Leadership Opportunities for Change

1
Leadership Opportunities for Change

• Practice-Research-Education-Policy
• Elizabeth C. Poster, RN, PhD, FAAN
• Dean, UTA School of Nursing

2
Practice History of nurse safety

• 1966 recognition
• Early 1980s 1st Articles by nurses
• Late 1980s Emerging HAZARD
• 2006 Untreated Epidemic

3
Extent of the Problem

• Escalating rates
• 70
• Under Reporting

4
Emotional Responses

• Anger
• Fear of Patient
• ? Perceived Stress
• PTSD symptoms

5
Cognitive Responses

• Self Blame Shame
• Feeling Sorry for Patient
• Being Hit is Part of the Job

6
Does Assault come with the Territory ?

• Does role conflict (victim vs. helper) interfere
  with the therapeutic alliance?
• Should assaulted nurses be expected to care for
  patient?

7
Violence in the workplace initiatives

• Europe
• AAN Expert Panel
• Federal guidelines
• ANA APNA

8
3 Key Attributes of Leaders

• Purpose
• Optimism
• Collaborative action

9
PMH Nurse Attributes

• 5 Components of
• Emotional intelligence

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PMH Nurse Attributes

• Self Awareness
• Self-regulation
• Motivation
• Empathy
• Social skill

11
4 Areas of Leadership Needed

• Clinical Practice
• Research
• Education
• Policy/Regulation

12
Leadership for Clinical Practice

• Scope and standards
• Clinical practice Guidelines
• Evidence Based Best Practices
• Injury Prevention Guidelines
• Family/Visitor Interventions
• Disaster response

13
Leadership for Research

• PMH Nurse Issues
• Patient care issues
• Dissemination of expert knowledge

14
Does Assault Come with the Territory ?

• Examples of research Questions-
• Does role conflict (victim vs. helper) interfere
  with the therapeutic alliance?
• Is Debriefing useful?
• when? for whom?

15
Leadership for Education

• Undergraduate
• Graduate
• Staff / Supervisor Education

16
Leadership for Policy

• Hospital policy
• Regulatory agency changes
• Education

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PMH Workforce Data Hanrahan ( 2005)

• Included in policy decisions- 38
• Admin listens/responds- 29
• Quality of care excellent- 23
• Burn-out high- 35

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ALWAYS Wear Personal Protective Equipment (PPE)
When In Hazardous Environments
19
Get Plenty of Rest Drink Fluids.
20
Never Turn Your Back on Danger!
21
Always Leave Yourself A Way Out.
22
Plan Ahead!
23
Expect The Unexpected!
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Ive done it a thousand times, what could
possibly go wrong?