LEADERSHIP HEALTH: YOUR BAROMETRIC READING DR. DEB HAGERTY DNP, RN, CDP, CADDCT, IP-BC, NHA, LBSW, CDONA, FACDONA

LEADERSHIP HEALTH: YOUR BAROMETRIC READING DR. DEB HAGERTY DNP, RN, CDP, CADDCT, IP-BC, NHA, LBSW, CDONA, FACDONA

Objectives 1. Learner will be Knowledgeable of the American Nurses' Association: Healthy Nurse Healthy Nation Challenge. 2. Learner will recognize at least one self-care activity to improve health. 3. Learner will participate in one healing health activity which can be applied at work and at home.

Healthy Nurse Defined ANA defines a healthy nurse as one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal and professional wellbeing.

HEALTHY NURSE Lives life to the fullest capacity, Across the wellness/illness continuum As they become stronger role models, advocates, and educators Personally, for their families, their communities and work environments and Ultimately for their patients.

January-Worksite Wellness February-Cardiovascular Health March-Nutrition April-Combating Stress May-Women s Health/National Fitness and Sports Month June-Men s Health/Cancer Awareness/Skin Health July-Healthy Sleep August- Happiness September-Recovery/ Work-Life Balance October- Infection Control/Immunizations/ Moral Resilience/Moral Distress November Mental Health Wellness December Healthy Eating/Healthy Holidays

Nursing Health Statistics An average BMI of 27.6 (overweight) 12% have nodded off while driving in the past month

Only 16% eat the recommended daily amount of fruits and vegetables Regular adults only 1 in 10 eat the recommended daily amount.

Less than half perform the recommended quantity and time of musclestrengthening exercises (ICG & ANA, 2016)

(ANA, 2017) Fatigue is common among shift-work nurses, and longer shifts and overtime are associated with increased patient errors and undesirable nurse health outcomes. Consistent with the American Nurses Association s 2017 focus on the healthy nurse, one of the best ways for a workplace to promote nurse health is with its scheduling practices.

An organization s scheduling practices are one of the most important factors in promoting nurse health. Standardizing and monitoring scheduling practices are essential for making improvements and preventing unhealthy patterns. ANA (2017) https://www.americannursetoday.com/healthy-schedules-healthy-nurses/

Poor Scheduling Practices 1.Working more than three consecutive 12-hour shifts, four consecutive 10-hour shifts, or five consecutive 8-hour shifts 2.Rotating shifts (from days to nights or vice versa) within the same 24-hour period 3.With the exception of 12-hour shifts, rotating shifts with less than twice the number of hours of a standard shift in between (for example, working an 8-hour evening shift, resting for 8 hours overnight, and returning for an 8-hour day shift is considered unhealthy) 4.Excessive consecutive hours (for example, a 16-hour double shift) 5.Overtime shifts (ICG & ANA, 2016)

Have You Considered? 1. Allowing nurses to schedule their own shifts. 2. Developing a Staffing pool with another facility so that when you are short they might supplement and vice versa. 3. Supporting a PRN staff pool within your facility. 4. Solutions supported by experiences?? Discuss

Does the DON experience stress when staffing is sub-optimal?? What would happen if one day a week you made a commitment to go Home on Time?

Questions Do you take all of your vacation time? Do you respect the lunch time of your staff? Do staff respect your lunch and break time?? Do you have any ideas about how to encourage a healthy environment?

RNs continue to rate workplace stress as a hazardous occupational risk well above the national average (ICG & ANA, 2016

Breathing

Nurses Do Not Perceive Themselves as Overweight A statistically significant proportion of overweight and obese nurses Do not perceive themselves as such and have been found to be no better than general populations at accurately classifying their weight (Miller et al. 2008, Zhu et al. 2014)

Nurses Lacked motivation to lose weight or eat the recommended daily intake of fruit and vegetables Despite pressure to be good role models for their patients (Zapka et al. 2009).

