A couple of weeks ago I was an invited speaker at the ANMF Vic Branch & NMHPWellness Conference. The session was titled “Mental Health in the General Hospital”. Regular visitors to the meta4RN.com blog would have seen the accompanying web page to the presentation (here it is: meta4RN.com/ANMFvic).
This week the recording of the conference became available. I’ve snipped my session into a YouTube video and saved it here so it’s easy to find and share with those who have expressed an interest in seeing it (thanks Mum 🙂).
For reasons I don’t understand the video version of the presentation is blighted by a couple of static black boxes; these are not visible at all when viewing the actual Prezi. Mysterious. 🤷♂️
My noggin is a bit blurred/asynchronous when on screen – that would be due to the NBN being slowed to a crawl by copper wire, I guess. Fibre to the node, eh? 🙄
Those couple of things aside, it’s interesting (for me) to see the video version back. Yes, it’s a bit embarrassing, but it also shows me the sort of things I should try to improve for future presentations. Less face-touching, for instance. 😕
Still image from the video. L-R: Eduardo D’Bull, Stone Woman by Ruth Malloch, Paul McNamara and Bessie D’Cow.
End
That’s it. No need to ramble any further – this blog post is all about the video (feat. Eduardo D’Bull and Bessie D’Cow). 📺 🐮 🐄
As always, feedback in the comments section below is welcome.
Anyway, this page is a place to link to the Prezi and the presentation content for the session. Because the presentation draws heavily on previous work I’ve done, the reference list is ridiculously self-referential.
A random sample of journal articles by/about Nurses working in an Australia Consultation Liaison Psychiatric Service (not pretending/trying to be an exhaustive list).
Harvey, S.T., Fisher, L.J. and Green, V.M. (2012), Evaluating the clinical efficacy of a primary care‐focused, nurse‐led, consultation liaison model for perinatal mental health. International Journal of Mental Health Nursing, 21: 75-81. https://doi.org/10.1111/j.1447-0349.2011.00766.x
McMaster, R., Jammali‐Blasi, A., Andersson‐Noorgard, K., Cooper, K. and McInnes, E. (2013), Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses. International Journal of Mental Health Nursing, 22: 154-161. https://doi.org/10.1111/j.1447-0349.2012.00857.x
McNamara, P., Bryant, J., Forster, J., Sharrock, J. and Happell, B. (2008), Exploratory study of mental health consultation‐liaison nursing in Australia: Part 2 preparation, support and role satisfaction. International Journal of Mental Health Nursing, 17: 189-196. https://doi.org/10.1111/j.1447-0349.2008.00531.x
Sharrock, J., Grigg, M., Happell, B., Keeble‐Devlin, B. and Jennings, S. (2006), The mental health nurse: A valuable addition to the consultation‐liaison team. International Journal of Mental Health Nursing, 15: 35-43. https://doi.org/10.1111/j.1447-0349.2006.00393.x
Sharrock, J. and Happell, B. (2002), The psychiatric consultation‐liaison nurse: Thriving in a general hospital setting. International Journal of Mental Health Nursing, 11: 24-33. https://doi.org/10.1046/j.1440-0979.2002.00205.x
Wand, T., Collett, G., Cutten, A., Buchanan‐Hagen, S., Stack, A. and White, K. (2020), Patient and clinician experiences with an emergency department‐based mental health liaison nurse service in a metropolitan setting. International Journal of Mental Health Nursing, 29: 1202-1217. https://doi.org/10.1111/inm.12760
McNamara, P. (2014) A mental health nurse in the general hospital, blog post published by ‘My Health Career’ on 12/05/14, retrieved 03/05/21 www.myhealthcareer.com.au
Thanks to QR Code Monkey for providing a free, easy-to-use, QR code generator that allows for a logo to be inserted.
Something that pandemic has provided is ubiquitous uptake of QR codes, which makes this 2012 idea of deploying complex health information via a QR code more practical/relevant than ever. More info on this via the video below and/or ye olde blog post: meta4RN.com/QRcode
Thanks for visiting. As alway, feedback is welcome via the comments section below.
Australian Red Cross & Australian Psychological Society (2020). Psychological first aid: Supporting people affected by disaster in Australia. 3rd Edition. www.redcross.org.au
Hildegard Peplau quote was completely made-up, but (to my mind, at least) it sums-up the vibe of Interpersonal relations in nursing: A conceptual frame of reference for psychodynamic nursing (1952) :
“The relationship is the therapy.”
