Creating Healthy Nurse Workplaces - PowerPoint Presentation

Slide1

CreatingHealthy Nurse Workplaces

Dennis Sherrod, EdD, RNProfessor and Forsyth Medical Center Endowed Chair of Recruitment & RetentionWinston-Salem State UniversityWinston-Salem, NC

New Jersey State Nurses Association

Bally’s Casino and Resort

Atlantic City, New JerseySlide2

Nurse Retention Improves Patient Care

Supportive work environments are positively correlated with quality patient care (Aiken, Clarke, Sloane, Lake, & Cheney, 2008; Bogaert, Clarke, Vermeyen,

Meulemans

, &

Heyning

, 2009;

Flynn, Thomas-Hawkins, &

Bognar

, 2016)

Supportive work environments are negatively associated with burnout

(Aiken, Clarke, Sloane, Lake, & Cheney, 2008;

Bauklee,

Fongkaew

,

Turale

,

Akkadechanunt

&

Sansiriphun

, 2017; Hernandez, Stanley, & Miller, 2014)

Nurses in hospitals with lower numbers of nursing staff more often reported nursing care quality as fair or poor

(Aiken

, Clarke, Sloane, Lake, & Cheney

, 2008;

Hill, 2017

)Slide3
Slide4

Worker Safety in Hospitals

Hospital workers face higher incidence of injury and illness (6 cases per 100 FT workers) than manufacturing or construction Causes of injuryOverexertion and bodily reaction (44%)Slips, trips, and falls (24%)Violence and other injuries by persons/animals (15%)

Contact with objects or equipment (11%)

Exposure to substances (5%)

(OSHA, 2017)Slide5

Healthy Nurse

, Healthy Nation™

Healthy Nurse: One who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal and professional wellbeing.

(ANA, 2017)Slide6

ANA: Healthy Work Environment Top Health & Safety Risks

Workplace stress (82%)Lifting/repositioning of heavy objects (42%)

75% have access to safe patient handling and mobility technology

>50% report musculoskeletal pain at work

Prolonged standing (37%)

Needle sticks and other sharps injuries (35%)

Blood-borne pathogens (33

%)

Infectious disease agents (30%)

(ANA, 2014)Slide7

ANA: Healthy Work Environment Top Health & Safety Risks

60% reported working through their breaks and coming in early and/or staying late to accomplish work

>50% reported usual shifts were 10 hours or longer

Up to 50% had been bullied in the workplace

Almost 25% had been assaulted at work

Nearly 10% were concerned for their physical safety at work

(ANA, 2014)Slide8

ANA: Healthy Work Environment Worksite Wellness

Nearly 90% reported place of employment is tobacco-freeAlmost 70% had access to worksite wellness health promotion programs

Less than 60% indicated they had access to healthy foods such as fruits, vegetables or

whole grains during their work hours

(ANA, 2014)Slide9

Maintain and Improve Your Health

Exercise at least 30 minutes 4 to 5 times weeklyKnow family historyEat more fruits/vegetables and fewer processed foodsReduce stressComplete regular checkups, screenings, and immunizations

Be a healthy workplace

champion

(Sherrod & Campbell, 2015)Slide10

Stress Busters

Strengthen Your Hardiness FactorCommitmentControlChallengeBoost Emotional IntelligenceSelf-AwarenessSelf-Management

Social Awareness

Supportive Relationships

Appraise and Limit Engagement

Clarify Competing Priorities

(Sherrod & Campbell, 2015)Slide11

Personal Safety for Nurses

Textile technologyFluid repellent and antimicrobialBetter securityMetal detectorsDatabase flagging belligerent or aggressive patientsBulletproof glass

Appropriate staffing

Surveillance of pathogen exposures

Participation in

EPINet

(International Safety Center’s Exposure Prevention Information Network)

(Harris, 2015)Slide12

WHO: Keys to Healthy Workplaces

Leadership commitment and engagementEmployee engagementBusiness ethics and legalitySystematic, comprehensive process to ensure effectiveness and continuous improvement

Sustainability and integration

(WHO, 2010)Slide13

AACN Healthy Work Environment Standards

Skilled CommunicationTrue CollaborationEffective Decision MakingAppropriate StaffingMeaningful RecognitionAuthentic Leadership

(AACN, 2017)Slide14

Creating and Sustaining Healthy Work Environments

Quality LeadershipAttributes and styleEmotional intelligenceLeadership competenceVision, advocacy, and messaging

Relational Exchanges

Leader-member engagement

Communication

Collaboration

Teamwork

(Shirey, 2017)Slide15

Creating and Sustaining Healthy Work Environments

Relational ExchangesShared decision makingRespect and considerationEnvironmental ElementsSupportive structures

Access to resources

Developmental opportunities

(Shirey, 2017)Slide16

Engaged

Nurses Achieve Better Patient OutcomesSlide17

Work Engagement

Engaged workers are energetic, enthusiastic, and absorbed by their workRelationshipsFellow nursesPhysiciansManagersTeamwork improves engagement, job satisfaction, and retentionEngaged nursing teams report better quality patient care

(Van Bogaert, et al., 2013)Slide18

Be Passionate in Your Workplace

Develop and maintain skills and competenciesBuild on experiences/expertiseIdentify areas for self-developmentInvest in yourselfMaintain a passion for peopleSlide19

Bring Value to Your Workplace

Objectively assess the value of what you do for your employerBe a problem solverFocus on strategic initiativesQuality patient carePatient satisfactionQuality improvement

