Chapter 82.pdf

9/25/2022 Chapter 82 Putting Caring into Practice: Caring for Self Dr. Asomani 1 Background: Caring and Self-Care...

9/25/2022 Chapter 82 Putting Caring into Practice: Caring for Self Dr. Asomani 1 Background: Caring and Self-Care Conceptualization of the caring process Caring is central to the nursing profession New emphasis on self-care due to the need to retain nurses Godfrey et al. and seven components of self-care 2 Definitions of Self-Care World Health Organization (W H O): “A deliberate action ellipsis to maintain good health” Wilkinson and Whitehead: “not involving a health professional ellipsis and the individual independently attains and preserves [his or her] desired level of health” 3 1  9/25/2022 Definitions of Self-Care (continued) American Holistic Nurses Association (A H N A): “Integration of self-care and personal development into one’s life”—example, self-assessment, yoga, good nutrition, energy therapies, movement (example, dance), journaling, creative expression Strive to achieve harmony in one’s own life to assist others to do the same (A H N A) Orem—those activities performed independently to promote and maintain one’s well-being throughout life 4 Challenges to Self-Care for the A P R N Changes in the Health-Care System More challenging workplace Q S E N competencies Changes in Insurance and Technologies Compliance with insurance regulations Integration of the E H R 5 Challenges Societal Changes Joblessness, poverty, undocumented persons, costs of medical treatment, aging population Confusion over professional boundaries Professional Changes Challenges from the development of interdisciplinary education and health- care teams 6 2  9/25/2022 Compassion Fatigue and Burnout Compassion fatigue—occurs when provider cannot rescue or save an individual from harm Leads to feelings of guilt and distress—appears suddenly Burnout—frustration over time, a sense of loss of control, increased willful efforts, and diminishing control 7 Principles of Self-Care Management Balance caring for self with caring for others Lifelong commitment to personal development Expanded understandings What are your ideas? 8 Self-Compassion Are we perfectionistic to an extreme? Often can accept deficiencies in others but hold self to unreasonable standards Demands “emotional intelligence”—self-awareness, motivation, empathy, and social skills 9 3  9/25/2022 Emotional Intelligence Fitzpatrick (2010) found a positive correlation between self-compassion and emotional intelligence Assess your current level of emotional intelligence 10 Critical Components of Self-Care Resilience—positive adjustment to stressors, associated with hope, positivity, and self-efficacy Positive intentionality—focused consciousness and energy, according to Jean Watson Holding thoughts of caring, loving, kindness, and open receptivity—enhances caring energy, which leads to healing and improved health 11 Process of Self-Care Management We are able to assess patients’ readiness to change—are we able to do it in ourselves? Reflect on strengths and areas where one needs support and growth and change—A S S E S S Is a way of being in the world and with oneself Engagement in process of caring for self 12 4  9/25/2022 Goal-Setting Identify specific strategies meaningful for YOU Historical roots—Nightingale: how to put the body in the best position for nature to act on—this case YOUR body/mind/spirit Interconnectedness of all parts of the human, with the whole being greater than the sum of the parts (Martha Rogers) 13 Implementing Strategies Can be divided into categories for all components of well-being of the individual Physical, psychosocial, and spiritual components Realistic expectations for performance in the clinical area Life stressors can compound professional stressors 14 Implementing Strategies (continued_1) Physical signs and symptoms of increased stressors Can require interventions Extra personal time for reflection and meditation Access to and self-referral to treatment programs 15 5  9/25/2022 Implementing Strategies (continued_2) What works for you individually? Discuss Develop your own “inner circle”—a trusted peer group with similar beliefs Discussion of stressors and debriefing Especially helpful during transitions Humor and laughter—positivity and hope 16 More Strategies for Self Care Mindfulness-based stress reduction—reduces stress and anxiety Energy fields—Therapeutic Touch (T T)—energy field interactions— directed intentionality—proven positive benefits Reiki—complementary energy therapies—rebalance energy flow to a positive state 17 What Works for You Share your experiences among one another Create a “plan of care” for yourself How will you evaluate? What are your goals, your hopes, and your dreams for your advanced nursing practice? 18 6  9/25/2022 Actualizing Our Potential Unleashing the power of advanced practice nursing Ethical considerations—we are there to facilitate healing and to alleviate suffering within a context of mind-body-spirit awareness 19 Healing from Within Must remember our roots—what makes us unique, valuable, and necessary More true than ever in a world of rapid change, broken systems, and constant evolution People will learn from A P R N’s about caring for self 20 Leadership Role in Transforming Health Care Move from “sick-care” system to a true wellness model Healthier futures for all A P R N’s direct their skills toward creating a peaceful, harmonious environment Give examples from your practice 21 7