NB: as far as I know, this not a Peplau quote, but [thanks Google] I see that it has been attributed to M. Kahn (1997). Between therapist and client: The new relationship
Joseph Heller quote from Catch-22 (1961): “People knew a lot more about dying inside the hospital, and made a much neater, more orderly job of it. They couldn’t dominate Death inside the hospital, but they certainly made her behave. They had taught her manners. They couldn’t keep death out, but while she was in she had to act like a lady.”
Hurley, J. & Linsley, Paul. (2012). Emotional intelligence in health and social care: A guide for improving human relationships. Routledge.
Mental Health Coordinating Council (2013). Trauma-Informed Care and Practice: Towards a cultural shift in policy reform across mental health and human services in Australia, A National Strategic Direction, Position Paper and Recommendations of the
National Trauma-Informed Care and Practice Advisory Working Group, Authors: Bateman, J
& Henderson, C (MHCC) Kezelman, C (Adults Surviving Child Abuse, ASCA)
Tim Winton quote from Cloudstreet (1991):
““Life was something you didn’t argue with, because when it came down to it, whether you barracked for God or nothing at all, life was all there was. And death.”
Woody Allen quote from Without Feathers (1975) “I’m not afraid of death; I just don’t want to be there when it happens.”
One more thing
In doing this session previously it has popped-up that it can be distressing being unable to contact relatives from a blocked/private phone number. Here’s a tip:
From: Paul McNamara Sent: Wednesday, 9 December 2020 17:00 PM To:0412345678@smsmessages.health.qld.gov.au Subject: To send an SMS via QHealth email type your message in the subject space and send using the mobilephonenumber@smsmessages.health.qld.gov.auformat. Also, you can copy & paste the message into ieMR, as I’ve done here.
More info on this theme @ Thinking Health Communication? Think Mobile.meta4RN.com/mobile
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That’s it. As always you’re welcome to leave feedback via the comments section below.
Stories on the TV that speak of the mental health impacts of COVID-19/other issues nearly always end with words to the effect of, “And if this has raised any issues for you help is always available. Phone Lifeline on 13 11 14.”
In keeping with Mindframe media guidelines, it’s good that help-seeking information is included in these stories, but it doesn’t cater for the full spectrum of mental health problems.
Lifeline, for example, is a crisis support line, akin to lifesavers plucking people from the dangerous surf. It’s vital, but it’s not a “one size fits all” service (nor should we expect it to be).
Anyway, most of us would rather early intervention/prevention rather than crisis intervention. It’s better to learn how to swim than rely on someone saving you from drowning.
If you’re on the lowest (blue) step, you’re doing OK. Keep those healthy relationships and habits going.
If you’re on the second-lowest (green) step you probably should be more intentional about protecting your social and emotional wellbeing. Chat to people you love/trust, and see if any of the digital resources at Head To Health match where you’re at.
If you’re on the middle (yellow) step it’s definitely time to connect with someone. If you’re a Nurse or Midwife that could be NMSupport in the first instance, if you’re in North Queensland you may consider contacting Connect to Wellbeing. Elsewhere you may need to google or go via healthdirect re equivalent services.
If you’re on the second-top (orange) step, don’t muck-about: make a double appointment to see your GP. S/he won’t necessarily reach straight for the prescription pad. The GP may discuss making a Mental Health Treatment Plan, which should include your goals and – if you and your GP agree it’s worth a try – a referral to a specialist mental health professional.
If you’re on the top (red) step you will almost certainly want to make contact with your local mental health service. In Queensland phone 1300 64 2255 (1300 MH CALL). Outside of Queensland you should be able to track-down your local service via healthdirect.
One. Step. Beyond.
This blog post was inspired by chatting with hospital colleagues who were not familiar with the Stepped Care Model of Mental Health. Many thanks to these terrifically impressive people who are definitely NOT heroes: they’re just everyday compassionate, creative, funny, clever and skilled health professionals who – in a crisis – will go one step beyond to support the people who need it.
One last thing. If, like me, you have a foot one step beyond your usual step, perhaps the jaunty Madness (1979) song “One Step Beyond” will provide temporary distraction and cheer. 🙂
End
Thanks very much for visiting. As always your feedback is welcome in the comments section below.
I’m not sharing this info as a macabre version of State of Origin or the Bledisloe Cup. It’s not a competition. It’s certainly not a game. Thousands of families across the world are in mourning.
