Workplace Wellness: From Resiliency to Suicide Prevention and Grief Management: A Practical Guide to Supporting Healthcare Professionals

Description

This book uniquely provides actionable strategies along the wellness continuum in multiple dimensions: personal, institutional and professional; while applicable across disciplines: nursing and allied health, advanced practice providers and physicians. Further, the content is presented in a manner that can be taught to those entering the workforce, or serve as a primer for Wellness Officers. Most mental health texts focus on the needs of patients and ignore the mental health needs of clinicians. This book fills that gap embracing wellness initiatives as a matter of mental health. Wellness strategies for Inclusion Diversity and Equity are presented. The often ignored subject of suicide is approached head-on with evidence-based strategies for prevention. At the far end of the continuum of wellness, grief management after losing a colleague to death and/or suicide will be addressed. Each chapter includes learning objectives, a brief presentation of the science, application of principles into wellness practice, opportunities for future research and discussion questions. Artwork created by healthcare workers are included to augment transfer of knowledge through art as a way of knowing. Videos are offered to demonstrate through simulation lessons taught through the book. Preface Contents 1: The Balance of Building Resilience 1.1 Presentation of the Science 1.2 Application of Principles into Wellness Practice 1.3 Opportunities for Future Research Glossary Discussion Scenarios and Questions Discussion Leader Guide References 2: Using Cognitive-Behavioral Therapy-Based Skills to Enhance Mental Health Resiliency and Outcomes in Clinicians 2.1 Presentation of the Science 2.2 Application of Principles into Wellness Practice 2.2.1 Pre-licensure Application in the Academic Environment 2.2.2 Clinical Application Post-Licensure 2.2.3 Leadership Application (Structural and Organizational Considerations) 2.3 Opportunities for Future Research Discussion Questions Discussion Guide References Glossary 3: Art as a Wellness Initiative 3.1 Presentation of the Science 3.2 Testimony to the Benefits of Creative Expression 3.3 Application of Principles into Wellness Practice 3.3.1 Individual Creative Expression at Home 3.3.2 Pre-licensure Application in the Academic Environment 3.3.3 Clinical Application Post-Licensure (at Work) 3.3.4 Leadership Application (Structural and Organizational Considerations) in the Workplace 3.4 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 4: The Impact of Art on the Workplace: Constructing an Aesthetically Soothing Workplace through Art 4.1 Presentation of the Science 4.1.1 Arts in Healthcare 4.1.2 The Science of Art 4.1.3 Maslow’s Hierarchy of Needs Theory 4.1.4 Physical Design and Architecture and their Impact on the Workplace 4.1.5 Visual Art in Healthcare 4.2 Application of Principles into Wellness Practice 4.2.1 Pre-licensure Application in the Academic Environment 4.2.2 Clinical Application Post-Licensure 4.2.3 Leadership Application (Structural and Organizational Considerations) 4.3 Opportunities for Future Research 4.3.1 Employee-Initiated Art in the Work Environment Discussion Questions Discussion Leader Guide References Glossary 5: Mindfulness and the Mind 5.1 Presentation of the Science 5.1.1 Physiology of Stress: Why We Need Mindfulness? 5.1.2 Mindfulness and Mindfulness-Based Practices 5.1.2.1 Being in Your Body 5.1.2.2 Mindful Handwashing 5.1.2.3 Soles of the Feet Meditation 5.1.2.4 Structured Breathwork 5.1.2.5 Scanning for Normalcy 5.1.2.6 Mindful Movement 5.1.2.7 Body Check-Ins 5.1.3 Rethinking Compassion Fatigue 5.1.3.1 Self-Compassion as a Buffer against Empathic Distress 5.1.3.2 Physiology of Self-Compassion 5.1.3.3 Benefits 5.1.3.4 Self-Care and Self-Compassion 5.1.4 Gratitude 5.2 Application of the Principles into a Wellness Practice 5.2.1 Pre-Licensure Application in the Academic Environment 5.2.2 Clinical Application Post-Licensure 5.2.3 Leadership Application 5.3 Opportunities for Future Research Glossary Discussion Questions Discussion Leader Guide References 6: Animal-Assisted Activity for Clinicians 6.1 Introduction 6.2 Presentation of the Science 6.2.1 Benefits of Animal-Assisted Activities 6.2.2 Mechanism of Action 6.2.3 Risks Associated with AAA 6.3 Application of Principles into Wellness Practice 6.3.1 In the Academic Environment 6.3.2 Clinical Application 6.3.3 Leadership Application 6.4 Opportunities for Future Research Glossary Discussion Questions Discussion Leader Guide References 7: The Chemistry of Nutrition 7.1 Presentation of the Science 7.2 Application of Principles into Wellness Practice 7.2.1 Pre-licensure Application in the Academic Environment 7.2.2 Clinical Application Post-licensure 7.2.3 Leadership Application (Structural and Organizational Considerations) 7.