Which one did you say the last shift you worked?

1. 1

2. 2 Which one did you say the last shift you worked?

3. 3 Welcome NAINA Convention at Sea

4. 4 Who Am I? Why am I here?

5. 5 OBJECTIVES • At the end of the session participants will be able to identify stressors in the workplace • At the end of the session participants will be able to discuss how interpersonal relationship development has an effect on nurse client interactions • Participants will learn methodologies to explore job enjoyment . • Participants will learn 3 evidenced based strategies to reduce stress.

6. 6 The Power of Positivity: How can Nurses manage stress. • Imagination is more important than knowledge

7. 1. Distributed Responsibility Effective Nursing leadership is aligned with the mission and value of an organization. Leadership culture emphasizes service, integrity, trust, competency, loyalty, effectiveness and an organizational perspective. The collaborative approach is demonstrated by strong interpersonal working relationships between staff, physicians, administration and finance to foster the strategic directions pertaining to quality people finance growth and customer satisfaction. Responsibilities are distributed and delegated to all members of nursing staff to empower and support competent decision-making using a shared governance framework. 2. Non Stop Skill Development There is an established environment of continuous skill development which includes teaching coaching and mentoring. This environment ensures competencies and a sound knowledge for demonstrating evidence based leadership competencies. 3. Hard-wired Accountability Accountability is hardwired by setting clear expectations with mutually agreed upon time lines, validating objectives, recognition or revision in work plan. Nursing leadership and decisions affecting culture will be continuously measured against desired outcomes to ensure continued success. 7 Blue Print for Nursing

8. 8 Stress • https://www.youtube.com/watch?feature=player_detailpage&v=-pIltppUUkc

9. 9 Stress

10. 10 True or False “Those who have changed the universe have never done it by changing officials, but always by inspiring the people.” Napoleon Bonaparte

11. 11 Guided Imagery DE stressor exercise • Find your Happy Place! • https://www.youtube.com/watch?v=Q-GLuydiMe4

12. 12 R U A L versus Rule • R U A Leader or a Ruler! • Do you manage Tasks or Lead toward a shared Vision. • A Leader is a person who has and articulates a vision, creates change and influences others to achieve mutual goals, while maintaining more effective working relationships.

13. 13 Leadership • The capacity to enable changes by nurturing other’s participation in the process

14. 14 Pick the RIGHT Workplace “Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do. If you haven’t found it yet, keep looking. Don’t settle” – Steve Jobs

15. 15 Creativity • Exists at three levels • Personal • Organizational • Global

16. 16 Creatively Maslow- Creativity is related to Self Actualization Secondary Creativeness- persistence, hard work, discipline, training, development, stubbornness, commitment. Leaders can no longer just deal with change; they must be able to create,discover, and invent new ways of thinking, new ways of dealing with greater changes yet to come, and new ways of building organizations.

17. 17 Job Enjoyment • People rarely succeed unless they have fun in what they are doing.” ― Dale Carnegie • Seven Deadly sins • Wealth without work • Pleasure without conscience • Science without humanity • Knowledge without character • Politics without principle • Commerce without morality • Worship without sacrifice.” Mahatma Gandhi

18. 18 Organizational Culture

19. 19 Organizational Barriers

20. 20 Personal Barriers • Timidity • Indifference • Pessimism • Complacency • Generality • “One right answer” • Fear of Judgment • Comfort • Habit • Need for balance • Preconceptions • defensiveness

21. 21 Culture of Job Enjoyment Musts • Give praise • Play the What If Game • Celebrate wins and losses • Keep a Journal-write down positives and explore negatives-don’t repeat history • Work with a mission. • Volunteerism • Be an advocate- for patient,self, others • Passion- don’t lose it • Practice the ART of Nursing

22. 22 Does your boss give you stress or support?

23. 23 Twelve ideas for boosting creativity • Turn off the damn TV! • Read as much as you can about as many different things you can. You’ll become active, not passive. • Plant, cook, paint, play music- doesn’t really matter how well! • Play with Legos/Playdoh • Get Lost! • Say "What if I?” • Listen to Bach, Stravinsky or the Grateful Dead • Go to work a different way every day • Always carry a small notebook and a pen • Define your problem or opportunity before you try to solve it. • Go for a walk • Take the other side

24. 24 Next Steps>>>>> • Apply principles, build teams, institute a creative initiative!

25. 25 The Power of the Positive Word • “Complaining-the willful and conscious act of opting to spend precious time and vital energy in the pursuit of absolutely nothing”

26. 26 Cheerleading 101 • Smile Sparkle Shine – gets em every time- were gonna • Smile(clap) • Sparkle(clap) • Shine(clap) • We are the “NURSES" and we are the best; • Once we get it started you'll forget about the rest; • You've seen the other teams; • They don't pass the test; • They're not number one; • Simply second; • We're the best

27. 27 The Complaint Cycle

28. 28 Directs Effect of Complaining • Lost time • Low morale • Low productivity • Unnecessary pressure • Unmet goals • $$$$$$$$$$$$$$$$$$$$$ • Waste • Absentees issues • Diminished reputation • Lost pride • Plenty more…………

29. 29 People who laugh and smile every day….

