Finding the delicate balance between personal meaning and professional boundaries in our lives can often feel like a tightrope walk. This challenge is particularly palpable in healthcare, where healthcare professionals often find themselves navigating the complexities of life and death, suffering, and healing.
The concept of meaningful work has gained increasing attention in recent years, drawing interest from organizational scholars, psychologists, and those in search of a more profound sense of purpose in their careers. While meaningful work can offer a plethora of benefits, it comes with its own set of unique challenges, especially finding ways of managing the boundaries between work and life.
Donna Gaffney, a seasoned psychotherapist and trauma nurse educator, shares her insights and experiences in her newly published book Courageous Wellbeing for Nurses: Strategies for Renewal.
Donna passionately underscores the transformative power of storytelling within the healthcare realm. She believes that sharing personal narratives not only helps healthcare professionals navigate their emotions but also fosters connections with empathetic peers and breathes purpose into their work.
Amid the unique challenges of the COVID-19 pandemic, Donna volunteered with the Emotional PPE Project, conducting webinars for nurses on self-compassion and moral distress, later turning these insights into a book celebrating healthcare professionals' resilience. Her book showcases how nurses, initially hesitant, embraced their stories, highlighting their resourcefulness and growth amidst adversity.
The Double-Edged Sword of Meaning
The COVID-19 pandemic and its aftermath has posed an unprecedented challenge for healthcare professionals worldwide. The profound meaning they derive from saving lives, paradoxically puts them at risk of boundary inhibition and exploitation. In 2021, healthcare employees experienced the highest levels of overtime in more than a decade with more than 21% of health occupation workers in Canada, engaged in overtime work. On average, they put in 8.2 hours of paid overtime and 5.8 hours of unpaid overtime each week. The relentless pressure to continue delivering care at all costs took a toll on their mental and physical well-being.
However, Donna observed that the nurses' experiences harnessed their skills, talents, and assets to overcome challenges and foster personal and professional growth. Their journey aligned with the six dimensions of well-being, as outlined in Carol Ryff's research:
Self-acceptance: Nurses embraced their unique qualities and learned self-compassion.
Positive relationships: They nurtured connections with colleagues and found support within their healthcare community.
Autonomy: Nurses displayed the courage to set boundaries and say no when necessary.
Environmental mastery: They adapted to the ever-evolving healthcare landscape and sought ways to make a positive impact.
Purpose in life: Nurses found renewed purpose in their work, motivating them to persevere.
Personal growth: Through reflection and storytelling, nurses experienced personal growth and resilience.
Activism and Advocacy:
Donna underscores the transformative power of activism and advocacy within the healthcare profession. Nurses often find meaning and fulfillment by advocating for their patients and communities. Whether it involves pushing for policy changes or participating in grassroots movements, nurses can channel their passion into creating positive change.
Organizational Support:
Donna also acknowledges the pivotal role of organizational support in bolstering the well-being of healthcare professionals. Some hospitals adopted a strategy of rotating nurses to different units every two weeks to prevent burnout. Additionally, organizations can provide platforms for healthcare workers to share their experiences and offer resources for their emotional well-being.
Finding Meaning in Suffering:
Donna's work underscores the value of finding meaning in suffering. Healthcare professionals, like all humans, encounter challenges and distressing situations in their work. By embracing narratives, setting boundaries, and engaging in advocacy, individuals can transform these experiences into sources of personal growth and resilience.
Courageous Wellbeing for Nurses serves as a beacon of hope for healthcare professionals and beyond seeking to navigate the complex terrain of meaningful work and boundaries in their demanding roles. It encourages them to reflect on their experiences, find support within their communities, and practice self-compassion as they continue their vital work in healthcare. Ultimately, it reminds us that healthcare professionals are not superheroes but dedicated individuals who deserve our unwavering support and recognition for their commitment to improving the well-being of others.
In the quest for meaningful work, it's essential to remember that while the rewards can be immense, preserving personal boundaries is equally vital. The insights shared by healthcare professionals offer valuable guidance, emphasizing the significance of self-care, support systems, advocacy, introspection, and clear boundaries. Striking this delicate balance is key to a fulfilling and sustainable career.
Resources
Overview: Impacts of COVID-19 on health care providers | CIHI.
Courageous Well-Being for Nurses | Hopkins Press
Meaningful Work, Well-Being, and Health: Enacting a Eudaimonic Vision