I mean, yeah, I'm a big, big, big believer.
753
00:27:03.910 --> 00:27:04.990
It really starts with self.
754
00:27:05.270 --> 00:27:06.950
I think, yes, it's fine to say like,
755
00:27:06.990 --> 00:27:08.210
I'm gonna do this for my patients.
756
00:27:08.210 --> 00:27:10.970
But if you feel like you don't have that sense of self,
757
00:27:11.210 --> 00:27:13.330
I think that inner work really should be
758
00:27:13.330 --> 00:27:14.570
also happening on the side.
759
00:27:14.590 --> 00:27:15.650
Well, you do for your patient,
760
00:27:15.810 --> 00:27:18.230
but I think it's really important to dig deep
761
00:27:18.230 --> 00:27:19.610
as to where that's coming from.
762
00:27:19.850 --> 00:27:22.070
Like even in the program that I'm doing now
763
00:27:22.070 --> 00:27:25.670
with my mentees, like the whole first module is all self
764
00:27:25.670 --> 00:27:27.630
and like it go deep.
765
00:27:27.850 --> 00:27:29.810
And it's like really, really powerful.
766
00:27:29.810 --> 00:27:32.230
And you know, things come up that are like, oh my gosh,
767
00:27:33.150 --> 00:27:34.410
like it's explained so much,
768
00:27:34.410 --> 00:27:37.690
but then it makes it a lot easier to then take action.
769
00:27:37.950 --> 00:27:38.930
Because then you're like, okay,
770
00:27:39.370 --> 00:27:40.590
like now I have the confidence.
771
00:27:40.630 --> 00:27:41.750
Now I do feel I'm worthy.
772
00:27:41.830 --> 00:27:45.230
Now I can set boundaries because of that, you know.
773
00:27:46.170 --> 00:27:47.830
Absolutely, and that's a beautiful segue.
774
00:27:48.290 --> 00:27:52.750
So how can people learn more from you
775
00:27:52.750 --> 00:27:54.670
and get to work with you?
776
00:27:55.610 --> 00:27:57.790
Well, so I'm on Instagram predominantly.
777
00:27:57.790 --> 00:27:59.290
I have a Facebook page,
778
00:27:59.450 --> 00:28:01.070
but I'm not really on there.
779
00:28:02.110 --> 00:28:02.750
I'm fine.
780
00:28:03.770 --> 00:28:05.150
You can go on there though.
781
00:28:06.250 --> 00:28:08.670
But Instagram is where like all my content gets posted.
782
00:28:08.690 --> 00:28:10.850
It's Catalyst for Self-Care, right?
783
00:28:11.050 --> 00:28:11.450
At Satellite.
784
00:28:11.750 --> 00:28:13.770
Yeah, Catalyst for Self-Care.
785
00:28:14.150 --> 00:28:16.510
I do have the blog, which has some stuff on it too.
786
00:28:18.130 --> 00:28:20.030
That's selfcarecatalyst.com.
787
00:28:20.970 --> 00:28:22.170
And right now, so mentorship,
788
00:28:22.450 --> 00:28:24.830
winter mentorship is going strong.
789
00:28:25.330 --> 00:28:26.790
There'll be another round in the spring.
790
00:28:26.790 --> 00:28:28.230
The wait list is always open.
791
00:28:28.470 --> 00:28:30.650
Last time we kind of filled up off the wait list.
792
00:28:30.650 --> 00:28:33.850
So if someone out there in the world wants to,
793
00:28:33.850 --> 00:28:34.970
you know, talk more about it,
794
00:28:34.970 --> 00:28:37.790
I highly suggest you hop on so you don't miss out.
795
00:28:38.290 --> 00:28:38.310
Totally.
796
00:28:38.490 --> 00:28:40.670
And you're always open as you know.
797
00:28:41.110 --> 00:28:42.090
I love chatting with people.
798
00:28:42.370 --> 00:28:43.610
I love this community so much.
799
00:28:44.110 --> 00:28:44.750
That's awesome.
800
00:28:44.910 --> 00:28:46.070
And so just to clarify,
801
00:28:46.170 --> 00:28:49.710
you do one-on-one mentoring with a cohort of people
802
00:28:49.710 --> 00:28:51.390
for like a couple of months at a time
803
00:28:51.390 --> 00:28:53.070
or you have like a program or?
804
00:28:53.330 --> 00:28:56.270
So it's called the Rising to Resilience Mentorship Program.
805
00:28:56.270 --> 00:28:56.850
Awesome.
806
00:28:57.650 --> 00:29:00.230
Right now we have four nurses of kind of all different,
807
00:29:00.730 --> 00:29:02.090
you know, we have an ER nurse.
