Weinstein, Brooks, Alexander November 9, 2015

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Leveraging an Attitude of Gratitude Innovative Strategies in Improving Health and Wellness, Enhancing Workforce Engagement and Participation in Professional Organizations Weinstein, Brooks, Alexander November 9, 2015 The Global Education Development Institute developing excellence in global leadership, education, and scholarship

Innovative Strategies in Improving Health and Wellness Sharon M. Weinstein, MS, RN, CRNI, FACW, FAAN, CSP The Global Education Development Institute developing excellence in global leadership, education, and scholarship

Objectives Describe the relationship between an Attitude of Gratitude and staff health and wellness Identify 3 components of a successful health and wellness program that contribute to positive health and a healthy environment

Close Your Eyes Let your imagine run wild For what are you grateful? Meditate Keep a diary, a journal, post pictures and share

The Magic Word The good things in life The things that bring us joy Attitude affects our health, our future, our families

Life s Little Lessons Be grateful Be thankful Focus on what you want Act as if it has already happened Determine what you are prepared to offer Establish the exact date Develop a clear plan Read the written statement out loud two times daily..affirmations

Start at the Beginning

The Uniqueness Our culture Our diversity Our knowledge, skills, and abilities

Nutrition for the Mind In the words of Ziglar

What is Health?

Gratitude for Health Stress buster: helps us to manage stressors Immune booster: more optimistic Adversity: sense of increased belonging - Post 9/11 - Katrina - Flooding - School shootings

What you can do Integrate your TEAM Establish respectful, cooperative relationships with your family, friends, community, and the environment Make informed wellness-oriented choices Actively participate in your health decisions and healing process.

Your TEAM The physical you requires good nutrition, appropriate weight, beneficial exercise and adequate rest. The emotional you needs to give and receive forgiveness, love and compassion; needs to laugh and experience happiness; needs joyful relationships with yourself and others.

TEAM The mental you needs self-supportive attitudes, positive thoughts and viewpoints and a positive self-image. The spiritual you requires inner calmness, openness to your creativity, and trust in your inner knowing.

The Captain

The Plan Disposition Perspective Viewpoint Outlook Impact on organization Choices and impact

Do you Wake up with enthusiasm for the day ahead? Have the high energy you need to do what you want? Laugh easily and often, especially at yourself?

And Find solutions for the challenges in your life? Feel valued and appreciated? Appreciate others and let them know it? Have a circle of warm, caring friends?

The Light

Participant or Spectator No one's life is perfect. We all have difficult situations, hard times, losses to deal with. Some people's lives seem to work better than others. Have you ever wondered why?

Options Thanking Visualizing Networking Celebrating Recognizing Enjoying

Benefits and Lifespan Self-worth Self-efficacy Trust between employees Increased happiness Greater satisfaction with life Higher resilience to stress

Gratitude

Enhancing Workforce Engagement Ann Marie T. Brooks PhD, RN, MBA, FAAN, FACHE, FNAP The Global Education Development Institute developing excellence in global leadership, education, and scholarship

Objectives Describe how an organization builds a culture of engagement and recognition Describe strategies needed

What are we grateful for? Health Wealth Happiness Family Friends Job Security Random acts of kindness

Sources of Gratitude in Healthcare Patients Families Co-workers Interprofessional staff Leaders Board members Public - Gallup Poll Most trusted profession

Values of Gratitude Makes you feel good Validates your self worth Motivates you to want to do more Reassures others that the work is important Gives others the chance to express feelings Contributes to sustainability of leading practices

Basic Requirements Sincerity of recognition Alignment of gratitude with work or action Timeliness of feedback Right fit for the individual, group, situation Gets to the right person in a meaningful way Maintains relevance to vision, mission and goals

Riddle Hospital Community hospital and part of a five-hospital system located outside Philadelphia Large geriatric population in a community that has over 15 CCRCs, Women and Children s unit and large orthopedic population Described as a friendly hospital which has made significant improvements in quality, safety, patient satisfaction and engagement

Building a Culture of Gratitude Expressing thanks Writing thank you notes Annual National Nurses Week awards Employee recognition awards Department and hospital events and activities Public praise for extra efforts System policy for rewards for work

Getting Started Variety of recognition programs in place with the majority of activities largely unknown to Riddle Hospital employees Current system most likely recognizes and rewards clinical staff rather than non clinical staff

How to Build a Culture Maximize Senior hospital leadership support for staff dinners, picnics, and spontaneous recognition activities Evaluate Return on Investment (ROI) on staff engagement and consider new ideas Nursing has the most organized methods with other departments expanding their recognition programs

Nursing Consistently used the traditional methods but recognized opportunities for innovation Internal recognition External - Nursing Excellence Awards, Daisy Awards - Gems Award; Nightingale, awards from professional organizations/community

Beginning Steps Started integrating National Nurses Week activities with hospital week activities with balloons and candy gram Friends of Nursing awards given to physicians, interprofessional staff and Board members Build consistency in recognition of exceeding expectations through notes, gift cards and special events- Beacon Award at Gold Level

