How a Patient Tragedy Fueled a Culture of Joy - - PowerPoint PPT Presentation

How a Patient Tragedy Fueled a Culture of Joy

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June 20, 2018

Linda Talley, BSN, MA, RN VP and Chief Nursing Officer

NO DISCLOSURES Or Conflicts of Interest

Framework for Patient Safety

• 2007 IHI Triple Aim

 improving patient experience of care  improving the health of populations  reducing the per capita cost of health care

• Healthy Work Environments
• Promoting joy in the workplace
• Link to patient safety

Quadruple Aim

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• Linking quality of the workplace to patient
• utcomes
• Quadruple Aim: Attaining joy in work
• Improvements in the life of healthcare

workers is foundational to achieving the Triple Aim

• Focused on interventions to address burnout

and promote joy in work

Burnout in the health care environment

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• Time pressure
• Lack of control over work processes
• Role conflict
• Poor relationships between professional

groups and/or with leadership

• Lack of support for staff
• Violence in the workplace
• Moral distress

Consequences of Compassion Fatigue

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• Emotional distress
• Work days lost
• Safety risk
• Apathy
• Desire to quit
• Loss of empathy
• Poor judgment

Compassion Satisfaction

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• Caring
• Feelings of contribution
• Patient satisfaction
• Energized moments

Healthy Work Environments

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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 the

• rganization (Shirey, 2006)

Healthy Work Environments

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“The creation of healthy work environments is imperative to ensure patient safety, enhance staff recruitment and retention, and maintain an

• rganization’s financial viability.”(AACN,2016)
• Skilled communication
• True collaboration
• Effective decision making
• Appropriate staffing
• Authentic leadership
• Promoting professional practice of nursing in

meaningful and effective ways

• Meaningful recognition

Leadership Strategies to Promote Joy in Work

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• Townhalls
• Listening to staff and communicating regularly
• Visibility of leaders
• Promoting Wellness and Self Care
• Healthy Lifestyle – physical activity, nutrition, sleep, stress

management, mental and behavioral health, purpose driven life (your why)

• Comfort Corner
• Mindfulness
• Attunement
• Tell stories
• Recognition
• Staff support
• Have fun!

Meaningful Recognition

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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 ) “If you want to treat people like just employees, they’ll be just employees. If you want to treat them the best, to reward and recognize them, they’ll be engaged.” (Tony Armada, CEO of Advocate Lutheran General Hospital)

• Be creative
• Think of different ways to celebrate – Penguin story
• Do it often and make it surprise
• It’s not about the money, and not about meeting a company metric, it’s about

exceptional or unusual behaviors – that, when recognized, inspire others to duplicate those behaviors we aspire to see in all of our employees

• Find ways to tell these stories – publicize the stories and the recognition that

was received

Framework for Professional Practice

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Patient/Family Partners in Care Shared Decision Marking Professional Development Quadruple Aim

Quadruple Aim

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Quadruple Aim

Improve Health of Populations Decrease Costs Patient Experience Quality/Safety Joy in Work

Joy In Work

Framework

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Professional Practice of Nursing Meaningful Recognition Staff Engagement Healthy Work Environment Joy in Work

Quality safety, employee engagement, Staff Retention

Children’s National Medical Center Washington, DC

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“Please, God, save me.”

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A Patient Tragedy

Conceptual Framework for Professional Competency

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Technical Critical Thinking

Interpersonal

Meaningful Connections bring Joy to Work

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We all have a choice to make

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

• ut 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.

IHI Framework for Joy in Work

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• 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

• 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

Leaders Promoting Meaning and Joy in Nursing Practice

• Fulfilling Purpose – I am a nurse
• Meaningful connection
• Impact, the “wow” factor
• The practice environment

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Questions?

References

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Fitzpatrick, B, Bloore, K, Blake, N. Joy in work and reducing nurse burnout: From triple aim to quadruple aim. AACN Advanced Critical Care, 30(2), pp185-188. Galuska, L, Hahn, J., Polifroni, EC, Crow, G. A narrative analysis of nurses’ experiences with meaning and joy in nursing practice. Nursing Admin Quarterly, 42 (2), pp 154-163. Perlo J, Balik B, Swensen S, Kabcenell A, Landsman J, Feeley D. IHI Framework for Improving Joy in Work. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2017.