1 / 36

NURSING’S HIGHEST CALLING - CARE OF THE HEART

NURSING’S HIGHEST CALLING - CARE OF THE HEART Thursday, October 16, 2015 South Carolina Society of Chaplains Session #1 Speaker: Rev. Dr. Terry Irish, D. Min., BCC City of Hope National Medical Center Duarte, California. NURSING’S HIGHEST CALLING - CARE OF THE HEART. A Nurse’s story

lsylvia
Download Presentation

NURSING’S HIGHEST CALLING - CARE OF THE HEART

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NURSING’S HIGHEST CALLING -CARE OF THE HEART Thursday, October 16, 2015South Carolina Society of ChaplainsSession #1Speaker: Rev. Dr. Terry Irish, D. Min., BCCCity of Hope National Medical CenterDuarte, California

  2. NURSING’S HIGHEST CALLING -CARE OF THE HEART A Nurse’s story I share this story, understanding you do not typically have day-to-day interaction w/pts on one of our clinical in-patient Units.

  3. A Nurse’s Presence • Presence is “being there.” (Osterman, 1996) • “Presence requires empathy and a willingness to be vulnerable…” (Stanley, 2002)

  4. A Nurse’s Presence “As health care professionals we can be a ‘healing’ --Hopeful Empathetic Attentive Loving Intentional Nourishing Grateful presence taking care of the physical, mental, and spiritual needs of our patients in our encounters with them, bringing them back to health and wholeness.” (Perez, 2004, emphasis mine)

  5. But our presence can’t be healing if we are… • Exhausted • Too tired to care • Broken • Angry • Upset • Frustrated • Burned out • Demoralized • In spiritual crisis • Feel unsupported • Always in a rush

  6. Likewise, our presence can’t be healing if we are dealing with an…

  7. Elephants in the Perioperative Staff ??? • Between now and our second session, use “Elephant in the Room” to determine if there are any elephants… in regards to relationships among the staff. • Talk about these “elephants” with each other. • Determine how you will deal with each one. • Share discoveries/insights with your DNE. • Need assistance? Talk with DNE. • If DNE needs assistance, she will talk with me.

  8. A Nurse’s Presence “Being fully in the present moment necessitates emptying oneself of personal desires, setting aside thoughts of the past or future, resisting the urge to plan what we will say or do, focusing solely on the person before us, and believing that this moment is the only one possible.” (Stanley, 2002)

  9. A Nurse’s Compassion Compassion • “compatai”- to suffer/experience with • Not pity, mercy, sympathy or empathy • Living in human suffering • Moved to act (Pizanti, 2006)

  10. A Nurse’s Compassion Nurses • Are exposed to biological, psychological, sociological and spiritual trauma and stress during caregiving events and over time • Trauma -- Acts of Nature • Evil -- Acts by another person (Pizanti, 2006)

  11. A Nurse’s Compassion Nurses • Injured in body – mind – spirit • May not care for yourselves as for others • Affect ability to care for yourselves & others (Pizanti, 2006)

  12. Trauma Can be Psychological Psychological side effects • Critical of others • Apathetic attitude • Depersonalizing patients • Feelings of low personal accomplishment • Frustration with others (Pizanti, 2006)

  13. Trauma Can be Psychological Psychological side effects (cont.) • Boredom • Depression • Anxiety • Hopelessness • Poor concentration & irritability • Feelings of alienation and isolation (Pizanti, 2006)

  14. Trauma Can be Social Social side effects • Abuse of chemicals • Spending less time with patients • Exhibiting tardiness-absent • Medication errors (Pizanti, 2006)

  15. Trauma Can be Social Social side effects (cont.) • Poor record keeping • Impersonal/stereotyped communication • Sarcasm • Cynicism (Pizanti, 2006)

  16. Trauma Can be Physical Physical side effects • Rapid pulse • Insomnia • Fatigue • Reduced resistance to infection • Weakness and dizziness (Pizanti, 2006)

  17. Trauma Can be Physical Physical side effects (cont.) • Memory problems • Weight changes • GI complaints • Frequent or lingering illnesses • Hypertension • Head, back, or muscle aches (Pizanti, 2006)

  18. Trauma Can be Spiritual Spiritual side effects • Doubt about own value system or beliefs • Draw conclusions: i.e. a major change is necessary such as divorce, a new job, or relocation • Become angry or bitter at God • Withdrawing from fellowship (Pizanti, 2006)

  19. Trauma Can Result in… • Addictive behaviors • Divorce and broken relationships • Anxiety • Depression = repressed anger “The purpose of depression is to bring you to the place of letting go.” -- Archibald Hart, Ph.D. • Suicide = anger turned inward • Homicide = anger turned outward

  20. Trauma Can Result in… • Job dissatisfaction – Leave of absence • Errors – cynicism • Loss of compassion • Loss of job/credentials

  21. Pre-Evaluation Questions Since the beginning of 2015, did any of these statements describe how you have felt ? 1. Hypervigilance and an exaggerated startle response – being on guard and jumpy. 2. Irritability or angry outbursts 3. Nightmares and trouble falling or staying asleep 4. Emotional numbness, lack of interest in activities and difficulty feeling love and joy. 5. Avoiding thoughts and situations that are reminders of a traumatic event. Did any of you identify any of these statements as descriptive of your life? (No hands…) Can anyone tell me what these questions describe?

  22. Self-Care Ideas…Taking Care of Ourselves… • “Replenishing Ourselves as Caregivers” • “Self ‘Debriefing’” • “Keeping a Journal” • “No Time to Cry”

  23. A Question Filled with compassion… Yet facing these traumas… WHY NURSING?

  24. An Answer Nursing’s highest calling — Care of the heart… You are doing this because you LOVEit! You are doing this because you have a CALLING!

