HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT Webinar Series HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT Webinar Series Overview Before we care about quality, we have to care about our work. And before we can care about our work, we have to take better care of ourselves. Where are the role models for resilience and self-care in health care? The clear consensus in the peer-reviewed literature is that burnout levels in health care workers are reaching the breaking point. Against the backdrop of health care reform, new technologies and economic uncertainty, resilience is even further compromised. Quality improvement efforts frequently ignore the need to make sure that caregivers are ready for the next big initiative and rarely do they first build up the resilience of staff before expecting even higher levels of quality and safety to be delivered. For some, jumping into innovation is a reasonable first step, but for many individuals and work units, there needs to be a focus on the caregivers and their needs, to build capacity and bounce back from burnout, before providing the training and tools to improve quality in a sustainable way. Intended Audience CEOs, CNOs, trustees, board members, nurses, quality professionals, pharmacists, human resource professionals, engineering professionals, marketing and public relations professionals and any profession facing burnout and resiliency issues within the health care industry. About the Webinar Series Speakers In this 12-month webinar series, we have combined the science of enhancing workforce resilience with health care quality improvement tools that are practical, effective and sustainable. Attendees will receive the most recent evidence-based content and tools as well as several opportunities to participate and try out the tools being presented. Each webinar will be 60 minutes and followed by a Q&A session. K. Carrie Adair, PhD, Associate in Research, Department of Psychiatry, Duke University Health System, Duke Patient Safety Center Sponsored by the Duke University Health System Patient Safety Center and Duke University Health System Clinical Education & Professional Development. 1 hour CME credit will be awarded upon completion of a brief post-test survey. Certificates will be emailed to individuals two weeks after the webinar. James Fox, MD, Faculty, Department of Pediatrics, Duke University David C. Gordon, MD, Associate Professor, Emergency Medicine, Duke University Hospital J. Bryan Sexton, PhD, Associate Professor, Director, Duke Patient Safety Center, Duke University Health System Register online at www.ihaonline.org/education/all-events Page 1 HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT WEBINAR SERIES 11:00 am – 12:00 pm CST Recording Recording Recording Prevalence and Severity of Burnout: Workforce Resilience as Care Quality Safety Culture at Work: Work Setting Norms, Their Link to Engagement, Burnout, Clinical Outcomes and Operational Outcomes Cognitive Errors: How Great Clinicians Reach the Wrong Conclusions Dr. J. Bryan Sexton Content: Dr. Sexton will examine a combination of findings from organizational culture, worker productivity and emotional exhaustion with recent trends in spiking levels of burnout in health care workers. The webinar faculty will also examine how burnout and work-life balance vary at the unit level, their assessment and remedy must also take place at the unit level. Objective: Identify and explain how increases in stress at the societal and nursing unit levels impact care quality and self-care in general. Recognize unit level norms that enhance vs. hinder work-life balance. No CEUs available. Dr. J. Bryan Sexton Content: Within this webinar, Dr. Sexton will summarize the literature, provide references and dynamically engage with participants to demonstrate the interpretation, feeding back and operationalizing of safety culture data. He will integrate clinical, operational psychological and biological data to provide frameworks and strategies for understanding and coping with fatigue, burnout, disruptive behaviors and work-life balance issues. Objective: Measure safety culture, employ specific strategies to interpret feedback and operationalize results and evaluate the relationships between safety, teamwork, work-life balance and other outcomes, such as burnout and fatigue. Dr. David Gordon and Dr. James Fox (Moderated by Dr. J. Bryan Sexton) Content: The content within this webinar will focus in on the cognitive systems used in decision making and describe how cognitive biases can lead to cognitive errors. Objective: Describe the cognitive systems used in decision making and explain how cognitive biases can lead to cognitive errors. 0.1 Nursing CEUs will be awarded for this webinar by IHA Iowa Board of Nursing provider #4. Please review directions on page 7 of brochure. No CEUs available. Page 2 HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT WEBINAR SERIES 11:00 am – 12:00 pm CST APRIL 12, 2017 2:00 p-3:00p MAY 10, 2017 JUNE 5, 2017 Enhancing Resilience: Three Good Things (tool provided) Enhancing Resilience: Practicing Safe Stress and the Science of Sleep Collaboration vs. Dealing with Difficult Colleagues: Assessing, Understanding and Improving Teamwork in a Clinical Area Near You (tool provided) Dr. J. Bryan Sexton Content: This resilience intervention provides attendees with a structured opportunity to cultivate positive experiences by reflecting on them for a couple of minutes just before bedtime. By savoring good moments from earlier that day, we see improvements in resilience, sleep quality, work-life balance and even depression. Objective: Recognize resilience building for attendees and for their colleagues through the use of a positive psychology intervention that enhances resilience through the savoring of positive emotion by practicing “Three Good Things.” No CEUs available. Dr. J. Bryan Sexton Content: Attendees will receive guidance on how to recognize, anticipate and respond to human limitations associated with sleep deprivation. Objective: Describe Robert Sapolsky and Mathew Walkers’ research into stress and sleep deprivation, the use of MRI data to track acute sleep deprivation and its impact on memory, mood and performance. 