4/13/2017. Mindfulness: An Intervention for Stress Management. Conflicts of Interest. Learning Objectives. Identify two causes of work-related stress

Transcription

1 Mindfulness: An Intervention for Stress Management Kandice Duns, BSN, RN Assistant Nurse Manager UC Davis Medical Center Conflicts of Interest Learning Objectives Identify two causes of work-related stress 1

2 Learning Objectives Identify two causes of work-related stress State two risks associated with work-related stress Learning Objectives Identify two causes of work-related stress State two risks associated with work-related stress Identify two components of nurse burnout Learning Objectives Identify two causes of work-related stress State two risks associated with work-related stress Identify two components of nurse burnout Define Mindfulness 2

3 Learning Objectives Identify two causes of work-related stress State two risks associated with work-related stress Identify two signs of nurse burnout Define Mindfulness List two benefits of Mindfulness-Based Stress Reduction (MBSR) Work-Related Stressors Patient acuity Work-Related Stressors Patient acuity Reduced budgets 3

4 Work-Related Stressors Patient acuity Reduced budgets Long hours Work-Related Stressors Patient acuity Reduced budgets Long hours Nursing shortage Work-Related Stressors Patient acuity Reduced budgets Long hours Nursing shortage Technology 4

5 Work-Related Stressors Patient acuity Reduced budgets Long hours Nursing shortage Technology Pain & suffering Work-Related Stressors Patient acuity Reduced budgets Long hours Nursing shortage Technology Pain & suffering Acting as support Work-Related Stressors Patient acuity Reduced budgets Long hours Nursing shortage Technology Pain & suffering Acting as support Feeling loss of control 5

6 What is Ineffective Coping? The inability to form a valid appraisal of stressors, inadequate choices of adequate practical responses, and/or inability to use available resources The North American Nursing Diagnosis Association (NANDA) Signs & Symptoms Sleep disturbances Signs & Symptoms Sleep disturbances Relationship problems 6

7 Signs & Symptoms Sleep disturbances Relationship problems Inability to focus Signs & Symptoms Sleep disturbances Relationship problems Inability to focus Increased sick leave usage Signs & Symptoms Sleep disturbances Relationship problems Inability to focus Increased sick leave usage Depersonalization 7

8 Next Stop? Nursing Burnout Defined by National Nurses United Categorized as physical, mental, and emotional exhaustion Stress = over-engagement Burnout = disengagement o Dulled emotions o Detachment 8

9 Help! Health is not only to be well, but to use well every power we have. The martyr sacrifices themselves entirely in vain Florence Nightingale,

10 The Question is How can we Stress-Less? What is Mindfulness? Mindfulness is Mindfulness means paying attention in a particular way; On purpose, in the present moment and nonjudgmentally. -Jon Kabat-Zinn Founder of Mindfulness-Based Stress Reduction (MBSR) 10

11 Paying Attention on PURPOSE Paying Attention on PURPOSE in PRESENT 11

12 Paying Attention on PURPOSE in PRESENT without JUDGEMENT Mindfulness is Mindfulness is Presence of Bring your heart to each moment today Karl Duffy (2011) 12

13 My Definition of Mindfulness Being fully aware of what I am doing while I am doing it! Living Mindlessly Limits life experiences Impacts choices Affects relationship quality Exacerbates feelings of stress Courtesy of Google Images 13

14 A Word About the Science But Wait There s MORE! Improves Impulse Control But Wait There s MORE! Improves Impulse Control Emotional Well-being 14

15 But Wait There s MORE! Improves Impulse Control Emotional Well-being Empathy and Compassion But Wait There s MORE! Improves Impulse Control Emotional Well-being Empathy and Compassion Attention and Learning But Wait There s MORE! Decreases Stress-Related Cortisol 15

16 But Wait There s MORE! Decreases Stress-Related Cortisol Sleep Disturbances But Wait There s MORE! Decreases Stress-Related Cortisol Sleep Disturbances Depression and Anxiety But Wait There s MORE! Decreases Stress-Related Cortisol Sleep Disturbances Depression and Anxiety Sick Leave Usage 16

17 But Wait There s MORE! Decreases Stress-Related Cortisol Sleep Disturbances Depression and Anxiety Sick Leave Usage Burnout Let s Practice! 2bJc FSYao RTVA v9es 17

18 Self-Care is a Lifelong Journey What YOU Do Matters There is only ONE YOU! 18

19 A healthy team requires healthy individuals. By taking care of ourselves first, we bring positive energy and vitality to work that positively affects others and influences the overall landscape Kim Richards (2013) Suggested Websites Center for Mindfulness in Medicine, Health Care and Society Dr. Kristin Neff, University of Texas at Austin The Center for Compassion and Altruism Research and Education University of California, Berkeley UCLA Mindfulness Awareness Research Center UCSD Center for Mindfulness References Canadas-De la Fuente, G., Vargas, C., Garcia, C., Canadas, G.R., & De la Fuente, E. (2014). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52, p doi /j.ijnurstu Howland, L.C., & Bauer, S. (2015). The mindful nurse. American Nurse Today, September Retrieved from Mind with Heart (2015). What is Mindfulness? Retrieved from Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: A review of the literature. Journal of Health Care Chaplaincy, 20. p Richards, K. (2013). Self-care is a lifelong journey. Nursing Economics, 31(4). p Smith, S. (2014). Mindfulness-Based stress reduction: An intervention to enhance the effectiveness of nurses coping with work-related stress. International Journal of Nursing Knowledge 25(2). p White, L. (2013). Mindfulness in nursing: An evolutionary concept analysis. Journal of Advanced Nursing 70(2), p doi: /jan