Cultivating Awareness of E50 Staff Well-Being Through Self-Reflective Activities

Utilizing the IHI Framework for Improving Joy in Work (Perlo et al., 2017), our E50 staff have initiated a greater focus on cultivating awareness of both individual and team wide well-being. Methods: Staff participated in What Matters to You? conversations from the IHI Framework during morning and evening shift safety huddles. Feedback from the conversations most often related to the Recognition & Rewards, Wellness & Resilience, and Daily Improvement. Intervention: Two self -reflective activities were introduced to the E50 team. Participants took the SCORE II: Assessment of your work setting survey, and participated in an Assess Your Stress: Where are you on the stress continuum? activity in the staff break-room over the course of 5 weeks. Outcomes: During a recent staff meeting, a majority of E50 staff reported feelings of being In Crisis and Struggling. Conclusion: Although the team is still stressed, participants have gained a greater awareness and understanding of their well-being both as individuals and as a group. A resiliency meeting has been scheduled and offered to our staff where we can come together to reflect and acknowledge these stresses together. Citation: Perlo J, Balik B, Swensen S, Kabcenell A, Landsman J, Feeley D. IHI Framework for Improving Joy in Work. Cambridge, MA: Institute for Healthcare Improvement, 2017. SCORE II Safety Culture and Workforce Well-being Survey. Agency for Healthcare Research and Quality (AHRQ).

Cultivating Awareness of E50 Staff Well-being Through Self-Reflective Activities Department of E50 Internal Medicine Sara Poulsen, BSN, RN, Charge Nurse, Tia Hain, BSN, RN, CNC, Katie Obray, BSN, RN, NPDP, Tom Wimmer, MSN, RN, Nurse Manager. INTRODUCTION RESULTS DISCUSSION An Increase in staff burnout has become more vocalized among healthcare workers on Internal Medicine unit E50. Feelings of emotional and physical stress are apparent. Utilizing the IHI Framework for Improving Joy in Work (Perlo et al., 2017), we have initiated a greater focus on cultivating awareness of both individual and E50 Since the “What Matters to You” Green=Thriving Yellow=Surviving Orange=Struggling Pink=In Crisis conversations have been conducted, and the Assess Your Stress activity transpired, E50 management has become more aware of overall stress among our staff members. Limitations & Barriers staff wide well-being. • No financial funding for select Problem Investigation • Many individuals have interest in gaining a base skill set of medical surgical experience before transferring to various “specialty” areas. It seems to be common for Medical Surgical units to experience frequent staff turn over due to the large variety of complex medical cases staff attend to each shift. • Staff on E50 participated in “What Matters to You?” conversations from the IHI Framework during morning and evening shift safety huddles. Feedback from the conversations most often related to Recognition & Rewards, Wellness & Resilience, and Daily Improvement. • Of those who participated, The pink “In Crisis” ping pong balls were most picked overall each week, with green “Thriving” ping pong balls least picked. • Over the course of the 6 weeks: Pink, orange and yellow ping pong balls decreased while Green increased in number. • Orange “Struggling” ping pong balls made the greatest decrease. suggestions of improvement. • Recent increase in workload/staffing ratio’s. Valuable Lessons Learned • When opportunities to express feelings are presented, staff members share. • More staff members reported to be “In crisis” than we originally expected. CONCLUSION • We are excited to continue implementing resources aimed to improve staff wellbeing. • Management has offered an opportunity METHODS FOR IMPROVEMENT In effort to understand more fully why burnout and turn over remains common among E50 staff, two self-reflective activities were introduced. Participants on E50 chose to : • Take the SCORE II: Assessment of your work setting survey and • Engage in an Assess Your Stress: Where are you on the stress continuum? activity in the staff break-room. for staff to participate in Wellness Sessions led by the Resiliency Center staff. • Per suggestions from the “What Matters to You” conversations related to increasing activities on E50, a sign up for an Activity Committee was created and presented to all E50 staff. References: Perlo J, Balik B, Swensen S, Kabcenell A, Landsman J, Feeley D. IHI Framework for Improving Joy in Work. Cambridge, MA: Institute for Healthcare Improvement; 2017. SCORE II Safety Culture and Workforce Well-being Survey." Agency for Healthcare Research and Quality (AHRQ), https://www.ahrq.gov/sops/surveys/index.html Wellness Champions Project Sponsored by the Resiliency Center