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LEADERSHIP HEALTH: YOUR BAROMETRIC READING

DR. DEB HAGERTY DNP, RN, CDP, CADDCT, IP-BC, NHA, LBSW, CDONA, FACDONA

Objectives

1. Learner will be Knowledgeable of the American Nurses' Association: Healthy Nurse Healthy Nation Challenge.

2. Learner will recognize at least one self-care activity to improve health.

3. Learner will participate in one healing health activity which can be applied at work and at home.

Healthy Nurse Defined

ANA defines a healthy nurse as one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal and professional wellbeing.

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HEALTHY NURSELives life to the fullest capacity,Across the wellness/illness continuum

As they become stronger role models, advocates, and educatorsPersonally, for their families, their communities and work environments andUltimately for their patients.

January-Worksite WellnessFebruary-Cardiovascular Health March-Nutrition April-Combating Stress May-Women’s Health/National Fitness and Sports MonthJune-Men’s Health/Cancer Awareness/Skin Health July-Healthy Sleep August- HappinessSeptember-Recovery/ Work-Life Balance October- Infection Control/Immunizations/ Moral Resilience/Moral Distress November • Mental Health WellnessDecember Healthy Eating/Healthy Holidays

Nursing Health Statistics

An average BMI of 27.6 (overweight)

12% have nodded off while driving in the past month

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Only 16% eat the recommended daily amount of fruits and vegetables

Regular adults only 1 in 10 eat the recommended daily amount.

Less than half perform the recommended

quantity and time of muscle-strengthening

exercises (ICG & ANA, 2016)

Fatigue is common among shift-work nurses, and longer shifts and overtime are associated with increased patient errors and undesirable nurse health outcomes.

Consistent with the American Nurses Association’s 2017 focus on the healthy nurse, one of the best ways for a workplace to promote nurse health is with its scheduling practices.

(ANA, 2017)

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An organization’s scheduling practices are one of the most important factors in promoting nurse health.

Standardizing and monitoring scheduling practices are essential for making improvements and preventing unhealthy patterns.

ANA (2017) https://www.americannursetoday.com/healthy-schedules-healthy-nurses/

Poor Scheduling Practices

1.Working more than three consecutive 12-hour shifts, four consecutive 10-hour shifts, or five consecutive 8-hour shifts2.Rotating shifts (from days to nights or vice versa) within the same 24-hour period3.With the exception of 12-hour shifts, rotating shifts with less than twice the number of hours of a standard shift in between (for example, working an 8-hour evening shift, resting for 8 hours overnight, and returning for an 8-hour day shift is considered unhealthy)4.Excessive consecutive hours (for example, a 16-hour double shift)5.Overtime shifts (ICG & ANA, 2016)

Have You Considered?

1. Allowing nurses to schedule their own shifts.

2. Developing a Staffing pool with another facility so that when you are short they might supplement and vice versa.

3. Supporting a PRN staff pool within your facility.

4. Solutions supported by experiences??Discuss……

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Does the DON experience stress when staffing is sub-optimal??

What would happen if one day a week you made a

commitment to goHome on Time?

Questions

Do you take all of your vacation time?

Do you respect the lunch time of your staff? Do staff respect your lunch and break time??

Do you have any ideas about how to encourage a healthy environment?

RNs continue to rate workplace stress as a hazardous occupational risk well above the national average (ICG & ANA, 2016

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Breathing

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Nurses Do Not Perceive Themselves as Overweight

A statistically significant proportion of overweight and obese nurses Do not perceive themselves as such…

and have been found to be no better than general populations at accurately classifying their weight (Miller et al. 2008, Zhu et al. 2014)

Nurses

Lacked motivation to lose weight or eat the recommended daily intake of fruit and vegetables

Despite pressure to be good role models for their patients (Zapka et al. 2009).