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 8: Fitness in the Workplace 8.1 Presentation of the Science 8.2 Application of Principles into Wellness Practice 8.2.1 Pre-licensure Application in the Academic Environment 8.2.2 Clinical Application Post-licensure 8.3 Leadership Application 8.4 Opportunities for Future Research Discussion Questions Discussion Guide Discussion Leader Guide References Glossary 9: The Healing Environment: Healthcare Professionals as Leaders in Design 9.1 Presentation of the Science 9.1.1 The Healing Environment: Healthcare Professionals as Leaders in Design 9.1.2 The Healthcare Professionals Work Environment 9.1.3 Well-Being Defined 9.1.4 Healthcare Professionals’ Well-Being 9.1.5 Nightingale’s Environmental Adaptation Theory 9.1.6 Healthcare Professionals’ Well-Being + the Work Environment 9.1.7 Healthcare Professionals’ Well-Being + Design of the Work Environment 9.1.8 Physical Layout that Improves Healthcare Professional Satisfaction and Efficiency 9.1.8.1 Nursing Unit Typology, Design, and Assignments 9.1.8.2 Design and Staff Productivity 9.1.8.3 Unit Typology and Assignments 9.1.8.4 Single Family Room Layout 9.1.8.5 Pre- and Post-comparison of Burnout and Job Satisfaction on New Versus Existing Psychiatric Wards 9.1.9 Design Features That Reduce Healthcare Professionals’ Stress and Improve Cognitive Functioning 9.1.9.1 Respite Areas 9.1.9.2 Access to Nature Views and Daylight 9.1.9.3 Exterior View from Healthcare Professional Work Area 9.1.9.4 Break Rooms 9.1.10 Technology as Part of the Designed Environment 9.1.10.1 Electronic Health Record 9.1.10.2 Mobile Devices 9.1.10.3 Integration and Workflow 9.1.11 Evidence-Based Design (EBD) 9.2 Application of Principles into Wellness Practice 9.2.1 Pre-licensure Application in the Academic Environment 9.2.2 Student Assignments 9.2.3 Clinical Application Post-licensure 9.2.4 Leadership Application (Structural and Organizational Considerations) 9.3 Opportunities for Future Research 9.4 Other Resource-Related Healthy Work Environments 9.5 Conclusion Discussion Questions References Glossary 10: Developing a Life Safety Plan: Who Will Help You and When? 10.1 Application of Principles into Wellness Practice 10.1.1 Components of a Safety Plan 10.1.2 Clinical Application 10.1.3 Leadership Application (Structural and Organizational Considerations) 10.2 Opportunities for Future Research Discussion Questions References 11: Empathic Communication Part I: Responding to Stress in the Workplace 11.1 Presentation of the Science 11.1.1 Introduction 11.1.2 The Impact of Burnout in Healthcare 11.1.3 Burnout Mitigation Strategies 11.1.4 Empathy 11.1.5 Trauma Informed Care 11.1.6 Dos of Empathic Communication 11.1.6.1 Individuals 11.1.6.2 Organizations 11.1.7 Do Nots of Empathic Communication 11.1.7.1 Individuals 11.1.7.2 Organizations 11.2 Application of Principles into Wellness Practice 11.2.1 Pre-licensure Application in the Academic Environment 11.2.2 Clinical Application Post-Licensure 11.2.3 Leadership Application (Structural and Organizational Considerations) 11.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 12: How to Empathically and Honestly Communicate After Harm: Best Practices of Empathic Communication to Support Staff while Mitigating Risk 12.1 Presentation of Science 12.1.1 Harm in Healthcare and the Traditional Wall of Silence Approach 12.1.2 Shattering the Wall of Silence 12.2 Application of Principles into Wellness Practice 12.2.1 Pre-licensure Training 12.2.2 Clinical Application Post-licensure 12.3 Discussion Leader Guide: Discussion Questions from the HUDDLE 12.3.1 Impact of Virtual Training 12.3.2 Case Example of Applying the “Huddle” Approach: Experiential Learning 12.3.3 Setting the Stage, Beginning the Conversation. 