808
00:29:02.090 --> 00:29:02.950
We have all these people,
809
00:29:03.150 --> 00:29:04.870
kind of different specialties.
810
00:29:05.510 --> 00:29:07.710
We do 12 weeks one-on-one.
811
00:29:08.370 --> 00:29:10.390
And yeah, you get a guidebook.
812
00:29:10.550 --> 00:29:11.930
It's like 130 pages.
813
00:29:11.950 --> 00:29:13.830
So we have a lot of content.
814
00:29:14.230 --> 00:29:14.710
Wow.
815
00:29:15.290 --> 00:29:18.110
We have a lot of various exercises,
816
00:29:19.750 --> 00:29:20.570
a lot of prompts.
817
00:29:20.710 --> 00:29:22.190
There's other like bonus materials,
818
00:29:22.310 --> 00:29:23.950
like Ted Talks and fun stuff that,
819
00:29:24.010 --> 00:29:25.290
because again, I love that stuff,
820
00:29:25.290 --> 00:29:27.730
like video on neuroplasticity.
821
00:29:28.630 --> 00:29:30.230
So yeah, we do a lot of that stuff.
822
00:29:30.250 --> 00:29:31.710
And then there's just ongoing support.
823
00:29:32.050 --> 00:29:32.970
I, you know, hold them accountable.
824
00:29:33.170 --> 00:29:36.010
I check in on them and we have fun.
825
00:29:36.170 --> 00:29:38.190
Honestly, it's been really, really fun.
826
00:29:38.510 --> 00:29:40.870
But there's a bunch of free stuff too on my page.
827
00:29:40.890 --> 00:29:43.350
Like there's a whole mini training on boundary setting
828
00:29:43.350 --> 00:29:45.270
and how to talk conversations.
829
00:29:45.290 --> 00:29:47.990
There's a free training on morning routines.
830
00:29:47.990 --> 00:29:50.030
There's a whole thing on sleep,
831
00:29:50.850 --> 00:29:52.350
a confidence accelerator program,
832
00:29:52.350 --> 00:29:54.030
which is like a self-guided,
833
00:29:54.730 --> 00:29:57.050
like mini course that people can do,
834
00:29:57.210 --> 00:29:59.610
which gets into the whole like limiting beliefs
835
00:29:59.610 --> 00:30:02.930
and imposter syndrome, comparison syndrome,
836
00:30:02.970 --> 00:30:03.890
which, you know,
837
00:30:04.410 --> 00:30:06.170
probably the worst place to be Instagram for that.
838
00:30:07.670 --> 00:30:09.850
But yeah, there's lots of resources
839
00:30:09.850 --> 00:30:11.870
and I really try to post something every day.
840
00:30:11.870 --> 00:30:14.730
That's an actionable tool for people to have
841
00:30:14.730 --> 00:30:15.730
like in their little toolbox
842
00:30:15.730 --> 00:30:18.510
so they can go into work feeling joy
843
00:30:18.510 --> 00:30:20.330
and not feeling, you know, crummy.
844
00:30:21.270 --> 00:30:21.450
Awesome.
845
00:30:21.450 --> 00:30:24.170
Well, thank you so very much for talking with me.
846
00:30:24.710 --> 00:30:26.850
I know this is gonna be so helpful for so many people.
847
00:30:26.930 --> 00:30:28.150
So thank you so much.
848
00:30:32.360 --> 00:30:33.960
That's our episode for today.
849
00:30:34.060 --> 00:30:35.840
Thank you so much for listening.
850
00:30:36.260 --> 00:30:38.580
Make sure you subscribe, leave a review
851
00:30:38.580 --> 00:30:40.460
and tell all your NP friends
852
00:30:40.460 --> 00:30:43.400
so together we can help as many nurse practitioners
853
00:30:43.400 --> 00:30:46.220
as possible give the best care to their patients.
854
00:30:46.560 --> 00:30:48.080
If you haven't gotten your copy
855
00:30:48.080 --> 00:30:50.740
of the ultimate resource guide for the new NP,
856
00:30:50.980 --> 00:30:54.220
head over to realworldnp.com slash guide.
857
00:30:54.220 --> 00:30:57.120
You'll get these episodes sent straight to your inbox
858
00:30:57.120 --> 00:31:00.120
every week with notes from me, patient stories
859
00:31:00.120 --> 00:31:03.460
and extra bonuses I really just don't share anywhere else.
860
00:31:03.860 --> 00:31:05.420
Thank you so much again for listening.
861
00:31:05.560 --> 00:31:06.800
Take care and talk soon.

Podcast

Liz Rohr