0.1 Nursing CEUs will be awarded for this webinar by IHA Iowa Board of Nursing provider #4. Please review directions on page 7 of brochure. Dr. J. Bryan Sexton Content: Dr. Sexton will describe what leads to and results from various teamwork practices and tools using the TEAMSTEPPS model, tools and related research. Objective: Utilize and teach the TeamStepps principles of conflict resolution in dealing with difficult colleagues (conflicts are a primary source of burnout). 0.1 Nursing CEUs will be awarded for this webinar by IHA Iowa Board of Nursing provider #4. Please review directions on page 7 of brochure. Page 3 HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT WEBINAR SERIES 11:00 am – 12:00 pm CST JULY 12, 2017 AUGUST 9, 2017 SEPTEMBER 6, 2017 Enhancing Resilience: The Science of How Other People Matter (tool provided) Mindfully Learning from Defects (tool provided) Psychological Safety: The Predictive Power of Feeling Supported When Things Go Wrong Dr. K. Carrie Adair Content: Dr. Adair will describe meaningful relationships as a health behavior and the lack of them as a health risk in many life domains, including longevity, satisfaction at work and in life, as well as sleep quality and immune system function. Objective: Produce active constructive responses that engage others in conversation by reacting positively, being interested and caring about the news they share with you to enhance the well-being of the speaker and listener. No CEUs available. Dr. J. Bryan Sexton Content: Dr. Sexton will review research on mindfulness from Harvard psychologist Ellen Langer. He will review mindfulness techniques that draw new distinctions, rather than mindlessly follow old ones, and review the literature on burnout and resilience as it relates to the higher levels of control, satisfaction and health that are achieved through mindfulness. Objective: To recognize and practice techniques of mindful learning as it relates to caregiver communication; to learn and practice techniques of mindfulness as it relates to caregiver burnout and job satisfaction. 0.1 Nursing CEUs will be awarded for this webinar by IHA Iowa Board of Nursing provider #4. Please review directions on page 7 of brochure. Dr. J. Bryan Sexton Content: Within this webinar, Dr. Sexton will discuss and demonstrate unique psychological safety leadership behaviors that can be practiced quickly and easily to provide safe environments for healthcare workers to express their concerns, comments and be able to say, “I don’t know.” Objective: Discuss the essentials of applied psychological safety and its impact on organizational learning and culture. 0.1 Nursing CEUs will be awarded for this webinar by IHA Iowa Board of Nursing provider #4. Please review directions on page 7 of brochure. Page 4 HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT WEBINAR SERIES 11:00 am – 12:00 pm CST OCTOBER 4, 2017 NOVEMBER 9, 2017 DECEMBER 13, 2017 Evidence Based-Leadership WalkRounds: Building Capacity to Sustain Quality at the Front Lines (tool provided) Enhancing Resilience: The Science and Practice of Gratitude (tool provided) Enhancing Resilience: Survival of the Kindest (tool provided) Dr. J. Bryan Sexton Content: Through case studies, the webinar facilitator will demonstrate how to integrate the concepts of adaptive leadership and psychological safety so that executive partnerships are conducted at the appropriate pace, sustainable and with the intent of building capacity among staff. Objective: Recognize the nuances of an executive visit: framing the issues, pacing the change, setting the expectations and accountability. Outline how to participate and provide coaching to frontline workers engaged in quality improvement. Examine how to plan, demonstrate and evaluate the nuances of an executive visit: framing the issues, pacing the change, setting the expectations and accountability. 0.1 Nursing CEUs will be awarded for this webinar by IHA Iowa Board of Nursing provider #4. Please review directions on page 7 of brochure. Dr. J. Bryan Sexton Content: Dr. Sexton will introduce a bite-size resilience tool that provides attendees with a structured opportunity to learn about and express gratitude toward one or more people of your choosing. Interestingly, expressing gratitude is surprisingly good for our resilience, and this particular resilience device can be repeated up to six times in a single year. Through expressing gratitude, we learn more about our vital connections to others, often in surprising and meaningful ways, and we see improvements in resilience, sleep quality and depression. Dr. J. Bryan Sexton Content: Using a variety of studies, the facilator will summarize the research to explain that there are powerful benefits to the altruistic person. A fun and meaningful tool will be provided to share with friends and colleagues. Objective: Recall the resilience building skills needed to engage others in conversation by reacting positively, being interested and caring about the news they share with you. No CEUs available. Objective: Demonstrate and complete resilience-building intervention for self and for colleagues through the use of a simple gratitude cultivating exercise that enhances resilience, increases happiness, decreases depression and improves sleep quantity and quality. No CEUs available. Page 5 HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT WEBINAR SERIES Speaker Biographies Dr. K. Carrie Adair, PhD is a social psychologist with the Duke Patient Safety Center who specializes in resilience for busy and stressed health care workers. Her research has examined the psychology well-being, resilience tools, mindfulness meditation, processing traumatic experiences, implicit social biases, enhancing relationships and emotion regulation. Dr. Adair’s research has been funded by the Mind & Life institute as well as a dissertation award and fellowship from the University of North Carolina Chapel Hill. Dr. Adair believes