12.3.4 Anticipating and Responding to Questions (Huddle) 12.3.5 Role and Importance of Leadership 12.4 Opportunities for Future Research 12.5 Conclusion References 13: Using Improvisation Skills to Improve Communication for Workplace Wellness 13.1 The Science of Burnout, Resilience, and Improvisation 13.1.1 Burnout in Healthcare 13.1.2 Resilience in the Healthcare Workplace 13.1.3 Communication 13.1.4 Changing Situations 13.1.5 Trust, Perspective Taking, and Microaggressions 13.1.6 Spontaneity and Authenticity 13.2 Applications of Improvisation into Wellness Practice 13.2.1 Pre-licensure Application in the Academic Environment 13.2.2 Clinical Application Post-licensure 13.2.3 Leadership Application (Structural and Organizational Considerations) 13.3 Opportunities for Future Research 13.4 Conclusion Discussion Questions Discussion Leader Guide References Glossary 14: The Power of Microaffirmations 14.1 Presentation of the Science 14.2 Application of Principles into Wellness Practice 14.2.1 Meaningful Listening 14.2.2 See and Acknowledge Othersing 14.2.3 Calm Conversations 14.2.4 Intentional Inclusion 14.2.5 Examples 14.2.6 Pre-licensure Application in the Academic Environment 14.2.7 Clinical Application Postlicensure 14.2.8 Leadership Application (Structural and Organizational Considerations) 14.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 15: Authentically Restructuring the Workplace to Promote Diversity, Equity, and Inclusion: Building Capacity for a More Just Healthcare Future 15.1 Introduction 15.2 Thinking About Diversity in Healthcare 15.3 Diversity: A Prerequisite 15.4 Our Critical Assumptions 15.5 Our Critical Assumptions 15.6 Theoretical Guidance 15.7 The Words We Choose: Why Diversity Isn’t Enough. 15.8 Uncomfortable Terrain 15.9 Key Terms and Definitions 15.10 Promoting Meaningful Diversity 15.11 Your Privilege as a Healthcare Leader 15.12 Consciousness Raising: Part 1 15.13 The Impact of Privilege 15.14 Vignette: Ability and Privilege in Nursing 15.15 Consciousness Raising: Part 2 15.16 What Is a “Diversity Issue?” 15.17 Creating a Culture of Belonging: Examining Implicit Bias 15.18 Leading Healthcare to Thrive with Plans for Action: Application of Principles 15.19 Summary Glossary Chapter Discussion Questions Consciousness Raising Discussion Questions General Discussion Questions Chapter Discussion Leader Guide Discussion Leader Script References 16: Gender Wellness in the Workplace 16.1 Presentation of the Science 16.2 Application of Principles into Wellness Practice 16.2.1 Pre-licensure Application in the Academic Environment 16.2.2 Clinical Application Post-licensure 16.2.3 Leadership Application 16.3 Gender Wellness in the Workplace for Transgender and Gender-Diverse People 16.3.1 General Overview 16.3.2 In the Academic Environment 16.3.3 In the Workplace Environment 16.3.4 Implications and Recommendations 16.4 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 17: Patient Violence: Providing More than Duck and Cover Training to Protect Employees 17.1 Presentation of the Science 17.2 Application of Principles into Wellness Practice 17.2.1 Pre-licensure Application in the Academic Environment 17.2.2 Clinical Application Post-licensure 17.2.3 Respect for Personhood 17.3 Leadership Application 17.4 Opportunities for Future Research References 18: Shifting Culture Through Structured Organizational Second Victim Support 18.1 Presentation of the Science 18.1.1 Restorative Second Victim Support: Influencing Recovery 18.1.2 A Framework for Support: The forYOU Team 18.2 Application of Principles into Wellness Practice 18.2.1 Pre-licensure Application in the Academic Environment 18.2.2 Clinical Application Post-licensure 18.2.3 Leadership Application (Structural and Organizational Considerations) 18.3 Opportunities for Future Research 18.4 Conclusion Discussion Questions Discussion Leader Guide References Glossary 19: Bullying and Lateral Violence: Building a Process to Address Root Causes 19.1 Presentation of the Science 19.2 Application of Principles into Wellness Practice 19.2.1 Pre-licensure Application in the Academic Environment 19.2.2 Clinical Application Post-licensure 19.2.3 Leadership Application (Structural and Organizational Considerations) 19.3 Opportunities for Future Research Discussion Questions (With Leader Guide) References Glossary 20: Preventing and Addressing Moral Distress 20.1 Presentation of the Science 20.1.1 Moral Distress Defined 20.1.2 Moral Distress Among HCPs 20.1.3 Categories and Causes of Moral Distress 20.1.4 Links Between Moral Distress and Intention to Leave or Burnout 20.1.5 Interventions for Moral Distress 20.2 Application of Principles to HCP Well-Being 20.2.1 Application in the Academic Setting 20.2.2 Application in the Practice Setting 20.2.3 Application in the Leadership Setting 20.