Nevertheless, it is useful to have a benchmark of how we are faring. To give us perspective it’s useful to compare progress across areas/populations. As per the list below, Queensland’s population size compares better to New Zealand, Ireland, Norway and Singapore than other Australian states and territories.
Population Comparison (Australian states/territories + selected countries, small to large) Northern Territory 245,000 Australian Capital Territory 428,000 Tasmania 535,000 South Australia 1.75 million Western Australia 2.63 million New Zealand 4.82 million Ireland 4.94 million Queensland 5.11 million Norway 5.37 million Singapore 5.85 million Victoria 6.63 million New South Wales 8.12 million
So What?
Hopefully, the encouraging data in this chart serves as an anxiolytic for Queensland health workers and their patients. That’s the intent.
Compared to many countries Australia and New Zealand are doing very well with the whole #COVID19 thing.
Reminder: If you’re 20 points up before half time in the Bledisloe Cup don’t start celebrating victory. Stick with the game plan. #COVID19nz#COVID19auhttps://t.co/x2zctvY4qc
At this point in time (the beginning of April 2020) PPE is popping-up in news and social media feeds frequently. Understandably, with the outbreak of the #COVID19 pandemic, clinicians are much more conscious of Personal Protective Equipment (PPE) than usual. Even crusty old mental health nurses like me have revisited and refreshed our knowledge on PPE.
That’s sensible. It’s also sensible to acknowledge that there’s more than one type of PPE.
Positive Practice Environment (PPE)
Today some nurses who work on a ward receiving patients suspected/confirmed to have COVID-19 identified elements that are contributing to their ward working well. Although there’s still some anxiety, of course, generally it is a PPE (positive practice environment). Some of the things nursing staff identified were:
Team Nursing. The RNs highlighted this as a part of the PPE. In a team you never feel like it’s your burden to bear alone, there’s someone to check with donning and doffing personal protective equipment, and there’s always someone to help if you’re in the isolation room and need something extra.
Communication. Communciation within the nursing team, and between the nursing staff and senior medical staff is much better than usual. Regular meetings both formal and informal are really helpful.
Working Smarter. For example: before entering an isolation room, call the patient on their bedside/mobile phone to see if they need anything extra. Similarly, making an arrangement with the patient that they can buzz or phone if they need anything. Increased use of phone = decreased frequency of entering isolation room = decreased use of personal protective equipment.
Getting Smarter. Asking questions and brainstorming solutions. Everyone acknowledges that they aren’t experienced or experts in pandemics, and that collaborative care is the only way to problem-solve the way forward. Patients generate solutions too
Staying Focused. There is so much information swirling about regarding COVID-19, that it is important to limit the sources and exposure. We need to trust the health department that employs us to give us the correct information at the correct time. We can’t afford the time or mental/emotional energy to look at everything that’s out there.
Downtime is Sacred. When everything at work seems to have a COVID-19 twist to it, it’s important to shield against overload. Strategies include:
Don’t watch the news, watch a movie.
Be careful how much time we spend in the social media echo chamber.
Switch off social media and the TV and listen to music.
Ask friends and family not to use “the C word” around you.
Downtime is Sacred.
Three Final Thoughts
One
It’s not just about wearing PPE (as in personal protection equipment) it’s about creating a PPE (as in positive practice environment) too. Nobody pretends for a moment that there are not more and/or better ideas than those above, but being intentional about both lots of PPE is helping.
Two
What’s more contagious: COVID-19 or anxiety?
Three
I can’t believe that it’s been less than 2 months since the term “COVID-19” was first coined. It has infected nearly every news article and conversation since early February 2020.
“Clean Hands. Clear Head.” is an animation of a mindfulness script that distills the content of my 2016 blog post “Hand Hygiene and Mindful Moments” into a short (less than 2 minutes) video. The voice part was recorded on an iPhone at a hospital sink #authentic. The visuals were done on Prezi.
Addit 29/03/20: to my surprise, some people want a text version. I won’t write out the whole thing (too long, a bit dull), but below are some key phrases:
This is my mindful moment. The anxiety and tension will be washed away. I will rub in the resilience and kindness that sustains me. After 20 seconds or so I will pretend I’m TayTay, and shake it off. 🙂 I will smile, then will intentionally slow my breathing. Me and my hands will be safe.
