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Prince Endowment Research

Explore the impact of resilience on the career trajectory of senior living leaders as part of the Prince Endowment Research. Topics cover behavioral health, dementia care, community dwelling, and guardianship certificates. Gain insights from six key areas of resiliency research.

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Prince Endowment Research

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  1. Prince Endowment Research Aspiration: Resilience and Human Flourishing in Older Lives

  2. Prince Endowment Research • GSSW Gerontology Initiative • Six Resiliency Research Areas/Four Research Teams • Behavioral health of residents and families (Team #1) • Persons with dementia & caregivers -Positive psychological factors & spirituality (Team #2) • Impoverished & alone, community dwelling older lives (Team #3) • Guardianship Certificate Program (Team #4) • Congregational Responses to Older Lives (Team #3 & #4) • Career Resilience of LNFAs & social workers (Research Team #1)

  3. Prince Endowment Research • GSSW Gerontology Initiative • Structure: • Four Research Teams: 12 Faculty, Community Professionals, & Baccalaureate and Graduate Students • Deliverables: • 2013-2018: 14 Publications; 12 Academic & Professional presentations • 12 Senior Living Alumni Leaders • $60,000 Annual Gerontology Scholarship Awards-10 Students

  4. Prince Endowment Research Career Resiliency in Senior Living Leadership

  5. Prince Endowment Research Career Resilience Defined Ability of a Senior Living Leader to withstand, recover, and/or grow in the face of complex stressors and changing demands* Resilience= Sustain + Thrive *(Defense Centers of Excellence, 2011 as cited in 2015 RAND report, p. 10).

  6. Prince Endowment Research SOULROLE (Parker Palmer, Center for Courage and Renewal)

  7. Prince Endowment Research • Texas LNFAs=2210 • Turnover Rate ? 43% -140% range • 66% NHAs satisfied; 25% not satisfied • 75% seriously consider leaving • 50% will leave in 5 years • Most would not recommend • Tellis-Nayak , 2007; Castle & Shugarman, 2005; Texas Department of State Health Services, 2016; Zimmerman et al., 2002

  8. Prince Endowment Research Daily Challenges 1) Regulations 2) Families 3) Finances 4) Staff 5) Residents 6) Corporate

  9. Prince Endowment Research • Complex Contributing Factors-Leaving • • Characteristics specific to the industry • • Characteristics specific to administrators • • Characteristics specific to organization’s management

  10. Prince Endowment Research It matters to this one…

  11. Prince Endowment Research • Staying Factors • Characteristics Specific to the Organization • Nonprofit status • Reasonable corporate expectations • Empowerment of administrators • Characteristics Specific to the Administrator • Skill compatibility of administrator with organization • Administrator’s commitment to an organization • Membership in a professional organization • Characteristics Specific to Fit Between Administrator and Organization • Congruence between administrator’s and organization’s ethical and operational values • Cohesion between administrator’s skills and abilities and demands made by the organization • “Realized expectations”

  12. Prince Endowment Research Myers, D., Rogers, R., LeCrone, H., Kelley, K., & Scott, J. (2016). Work life stress and career resilience on licensed nursing home administrators. Journal of Applied Gerontology, DOI: 10.1177/0733464816665207.

  13. Prince Endowment Research SOULROLE (Parker Palmer, Center for Courage and Renewal)

  14. Prince Endowment Research • Sample & Method • A lengthy interview protocol • 18 LNFAs; Average 24 years experience • 40% (n=8) had BA/BS degrees in business-related fields • 18 skilled nursing facilities; every category of sponsorship & incorporation, with oversample of for-profit facilities • An external research advisory group (5 active LNFAs) • In-depth Qualitative Analysis

  15. Prince Endowment Research Sources of Satisfaction (SOUL)

  16. Prince Endowment Research

  17. Prince Endowment Research Five NAB Domains (National Association of Long Term Care Administrator Boards) 10 Customer Care, Supports, and Services (n=19) 20 Human Resources (n=15) 30 Finance (n=10) 40 Environment (n=10) 50 Management & Leadership (n=11)

  18. Prince Endowment Research

  19. Prince Endowment Research Dennis R. Myers, Ph.D., L.C.S.W. Danny and Lenn Prince Endowed Chair Professor Rob Rogers, Ph.D. Associate Professor Co-director of the Ph.D. program Harold H. LeCrone, Ph.D. Faculty Fellow Clinical Geropsychologist Diana R. Garland School of Social Work Baylor University Waco, Texas Katherine Kelley, MSW, L.C.S.W. Psychiatric Social Worker Veteran’s Administration Medical Center Biloxi, Mississippi Joel H. Scott, Ph.D. Clinical Assistant Professor Program Director for Higher Education Administration Boston University Boston, Massachusetts