Patient centered

care

Developing a healthy workplaceSlide20

Be Willing to Change

Make change a part of your daily operationBe willing to try new things and develop new skillsImagine how the change will affect you to decrease feelings of uncertaintyMany things people imagined they could not adjust to – now we could never do without – computers, Smartphones, copiers, voicemail, email, etc.Slide21

Remain Positive

Demonstrate a positive attitudeUnder promise – over deliverRemind yourself of your past successesIdentify things for which you are thankfulDevelop solutionsAssist others to develop a plan of actionWork

on a personal goal that energizes youSlide22

Health Care Retention Model

Health Care

Quality Workplace

Meaningful Work

Leadership

Retention FocusSlide23

Meaningful Work

People are the focusAutonomy to make decisionsAppropriate workload and patient interactions

Variety of work

Valued as colleague – as part of the team

Resources and support

Opportunity to learn

Feedback

Understanding significant contributions

StimulatingSlide24

Leadership

Champion change and remain open to new ideasInspire a shared vision of organizational directionMotivate and recognize contributions

Develop others

Model behavior that reflects organization values

Incorporate recruitment, retention, and workforce planning perspective

MotivationalSlide25

Retention Focus

Say “Thank you” for a job well doneReinforce desired behaviorsCreate an emphasis and focus on a healthy workplace

Build self-esteem

Celebrate success

Enhance camaraderie and teamwork

Mentor! Coach! Groom!

Recognition, Reward & RenewalSlide26

What Makes People Happy at Work?

Appreciation

Respect

Trust

Individual growth

A good boss

Compatible co-workers

A sense of purposeSlide27

Develop Leader CompetenciesSlide28

Emotional Intelligence

Communication skillsInterpersonal skillsEmpathyRealistic self-assessmentOpennessRequest opinions of othersGood listening skillsSlide29

Lifelong Learning

MotivationCuriosityDriveInitiativeEnthusiasmAdaptabilityDesire to grow, develop and learnSlide30

Developing a Vision

Creating visionSeeking challengesRisk takingCommitmentAbility to see big pictureOpenness to different solutionsSlide31

Implementing a Vision

Ability to motivate othersMaximize others to use skillsOpenness to different solutionsCommitmentOptimismCelebrate victoriesRecognize othersSlide32

Keep yourself stimulated, challenged, and working towards a goal. Remind yourself each day you are making a difference in people’s lives.

Dennis SherrodSlide33

References

Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223–229.American Association of Critical Care Nurses. (2017). What makes a work environment healthy?

Retrieved from https://www.aacn.org/nursing-excellence/healthy-work-environments

American

Nurses Association. (2014). Executive summary. American Nurses Association health risk appraisal (HRA). Retrieved from

http://

www.nursingworld.org/HRA-Executive-Summary

American Nurses Association (ANA). (2017). Healthy nurse: Healthy nation.

Retrieved from http://

www.nursingworld.org/HealthyNurse-HealthyNationSlide34

References

Bauklee, P., Fongkaew, W., Turale, S.,

Akkadechanunt

, T., &

Sansiriphun

, N. (2017). Unveiling the experiences of happiness at work through narrative inquiry: Advanced practice nurses’ perspectives. Pacific Rim

Int

J

Nurs

Res. 21(3), 206-219.Bogaert, P. V., Clarke, S., Vermeyen, K., Meulemans

, H., & Heyning, P. V. (2009). Hospital nurse practice environment, burnout, job outcomes and quality of care: Test of a structural equation model. Journal of Advanced Nursing, 65(10), 2175–2185.

Dresser, M. (June, 2017). “Hospital workers: An assessment of occupational injuries and illnesses.” Monthly Labor Review, U.S. Bureau of Labor and Statistics.

Retrieved from: https://

www.bls.gov/opub/mlr/2017/article/hospital-workers-an-assessment-of-occupational-injuries-and-illnesses.htmSlide35

References

Flynn, L., Thomas-Hawkins, C., & Bognar, L. (2016). Work environment characteristics valued by outpatient hemodialysis unit nurse managers. Nephrology Nursing Journal. 43(5). 403-408, 446.

Harris

, T. S. (2015). Personal safety for nurses. Minority Nurse. Retrieved from

http://minoritynurse.com/personal-safety-for-nurses/

Hernandez

, B., Stanley, B., & Miller, L. (2014). Job embeddedness and job engagement: Recommendations for a supportive social work environment. Human Service Organizations: Management, Leadership & Governance. 38, 336-347

.

Hill, G. (2017). Do nurse staffing levels affect patient mortality in acute secondary care? British Journal of Nursing. 26(12), 698-704

.Slide36

References

Sherrod, D., & Campbell, L. R. (2015). Mental health tips for nurse managers. Nursing Management: The Journal of Excellence in Nursing Leadership. 46(6), 40-45.Shirey, M. R. (May, 2017). Leadership practices for healthy work environments.

Nursing Management

, 43-50.

Van

Bogaert

, P.,

Wouters

, K., Willems, R.,

Mondelaers, M., & Clarke, S. (2013). Work engagement supports nurse workforce stability and quality of care: nursing team-level analysis in psychiatric hospitals. Journal of Psychiatric and Mental Health Nursing, 20, 679-686

.World Health Organization. (2010). Five keys to health workplaces: No business wealth without workers’ health. Retrieved from http://

www.who.int/occupational_health/5keys_healthy_workplaces.pdf