Disclosure Learning Outcomes O Articulate recovery oriented - - PDF document

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 1 APNA Recovery Council Interactive Panel

Integrating the Lived Experience of Recovery and Recovery Principles into Psychiatric Mental Health Nursing Graduate and Undergraduate Curriculum through Collaborative Partnerships, Innovative Projects and Reflective Learning

Brought to you by:

APNA Recovery Council Steering Committee

Kris Lambert PhD RN: Chair Jennifer Barut PhD(c), MSN, RN-BC: Co-Chair Genevieve Chandler PhD, RN Member Sue Brammer PhD, RN Member Kathleen McCoy DNSc, APRN-BC, FAANP Member

Disclosure

The speakers do not have any conflict

• f interest, commercial support or
• ff label use to disclose.

Learning Outcomes

O Articulate recovery oriented principles of care

delivery.

O Describe the significance and value of using

individuals with lived experience to promote recovery as a component to PMH nursing curriculum.

O Integrate the use of reflective practice to prepare

students/working nurses to be present while actively listening to difficult topics.

Best Practice Using Recovery Principles

O Hope O Positive Deviance and Recovery O Empowerment O Teaching Recovery O Self-Responsibility O Person First Language O Connection O Social Inclusion O A Meaningful Life O Sue’s Story O The Pathways of Recovery O Share your story, innovation, practice, experience

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 2

Positive Deviance and Recovery Positive Deviance:

……as in to deviating from the norm

O See and acknowledge what is working O Work with those “islands of health” O Consider person centered preferences O Trust that you and the person receiving care

are in the recovery model

O Consider this a part of the “Big Picture” O The Journey to societal change is

“L…O…N…G…”

O Stick with it

K3

Empow erment: Teaching Recovery

Teaching Recovery

From Teacher to Student to Patient

Good thoughts, bad thoughts

Mindful practice

Slide 8 K3 THis slide needs to be placed behind the PD on black slide

Kathleen, 10/4/2015

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 3

Notice the good

O Slow down O Find beauty O Be patient O Take refuge O Do what you can

Pleasure moments Nature

Connection:

Social Inclusion & Peer Support=Stigma Reduction

In Our Ow n Voice

Autobiography

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 4

Discussion Board

“We do not learn from experience. We learn from reflecting

• n experience.”

John Dewey

“You Need to Talk w ith Bruce”

 The elimination of the dangerous “us and them” myth  How to find common ground, making connection easy and painless  The honor of listening to an individual’s story, emphasizing the importance of the narrator  The simplicity of being present and available  The need to help individuals access and restore lost skills  The importance of offering/holding hope for each person  How to encourage an individual to resume their journey  The necessity of ensuring self-care activities are identified and consistently followed

Self-Responsibility: Person First Language

Recovery and Mental Health

• A process of change through which individuals

improve their health and wellness, live a self- directed life, and strive to reach their full potential.

• How can we help?

Person First Language

O Language is

• powerful. It

influences our perceptions, what we think, how we act…and how we care for patients.

It’s Who We Are

Person First vs. Stigmatizing Language

Write or Say… Instead of… Person diagnosed with Schizophrenia Schizophrenic Person with a mental illness Mentally ill Person coping with an addiction Afflicted with addiction Person diagnosed with BPD Borderline Person making own choices or non‐ adherent Noncompliant Person using available coping skills trying to get needs met Needy Describe behaviors Manipulative, acting out, attention‐ seeking, drug‐seeking

See how the PERSON comes FIRST!!

K2

Slide 24 K2 nonadherent/or incongruent

Kathleen, 10/4/2015

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 5

“All work that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence”

Martin Luther King, Jr.

25

Moral Courage

O Conflict arises when nurses become misaligned

with their duty to patients.

O Repenshek (2009) reported that this continuing

conflict eventually leads to chronic stress.

O Moral distress can lead to burn out, ‘hardening,’

disengagement, and lack of focus on the primary work of nursing.

It’s Who We Are

Your Role: Moral Courage

You need to have the moral courage to role model recovery behaviors to other nurses

How to be a Role Model

O Demonstrate confidence and leadership O Don’t be afraid to be unique O Communicate your concerns, or what you have

• bserved

O Be knowledgeable about recovery O Have humility and willingness to admit mistakes

It’s Who We Are

Florence Nightingale says:

“It may seem a strange principle to enunciate as the very first requirement in a Hospital that it should do the sick no harm.” [1859] “What nursing has to do is to put the patient in the best condition for nature to act upon him.”

From Notes on Nursing [1860]

“Nursing creates the environment most conducive to body's reparative processes.” The creation of this environment begins with our language

29

Recov Recovery and a and a Meani Meaningfu gful Life: Life: Sue’s Story Sue’s Story

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 6

Recovery’s Impact

O Recovery moving from PMH to other fields

& vice-versa

O Kathleen’s story:

O Oncology and the dissolving of stigma O A Recovery Stance can avert sequelae of

devastation

O Dare to embrace what recovery means to:

O You personally (embrace your individuality) O To your persons on your trust (e.g.; students) O Patients and all sacred others

Tweet Us:

Your Ex ur Experience... rience... Your M ur Moment. nt... .. Your S ur Stor

• ry...

... A Tweet t that ca can’t b t be beat! In 140 characters (or 2 short sentences), write about a reco covery pr practi tice ce that you have seen

• r implemented.

Share Your Story/Experience

O Break into small groups. O Share your

story/experience/

• bservation with your

group.

O Record/write your

findings.

O Report out to large group.

Report Out Final Thoughts

An Individual & Collective Journey to the Big Audacious Goal

O That will ultimately impact the globe O We occupy time and space O We effect change incrementally in

degrees

O First in small steps O Ultimately with Malthusian uptake O Grassroots to Global O The PMH nurse takes the first steps to

achieve a new global norm

APNA 29th Annual Conference Session 3052: October 30, 2015 Lambert 7

References

O

Bulman, C. & Schultz, S. (Eds). (2013). Reflective practice in nursing (5th ed.). West Sussex, UK: Wiley and Sons.

O

Germer, C. (2009). The mindful path to self-compassion. New York: Guildford Press.

O

Jensen, M., Pease, E., Lambert, K., Hickman, D., McCoy, K., Barut, J. & Ramirez, J. et al. (2013). Championing person-first language: A call to psychiatric mental health nurses. Journal of the American Psychiatric Nurses Association 19(3), 146-151.

O

Moller, M., & McLoughlin, K., (2013). Integrating recovery practices into psychiatric nursing: Where are we in 2013?. Journal of the American Psychiatric Nurses Association, 19(3), 113-116.

O

Weston, M.J., (2010). Strategies for enhancing autonomy and control over nursing practice. The Online Journal of Issues in Nursing , 15 (1) 2.