professional day 2019: evidence-based approaches to care
TRANSCRIPT
Professional Day 2019: Evidence-Based Approaches to Care in Pediatrics and Obstetrics
Provided by Texas Children’s Hospital September 19th, 2019 | Houston, TX | 8:00
CONTINUING NURSING PROFESSIONAL DEV ELOPMENTTexas Children's Hospital is an approved provider with commendation ofcontinuing nursing education by the Texas Nurses Association - Approver, anaccredited approver with distinction, by the American Nurses CredentialingCenter’s Commission on Accreditation.
REQUIREMENTS FOR SUCCESSFUL COMPLETIONTo receive contact hours for this continuing education activity, the participant must: • Sign in to the activity • Attend at least one session (contact hours awarded based on attendance)• Complete the post evaluation
Once successful completion has been verified, a “Certificate of Successful Completion” will be awarded for up to 8.0 contact hours. For web link issues, email [email protected]
CONTINUING MEDICAL EDUCATION (CME) ACCREDITATIONTexas Children’s Hospital (TCH) is accredited by the Texas MedicalAssociation to provide continuing medical education for physicians.
CREDIT DESIGNATIONTexas Children’s Hospital designates this live activity for a maximum of 8.0AMA PRA Category 1 Credits TM. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.
CME transcripts available upon request via email: [email protected]
LEARNING OUTCOME: At the completion of this activity the learner will be able to enhance quality care and patient outcomes through evidence-based inter-professional practice in the area of pediatrics and obstetrics.
CONFLICTS OF INTERESTThe planning committee members/content reviewers and/or presenters of this CME/CNE activity have disclosed NO relevant financial relationships related to the planning or implementation of this CME/CNE activity: Eric Williams, MD, Amanda Garey, Angie Rangel, Deborah Lee, Jessica Ramirez, Jill Stonesifer, Kathryn Holl, Lauren Ivanhoe, and Lindsey Zaremba
The following speakers of this CME/CNE activity have disclosed the following relevant financial relationships related to this CME/CNE activity. Those conflicts of interest have been appropriately resolved:• Carla Giannoni, MD – Formal Advisor, EPIC Pediatric Otolaryngology Steer Board• Jeff Wagner – Formal Advisor, Omnicell Advisory Board
The activity’s director/Nurse Planner has determined that no one who has the ability to control the content of this CME/CNE activity – planning committee members and presenters/authors/content reviewers – has a conflict of interest.
Jessica Shannon, M.Div., BCCChaplain, Spiritual Care, Texas Children's Hospital The Woodlands
Wonder with Me: Empowering Children to
Tell Their Own Story
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Story Catchers• We listen intentionally to the child’s story• It is a sacred moment to listen to someone else’s
story• The storyteller needs to feel heard, valued, and
loved• The result is trusting relationship and spiritual
conversation between Storyteller and Story Catcher
• Equally powerful for the Storyteller, and their parents, as it is for the Story Catcher
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Story Catchers• Hearing into speech• Spiritual experience• Collaborative• Story Catchers with sensitivity• Feeling heard leads to healing
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Narrative Medicine• “…medicine practiced with the narrative
competence to recognize, interpret, and be moved to action by the predicaments of others.” (2 January 2001 Annals of Internal Medicine Volume 134, Number 1)
• “With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other healthcare professionals, and inaugurate consequential discourse with the public about healthcare.” (JAMA 2001; 286: 1897-1902)
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“Narrative medicine teaches you how to listen to a patient’s story, how to care about it, how to
empathize with it, and how to put it in context while still being objective.”Daniel Walters, DO
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Chicken: Talk
Bear: Shout
Elephant: Remember how things were
Hyena: Laugh
Ostrich: Hide and pretend nothing happened
Kangaroo: Throw everything away
Snake: Knock down someone else’s toys
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Narrative Theory• Coming to terms with who we are through our
stories• Telling a painful story helps rewrite it into a story of
hope• Listening is as crucial as telling
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Listening to the Story• Be an active listener in every sense.• Go with the flow.• Listen deeper than what is said on the surface• Wonder with children
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Listening Goals• Communicate to children that they are loved,
special, and that they matter.
