APNA 29th Annual Conference Session 3052: October 30, 2015 APNA Recovery Council Brought to you by: Interactive Panel APNA Recovery Council Steering Committee Integrating the Lived Experience of Recovery and Recovery Principles into Psychiatric Mental Health Nursing Graduate and Kris Lambert PhD RN: Chair Jennifer Barut PhD(c), MSN, RN-BC: Co-Chair Undergraduate Curriculum through Genevieve Chandler PhD, RN Member Collaborative Partnerships, Innovative Sue Brammer PhD, RN Member Projects and Reflective Learning Kathleen McCoy DNSc, APRN-BC, FAANP Member Disclosure Learning Outcomes O Articulate recovery oriented principles of care delivery. The speakers do not have any conflict O Describe the significance and value of using of interest, commercial support or individuals with lived experience to promote off label use to disclose. recovery as a component to PMH nursing curriculum. O Integrate the use of reflective practice to prepare students/working nurses to be present while actively listening to difficult topics. Best Practice Using Recovery Principles O Hope O Positive Deviance and Recovery O Empowerment O Teaching Recovery O Self-Responsibility O Person First Language O Connection O Social Inclusion O A Meaningful Life O Sue’s Story O The Pathways of Recovery O Share your story, innovation, practice, experience Lambert 1
APNA 29th Annual Conference Session 3052: October 30, 2015 Positive Deviance and Recovery Positive Deviance: ……as in to deviating from the norm O See and acknowledge what is working K3 O Work with those “islands of health” O Consider person centered preferences O Trust that you and the person receiving care are in the recovery model O Consider this a part of the “Big Picture” O The Journey to societal change is “L…O…N…G…” O Stick with it Empow erment: Teaching Recovery Teaching Recovery From Teacher to Student to Patient Mindful practice Good thoughts, bad thoughts Lambert 2
Slide 8 K3 THis slide needs to be placed behind the PD on black slide Kathleen, 10/4/2015
APNA 29th Annual Conference Session 3052: October 30, 2015 Notice the good Pleasure moments O Slow down O Find beauty O Be patient O Take refuge O Do what you can Nature Connection: Social Inclusion & Peer Support=Stigma Reduction Autobiography In Our Ow n Voice Lambert 3
APNA 29th Annual Conference Session 3052: October 30, 2015 “You Need to Talk w ith Bruce” Discussion Board The elimination of the dangerous “us and them” myth How to find common ground, making connection easy and painless The honor of listening to an individual’s story, emphasizing the importance of the narrator “We do not learn from experience. The simplicity of being present and available We learn from reflecting The need to help individuals access and restore lost skills on experience.” The importance of offering/holding hope for each person John Dewey How to encourage an individual to resume their journey The necessity of ensuring self-care activities are identified and consistently followed Recovery and Mental Health • A process of change through which individuals improve their health and wellness, live a self- directed life, and strive to reach their full potential. • How can we help? Self-Responsibility: Person First Language Person First vs. Stigmatizing Language Person First Language Write or Say… Instead of… Person diagnosed with Schizophrenic O Language is Schizophrenia powerful. It Person with a mental illness Mentally ill influences our Person coping with an addiction Afflicted with addiction perceptions, what Person diagnosed with BPD Borderline we think, how we Person making own choices or non ‐ Noncompliant act…and how we K2 adherent care for patients. Person using available coping skills Needy trying to get needs met Describe behaviors Manipulative, acting out, attention ‐ seeking, drug ‐ seeking It’s Who We Are See how the PERSON comes FIRST!! Lambert 4
Slide 24 K2 nonadherent/or incongruent Kathleen, 10/4/2015
APNA 29th Annual Conference Session 3052: October 30, 2015 Moral Courage “All work that uplifts O Conflict arises when nurses become misaligned humanity has dignity and with their duty to patients. importance and should be undertaken with painstaking O Repenshek (2009) reported that this continuing conflict eventually leads to chronic stress. excellence” O Moral distress can lead to burn out, ‘hardening,’ disengagement, and lack of focus on the Martin Luther King, Jr. primary work of nursing. It’s Who 25 We Are Your Role: How to be a Role Model Moral Courage O Demonstrate confidence and leadership You need to have the moral courage to role model recovery behaviors to other nurses O Don’t be afraid to be unique O Communicate your concerns, or what you have observed O Be knowledgeable about recovery O Have humility and willingness to admit mistakes It’s Who We Are Florence Nightingale says: “It may seem a strange principle to enunciate as the very first requirement in a Hospital that it should do the sick no harm.” [1859] “What nursing has to do is to put the patient in the best condition for nature to act upon him.” From Notes on Nursing [1860] “ Nursing creates the environment most conducive to Recov Recovery and a and a Meani Meaningfu gful Life: Life: body's reparative processes.” Sue’s Story Sue’s Story The creation of this environment 29 begins with our language Lambert 5
APNA 29th Annual Conference Session 3052: October 30, 2015 Tweet Us: Recovery’s Impact O Recovery moving from PMH to other fields Your Ex ur Experience... rience... & vice-versa Your M ur Moment. nt... .. O Kathleen’s story: Your S ur Stor ory... ... O Oncology and the dissolving of stigma A Tweet t that ca can’t b t be beat! O A Recovery Stance can avert sequelae of In 140 characters (or 2 short sentences), write devastation about a reco covery pr practi tice ce that you have seen O Dare to embrace what recovery means to: or implemented. O You personally (embrace your individuality) O To your persons on your trust (e.g.; students) O Patients and all sacred others Share Your Report Out Story/Experience O Break into small groups. O Share your story/experience/ observation with your group. O Record/write your findings. O Report out to large group. An Individual & Collective Journey Final Thoughts to the Big Audacious Goal O That will ultimately impact the globe O We occupy time and space O We effect change incrementally in degrees O First in small steps O Ultimately with Malthusian uptake O Grassroots to Global O The PMH nurse takes the first steps to achieve a new global norm Lambert 6
APNA 29th Annual Conference Session 3052: October 30, 2015 References O Bulman, C. & Schultz, S. (Eds). (2013). Reflective practice in nursing (5 th ed.). West Sussex, UK: Wiley and Sons. O Germer, C. (2009). The mindful path to self-compassion . New York: Guildford Press. O Jensen, M., Pease, E., Lambert, K., Hickman, D., McCoy, K., Barut, J. & Ramirez, J. et al. (2013). Championing person-first language: A call to psychiatric mental health nurses. Journal of the American Psychiatric Nurses Association 19(3), 146-151. O Moller, M., & McLoughlin, K., (2013). Integrating recovery practices into psychiatric nursing: Where are we in 2013?. Journal of the American Psychiatric Nurses Association, 19(3), 113-116. O Weston, M.J., (2010). Strategies for enhancing autonomy and control over nursing practice. The Online Journal of Issues in Nursing , 15 (1) 2. Lambert 7
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