Feels free to use/modify PRN. I would be grateful for source attribution as “meta4RN.com/head”
Just in case it’s handy here is a PDF: CleanHandsClearHead
And here is a MS Word version: CleanHandsClearHead
Part 2. Surviving Emotionally Taxing Work Environments. March 2020 version.
On a related topic, for the last few years I’ve facilitated many hour-long, interactive sessions called “Self Care: Surviving Emotionally Taxing Work Environments.” for my fellow nurses at the hospital where I work. As at March 2020, I’m not confident that we’ll have an opportunity to meet face-to-face as a group all that often, so I’ve tweaked the session, tried to cut-down on the rambling, and have switched from hour-long interactive, to 20 minutes of well-intentioned, a tad-amateurish, youtube video embedded below:
Self Care: Surviving Emotionally Taxing Work Environments. March 2020 version. (video, 20 mins)
Here’s a link to the Prezi version of “Self Care: Surviving Emotionally Taxing Work Environments. March 2020 version”: prezi.com/xcejt9pgd0b3
Part 3. References & Resources.
I’m recycling and combining a lot of old ideas for the March 2020 version of “Self Care: Surviving Emotionally Taxing Work Environments.” Self-plagiarism? Nah – it’s a groovy remix of some favourite old songs. Regular visitors to meta4RN.com may recognise the repetition, and be quite bored with me using the website as a place to store updated versions of old stuff. Sorry about that, but it’s just so damn convenient. 🙂
Here are the resources and references used in the presentation: (because I’m recycling old ideas this list is ridiculously self-referential).
Australian College of Mental Health Nurses [www.acmhn.org], Australian College of Nursing [www.acn.edu.au], and Australian College of Midwives [www.midwives.org.au] (2019) Joint Position Statement: Clinical Supervision for Nurses + Midwives. Released online April 2019, PDF available via each organisation’s website, and here: ClinicalSupervisionJointPositionStatement
Eales, Sandra. (2018). A focus on psychological safety helps teams thrive. InScope, No. 08., Summer 2018 edition, published by Queensland Nurses and Midwives Union on 13/12/18, pages 58-59. Eales2018
Emotional Aftershocks (the story of Fire Extinguisher Guy & Nursing Ring Theory) meta4RN.com/aftershocks
Lalochezia (getting sweary doesn’t necessarily mean getting abusive) meta4RN.com/lalochezia
Nurse & Midwife Support nmsupport.org.au phone 1800 667 877
– we have specifically targeted 24/7 confidential support available
Nurses, Midwives, Medical Practitioners, Suicide and Stigma (re the alarming toll of those who undertake emotional labour) meta4RN.com/stigma
Nurturing the Nurturers (the Pit Head Baths and clinical supervision stories) meta4RN.com/nurturers
Queensland Health. (2009). Clinical Supervision Guidelines for Mental Health Services. PDF
Spector, P., Zhiqing, Z. & Che, X. (2014) Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. Vol 50(1), pp 72-84. www.sciencedirect.com/science/article/pii/S0020748913000357
Chen, R., Sun, C., Chen, J.‐J., Jen, H.‐J., Kang, X.L., Kao, C.‐C. & Chou, K.‐R. (2020), A Large‐Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID‐19 Pandemic. International Journal of Mental Health Nursing. doi.org/10.1111/inm.12796
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Thanks for visiting. Let’s join the kindness pandemic to offset some of the crap that goes with the COVID19 pandemic.
As always, your feedback is welcome in the comments section below.
Stay safe.
Paul McNamara, 25 March 2020, with an update on 8 December 2020
Q: What do wearing gloves, using lifting machines, legislating ratios and clinical supervision have in common?
A: They’re all measures that protect nurses and their patients.
Gloves
Back in ye olde days when I started nursing (the 1980s) the concept of “universal precautions” was introduced (source). In short, suddenly all body fluids were to be treated as potentially infectious. It didn’t matter if you arrived in hospital as a needle-sharing, sexually promiscuous, pus-and-rash stricken bleeding wreck, or a saintly and demure sex, drug and rock-and-roll avoidant 80 year old nun, we treated your body fluids the same. Amongst the changes this heralded was that gloves were to be worn whenever there was a risk of coming into contact with body fluids. It was a new way of working for older nurses and doctors. For newbies it was just standard practice: so much so, that in the mid 1990s the term “universal precautions” was replaced by “standard precautions” in Australia (source).
