2019 CNA Annual Conference

Mary Jo will be demonstrating how our practice, our relationships with each other, patients and families, are all connected to a healthy work environment and how "transforming" the work environment occurs at an individual level as well as a systems level. She will describe personal and organizational data driven steps that can be taken to make successful change in the work environment and patient outcomes.

This presentation provides current global, national and state statistics around human trafficking. It also defines labor versus sex trafficking and provides some background on the extent of the issue and why it is so successful in today's societies. My presentation further goes into how healthcare professionals can learn and recognize red flags helping them better identify victims. Lastly, it discusses the concept of safety and victim management and care for these individuals. My attached presentation is an example of one that I give to ED/UC nurses and can be tailored to all healthcare disciplines. The Emergency Nurses Association in 2012 stated that 84.3% of human trafficking victims come in contact with medical professionals as some point and go unidentified. This very statistic is why I believe it is imperative that healthcare professionals receive some form of human trafficking education.

In today’s health-care environment, nurses face an increasing amount of stress that can negatively impact the work environment. Creating an optimal work environment involves a culture shift on the organizational, team and individual level, with the individual level representing the most important level of change required. Indeed, “without individual change, there is no change,” as “cultural transformation starts with personal transformation.” 1   On an individual level, healthy work relationships begin with recognizing our most authentic self and learning to identify our sense of meaning and purpose in the world. When we learn to value ourselves and our unique contributions to the greater good, our work becomes a vehicle for self-expression, rather than a chore. When we identify our own sense of meaning and purpose in the world, we build our inner integrity, our inner core which allows us to freely participate in a higher purpose. A shared higher purpose builds team strength, enhances camaraderie, increases intergenerational trust, and promotes a healthy cultural environment. We will base our presentation on Story Catchers, a workbook that leads individuals through a journey of personal growth, resulting in greater self-understanding, relational intelligence and the ability to discover meaning and purpose in any circumstance. Story Catchers™ is derived from THRIVING FROM WITHIN®, a meaning-centered model of health and wellness. When used within a team setting, Story Catchers™ encourages change on an individual level and promotes a positive cultural shift through shared higher purpose, ultimately benefitting the individual, the team, the organization, patients and their families. 1 Parisse-Brassens, J.(2018). The three levels of change required to shift culture. Retrieved from https://www.humansunergistics.com/blog/culture-university/detils/culture-university/2018/08/07/the-3-levels-of-change-required-t0-shift-culture

Health care continues to improve the quality and predictability of care outcomes so patients can experience improved health and decreased suffering. But we still see daily examples of uneven quality and access and an increasing problem of affordability for patients and families. Physicians are not more important than all of the other stakeholders in health care, but we do have disproportionate impact on outcomes due to the many touch points where we significantly impact the process and/or outcome. This disproportionate impact should engender disproportionate accountability to “opt in” to all the ways health care touches our patients and families : physically, socially, psychologically, and financially. We track the evolution of health care from both the patients view and that of the physician. We follow the rapid growth in knowledge, technology , and both diagnostic and therapeutic options. This marvelous increase in knowledge nd capability has also created major increases in complexity that are radically forcing change that is pressing on both patients and physicians. We bring the past as a source of learning to the present and offer a clear eyed view of the impact of complexity as described , but add more development of added complexity as patients are cured or stabilized from difficult illnesses and go on to develop additional conditions. All of this lands in the middle of the doctor-patient relationship and has made many aspects of the experience better, but other aspects very difficult. We show how the current state for both patients and physicians must change and improve and outline how physicians must not become victims to all the change, but become leaders in improving care in this age of technology and information explosion.. Details of how the model of one doctor, one patient, and one paper chart can be enthusiastically changed into care that is delivered using technology, information, and teams to create excellent and personal care is demonstrated. Tangible examples add proof points to this very positive future state that can create a health care system that patients want, need, and deserve but also provide physicians a growing sense of professional confidence and pride in their work and being the kind oh healing physician they believe has been and should be their standard.

This is a REMS curriculum that meets the requirements of the FDA blueprint for education for IR/ER Opioids. The FDA has added RNs as a target group for this important education in an effort to expand and improve knowledge about the significant healthcare challenge of opioid use and misuse.

This session will include conceptual framework for pain, IR and ER opioids, patient and family counseling on safe use and disposal, as well as the complications associated with misuse and diversion, and a section on opioid use disorder (addiction).

This program is sponsored by the Nurse Practitioner Healthcare Foundation (NPHF) and is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Curriculum developed by the Collaborative for REMS Education (CORE), http://core-rems.org. The Nurse Practitioner Healthcare Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. 1.5 contact hours and pharmacology credit will be awarded by NPHF upon completion of the program Assessment and Evaluation at the end of the session.

Session Objectives:

• Describe the pathophysiology of pain as it relates to the concepts of pain management
• Accurately assess patients in pain
• Identify the components of a safe and effective pain treatment plan
• Discuss evidence-based non-opioid options for the treatment of pain
• Identify the risks and benefits of opioid therapy
• Counsel patients and families about safe opioid management, as well as signs and treatment of overdose.
• Recognize behaviors that may be associated with opioid use disorder

More to come....