Utah Nurse - August 2018

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Utah Nurse • Page 4 August, September, October 2018 The CDC Childhood Immunization Champion Award is an annual award given jointly by the CDC Foundation and CDC that recognizes individuals who make a significant contribution toward improving public health through their work in childhood immunizations. Each year, up to one CDC Immunization Champion from each of the 50 U.S. States, eight U.S. Territories and Freely Announcing the 2018 CDC Childhood Immunization Champion Award for Utah Judi Yaworsky, BSN, RN, NCSN Association States, and the District of Columbia will be honored. The Utah Department of Health is proud to announce that Judi Yaworsky, BSN, RN, NCSN, a school nurse from Salt Lake School district has won this award for 2018. She has been an immunization champion for several years and utilizes her leadership within the Utah School Nurses Association to promote vaccines in both preschool and school age children. She actively participates in the Greater Salt Lake Immunization Coalition and supports community strategies for improving immunization rates in infants and in children. Judi feels passionate about protecting the health and lives of children. She wants each child to have the opportunity of being protected, to be healthy and able to learn and reach their full potential. She loves her job and the opportunity to care for and support the health of students. She is humble about her efforts that benefit so very many and for the vision she has for the students of Utah. The nomination and selection of a local Champion is based on meeting one or more of the following criteria: Leadership; The candidate is considered an authority on immunizations in their community, medical system, or individual practice. Collaboration; The candidate has worked to build support for and increase immunization rates in infants and young children. Innovation; The candidate has used creative or innovative strategies to promote immunizations or address challenges to immunization in their community. Advocacy; The candidate is active in advancing policies and best practices to support immunization in infants and young children in their community. When your patients, family and friends turn to you for quality and caring in-home medical care for their loved ones, trust “ Solstice Home Health, Hospice & Palliative Care A nurse-owned company since 2013 We cannot say enough about the care Solstice gave my husband. We as a family feel very lucky to have used your services. Thank you so much. We would recommend you to anyone going through this difficult time. - Betty ” Serving two locations in Utah! 1115 S. 900 E., Salt Lake City, UT 84105 In 2010, the Institute of Medicine released a landmark report, The Future of Nursing: Leading Change, Advancing Health, which recommended increasing the number of nurse leaders in pivotal decision-making roles on boards and commissions that work to improve the health of everyone in America. The Nurses on Boards Coalition (NOBC) was created in response to this, as a way to help recruit and engage nurses to step into leadership roles. The NOBC represents nursing and other organizations working to build healthier communities in America by increasing nurses’ presence on corporate, health-related, and other boards, panels, and commissions. The coalition’s goal is to help ensure that at least 10,000 nurses are on boards by 2020, as well as raise awareness that all boards would benefit from the unique perspective of nurses to achieve the goals of improved health in the United States. We encourage each and every one of you, over 3 million strong, to visit www. nursesonboardscoalition.org, sign up to be counted if you are on a board and read more about the efforts being made to help build the future of our profession. 2721 N HWY 89, Ste. 200, Ogden, UT 84404 Amy Hartman, R N Founder and CEO Interested in joining our team? Contact us today to learn about our open positions. (801) 485-1035 www.solsticehc.com
August, September, October 2018 Utah Nurse • Page 5 “MUSINGS OF CARING” SELF-REFLECTIVE MOMENTS BY NURSES Nurses Enhance Patient Care Interactions in Moments of Connection Sharon K. Dingman, DNP MS, RN Nurses provide an innate sense of humanness, connection, and sense of caring in patients’ lives. There are powerful moments in the delivery of nursing care that have an extraordinary impact on the patients’ outcome and create unforgettable moments and memories (Dingman, 2012 & Thew, 2018). Nurses inform, connect, engage and advance the profession through their interactions in creating profound patient experiences. Moments of connection include authentic empathy, respectful caring, collaborative awareness, calming presence, engaged spirit, informed professionals and quality outcomes (Dingman, 2012). Caring Defined Patients and families define caring as accessibility, communication, caring moments, non-judgmental attitudes, and competence (Dingman, 1999). Authentic caring behaviors influence the patient perceptions and satisfaction with care are listening, offering comfort, putting the patient first, talking to the patient, responding quickly to patient needs, being accessible, monitoring the patient, and following through (Dingman, et