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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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Page 1: Gerrein Joy 20180501 1330 - cdn.ymaws.com · Physical & emotional exhaustion Feeling cynical, emotionally distant, numb toward others ... Identify unique impediments to joy in the

3/19/18

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Increasing Joy in Work to

Reduce Clinician BurnoutBetsy Gerrein, DNP, APRN, PPCNP

No Disclosures

Betsy Gerrein, DNP, APRN, PPCNPAPRN Clinical ManagerCincinnati Children’s Hospital Medical CenterDivision of Pediatric General & Thoracic Surgery3333 Burnet Avenue, Cincinnati, OH [email protected]

Contact Information

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Objectives

• Describe the symptoms of clinician burnout syndrome • Restate 4 of the 9 critical components for improving

joy in work• Identify at least 2 system-level measures of joy in

work

Burnout SyndromePhysical & emotional exhaustion

Feeling cynical, emotionally distant, numb toward others

Reduced performance

At least 50% of physicians experience

burnout

Burnout among nurses can be as high

as 70%

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33% of new RNs seek a new job within one year

Consequences of Burnout

Can lead to a decrease in patient

safety & quality care

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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.