  25. “THE CARE AND NURTURE OF THE PERIOPERATIVE HEALTHCARE TEAM” * 1) Be gentle with yourself. 2) Remind yourself that you are an EMPOWERER,not a magician. You cannot change anyone else; you can only change how you relate to them. 3) Give support, encouragement and praise to your peers and supervisors. Learn to accept praise in return. 4) Remember that in the light of all the pain you see, you are bound to feel helpless at times. Admit it without shame. Caring and being there are sometimes more important than doing. 5) Learn to recognize the difference between complaining that relieves and complaining that reinforces negative stress.

  26. 6) Before retiring for the night, focus on one or more good thing(s) that occurred during the day. 7) Be a resource to yourself through creativity and new approaches, changing your routine often and your tasks when you can. 8) Schedule withdrawperiods during the week, and limit the interruptions to this time away from your usual tasks.  9) Use empowering words: Say "I choose" rather than "I should,” “I ought to,” or “I have to." Say “I won't"rather than "I can't." 10) Learn how to say “No.” i.e., if you never say "No," what is your "Yes” worth?   11) Frustration and irritability are far more harmful than admitting that you are unable to do something. 12) Put a lot of laughter and joy in the fabric of your life. McIntier, 1996.

  27. A Significant Oversight Session #1 May 14, 2015 – the Director of Nursing Education & I had not developed an Implementation Strategy, New Steps – to apply principles. The outcome: When Session #2 started July 9, 2015, I took an informal pole of both Day & Night shift staff – between 40 & 50 people. Here is actual question I asked from Powerpoint: Question (honest answer, please): How many of you have used ANYof the handouts you received on May 14th to help you address some issues that are most pressing/distressing right now?

  28. Implementation StrategyNext Steps “To mourn is to heal.” Alan D. Wolfelt, 2003 “Inspiration without perspiration is stagnation” Terry L. Irish, 2015 “ If you fail to plan, you plan to fail!” Unknown “Claiming you are FINE and that you don’t need to improve on any of the topics highlighted today only means you are Frustrated, Irritated, Neurotic, and Exasperated – but you are not FINE! “ Terry L. Irish, 2015 Step 1.Peds Issues List (PIL) By Sept. 25, rank all issues on handout from most to least urgent, sign, and submit copy to Barb S.

  29. Implementation StrategyNext Steps Step 2.Accountability Partners (AP) Choose an AP from Nurses in this room today who are part of this training program, and submit names to Barb by Wednesday, Sept. 30th. Step 3.Plan of Action (POA) With your AP, prioritize your TOP TWO ISSUES and begin developing your POA to correct these. Meet with Barb by Oct. 2nd to detail this Plan. Step 4. Initiate Your Plan – Issue #1 Work your Plan to address/resolve your #1 Issue and submit a written report of the outcome to Barb by Wednesday, Oct. 14th. Step 5.Initiate Your Plan – Issue #2 Work your Plan to address/resolve your #2 Issue and submit a written report of the outcome to Barb by Monday, Oct. 26th.

  30. Implementation StrategyNext Steps Notes: • If you have questions, check with Barb. • If Barb has questions, she will check with me. • I am available, should you wish to talk or meet with me: • Ext. 85781 • Pager 0023 • tirish@coh.org

  31. QUESTIONS?

  32. Chaplain Terry Irish tirish@coh.org 626.218.5781

  33. BIBLIOGRAPHY Anandarajah, Gowri and Hight, Ellen. Spirituality and Medical Practice: Using the HOPE Questions as a Practical Tool for Spiritual Assessment. Am Fam Phy 63(1):81-88, 2001. Fitchett, G., & Canada, A. L. (2010). The Role of Religion/Spirituality in Coping with Cancer: Evidence, Assessment, and Intervention. In J. C. Holland (Ed.). Psycho-oncology, 2nd Edition. New York: Oxford University Press. Mockenhaupt, B (2015). The Long Shadow of PTSD. AARP Bulletin/Real Possibilities, 10-14. Osterman, Paulette, and Schwartz-Barcott, Donna. Presence: Four Ways of Being There. Nurs For31(2):23-30, April-June, 1996. Peery, B. (2009. What’s in a Name? PlainViews, 6(2). Perez, Jacqueline C. Healing Presence. Care Manage J 5(1):41-46, Spring, 2004. Pizanti, Robin W. Chaplain (MAJ). (2008). Spiritual Care of the Nurse: Healing Body-Mind-Spirit. Department of Ministry and Pastoral Care, Walter Reed Army Medical Center.

  34. BIBLIOGRAPHY Puchalski, C., & Romer A.L. (2000). Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine, 3 (1), 129-137.  Puchalski, CM, Ferrell, B, Virani, R, Otis-Green, S, Baird, P, Bull, J, Chochinov, H, Handzo, G, Nelson-Becker, H, Prince-Paul, M, Pugliese, K, Salmasy, D. Improving the Quality of Spiritual Care as a Dimension of Palliative Care: The Report of the Consensus Conference. J Palliat Med 2009; 12:885-904. Puchalski, CM, Handzo, G, Prince-Paul, M, Otis-Green, S. Improving the Spiritual Domain of Palliative Care. American Academy of Hospice and Palliative Medicine, Preconference workshop, San Diego, March, 2014. Spiritual Care of the Nurse, CH (MAJ) Robin W. Pizanti, RN. Stanley, Karen J. (2002). The Healing Power of Presence: Respite From the Fear of Abandonment. Onc Nurs For 29(6):935-940 . Wolfelt, AD. (2002). Healing A Parent’s Grieving Heart. Fort Collins, CO, Companion Press. Wolfelt, A. (2003). Understanding Your Grief. Fort Collins, CO, Companion Press.

More Related