al,1999; Utah Nurse, May, June, July 2018). Nurses are able to connect with patients and families through conscious authentic caring moments based on their professional ability, knowledge, and experience to impact the lives of patients and families. When meaningful remarkable moments of great service that happen in a persons’ life and create a lasting impression…positive or otherwise. Within health care organizations, profound human experiences happen every day. Numerous opportunities abound daily to create the human connections that differentiate a caring/healing environment from one that is not. Who we are and how we work together as nurses is what our patients and their families receive. Even within a “state of the art” physical facility, with care centered on the patient and family, and the empowerment of caregivers at the point of care/service in decision making; all would be like an empty shell if those providing the care/service did not feel cared for themselves. Moments of Shared Connections There is a “mindful” presence and sensitivity with professional satisfaction in the nurse-patient partnership resulting in mutual satisfaction with the care delivered and received (Dingman, 2012). Connection with the caregiver and the patient remain primary to patient/ family satisfaction with care and service. Making moments of shared connection matter builds positive patient perceptions of care. Opportunities to recommit to the “passion and purpose” of why an individual works in health can be a valuable moment of reflection and renewal. Creating better experiences and better defining moments provide insights into shared meaning and connecting with others (Heath and Heath, 2017, 211). Where caring and healing are present, where visible regard for dignity of human being, and where those who give care do so in teams with mutual respect and accountability there is a palpable sense of well-being. The identification of 'critical junctures' or moments of interruption in care delivery are opportunities to improve and celebrate the contributions of all caregivers regardless of their role or job in the organization. Patient satisfaction is an important measurement of quality by the consumer from their experience with both the technical and interpersonal elements of care. Patients and their families value meaningful affective interactions with care providers. The two components of nursing affective and technical care are seen as equal in providing compassionate care (Dingman, 2012). Evidence based practice (EBP) models indicate professional nursing practice impacts the patient’s perceptions and expectations of caring and their satisfaction with care received (Dingman, 2012). Patient Satisfaction: Expectations and Caring Patients need and want education in managing their illness from nurse(s) using through personalized care plans that engage and support care outcomes. Not every patient has the same diagnosis or reason for hospitalization, but there is a common need for patient centered care including their diagnosis, education, and how to incorporate self-management of their circumstances. Caring interactions from care providers gives the control to the patient in their own self-care (Bardsley, 2018). Creating a relationship in this process influences patient satisfaction and is an important indicator of quality of care. Nurse caring must be displayed to be effective and patient satisfaction is the expression of the match between patient expectations and caring received. Caring is a fundamental value that guides nurses’ ethical decision making and provides a basis for nursecaring action (Dingman, 2012). Patient satisfaction is measured and used in healthcare to improve care delivery. Standards of excellence are commonly measured and associated with financial incentives to improve the patient experience with nursing and others involved in delivering care. Caring Defined Humanity is expressed holistically to the patient through compassion and caring by the nurse, especially during the one-on-one interactions at the bedside (Dingman, 2012). Caring is defined as an intentional presence, affective behaviors, personal ownership, respect for human dignity, genuine service, a partnership, and as a matter of integrity that is heartfelt, and given and received between individuals (Dingman, 1999). Listening and comforting is a vehicle for caring. Heath and Heath (2017) state “patient experiences are made by positive moments of elevation, insight, pride, or connection that spark positive emotions, and received within defining moments of care.” According to Dan Heath (2017), “we need to stop fixing potholes and start building peaks when it comes to creating better experiences for the people we care about. When we create better experiences, we create better moments for our patients and their families. The peak moments of these experiences with the delivery of health care are the most memorable. Great service experiences are mostly forgettable and occasionally remarkable. People are willing to forget a lot of mediocrity as long as there are some moments that are special. Remarkable moments do not happen themselves.” As nurses focus on the creation of better experiences we build peaks in lieu of only fixing problems. Defining Peak Moments Chip Heath (2017) states, “the identification of ‘defining moments’ are powerful for organizations in their thinking, processes, and structures used to create meaningful and memorable moments that drive financial performance.” The value of humor the flight attendants of Southwest Airlines use during the funny safety instructions on the selected flights (1.5% of flights) have shown that the people on these flights are likely to take a half of a flight more in a subsequent year.” If the airline increased this to 3% the potential increase in revenue would be $139 million a year for the momentary moment created a peak experience. Building peaks and creating positive experiences may be one way to change from a focus on problems only and allocate time to creating peaks and improving experiences of patients and families we serve. The customer experience is created by peak moments contains four elements: elevation, insight, pride, and connection. These four elements come up in stories of customer service and other defining powerful moments in our lives. Healthcare can build peak moments in the lives of patients and families. I think you will enjoy reading the book “The Power of Moments – Why Certain Experiences Have Extraordinary Impact” by Chip Heath and Dan Heath as you discover the relevance of the perspective of the authors and the application of “the power of moments of elevation, insight, pride, and connection” in your practice. Future articles on “Musings of Caring” by Dr. Dingman will continue to make references to this book. Invitation to Share “Musings of Caring” You are invited to share your “Musings of Caring” with Utah nurses by contributing your reflective observations and caring stories from your delivery of care to patients and families. A few examples from a group of nurses’ reflective observations on “being with and doing for” patients included how they established a relationship; confirmed trust by patient through listening and explaining; without judgment listened to patient fears and concerns; felt empowered as the patient advocate; sat at eye level to review a plan of care; and worked as a team with the patient, nurses and physicians (Dingman, 2012). We look forward to hearing from you! Note from Utah Nurse Editor and Author of “Musings of Caring” Dr. Dingman The idea for the “Musings of Caring” Column began with the May, June, July 2018 article and using the personal experiences and scholarly work of Dr. Sharon K. Dingman as a hospitalized patient before she became a nurse, experiences as a nurse caregiver, administrator and educator, and in tribute to the spirit of the caring nurses provide to patients and families. “Musings are forms of self-reflection including meditation, introspection, contemplative, thoughtful, purposeful, logical and philosophic (Merriam-Webster Dictionary, 2018). Many nurses often share personal patient caring moments of connection both given and received among each other. The nursing literature provides examples of caring and the impact on patient care outcomes. Musings are therefore personal “moments of caring presence” with the patient, family and/or significant others by being present as a nurse in delivering care. We are extending an invitation to nurses to share their “Musings of Caring” stories for publication consideration in future issues of Utah Nurse.” beginning with the November, December 2018 and January 2019 edition of Utah Nurse. Guidelines on the submission process for a short article to be included in the “Musings of Caring” column are found in Utah Nurse – Publications on Page 2. Submissions can be sent to: editor@utnurse.org or mailed Attn: Editorial Committee, Utah Nurses Association, 4505 S. Wasatch Blvd. Suite 330B, Salt Lake City, Utah 84124 Selected References: Bardsley, J. (2018). Educated, engaged patients, better diabetes outcomes. Retrieved from http://www. smartbrief.com/original/2018/05/educated-engagedpatients-better-diabetes-outcomes. Dingman, S. K., Williams, M., Fosbinder, D., & Warnick, M. (1999). Implementing a caring model to improve patient satisfaction. Journal of Nursing Administration, 29(12), 30-37. Dingman, S. K. (2012). Nurse caring enhancements of The Caring Model©. Unpublished Doctor of Nursing Practice Project, Department of Nursing, Texas Christian University. Dingman, S. K. (2018). The value of a healthy nurse workforce. Utah Nurse, 24(4) May, June, July ed. Utah Nurses Association, SLC, Utah, 6. Heath, C. (2017). The power of moments at Forrester’s CXNYC. Retrieved from https://www.youtube.com/ watch?v=-l03bHVF0Ok. Heath, D. (2017). Build peaks, Don’t fix potholes. Retrieved from https://www.youtube.com/ watch?v=QxXcL28A89M. Heath, C. & Heath, Dan (2017). The power of moments: Why certain experiences have extraordinary impact. Simon & Schuster: New York, NY. Merriam-Webster Dictionary (2018). Definition of musings. Retrieved from https://www.merriam-webster.com/ dictionary/musings. CURRENTLY HIRING FOR: Registered Nurse Starting at $28.50/hour Additional positions for Medical Assistants, Registrars, and more also available. See the full list of open positions and apply online at www.EvanstonRegionalHospital.com
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Utah Nurse - August 2018

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