Nurses Self Perceived Knowledge 20% of all nurses rated their own knowledge as excellent, Disjoint between perceived and actual knowledge (Parker et al. 2011)

More than one-third (36.5%) of U.S. adults are Obese 33% are Overweight

The South had the highest prevalence of obesity (32.0%), followed by the Midwest (31.4%), the Northeast (26.9%), and the West (26.0%)

Obstacles Most studies indicated significant obstacles in the workplace (and among nurses) to healthy eating! Time Kinds of Food Available Appointments interfere Staff interfere

Organizational Barriers to Healthy Eating Long work hours Shift work High workload Low staffing levels Short/few work breaks

Practice Mindful Eating Research shows that individuals with eating problems often don t pay attention to whether they are really hungry when they eat. Mindfulness exercises heighten your awareness of hunger levels and to make eating more enjoyable. http://www.apa.org/helpcenter/weight-control.aspx

Can Someone Donate A Treadmill?

Self Help Listening to Music Dance Exercise-moderate 30min 3 times a week Changing Dysfunctional Thoughts Colleagues-Dysfunctional Impacts entire facility Healthy Eating Stress Management Managing work hours

Self Help Staying in the moment-mindfulness Tobacco cessation support Alcohol moderation support Eating Binges-Diet change-support, Lunch with a Friend Weight Loss clinics or Friends Alternate Nostril Breathing-Decrease Stress

Pranayama Breathing Mindfulness Practice

Alternate Nostril Breathing anuloma viloma" or "nadi shodhana" Health Benefits Improved Energy-Revitilization Decrease Stress Enhanced Awareness Remove Stale Air Lungs Calmness Enhanced Sleep Calm Nervous System Regulated Body Temperature

Workplace practices: Alternate Nostril Wake up the body Breathing Mind body centered Decreased anxiety

Studies indicate that women overestimate self-reported height and underestimate self-reported weight. Errors are clinically significant for many women. Diet is central to weight, health and feelings of well being.

Evidence suggests work place healthpromotion programs that include modification of the work environment have a positive impact on nutrition behaviors (Biener et al. 1999, Engbers et al. 2005, Sorensen et al. 2007 Anderson et al. 2009).

What Can You Do to Help Improve Healthy Lifestyle Behaviors? 1. Encourage walking on Lunch Hour? 2. Exercise time at work? 3. Healthy eating during lunch- Social? 4. After work activities?

Just think, if all 3.6 million registered nurses increase their personal wellness and that of just some of their family, community, co-workers and patients, what a healthier world we would live in!

References Anderson, L.M., Quinn T.A., Glanz K., Ramirez G., Kahwati L.C., Johnson D.B., Buchanan L.R., Archer W.R., Chattopadhyay S., Kalra G.P. & Katz D.L. (2009) The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. American Journal of Preventive Medicine 37(4), 340 357 Engstrom, J. L., Paterson, S. A, Doherty, A., Trabulsi, M., & Speer, K. L. (2003). Accuracy of Self-Reported Height and Weight in Women: An Integrative Review of the Literature. Journal of Midwifery & Woman s Health, 48, 338-345. Insight Consulting Group (ICG) & American Nurses Association (ANA), (2016). Health risk appraisal exploratory data analysis: November 30, 2016. (PowerPoint slides). Miller S., Alpert P. & Cross C. (2008) Overweight and obesity in nurses, advanced practice nurses and nurse educators. Journal of the American Academy of Nurse Practitioners 20(5), 259 65.

Parker, r W., Steyn N., Levitt N. & Lombard C. (2011) They think they know but do they? misalignment of perceptions of lifestyle habits between night and day workers. Chronobiology International 20(6), 1075 1092. Zapka J.M., Lemon S.C., Magner R.P. & Hale J. (2009). Lifestyle behaviours and weight among hospital-based nurses. Journal of Nursing Management 17(7), 853 860. Zhu D., Norman I.J. & While A.E. (2014) Nurses misperceptions of weight status associated with their body weight, demographics and health status. Public Health Nutrition 17(3), 569 78.