culture of joy fuels results for a patient tragedy › ... ›...

Culture of Joy Fuels Results for a Patient Tragedy

Cynthia D. Sweeney MSN, RN, CNOR, NEA-BC Linda B. Talley MS, RN, NE-BC

Session Objectives

• Identify how meaningful recognition of extraordinary care contributes to a joyful work environment.

• Articulate the impact of joy filled work on patient outcomes. • Develop a template for action that will contribute to a joyful

work environment.

The Patient and Family Experience

Bonnie and Mark

Tena and Pat (and baby Riley)

© The DAISY Foundation 2019

The DAISY Award

• Over 3,600 healthcare facilities in 22 countries, internationally committed to honoring nurses with The DAISY Award – Across the continuum of care – From urban teaching hospitals to

small rural community facilities • Over 117,000 nurses honored! • Over 1. 3 million nominations

written!

Mission The DAISY Foundation expresses gratitude to Nurses with programs that recognize them for the extraordinary compassionate, skillful care they provide for patients and families. By honoring compassionate nurses, DAISY reinforces the importance of compassion in healthcare.


VUCA

Complexity


Professional Quality of Life

Compassion Satisfaction

Compassion Fatigue

Burnout Secondary

Trauma

(Stamm, 2010)


Emotional Distress

Safety Risks

Apathy

Loss of Empathy

Workdays Lost

Desire to Quit Poor

Judgment

Coetzee & Klopper, 2010; Jenkins & Warren, 2012; Kelly, et al 2015

Consequences of Compassion Fatigue


Caring

Feelings of

contribution

Patient Satisfaction

Energized Moments

(Perry, 2008; Hooper et al., 2010; Stamm, 2010)

Compassion Satisfaction


Healthy Work Environment

A workplace that is supportive of the whole human being, patient-focused,

and joyful, where providers of care are able to meet the needs of their patients and their families, as well as the goals of the unit and

Organization (Shirey, 2006)


Healthy Work Environment “The creation of healthy work environments is imperative to ensure patient safety, enhance staff recruitment and retention, and maintain an organization’s financial viability.”(AACN,2016)

Skilled communication

True collaboration

Effective decision making Meaningful Recognition

Authentic leadership

Appropriate staffing


Meaningful Recognition

” A powerful form of positive feedback, meaningful recognition acknowledges how a person’s actions affect the life of another, is

relevant to the recipient, and is equivalent to his or her contribution.” (Lefton, 2012 )


Joy in Work

• IHI Framework for Improving Joy in Work – 50% of physicians report burnout – 33% of new RNs seek another job within a year – Turnover is up and retention is down

• Why focus on Joy? – Positive vs negative – Assets based approach

• “The compassion and dedication of health care staff are key assets that, if nurtured and not impeded, can lead to joy as well as to effective and empathetic care.” (Perlo, 2017)



The IHI-DAISY Team Award 2018 Surgical Care Unit at Children’s National Health System in

Washington, DC.

Children’s National Medical Center

A Patient Tragedy

Meaningful Connections Bring Joy to our Work

We all have a choice to make what we do meaningful and important. We can choose to do something that makes a difference for our patients. Find that purpose in your work, the thing that brought you to this profession, and live it out in your work. Focus on what you can do, not on what you have to do. We have an opportunity to build connections and relationships with both coworkers and patients—which is what brings meaning to our work.

• https://www.nbcwashington.com/news/local/Happy-to-Be-Alive-Teen-Who-Lost-Everything-in-Silver-Spring-Apartment-Explosion--406992915.html

https://www.nbcwashington.com/news/local/Happy-to-Be-Alive-Teen-Who-Lost-Everything-in-Silver-Spring-Apartment-Explosion--406992915.html



20

Technical

Critical Thinking

Interpersonal

Conceptual Model for Professional Competency - DelBueno

IHI Framework for Improving Joy in Work

Physical and Psychological Safety Meaning and Purpose Choice and Autonomy Recognition and Rewards Participative Management Camaraderie and Teamwork Daily Improvement Wellness and Resilience Real Time Measurement Perlo et al, 2017

• DAISY Team Award 2017 • Children’s National Core Values Award 2018 • IHI/NPSF DAISY Award 2018

Surgical Care Unit at Children’s National Health System in Washington, DC.

References

American Association of Critical-Care Nurses. (2016). AACN standards for establishing and sustaining healthy work environments: A

journey to excellence, 2nd edition. Retrieved from https://www.aacn.org/~/media/aacn-website/nursing-excellence/healthy-

work-environment/execsum.pdf?la=en

Lefton, C. (2012). Strengthening the workforce through meaningful recognition. Nursing Economic$, 30(6), 331-8, 355.

Perlo, J., Balik, B., Swensen, S., Kabcenell, A., Landsman, J., & Feeley, D. (2017). IHI framework for improving joy in work. . (White

Paper). Cambridge, Massachusetts: Institute for Healthcare Improvement.

Shirey, M. R. (2006). Authentic leaders creating healthy work environments for nursing practice. American Journal of Critical Care :

An Official Publication, American Association of Critical-Care Nurses, 15(3), 256-267. doi:15/3/256 [pii]


https://www.aacn.org/~/media/aacn-website/nursing-excellence/healthy-work-environment/execsum.pdf?la=en









For more information about The DAISY Foundation visit www.DAISYFoundation.org

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