that the science of well-being has much to offer stressed and burned-out individuals and she enjoys sharing empirically-supported resilience strategies in her trainings. Dr. James Fox, MD was trained as a resident in internal medicine and pediatrics at Duke then completed fellowship training in pediatric emergency medicine at Nationwide Children’s Hospital in Columbus, Ohio. He returned to Duke nine years ago as faculty member in the department of pediatrics. His clinical time is spent solely in the pediatric emergency department and he has many educational roles at the undergraduate and graduate medical education levels. Dr. Fox became interested in cognitive biases and the related fields about six years ago. He is interested in better understanding how clinicians make decisions and ways to improve decision-making thereby reducing diagnostic errors. Dr. David Gordon, MD is an associate professor of surgery in emergency medicine at Duke University Hospital. He is the associate residency program director for the emergency medicine residency program and the medical undergraduate education director. Dr. Gordon specializes in cognitive errors and how great clinicians can make wrong decisions and misdiagnoses. He has been presenting on this topic for several years for the Duke University Health System and the Duke Patient Safety Center. Dr. J. Bryan Sexton has captured the wisdom of front line caregivers through rigorous assessments of safety culture, teamwork and workforce resilience. His research instruments have been used around the world in more than 3,000 hospitals in 30 countries. His current R01 grant from Nathinal Institutes of Health (NIH) is a randomized clinical trial of resilience training. He has studied teamwork, safety and resilience in high-risk environments such as the commercial aviation cockpit, the operating room and the intensive care unit, with funding from NIH, NASA, Robert Wood Johnson Foundation, Swiss National Science Foundation and the Gottlieb Daimler and Karl Benz Foundation. With specializations in organizational assessment, teamwork, survey development and quantitative methods, he spends his time teaching, mentoring, conducting research and finding practical ways of getting busy caregivers to do the right thing by making it the easy thing to do. He has found that results across industries, work settings, shifts, professions and countries highlight a great deal about reliability in high-risk environments – specifically, “you are better off changing the situation, than trying to change human nature.” Page 6 HEALTH CARE WORKER RESILIENCE AND QUALITY IMPROVEMENT Webinar Series Registration Register online at www.ihaonline.org/education/all-events. Registration Fees This is a 12-part webinar series; each program can be taken independent of the others. Individual Webinar – $375 per webinar (Purchase six or more individual webinars and receive a 10 percent discount) Webinar Series* (12 webinars total) – $3,600 Critical Access, Rural Hospitals and Clinic pricing. Please contact IHA for a coupon code prior to registering. Individual Webinar – $295 per webinar (Purchase six or more individual webinars and receive a 10 percent discount) Webinar Series* (12 webinars total) – $3,012 *If purchasing the entire webinar series, payments may be made in quarterly installments. Continuing Education • • • • In order for Nursing CEUs to be offered, your organization will need to assign an on-site proctor to oversee the process required by the Iowa Board of Nursing and Iowa Hospital Association in your location. Organizations must be registered before a proctor can be assigned. After registering, please contact Ellen Waller at [email protected] to receive the proctor agreement and instructions. In order to receive CEUs for viewings of the recording, arrangements must be made for each date the recording is shown. To be eligible to offer CEUs, you must make proctor arrangements no later than the dates listed below: Webinar Date Date to Contact IHA January 17, 2017 No CEUs Available February 15, 2017 No CEUs Available March 1, 2017 February 27, 2017 April 12, 2017 No CEUs Available May 10, 2017 May 1, 2017 June 5, 2017 May 22, 2017 July 12, 2017 No CEUs Available August 9, 2017 July 26, 2017 September 6, 2017 August 23, 2017 October 4, 2017 September 20, 2017 November 9, 2017 No CEUs Available December 13, 2017 No CEUs Available Page 7 Email Address/Registration Policy • • • • Registration fee is charged per phone line. Each organization that registers is required to provide a contact person’s email address. The email address listed will be sent log-on information and handouts a minimum of 24 hours prior to the webinar. No-shows will be billed. Cancellation/Refund Policy • • • • • • A full refund will be given to all cancellations received 15 or more business days prior to the program. A $125 administration fee will be charged to all cancellations received six to nine business days prior to the program. No refunds will be given to cancellations received five or fewer business days prior to the program. Refunds will be calculated by the date received and the IHA business days remaining prior to the program. IHA reserves the right to cancel the program due to insufficient enrollment in which case pre-registered participants will be notified and full refunds provided. All cancellations and substitution requests must be sent in writing to Ellen Waller (iharegistration@ihaonline. org) by email. Recordings A video recording of each webinar will be made available for two weeks following the live webinar for all registered attendees. ADA Policy IHA does not discriminate in its educational programs on the basis of race, religion, color, sex or handicap. IHA wishes to ensure no individual with a disability is excluded, denied services or segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids and services. If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this program, please call 515-282-3965, fax 515-283-9366 or write to the Department of Education at IHA. Page 8
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