5/8/2018. World Class Atmosphere for Nurse Healing and Health Promotion. Outline. Khaled Alwardat MSc, RN

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1 World Class Atmosphere for Nurse Healing and Health Promotion Khaled Alwardat MSc, RN 10 th Annual Nursing Research Conference Nursing Science and Practice: Finding Meaning in Our Work May 10, 2018 Elizabeth Chassagne, BSN, RN Bernadette Catipon, BSN, RN IV Kristine Gonzales, MSN, NP Dionne Perry, BSN, RN Khaled Al-Wardat, MSc, RN IV Nursing Leadership Academy 2017 Outline Burnout, Resilience, and Compassion Fatigue. Impact of Compassion Fatigue. Healthy Work Environment in Literatures. What is currently in place to enhance healthy work environment. Suggestions and recommendations. References 3 1

2 What is Resiliency There are a few definitions, mostly suggesting the ability to bounce back or resume form, once stressed. Ladies, think spanx Gentleman spandex 4 Resiliency At work place Rising above, to thrive, to overcome difficult situations Adaptability: responding positively in the face of challenges. Ordinary magic: the concept that there is nothing extraordinary about resilience, but that it is grounded in our personal strengths gathered from previous experiences. 5 Burnout Research has shown that when compared to other healthcare professions, nurses exceed burnout levels by 40%. On any given day 50% leave extremely exhausted, 44 % feel discouraged or dissatisfied by not being able to provide the patient with the care they felt they needed, 26% leave work that day worrying about their patients. Another study found that 23% of hospital employed nurses intended to leave the profession within 2-3 years and one of the top reasons was burnout. 6 2

3 So why are nurses burned out? Quality improvement Value based purchasing Efficiency and cost Acuity ofour patient mix Achieving organizational goals 7 The Impact of Compassion Fatigue and Moral Distress vs. Resiliency Emotionally Physically Socially Community Spiritually Apathy Hopelessness Anxiety Depression Insomnia GI Distress Nightmares Headaches Isolation Callousness Indifference Dissatisfaction Reduced Loyalty Lack of Awareness Lack of Introspection 8 However, these things do not have to happen! Management: Team work and good working relationships Organizational: Debriefing, support groups, art and massage therapy Educate: Recognizing Warning Signs/Limits; Offer Workshops & Courses Self-Care & Mindfulness: Work-life balance, meditation & quiet rooms 3

4 Current state at MemorialCare Current state at MemorialCare According to REACH CEO, utilization is only 4.9%. The 4 most common reasons people do not use Employee Assistance Programs.) 1. They feel it s not confidential. 2. They believe there is a stigma attached to reaching out for help, 3. They think they have toask permission from their manager 4. They simply don t know about it. (Albrecht, S., 2014) 11 MemorialCare and Resiliency Initiatives Resiliency committee MemorialCare Experience I Care About You program Award celebrations 12 4

5 MemorialCare and Resiliency Awareness! Education is KEY! There is no protocol or chain of events in times of crisis There is no group of people who are trained and aware of how the daily stressors contribute to CF and MD. 13 So. What is Healthy Work Environment The World Health Organization (WHO) defines it as: a place of physical, mental, and social well-being, 14 ANA: The Nurses Bill Of Rights Nurses have the right to: 1. practice in a manner that fulfills their obligations to society and to those who receive nursing care. 2. practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice. 3. A work environment that supports and facilitates ethical practice, in accordance with the Code of Ethics for Nurses with Interpretive Statements. 4. Freely and openly advocate for themselves and their patients, without fear of retribution. 15 5

6 ANA: The Nurses Bill Of Rights Nurses have the right to: 5. Fair compensation for their work, consistent with their knowledge, experience and professional responsibilities. 6. A work environment that is safe for themselves and for their patients. 7. Negotiate the conditions of their employment, either as individuals or collectively, in all practice settings Skilled communication 2. True collaboration AACN Healthy Work Environment Standard 3. Effective decision-making 4. Appropriate staffing 5. Meaningful recognition 6. Authentic leadership Suggestions and Recommendations get S Get M A R Stress Management And Resiliency Team T 6

7 Individual Unit Facility System 19 Individual Level Individual Toolkit Modules Intranet Access to Resources The Good Life Spiritual Care Social Work Bio-Ethics Self Assessments REACH YouLearn Moral Distress Resiliency Mindfulness Individual Level Stress Management and Resiliency Team 21 7

8 Unit Level Designated Get Champion Unit Leadership Training Code Pause Daily Stress Audit 22 Facility Level Management training Facility Mindfulness & Resiliency Workshops Mandatory Health Self- Assessment Get Team 23 System Level I Care For You System The Good Life The Virgin Pulse App 24 8

9 Individual Unit Facility System Toolkit Intranet Resources The Good Life Spiritual Care Social Work Bio-Ethics Self Assessments REACH Modules Moral Distress Resiliency Mindfulness Designated Get Champion Leadership Training Code Pause Daily Stress Audit 25 Management Training Mindfulness & Resiliency Workshops Mandatory Health Self Assessment Get Team I Care For You The Good Life The Virgin Pulse App References Albrecht, S., (2014). Why Don t Employees Use EAP Services? How Can We Get More Employees to Reach out for Help When They Are Under Stress? Beaumont, E. (2016). Building Resilience by Cultivating Compassion. Counseling and Psychology Journal Brennan, E. J. (2017). Towards resilience and wellbeing in nurses. British Journal Of Nursing, 26(1), Brown, S., Nowlan, K. (2016). Cuting the Risk of Compassion Fatigue. Occupational Health and Wellbeing Fourie, C. (1016). The Ethical Significance of Moral Distress: Inequality and Nurses Constraint- Distress. The American Journal of Bioethics. 16, Hylton Rushton, C. (2017). Cultivating Moral Resilience. AJN American Journal Of Nursing, Mazurenko, O., Gupte, G., Shan, G. (2015). Analyzing U.S. Nurse Turnover: Are Nurses Leaving Their Jobs or the Profession Itself? Journal of Hospital Administration. 4(4),