• No matter the context, healthy or sick, they see we value them.
• Help them find their identity that is lost in their diagnosis or trauma.
• We want them to find hope.
• We want them to make meaning of their lives and their illness.
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Play• Medical Play• Play Therapy• Spiritual Play
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Spiritual Play Activities• Prayer• Godly Play• Bibliotherapy• Connecting through creative communication• Games and Activities
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Age Appropriate Prayer Activities• Comfort level• Letting the child lead• Poster• Prayer tree• Echo prayers• Prayer bubbles
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Godly Play
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Godly Play• When we have the right words, we can share our
story.• Wondering questions open doors• The responses come from deep within• No right or wrong answer
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Bibliotherapy• Wondering questions used in the right moments• “Is this book about Oliver? Everything is about
Oliver.”• “Is this treatment right for me?”• “Sometimes I think I won’t make it.”
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Creative Communication
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Goals Barcelona
Goals RealMadrid
Yellow Cards
Red Cards
Minutesuntil Suarez and Ramos have cards
Penalties
Patient
Patient’s brother
Chaplain Jessica
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Games and Activities
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Elephant in the Room
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Uno7 Cards each
Play the same color or number
If you don’t have either, then take a card from the stack
There are skip cards, reverse cards, Wild cards that allow
you to change the colors, and both +2 and +4 cards.
If you play a card and have one left, say “uno” before anyone else does. If you
don’t say “uno,” and someone else sees you have just one card left, then you
must draw a card.
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Extra Chaplain Uno RuleWhen you play a…
Red card: Share something that makes you feel angry
or scared.
Yellow card: Share something that makes you
feel happy.
Blue card: Share something that makes you feel sad or
worried.
Green card: Share something that makes you
feel calm.
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Uno Roles and Reflection• The Story Catcher’s/Chaplain’s role• “Patients”• “Chaplains”
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After the Wondering• Know that God was present
• Believe the space was sacred
• Treat what the children the children shared as sacred
• A Closet: A Surprisingly Sacred Space Full of Wondering
Bibliography1. Berryman, Jerome W. Becoming Like a Child: The Curiosity of Maturity Beyond the Norm.2017. Church
Publishing.
2. Berryman, Jerome W. Teaching Godly Play: How to Mentor the Spiritual Development of Children. 1995. Morehouse Education Resources. Denver, CO.
3. Cooper, Rhonda S. “The Palliative Care Chaplain as Story Catcher.” The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. January 2018. Baltimore, MD.
4. Freeman, Jennifer and Epson, David; Lobovits, Dean. Playful Approaches to Serious Problems: Narrative Therapy with Children and Their Families 1997. W W Norton & Company. New York, NY.
5. Grossoehme, Daniel H., D.Min., “Chaplaincy and Narrative Theory: A Response to Risk’s Case Study.” Journal of Healthcare Chaplaincy. Pages 99-111. 11 July 2013.
6. Nash, Paul; Darby, Kathryn; Nash, Sally. Spiritual Care with Sick Children and Young People: A handbook for chaplains, paeditric health professionals, arts therapists and youth workers. 2015. Jessica Kingsley Publishers.
London.
7. Nash, Paul; Bartel, Mark; Nash, Sally. Paediatric Chaplaincy: Principles, Practices and Skills. 2018. Jessica Kingsley Publishers. London.
8. Nash, Sally. “Shame in Pastoral Practice: Reflections in the Light of Field Research, Bonhoeffer and Godly Play, Practical Theology.” 2016.
9. Nguyen, Meghaan, MSW, CCLS; Mendoza, Julia, BS, CCLS. “Healing Through Play: Helping Siblings Cope with Death”
10. Nye, Rebecca. Children’s Spirituality: What is it and Why it Matters. 2009. Church House Publishing.
11. Spidell, Steve BCC. “Improvisation and the Pastoral Conversation.” Chaplaincy Today Volume 22 Number 2, Autumn/Winter 2006.
