Post on 28-Feb-2021
Bounce Back…….Self-Care and Resiliency
Cathy Alvarez, MA, RN, CNML, HNB-BC
Conflict of Interest Disclosure
• No commercial support was provided to support today’s presentation
• The speaker has no relevant financial relationship or conflicts of interest
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Learning Outcomes
• Understand the importance of self-care and self-reflection
• Define resiliency
• Demonstrate specific tools to foster resiliency and self-care practices
Pre-Survey Data
• Will insert
• Robert Yerkes, MD & John Dodson – 1908
• First to describe the relationship between stress and performance.
• At appropriate levels, stress increases both efficiency and performance
• Effect does not continue indefinitely stress exceeds a threshold.
What is Stress?
Positive Impacts of Stress
Your Body on Stress
• 68% of nurses stated health
and safety of their patients
took priority above their own
• Increased urgency to create
positive work environments
where employees feel
supported and valued
2017
American Nurses Association
Health Risk Appraisal
• Physical, mental, emotional
exhaustion
• A framework to amplify rewards and diminish stress
• Despite growing wellness initiatives in healthcare organizations, burnout continues to worsen
Press Ganey, 2018
Burnout and Resilience: A Framework for
Data Analysis and a Positive Path
Forward
We cannot get rid
of stress and
anxiety
but we CAN
decide how to
respond to it!
Breathe
Eat “Whole” Foods
Movement Matters
Sleep Matters
How We Use Our Mind Matters
If every 8 year old
in the world is
taught meditation
we will eliminate
violence from the
world within one
generation
~ Dalai Lama
Let’s take a moment and simply take a breath….
Who is this?
What is Holistic Nursing?
“All nursing that has healing the whole person as its goal.”
(AHNA Definition of Holistic Nursing, 1998)
Theoretical Framework
• Challenges nurses to identify self-care practices and interconnectedness of body-mind-spirit
• Self-care improves overall well-being
• Healthier staff = better patient outcomes
Core Value 5. Self-Reflection & Self-Care
The practice of holistic nursing requires that nurses integrate self-reflection and self-care into their own lives
Self-Reflection and Self-Assessment
• Self-reflecting allows you to notice negative patterns in your life
to proactively manage stress
• It keeps you focused on the bigger picture – keep life balanced
• It prevents you from worrying about things out of your control
Instead of asking:
• Why do I have no time for myself?
You can ask:
• How can I make more time for myself and
my family?
• How can I get more energy?
What is important
to me?
Time for Self-Care
168 hours/ week
- Hrs/week (average) you sleep
- Hrs/week you work
- Hrs/week – commute
- Hrs/week – school work
- Hrs/week – do things for other people
- Hrs/week – misc. priorities
=
how many hours/week you have to take care of yourself
Barriers to Self-Care
Workload
Teamwork
Accountability
Time
Think about your current
self-care practices?
Self-Care
• Something you can do for yourself that no one else can do for you
• Not just something you “should” do….
• Something that nourishes and refreshes you; that feels good to your body, mind and spirit
Dimensions of Resilience
Socially Acceptable
Mental Mindset
Spiritual & Emotional Awareness
Finding the Meaning
Resiliency Toolkit Recap
•Relieve Stress
•Develop Self-Awareness
•Nurture Yourself
•Stay Connected
•Cultivate Mindfulness
•Find Your Purpose
•Practice Self-Compassion
10 Simple Self-Care Ideas for Work• Remember to breathe
• Take a break - recharge your productivity
• Drink plenty of water and bring healthy snacks
• Say NO to gossip/venting - it robs you of time, energy and self-respect
• Allow others to assist you – you don’t have to do it all!
• Be conscious of your energy it is contagious whether good or bad!
• Stretch
• Mindful Purell-ing – create a sense of presence
• Thoughts of gratitude – Three Good Things
• Remember to breathe – It’s FREE, EASY & QUICK
“Instead of wishing for greater
wisdom and kindness in the
world, perhaps we should start
by treating and accepting our
own selves with greater
kindness, even if it is for one
moment.”
John Kabat-Zinn
Wherever you go, there
you are
ReferencesAmerican Nurses Association. (2017). Executive Summary American Nurses Association Health
Risk Assessment. Retrieved July 31, from
https://www.nursingworld.org/~4aeeeb/globalassets/practiceandpolicy/work-
environment/health-safety/ana-healthriskappraisalsummary_2013-2016.pdf.
Gauthier, T, Meyer R, Grefe D, et al. (2015). An on-the-job mindfulness-based intervention for
pediatric icu nurses: A pilot. Journal of Pediatric Nursing. 30(2):402-409.
Klatt, M. et al. (2015). Mindfulness in Motion (MIM): An Onsite Mindfulness Based Intervention
(MBI) for Chronically High Stress Work Environments to Increase Resiliency and Work
Engagement. Journal of Visualized Experiments, 101(e52359). http://doi.org/10.3791/52359
Press Ganey. (2018). Burnout and resilience: A framework for data analysis and a positive path
forward. South Bend, IN: Press Ganey Associates, Inc.
Rock, D. (2012). The healthy mind platter. NeuroLeadership Journal, 4:1-23.
Steinberg B., Klatt, M., Duchemin, A.(2016). Feasibility of a mindfulness-based intervention for
surgical intensive care unit personnel. American Journal of Critical Care. 26(1):10-18.
Watson, J. (2011). Human Caring Science: A Theory of Nursing (2nd ed.). Boston: Jones &
Bartlett.
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Contact Information
Cathy Alvarez, MA, RN, CNML, HNB-BC
cathy@replenishmbs.com
www.replenishmbs.com
203-506-5026
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