3/19/18 1 Increasing Joy in Work to Reduce Clinician Burnout Betsy Gerrein, DNP, APRN, PPCNP No Disclosures Betsy Gerrein, DNP, APRN, PPCNP APRN Clinical Manager Cincinnati Children’s Hospital Medical Center Division of Pediatric General & Thoracic Surgery 3333 Burnet Avenue, Cincinnati, OH 45229 [email protected]Contact Information
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Gerrein Joy 20180501 1330 - cdn.ymaws.com · Physical & emotional exhaustion Feeling cynical, emotionally distant, numb toward others ... Identify unique impediments to joy in the
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Can contribute to clinician turnover, increasing costs
Why Work on Burnout?
2017 Provider Survey
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Can We ReallyDo Anything
About Burnout?
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Joy in WorkIs
Possible!
Good News!
IHI Framework for Improving Joy in Work
IHI’s Four Steps for Leaders
Perlo, J., Balik, B., Swenson, S., Kabcenell, A., Landsman, J., & Feeley, D. (2017). IHI framework for improving joy in work. IHI White Paper. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx
Ask What Matters to You?
Identify unique impediments to joy in the local context
Commit to a systems approach to making joy in work a shared responsibility at all levels of the organization
Use improvement science to test approaches to improving joy in your organization
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Contributing to regular feedback systems, radical candor in assessments
Health & wellness self-care, cultivating resilience & stress management, role modeling values, system appreciation for whole person, & family, work-life balance, mental health
Employing knowledge of improvement science & critical eye to recognize opportunities to improve, regular proactive learning from defects & successes
Commensality, social cohesion, productive teams, shared understanding, trusting relationships
IHI Framework for Improving Joy in WorkEquitable environment, free from harm. Just Culture that is safe & respectful, support for the Second Victim
Daily work is connected to what called individuals to practice, line of sight to organization mission & goals, constancy of purpose
Environment supports choice & flexibility in work hours & use of electronic health records
Leaders understand daily work, recognizing what team members are doing & celebrating outcomes
Co-production of joy; leaders create space to hear, listen, & involve before acting; clear communication & consensus building as part of decision-making
IHI.org
Our Team’s Journey to Adding Joy:A Multi-faceted Approach
Conducted focus groups with our team(What Matters to You)
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Working toward solutions(Impediments in our environment)
Mindfulness and Meditation as a Team
Socializing Together
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Celebrate Together
Pet Therapy Helps Too!
Organizational Approach
Provider Focus GroupsIHI Joy in Work Course
Services for Providers
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Measures of Success
Our Journey Continues…
Thank You
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ReferencesMaslach, C., Jackson, S.E., & Leitner, M. (1996). The Maslach Burnout Inventory Manual. Palo Alto,
CA: Consulting Psychologists Press
Perlo, J., Balik, B., Swenson, S., Kabcenell, A., Landsman, J., & Feeley, D. (2017). IHI framework for improving joy in work. IHI White Paper. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx
Shanafelt, T.D., & Noseworthy, J.H. (2017). Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings. 92(1), 129-146. doi: 10.1016/j.mayocp.2016.10.004.