  20. Prince Endowment Research Key Resources DADS FY 2016 Annual Regulatory Report; NFA information begins on page 28 under Credentialing… https://hhs.texas.gov/sites/default/files/documents/laws-regulations/reports-presentations/regulatory-services-annual-report-fy2016.pdf Heineman, J. (2010). Retention of Long-Term Care Professionals: Assessing the Challenges. Institute for the Future of Aging Services, AAHSA. Retrieved from https://www.leadingage.org/sites/default/files/Retaining%20LT%20Care%20Prof%20Report%20%20FINAL%20%282%29.pdf Myers, D., Rogers, R., LeCrone, H., Kelley, K., & Scott, J. (2016). Work life stress and career resilience on licensed nursing home administrators. Journal of Applied Gerontology, DOI: 10.1177/0733464816665207.

  21. PANEL DISCUSSION:Resiliency in Senior Living Leadership • Moderated by: Dennis MyersPanelists: • Susan Farris, President and CEO, James L. West Alzheimer Center (ret.) • Todd MacKenzie,Executive Director and Austin Market Leader, Brookdale Senior Living • Michael James KellerManager & Case Manager, Department of Geriatrics & Extended Care, Amarillo Veterans Administration Health System • Les StrechPresident, Thrive Senior Living

  22. RESILIENCE: REJOINING SOUL AND ROLE Chick Deegan, BSN, MA Manager, Staff Spiritual Support Office of Mission and Ministry, Faith in Action InitiativesBaylor Scott & White Health November 16, 2018

  23. Leading From Within "A leader is a person who has an unusual degree of power to project on other people his or her shadow, or his or her light. A leader is a person who has an unusual degree of power to create the conditions under which other people must live and move and have their being--conditions that can either be as illuminating as heaven or as shadowy as hell." PJP

  24. THE WAY IT IS There is a thread that you follow. It goes among things that change. But it doesn't change. People wonder about what you are pursuing. You have to explain about the thread. But it is hard for others to see. While you hold on to it you can't get lost. Tragedies happen; people get hurt or die; and you suffer and get old. Nothing you do can stop time's unfolding. You don't ever let go of the thread. William Stafford

  25.      Read and Reflect: A Pause for the Soul

  26. Basic Needs We All Have www.cnvc.org Autonomy - Choosing dreams, goals, values, plan for fulfilling dreams Celebration - Celebrating dreams fulfilled, losses (dreams, people) Integrity - Authenticity, creativity, meaning, self-worth Interdependence - Acceptance, appreciation, community, empathy, contribution, honesty, love, respect, support, trust, understanding Physical Nurturance - Food, movement, exercise, rest, touch, water Play - Fun, laughter Spiritual Communion - Beauty, harmony, inspiration, order, peace

  27. Finding Meaning in Helping: Self-CareFitch MD, Starla (2014), Remedy for Burnout: 7 Prescriptions Doctors Use to Find Meaning in Medicine. PERSONAL – Develop resilience, Practice Faith, Cultivate Self-worth, Promote Creativity "If we don't allow ourselves to experience joy and love, we will definitely miss out on filling our reservoir with what we need when...hard things happen." Dr. Brene Brown INTERPERSONAL – Foster Support, Embrace Compassion, Encourage Connection "Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest complement, or the smallest act of caring, all of which have the potential to turn a life around." Leo Buscaglia

  28.      Create a Self-care Plan for Resilience Identify 1 or 2 basic needs that you would like to nurture. Identify 1 or 2 actions that you can commit to this week. Make them very doable and fun! Are they personal or would you like someone to be an accountability partner? Choose and commit to yourself. 

  29. Tale of Two Wolves One evening an old Cherokee Indian told his grandson about a battle that goes on inside people. He said, ‘My son, the battle is between two ‘wolves’ inside us all. One is Evil. It is angry, envy, jealousy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego. The other is Good. It is joy, peace, love, hope, serenity, humility, kindness, benevolence, empathy, generosity, truth, compassion and faith. The grandson thought about it for a minute and then asked his grandfather: ‘Which wolf wins?’ The old Cherokee simply relied, "The one you feed.”

  30. RESILIENCE: REJOINING SOUL AND ROLE The Heart of a Caregiver

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