Examples of Recognition

And

Attitude of Gratitude Program Announcement in 12/2012 with a request for nominations of those who make a special difference everyday in the lives of others. Nominees would be recognized at the January 2013 Schwartz rounds Received 59 nominations; all received a printed Attitude of Gratitude certificate, $5 gift card and five selected for a panel

Making Progress Utilized the Attitude of Gratitude theme throughout the year through newsletters, programs and events Planned a Schwartz Rounds for grateful patients Expanded interprofessional activities and recognition of partnership Expanded external nominations for awards

Journey continues In December 2014, another invitation to nominate a co-worker and others for recognition at January 2015 Schwartz Rounds 253 nominations received with a panel of nominees chosen to share their experiences based on the number of entries Each nominee received a certificate, gift card and copy of program

Journey continues Expanded interprofessional projects and partnerships at every level MLH Nursing Research Council expanded nursing research fellowship to include: pharmacy, respiratory therapy, occupational and speech therapy with outstanding outcomes

Magnet Journey 3 of 5 MLH hospitals have been Magnet designated hospitals since 2005 Riddle and BM Rehab hospitals began their Magnet Journey in 2008 and were part of the system application in 2014 Clinical nurses were integral participants in the Journey and used their voices to motivate, engage and recognize patient care

Magnet Journey recognition Magnet application process requires that Nursing involve others in the entire process with it takes a village operating style to achieve outstanding outcomes MLH and Riddle leaders support the process which requires substantial time and resources Riddle developed the only interdisciplinary Magnet Champion group with great results

Magnet Site Visit Magnet team comes to verify, clarify and amplify the sources within application Provides the opportunity for nurses and hospital to showcase excellence through unit tours, interviews and meetings Numerous examples of partnership, collaboration and innovation in practice, education and research

Magnet site visit Gratitude is a theme throughout the visit and is part of the storytelling by nurses and others Nurses are able to provide examples of how they feel about the privilege of being a nurse, part of a healthcare team Community stakeholders express gratitude for the outstanding care and partnership

2015 Magnet Conference 9,300 attendees in Atlanta, GA: October

Next Steps Evaluate your own environment Adopt one new strategy for gratitude writing notes, nominations Benchmark with others about what they use and its effects on engagement

Participation in Professional Organizations Mary Alexander, MA, BS, RN, CRNI,CAE, FAAN The Global Education Development Institute developing excellence in global leadership, education, and scholarship

Objectives Describe the effect an attitude of gratitude has on fostering engagement in a professional organization Discuss strategies for creating and sustaining organizational success

Definitions Relevance: ability to retrieve material that satisfies the needs of the user Value: worth, importance Sustainability: supporting an organization, supply resources to prevent depletion Source: Webster s Dictionary

Relevance People have time for: - Projects that are meaningful - Ideas that help them perform in their work - Initiatives that are interesting - Causes they care about - Activities that are fun Coerver & Byers, Race for Relevance, 2011

Culture of Gratitude Fosters participation, engagement, and leadership Applies to members and staff

INS Mission INS sets the standard for excellence in infusion nursing by: Developing and disseminating standards of practice Providing professional development opportunities and quality education Advancing the specialty through evidence-based practice and research Supporting professional certification Advocating for the public

Mantra Need to be true to the organization s mission Use the mission as a guiding principle Limited resources - Time - Talent - Treasury

What Members Value Being connected Networking and sharing ideas Answers to clinical questions Enhancement of clinical practice Education opportunities Standards of practice Personal and professional growth Ability to make a difference for the patients we serve

Organization s Objectives Ensure growth of the organization - Member engagement Recruitment and retention - Fiscally sound Monitor trends in the health care environment Contribute to the specialty practice and nursing profession Promote personal and professional growth

Strategies: Members Identify a champion or ambassador - Groom mentors - Instrumental in maintaining momentum Determine needs of the members through surveys - Hospital-based - Online - Industry partners Address clinical issues/problems Identify best practices

Strategies: Members Member engagement - Utilize clinical expertise for program development Education programs and products Development of position statements - Use of task force or work groups for time-limited projects Recognition at meetings, in publications - Increase participation and diversity of thought - Represent INS at other meetings

Strategies: Members Meetings - First-Time Attendee ribbons - Mentor-Mentee program - Recognize international attendees Publications - Supportive reviews - Constructive feedback Certified Nurses - Handwritten congratulatory note from CEO - Letter of thanks to supporting HCOs

Strategies: Members INS Shout Outs INS LeaRNing Center Testimonials Personal phone calls to new members

Strategies: Staff Like members, seek personal and professional development opportunities Beyond pay and benefits package Seek input and acknowledge feedback

Strategies: Staff Weekly meetings - Monday Morning Roundup - Friday Afternoon Wrap up White boards - Each department responsible for 2-week period, e.g., fun facts, brain teasers, thought-provoking questions

Strategies: Staff 2nd board Inspiration Fun activities off-site events, puzzles Participation by leadership a must!

Engagement Members and staff need to feel appreciated; foster such a culture Recognition need not cost a lot of money; saying thank you can go a long way Engaged members and staff are the foundation of a successful organization

Leveraging an Attitude of Gratitude LET S TALK