30. 30 Laughter Clubs • Research has shown that the health benefits of laughter are far ranging • Hormones • Physical release • Internal workout • Distraction • Perspective • Social benefits • PRACTICE “Laughter Flash MOB”

31. 31 Laughter clip • www.youtube.com/watch?v=yXEfjVnYkqM

32. Abstract • Work stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions. • As early as 1950 we began studying stress as a factor for impairing nurses physically, creating anxiety and affecting decision making. • “Burnout” • Women juggle roles of home and family • Toxic Work environments • Physical labor, human suffering, long work hours, short staffing, interpersonal relationships are central to the work a nurse performs.

34. Real Stories, Real People • The Stress Management 101 class was about to begin. Today's topic was Assessing Your Stress. Angie sat quietly in the back of the classroom. “Ok class, let's start by checking our resting heart rate”, the teacher announced. Angie's pulse was 105 beats per minute. “Next, check the number of breaths you take per minute.” Angie counted 30 breaths. “How long does it usually take you to fall asleep once you lie down at night?” Angie said it usually takes about two hours. “How much of the time do you feel high levels of stress?” Angie said she feels that way almost all the time. “Doesn't that feel unpleasant to always feel so stressed?” the teacher questioned. Angie's reply was both sad and common among college students, “I didn't know there was another way to feel. I assumed this was the way college life was supposed to be, and that everyone feels this way.”

35. Real Stories,real people SELF ASSESSMENT • Several years ago author Richard Carlson created a very catchy title for his best-selling book, Don't Sweat the Small Stuff…It Is All Small Stuff. He offered some important advice for our over-stressed society. We need to step back and relax. That is great advice. The problem is, not all stuff is small stuff. Some things are worth sweating over. The tricky part is determining what is really important and worthy of your energy and what is the “small stuff” that causes needless worry and decreases the quality of your life. • One of the great challenges for successful stress management is determining what it is that causes you stress. A certain level of stress can energize and motivate you to deal with the important issues in your life. You want to focus your energy on those things in your life that are truly important.

36. 36 Nursing Research “The Effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based review” • focus was on environmental factors as they were controllable. • Research to examine intervention following work related stress-try debriefing huddles.

37. 37 Stress can lead too……… Poor Health Suicide Divorce Loss of job Isolation Substance abuse Loneliness Despair Poor patient outcomes

38. 38 Talent Acquisition A.Selection process • Hiring well is the first step to retention/ Not all candidates are right for your department or organization B. Behavioral interviewing • Increases the likelihood that you place the right person in the right job. C. The first ninety days. Research shows that 27% who leave the organization leave in the first 90% fifty percent who leave do so in the first year. Concentrate on communication and provide feedback that is individualized during this time. Research also indicated most people leave their supervisor not the organization. Evidence Based-Find an employer who believes in this

39. 39 Self Care for Health Professionals • Meditation. • Revitalize your work • Identify challenges in your workplace, community,socialgroups, professional organization. • Invest in yourself, your culture, your community • Perform self compassion • Mindfulness can decrease pathology and increase positive psychosocial and physiological states.

40. 40 Research on Stress Do you drag yourself to work every morning? Watch the clock wishing time would go faster? Feel exhausted and drained at the end of the day? Do you find it hard to switch off? Are you always looking forward to the weekend and then suffer Sunday night blues? If you answered yes to any of these, then you’re not alone: 3 in 4 people working in the US don’t have a career that makes them happy and wish they could change career. That’s a whopping great 500,000 of us in the US feeling trapped in jobs we don’t enjoy - no wonder up to 75% of all illnesses in the US can be related to stress. While it’s an employer’s responsibility to create a stress-free work culture and environment, it’s up to each and every one of us to make sure our own career is in good shape and that we have a work-life balance that keeps us happy and healthy.

41. 41 References • “The Stress Management and Health Benefits of Laughter”, E. Scott April 2014 • “Work Stress and Burnout Among Nurses: Role of Environment and Working Conditions”,B.Jennings,2008 • “The Effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based review”. P.Griffiths,2002

42. 42 References-cont…… • “The Science of a Meaningful Life: Self Care for Health Professionals.” S. Shapiro,2014.

43. 43 Next steps • Live, Laugh, Love • Tell those you love you love them! • Avoid negativity at work! Know where you want to be in five years and follow that path steadfastly! • Hit the buffet one more time today!

44. 44 Questions? • If you need to de-stress, need to laugh, need anything- --- • Lisa Oldham- • ldold@aol.com • loldham@bronxlebanon.org • oldhaml@wpunj.edu