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 21: Preventing and Identifying Risky Substance Use in the Health Professions 21.1 Presentation of the Science 21.1.1 Substance Use in the Health Professions 21.1.2 Substance Use in the Pre-licensure Setting 21.2 Application of Principles into Wellness Practice 21.2.1 Pre-licensure Application in the Academic Environment 21.2.1.1 Community-Level Interventions 21.2.1.2 Universal Education 21.2.1.3 Faculty Education 21.2.1.4 Individual-Level Interventions 21.2.2 Clinical Application Post-licensure 21.2.2.1 Community-Level Interventions 21.2.2.2 Individual-Level Interventions 21.2.2.3 Community Engagement Beyond the Hospital 21.2.3 Leadership Application 21.2.3.1 Community-Level Interventions 21.2.3.2 Policy and Advocacy 21.3 Opportunities for Future Research Glossary Discussion Questions Discussion Leader Guide References 22: Substance Use Disorder: From Moral Failure to Disease Management 22.1 Introduction 22.2 Treatment of Substance Use Disorder Among Health Professionals 22.3 Alternative to Discipline Programs 22.4 The Stigma of Substance Use Disorder Among Health Professionals 22.5 Learning Through Example: A Testimony and Exemplar 22.5.1 Denial is Common and Complex 22.5.2 Nobody Suffers More than the Addicted Person 22.5.3 Advocacy is Essential 22.5.4 Peer Support Programs Can Help 22.5.5 Paradigms Need to Shift in the University, Professional, and Policy Spheres 22.6 Conclusion Discussion Questions Discussion Leader Guide References Glossary 23: Differentiating Burnout from Depression 23.1 Presentation of the Science 23.1.1 Burnout 23.1.2 Major Depressive Disorder 23.1.3 Differentiating Burnout from MDD 23.1.4 Why It Matters? 23.2 Application to Health Care Workers with Burnout and/or MDD 23.3 Opportunities for Future Research Discussion Questions/Guide Discussion Questions Discussion Leader Guide References Glossary 24: Risk Detection and Suicide Prevention in the Workplace 24.1 Presentation of the Science 24.1.1 Biological Factors 24.1.2 Psychological Factors 24.1.3 Social and Environmental Factors 24.1.4 Identifying Suicide Risk and Facilitating Support 24.2 Application of Principles into Wellness Practice 24.2.1 Pre-Licensure Application in the Academic Environment 24.2.2 Clinical Application Post-Licensure 24.2.3 Leadership Application (Structural and Organizational Considerations) 24.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 25: Identifying and Intervening with a Suicidal Colleague 25.1 Presentation of the Science 25.1.1 Introduction 25.1.2 Suicide Assessment, Prevention, and Intervention State of the Science 25.1.3 Recommendations for Crisis Intervention with Clinicians in Suicidal Distress 25.1.4 Actions for Intervening in a Potential Suicidal Crisis [10, 13] 25.1.4.1 Self-Care for the Helper/Intervener 25.2 Application of Principles into Wellness Practice 25.2.1 Pre-Licensure Application in the Academic Environment 25.2.2 Clinical Application Post-licensure 25.2.3 Leadership Application (Structural and Organizational Considerations) 25.2.3.1 Mental Health First Aid 25.2.3.2 Gatekeeper Training for Suicide Prevention 25.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 26: Grief and Grieving Part 1: Grieving Our Patients, Rituals that Heal 26.1 Presentation of the Science 26.2 Application of Principles into Wellness Practice 26.2.1 Pre-Licensure Application in the Academic Environment 26.2.2 Clinical Application Post-Licensure 26.2.3 Leadership Application (Structural and Organizational Considerations) 26.3 Opportunities for Future Research Discussion Questions Discussion Leader Guide References Glossary 27: Losing a Patient or Colleague to Suicide 27.1 Presentation of the Science 27.1.1 The Need to Understand, Guilt, and Responsibility 27.1.2 Rejection, Perceived Abandonment, and Anger 27.1.3 Stigma 27.1.4 Trauma 27.1.5 Other, Less Common Responses 27.2 Education 27.3 Death By Suicide of a Colleague 27.4 Management/Support/Treatment 27.5 Application of Principles into Wellness Practice 27.6 Opportunities for Future Research Discussion Guide Discussion Leader Guide References Glossary