APNA 30th Annual Conference Session 3012: October 21, 2016 - PDF document

APNA 30th Annual Conference Session 3012: October 21, 2016 Building Resilience through Positive Practice Genevieve E. Chandler, PhD, RN Maud Low, RNC, MSN, CLNC 10/2016 The speakers have no conflict of interest Problem: • Academic + clinical + developmental challenges = overwhelmed students • Today’s nursing student: high achiever, driven, high anxiety with: – Fear of psychiatric settings – Lack of recognition of the responsibility for self care – Feeling of being different from and having little to offer mental health patients • Learning objectives 1. Describe the Chandler model of resilience 2. Build Positive Practices using the ABCS of resilience 3. Illustrate how student learning becomes patient learning Academic Context • One two hour Mental Health Nursing class/week • One 6 hour Mental Health Nursing clinical • Pedi and Maternity classes and clinical courses, and a Nursing Research course are the same semester 2 Chandler 1

APNA 30th Annual Conference Session 3012: October 21, 2016 Student Context – Society’s stigma of mental health issues, cultural biases or beliefs about mental illness – Personal or familial experiences with mental illness – Media depiction of mental health problem – Intra-professional stigma – Student limited life experiences 3 Neuroscience • Poised for stress & protection • Experience-dependent neuroplasticity • Weekly positive practices: Neurons that fire together, wire together • Tools are developed to collaborate with patients http://www.istockphoto.com/photo/the-cognitive-mind-gm490182054-75073341 Free photo 4 Self-Care Resilience • Students self care tool kit – Develop positive practices through exercises – journaling about the experiences – feedback and support from faculty – Outcomes: • Increases self-knowledge • Strengthens efficacy with patients Hanson, R. (2011) Just one thing. Oakland, CA: New Harbinger Publications. Chandler 2

APNA 30th Annual Conference Session 3012: October 21, 2016 ABCS of Resilience : • A ctive Coping • B uilding Strength • C ognitive Awareness • S ocial Support Chandler, G., Robert, S., & Chiodo, L. (2015). Resilience intervention for young adults with adverse childhood experiences. Journal of American Psychiatric Nursing Association , 21(6), 406-416. 6 Active Coping – Weekly practice assigned – Student defined active coping: eating, exercise, friends, mom – Journaling about positive practice – Listen for opportunity to assist patient to develop positive practices 7 Building strength – Recognize character strengths in their journal about practices – Recognizing patients strengths support with practices – Collaborate with patient to recognize opportunities to challenge old thinking or reframe events – Integrate practice into daily routine 8 Chandler 3

APNA 30th Annual Conference Session 3012: October 21, 2016 Cognitive Awareness – Students recognize their automatic thinking – Mindfulness practice – Integrate positive practice into daily life – Support for patient in noticing their thought patterns, using positive practice 9 Social Support • Faculty empower student through positive feedback • Student emphasizes patient recognition of importance of social support • Student empowers patient through positive feedback 10 Chandler 4