NAPH HCAHPS L e ar ning Ne twor k: Be yond the Basic s Offic e Hour s: Maintaining Compassionate Car e F e b rua ry 13, 2013 Ja ne Ho o ke r, Ca rrie Bra dy a nd Je ro d a nd She rri L o e b
Ag e nda I ntro duc tio ns T he L e a rning Se rie s • Pa tie nt a nd F a mily E ng a g e me nt-T he L o e b ’ s a nd “We dne sda y’ s with Je ro d” • L e tte rs o f Co mmitme nt • Pre Wo rk a nd Ho me wo rk • I HI Ope n Sc ho o l • CE Us • T ra nsfo rma tio n Ce nte r HCAHPS we b site info rma tio n • T e a m Pic ture s fo r the We b site Co mpa ssio n a nd Co mpa ssio n F a tig ue • Po lling Que stio ns Wha t c a n yo u do a t yo ur o rg a niza tio n?
T he Va lue o f the NAPH HCAHPS L e a rning Ne two rk L e tte rs o f Co mmitme nt Be lle vue , Bro wa rd**, Co o pe r Gre e n, E lmhurst, Ha rle m**, Ja c o b i, Sha nds UF , HHC No rth Ce ntra l Bro nx, K ing s Co unty, Me tro po lita n, Olive Vie w-UCL A, Que e ns **I HI Ope n Sc ho o l
T e a m Pic ture s
Wha t do e s b e ing c o mpa ssio na te me a n? Co mpa ssio n inc lude s ‘ e mpa thy, re spe c t, a re c o g nitio n o f the uniq ue ne ss o f a no the r individua l, a nd the willing ne ss to e nte r into a re la tio nship in whic h no t o nly the kno wle dg e b ut the intuitio ns, stre ng ths, a nd e mo tio ns o f b o th the pa tie nt a nd the physic ia n c a n b e fully e ng a g e d’ (L o we nste in 2008).
Co mpa ssio na te Ca re • Co mpa ssio na te c a re is de fine d a s: ‘ a de e p aware ne ss o f the suffe ring o f ano the r c o uple d with the wish to re lie ve it’ (Cho c hino v 2007).
Co mpa ssio n F a tig ue • Co mpa ssio n fa tig ue is the fina l re sult o f a pro g re ssive a nd c umula tive pro c e ss tha t is c a use d b y pro lo ng e d, c o ntinuo us, a nd inte nse c o nta c t with pa tie nts, the use o f se lf, a nd e xpo sure to stre ss. • All the se sta te s ma nife st with ma rke d physic a l, so c ia l, e mo tio na l, spiritua l, a nd inte lle c tua l c ha ng e s tha t inc re a se in inte nsity with e a c h pro g re ssive sta g e .
Risk F a c to rs a nd Ca te g o rie s o f Co mpa ssio n F a tig ue Contact with Compassion patient Fatigue Compassion Stress Lead Use of self to Compassion Stress Discomfort Obtained and modified from Compassion Fatigue Within Nursing Practice: A Concept Analysis (Knobloch Coetzee & Klopper, 2010)
Po lling Que stio n Co mpassio n F atig ue c o me s in stag e s Co mpa ssio n fa tig ue is c a use d b y the pro lo ng e d e xpo sure to the fo llo wing fa c to rs. I n your ie nc e , whic h fa c to r is the e xpe r g re a te st c o ntrib uto r to de ve lo ping c o mpa ssio n fa tig ue ? • Ca re o f pa tie nts • Use o f se lf (o r g iving o f se lf) • E xpo sure to stre ss
Po lling Que stio n Co mpassio n F atig ue c o me s in stag e s Ha ve you e ve r b e e n in o ne o f the se sta g e s? • Co mpa ssio n disc o mfo rt ( le sse ne d e nthusia sm, we a rine ss, ina b ility to a id we a ke ning a tte ntio n ) • Co mpa ssio n stre ss ( lo ss o f stre ng th, e mo tio na lly o ve rwhe lme d, inc re a se d physic a l c o mpla ints, ina b ility to sha re in suffe ring ) • Co mpa ssio n fa tig ue ( witho ut e ne rg y, b urno ut, a c c ide nt- pro ne , a pa the tic , de sire to q uit disinte re st in intro spe c tio n ) • All o f the a b o ve
Po lling Que stio n Co mpassio n F atig ue Sympto ms I n your ie nc e , wha t is the mo st da ng e ro us ma nife sta tio n o f e xpe r c o mpa ssio n fa tig ue tha t c o uld impa ir your a b ility to do your jo b ? • Physic a l e ffe c ts (we a rine ss, lo ss o f stre ng th, la c k o f e ne rg y, re duc e d o utput) • So c ia l e ffe c ts (unre spo nsive ne ss, c a llo usne ss, indiffe re nc e ) • E mo tio na l e ffe c ts (le sse ne d e nthusia sm, b re a kdo wn, de se nsitiza tio n, a pa thy) • Spiritua l e ffe c ts (la c k o f spiritua l a wa re ne ss a nd disinte re st in intro spe c tio n, de c re a se in disc e rnme nt) • I nte lle c tua l e ffe c ts (b o re do m, diso rde rline ss, we a ke ning a tte ntio n, impa ire d a b ility to c o nc e ntra te )
T he L o e b ’ s Je ro d a nd She rri-I kno w ma ny sto rie s fro m yo u a b o ut yo ur re c e nt e xpe rie nc e s-b o th g o o d a nd no t so g o o d. I ha ve two fa vo rite e xa mple s o f pro fo und c o mpa ssio n-the MRI a nd the Ortho MD with She rri-do yo u ha ve fa vo rite e xa mple s o f c o mpa ssio na te c a re yo u wo uld like to sha re ?
We b inar Partic ipants What have b e e n e xample s fro m yo ur o wn e xpe rie nc e -e ithe r as a c are g ive r o r a patie nt that are yo ur favo rite e xample s o f c o mpassio nate c are ?
T he Oppo rtunity fo r Ac tio n E a c h o f yo u ha s ha d a n e xpe rie nc e “to re me mb e r”- re pe a t, re me mb e r, re pe a t, re me mb e r, re pe a t, re me mb e r Wha t a re ide a s to inc re a se the se a c tivitie s a t yo ur o wn o rg a niza tio n?
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