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Mindfulness_Denver VA Medical Center_Nurses Week Presentation
- 1. Putting an Idea to the Test: Mindfulness in Clinical Practice Heather M. Gilmartin, NP, PhD Post-doctoral Nurse Fellow Denver VA Medical Center Heather.gilmartin@va.gov
- 2. I am interested in how working in healthcare affect people’s lives
- 3. Why is Working as a Nurse So Hard? Who or what is to blame? Organizational structures Professional cultures Work environment Our patients Our colleagues Ourselves
- 4. My Questions Can we change organizations? Can we change people?
- 5. Everyone thinks of changing the world, but no one thinks of changing themselves. Leo Tolstoy
- 6. Hand Hygiene Hand hygiene is a moment to slow down Prompt to take a breath, be more aware of myself, be present Practice self-care
- 7. Mindfulness A mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations.
- 8. The Test Me first Colleagues second Is anyone else doing this? Write it up – talk about it Set-up an experiment
- 9. My Idea It is not novel It is not innovative It is a practical application of a 2,500 year old meditation Prompted by a action we do before and after we care for a patient
- 10. What ideas do you have that can revolutionize healthcare? Thank you
Editor's Notes
- I am nurse and a social scientist. I am interested in how social phenomena affect people’s lives. Social phenomena – like our work lives – are central to the quality of our lives I worked as an NP for 10 years prior to my PHD and found that clinical practice was hectic, I felt frazzled throughout the day I found myself not at my best – reactive, not fully focused on my patients. I needed to find a way to slow down for I was getting burnt out
- Organization to blame? Pushed me to do more with less? Was the clinic culture to blame? Workaholic tendencies? Was the work environment to blame? Leadership didn’t know what was actually going on? Was I to blame? I couldn’t handle the pressure Were my patients to blame – they asked for so much and I couldn’t meet their expectations? Was any of this impacting the way I care for patients? Was I making errors? Were patients being harmed?
- How can I slow down at work, be more aware of my surroundings, and be present for my patients and colleagues? Jean Watson’s Theory of Human Caring/Caring Science Caring for self and others Authentic presence Caring moments Pause and center before entering the patients space Tried it – wash my hands before entering the patient room and would really be present to the experience of washing my hands. Deep breathe or two, feel the water, feel the soap, feel the gel Massage my hands and wrists Focus my attention on my thoughts and emotions – just watch it, don’t respond Set an intention for that visit Smile and just feel a bit clearer It helped; I actually craved it at times. I had babies, it would help me when they cried, when they drove me crazy My colleagues saw me doing this and asked about it They started it – our hand washing rates went up – we all talked about our need to buy nicer smelling soap It became a practice we could use to be more mindful, when we noticed we were mindlessly running around