Wellbeing Centre

The Faculty are always looking for ways to provide helpful and up to date information to support those working in ICM. The Wellbeing Centre aims to do this by providing easily accessible resources to inform and support wellbeing education and skills. Take a look at the sections below to get started.

Fighting Fatigue

Critical Care is an enormously rewarding speciality to work in. The work is constantly interesting and varied, such that it's possible to maintain a career long fascination with the speciality. There is emotional reward in the profound difference we can make, both individually and as a team to the life of our patients, and often also their relatives. As part of a multidisciplinary team we are also usually mutually very well supported and supportive in our jobs. By the very nature of critical care it can also be very demanding; leading to a drain on our physical and emotional reserves. This leads to fatigue. There is always a balance to maintain between the plusses of the job and the negatives.

Fatigue is defined as "extreme tiredness resulting from mental or physical exertion or illness". Susceptibility to fatigue depends on many factors including those directly related to the individual, workload, home life, colleagues, critical care unit, and hospital. These factors fluctuate all the time including the effect and susceptibility to fatigue as we age, changes in our family life (young children, driving to care for elderly parents), and our own physical and mental health.

The onset of fatigue can be obvious - exhausted after being up all night desperately trying to save a patient, and the interaction with their family who also require explanations and care. Fatigue can also however be insidious and develop over months to years. It is very important that we look after ourselves, look out for our colleagues' welfare, and check in on the other members of the MDT. It's easy to forget in the rush to get home, that it may be safer and better to eat, drink fluids, and have a rest before travelling and putting yourself, and others at increased risk. It's also important that longer term factors are borne in mind; sleeping habits, social life, personal fitness, alcohol, caffeine, taking regular holidays and so forth, are all very important to pay attention to in our attempts to prevent fatigue.

For further details please check the resources below which the Faculty has worked closely with our colleagues in Anaesthetics at the AAGBI, and the RCoA to finalise.

The following resources are available:

https://anaesthetists.org/Fatigue

Dr Laura McClelland talks about fatigue and it’s impact on safety and health. She encourages us to consider how to minimise our own fatigue by achieving better quality rest and mitigating circadian rhythm disruption with the aid of useful devices and techniques.  Click on the picture link to go to the webcast!

Click here for an introduction slide which gives an overview of Laura's webcast if you'd like to focus on a particular area.

Resilience Hub

"Resilience is the capacity to cope with and become stronger as a result of experiencing and dealing with difficult events"

Dr Derek Mowbray (PhD., DipPsych., CPsychol., CSci., FBPsS, FIHM., FISMA)

A key skill for those working in a career in Critical Care.

After presenting at the 2018 FICM annual meeting Dr Derek Mowbray has kindly agreed to share some of his invaluable resilience resources with FICM for the benefit of the ICM workforce and to create a resilience hub.

Below is a table of free taster articles filled with guidance and exercises based around resilience training and management. 

If you'd like to learn more about the courses that Derek and the Management Advisory Service offer including assessment questionnaires and their articles library please go to http://www.mas.org.uk or contact info@mas.org.uk to find out more.

 

Article Summary

Organisational Resilience

The capability of the workforce to be flexible and adaptive enough to respond positively and effectively to internal and external pressures for change, and threats to the organisation.

Team Resilience

Strengthening the resilience of teams helps them overcome daily challenges, and keeps them on track whilst continuing to perform at a high level.

Personal Resilience

Personal control over oneself and responses to people and events.

Tips to prevent stress and increase resilience

12 quick tips guide for stress and resilience

Strengthening Personal Resilience

 Mobilising personal resources to form an attitude to tolerate and overcome adverse events without experiencing stress  

Adaptive Leadership

The leadership style in organisations which is required to enhance the opportunity for everyone to perform at their peak

 Leader and Managers Role in Resilience

Guidance to help leaders and managers understand their role in resilience

Transforming managers

Exploring the differences between managers and leaders

Resilience Questionnaire

A short questionnaire to help you recognise your areas of strength and weakness in being reliance

Resilience programmes guide

An in depth guide for further services provided by mas.org

Whilst the Faculty promote personal development to aid your resilience skills and ability to manage the challenges working in a high-pressure specialty; we recognise these challenges are often related to resourcing and workforce issues outside of personal control. The Faculty is focused on broader workforce development to address this. Regional workforce meetings, the annual census and the data bank can all be used to identify and address local support and resourcing issues. You can always contact us at contact@ficm.ac.uk for further advice and support.

External Resources

As part of FICM's Wellbeing Centre project, we aim to collate an external list of helpful websites and resources to further support ICM professionals and make them easier to access. As Faculties and Colleges, we have a leadership role within the profession to help provide or direct doctors to the right sources of support. 

The Faculty is always here for its members and will try to help wherever and whenever possible

Resource Description
Practical steps to forming Balint Groups to ensure team wellbeing during covid-19

Balint groups can be formed locally at a departmental level to foster a more personalised and supportive environment for staff and is a practical measure to promote wellbeing during covid-19. These groups use case discussions to help focus on the emotions of clinicians, rather than on clinical management. Its practice is recommended by the GMC given its role in promoting reflective practice.

Authors: Dr Vijay Pattni, Dr Rajnish Saha and Dr Jeff Phillips, The Princess Alexandra Hospital NHS Trust

Academy of Medical Royal Colleges : Support for Docotors

The AoMRC has produced a comprehensive list of support resources encompassing a range of areas: local trust, mental health, medical defence unions, counselling and financial support. The Academy believes it is vital that all doctors and NHS professionals support one another by providing an environment that encourages and enables us to make choices that promote healthy lives and wellbeing.

Disabled Doctors Network Independent support network aimed at chronically ill and disabled medical professionals

If there's a resource you'd like us to link to, a wellbeing area you'd like more information on or think we should be focusing on please contact us.