compassion and self renewal for nurses

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What is the link between nursing burnout and compassionate nursing care? What can we do about it?


  • 1. Compassionand Self-Renewal ForNursesPatti Newton BSN, RNC-OBApril 16, 2011
  • 2. ObjectivesUpon completion, participants will be able to: Explain compassion as it pertains to nursing Explain why nurturing oneself is important for the nurse Describe 3 negative effects seen in the workplace when the nurse is not self-nurtured Describe 3 ways in which the nurse can nurture herself/himself List 2 barriers nurses may have to self-nurturing
  • 3. Code of EthicsThe nurse, in all professionalrelationships, practices with compassionand respect for the inherent dignity,worth, and uniqueness of everyindividual, unrestricted by considerationsof social or economic status, personalattributes, or the nature of healthproblems. (ANA Code of Ethics, Provision 1)
  • 4. What is compassion? Looking inward and outward (Turkel and Ray, 2004) integrity that can reveal the path to personal excellence and outstanding social influence (Turkel and Ray, 2004) sorrow or pity for the sufferings of another person (
  • 5. Registered nurses have high levels of compassion for others,or they would not have become registered nurses (Turkel and Ray, 2004).
  • 6. In order to be compassionate, one needs courage and inner strength (Traverso, S., 2011).
  • 7. But When we are struggling or hurting, we dont feel very courageous or strong, so the level of compassion we can show to our patients will be affected.
  • 8. Taking care of everyone except our own individual soulsleads to burnout, fatigue, hurtful words and behaviors.
  • 9. The inability to care for self frequently shows up as violence at the workplace. One particularly alarming area of practice that has been discovered is horizontal violence where nurses developdestructive behaviors toward self and other nurses, especially younger, idealist nurses who arebeginning their professional journey (Turkel and Ray, 2004).
  • 10. Emotional symptoms (of work stress) may include loss of self-esteem, a sense of detachment, irritability, helplessness, and avoidance of co-workers (Brown, p. 76)
  • 11. Physical symptoms of work stress may include fatigue, immune system impairment, headaches, insomnia, and heartburn (Brown, p. 76)
  • 12. Behavioral symptoms mayinclude tardiness, absenteeism, missed meetings, drug and alcohol use, and lack of connection with others (Brown, p. 76)
  • 13. SoWHAT DO WE DO ?
  • 14. The Value of Self-Renewal As self is renewed, personal andprofessional commitments become balanced and inner energy is replenished (Turkel and Ray, 2004).
  • 15. What would it take to renew you?
  • 16. Develop your own plan of self- careThinkabout your visions, desires and goalsUse days off for personal renewal
  • 17. Start the workday with a centering or relaxation ritualTake breaks off the unitEat lunch off the unitMeditation Room
  • 18. As role models for patients, co-workers, and family members, nurseslacking self-care may unintentionally convey to others that health is not valued (Connolly, Gulanick, Keough & Holm, 1997).
  • 19. Barriers to Self-Care Lack of time Lack of knowledge Lack of self-care skills Lack of motivation (Brown, p. 76)
  • 20. As more nurses experience self- renewal, they will be creating a community of caring forself, colleagues, patients, and visitors and establishing deep personal connections with each other (Turkel and Ray, 2004).
  • 21. Self-care highlights the greatest asset of all the individual.Self-care is critical to health and healing (Turkel and Ray, 2004).
  • 22. A nurse who is holistic and self-caringcan create harmony with others through authentic presence in the caring moment (Turkel and Ray, 2004).
  • 23. ReferencesAmerican Nurses Association, Code of Ethics,www.nursingworld.orgBrown, C.J. (2009). Self-renewal in nursing leadership:The lived experience of caring for self. Journal ofHolistic Nursing, 27 (2),75 84.Compassion,
  • 24. ReferencesConnolly, M., Gulanick, M., Keough, V., & Holm, K.(1997). Health practices of critical care nurses: Arethese nurses good role models for patients?American Journal of Critical Care, 6(4), 261-266.Traverso, S., (2001). What is compassion?www.seedsofunfolding.comTurkel, M.C. & Ray, M.A. (2004). Creating a caringpractice environment through self-renewal. NursingAdministration Quarterly, 28 (4), 249-254.