Nurses Self Perceived Knowledge

20% of all nurses rated their own knowledge as ‘excellent’,

Disjoint between perceived and actual knowledge (Parker et al. 2011)

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More than one-third (36.5%) of U.S. adults are Obese

33% are Overweight

The South had the highest prevalence of obesity (32.0%), followed by the Midwest (31.4%), the

Northeast (26.9%), and the West (26.0%)

ObstaclesMost studies indicated significant obstacles in the workplace (and among nurses) to healthy eating!TimeKinds of Food AvailableAppointments interfereStaff interfere

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Organizational Barriers to Healthy Eating

Long work hours Shift workHigh workloadLow staffing levelsShort/few work breaks

Practice “Mindful” Eating

Research shows that individuals with eating problems often don’t pay attention to whether

they are really hungry when they eat.

Mindfulness exercises heighten your awareness of hunger levels and to make eating

more enjoyable.

http://www.apa.org/helpcenter/weight-control.aspx

Can Someone Donate A Treadmill?

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Self HelpListening to MusicDanceExercise-moderate 30min 3 times a weekChanging Dysfunctional ThoughtsColleagues-Dysfunctional Impacts entire facilityHealthy EatingStress ManagementManaging work hours

Self HelpStaying in the moment-Mindfulness Tobacco cessation supportAlcohol moderation supportEating Binges-Diet change-Support, Lunch with a Friend Weight Loss clinics or Friends Alternate Nostril Breathing-Decrease Stress

Pranayama BreathingMindfulness Practice

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Alternate Nostril Breathinganuloma viloma" or "nadi shodhana"

Health BenefitsImproved Energy-RevitilizationDecrease StressEnhanced AwarenessRemove Stale Air LungsCalmnessEnhanced SleepCalm Nervous SystemRegulated Body Temperature

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Workplace practices: Alternate Nostril Breathing

Wake up the body

Mind body centered

Decreased anxiety

Studies indicate that women overestimate self-reported height and

underestimate self-reported weight.

Errors are clinically significant for many women.

Diet is central to weight, health and feelings of well being.

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Evidence suggests work place health-promotion programs that include modification of the work environment have a positive impact on nutrition behaviors (Biener et al. 1999, Engberset al. 2005, Sorensen et al. 2007 Anderson et al. 2009).

What Can You Do to Help Improve Healthy Lifestyle Behaviors?1. Encourage walking on Lunch

Hour?2. Exercise time at work?3. Healthy eating during lunch-

Social?4. After work activities?

Just think, if all 3.6 million registered nurses increase their personal wellness and that of just some of their family, community, co-workers and patients, what a healthier world we would live in!

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References

Anderson, L.M., Quinn T.A., Glanz K., Ramirez G., Kahwati L.C., Johnson D.B., Buchanan L.R., Archer W.R., Chattopadhyay S., Kalra G.P. & Katz D.L. (2009) The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. American Journal of Preventive Medicine 37(4), 340–357

Engstrom, J. L., Paterson, S. A, Doherty, A., Trabulsi, M., & Speer, K. L. (2003).Accuracy of Self-Reported Height and Weight in Women: An Integrative Review of the Literature. Journal of Midwifery & Woman’s Health, 48, 338-345.

Insight Consulting Group (ICG) & American Nurses Association (ANA), (2016). Health risk appraisal exploratory data analysis: November 30, 2016. (PowerPoint slides).

Miller S., Alpert P. & Cross C. (2008) Overweight and obesity in nurses, advanced practice nurses and nurse educators. Journal of the American Academy of Nurse Practitioners 20(5), 259–65.

Parker, r W., Steyn N., Levitt N. & Lombard C. (2011) They think they know but do they? misalignment of perceptions of lifestyle habits between night and day workers. Chronobiology International 20(6), 1075–1092.

Zapka J.M., Lemon S.C., Magner R.P. & Hale J. (2009). Lifestyle behaviours and weight among hospital-based nurses. Journal of Nursing Management 17(7),

853–860.Zhu D., Norman I.J. & While A.E. (2014) Nurses’ misperceptions of weight status

associated with their body weight, demographics and health status. Public Health Nutrition 17(3), 569–78.