Understanding Psychological Fatigue at Work: Insights from Mike Osborn, Psychologist

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Small behaviors and everyday experiences can significantly impact our health, especially in high-performance work environments like hospitals. Psychological fatigue can lead to cognitive disruption, misplaced guilt, and decreased well-being among staff. It is essential to prioritize self-compassion, seek peace and quiet after work, and cultivate positive relationships to combat fatigue effectively. Mike Osborn, a psychologist, sheds light on the risks associated with prolonged duress and offers insights on managing psychological fatigue at work.


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  1. Psychological Fatigue at work Higher risk than usual Mike Osborn Psychologist, RUH

  2. Small behaviours and brief experiences that happen everyday have a critical impact on our health

  3. Prolonged duress = Fatigue Threat defences dominate do not stand down when leave work

  4. Hospital staff are used to high performance work over long periods of time Fatigue is not a stereotypical presentation

  5. Less anxious More annoyed and tired

  6. Cognitive disruption Decision making, working memory, attention, word finding, confidence motivation, All thinking and learning disrupted

  7. Misplaced Guilt Tired of apologising and feeling that patients have been let down Frustrated

  8. What can we do? What if it s not you? You re not doing anything wrong? What do you need?

  9. Little things for big reasons Got to do compassionate things. Regularly

  10. If you crave peace and quiet, you need peace and quiet Quiet reunions after work Be picky about your friends

  11. Benign self-compassion Prioritise composure and civility

  12. Doesnt matter why ANGRY PEOPLE DO WORSE ANGRY PEOPLE DON T LOOK AFTER THEMSELVES

  13. Strike when the iron is cold

  14. Please dont reduce fatigue management to a test of will power, control or strength it is a test of flexibility

  15. Consider the humble palm tree?

  16. Person Spec. virtues Resilience Huge capacity for work Diligent, conscientious, vocational Prone to over-thinking and self-criticism Compassionate, strong moral compass

  17. Fatigue risk factors Resilience Huge capacity for work Diligent, conscientious, vocational Prone to over-thinking and self-criticism Compassionate, strong moral compass

  18. Social Safety Immune cells love social safety Team culture is our most protective factor Call out incivility makes a bad situation worse, every time.

  19. Context Not what have I done wrong? But what do I need? What would a compassionate colleague prescribe?

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