My first (short lived, temporary) job as a RN was in a nursing home. I had to argue for gloves to be made readily available for the AINs, ENs and RNs. The initial response was along the lines of: [1] using disposable gloves for every encounter with body fluids will be expensive, [2] nurses can wash their hands if they come into contact with urine or faeces, and [3] do you REALLY think that any of these elderly people have been sharing needles or having unprotected anal sex to contract HIV? They came around, but at first the management just did not understand that universal/standard precautions were not just a nuisance cost, but actually an investment in protecting staff and residents/patients.
Lifting
When I was a student nurse I was often made to feel very warm and fuzzy inside. Not because of my sparkling wit and ruggedly handsome looks (🙄), not because of my enthusiastic and self-motivated approach to work, not because of my knowledge or skill, but because I was able to lift people easier than some of my more petite colleagues. Big boofy blokey nurses were handy to have around when patients need to hoisted up a bed, onto a barouche, or transferred between bed and chair.
In the hospital I trained in there were a few lifting machines. The way I remember* it, there were about 3 of them for a 900 bed hospital. So, I was a bit incredulous when I first heard of a “No Lift Policy” in the mid-1990s. “As if!”, I thought, “It will be too slow and too expensive to be practical. It’ll never happen.” Anyway, I was wrong. The No Lift Policy was implemented, and has since been renamed and reframed as Safe Patient Handling. The change has been endorsed by employers and the nurses’ union alike. Nurses of my age/era often have back pain, but younger/newer nurses are now better protected. The purchase of safe patient handling equipment and expense of training is not just a nuisance cost, but actually an investment in protecting staff and patients.
Nurses who were students in the 1980s (ie: pre-No Lift Policy)
Ratios
When I was a student nurse it would be usual to be allocated 6-8 patients on either a morning or afternoon shift, and up to 16ish on night shift. On a ward of over 30 patients in a surgical or medical ward in a large acute hospital, it was pretty standard for one RN and 2 student nurses to run the whole thing overnight. #scarynostalgia
In Australia the states of Victoria and Queensland have legislated nurse:patient ratios. Since July 2016 Queensland nurse:patient ratios have been credited with avoiding 145 deaths, 255 readmissions, and 29 200 hospital bed-days. Amazingly, ratios have been evaluated to save up to $81 million (source). Implementing ratios to stop nurses from burning-out over workloads and to improve quality of care is not just a nuisance cost, but actually an investment in protecting staff and patients.
Clinical Supervision
In April 2019 a joint position statement was issued by the Australian College of Nursing, the Australian College of Mental Health Nurses and the Australian College of Midwives that Clinical Supervision is recommended for all nurses and midwives irrespective of their specific role, area of practice and years of experience (source).
As articulated in the joint statement, there is consistent evidence that effective clinical supervision impacts positively on professional development, and retention of a healthy and sustainable workforce. There is also evidence that clinical supervision of health-care staff impacts positively on outcomes for service-users.
I expect to be still working full time in 5 years time, but not in 10. I hope that by the time I pull-up stumps clinical supervision becomes embedded in nursing practice. Clinical supervision is not just a nuisance cost, but actually an investment in protecting staff and patients.
#qnmuconf@qnmuofficial improving the occupational health and safety of Queensland Nurses and Midwives = improving quality of patient care:
1980s universal precautions ✅
1990s no lift policy ✅
2010s ratios ✅
2020s clinical supervision❓(I hope so) https://t.co/bUJZsGVSTn
This three-part blog post is in praise of Australian football and saying thanks.
AFLW Grand Final, Adelaide Oval, 31/03/2019. Photo by Bernie McNamara.
1. Responding to Compliments with Thanks.
Once upon a time I played a good game of footy. I was playing for my employer at the time, Dairy Vale, in a social match against dairy industry rival Golden North in Clare. My workmate and old school friend John Nolan was our ruckman – he was great at it. John spent all day tapping the ball down to the spot that I was running into. Consequently, I had the ball on the run a lot, which allowed me the time and space to amass a heap of kicks. I even kicked a goal on the run from a centre clearance. It’s the best game of footy I’ve ever played.
The game ended. Dairy Vale had won. The teams were walking off the ground. A friend (Michael Forde) approached and said something like, “Good game Mac. B.O.G.” I brushed the comment off. Nobody likes a bragger. Unexpectedly, Michael responded with a bit of irritation in his voice, saying something like, “When somebody gives you a compliment it’s good manners to say ‘thank you’.” I was a bit taken aback, and responded eloquently, “Umm. Yeah. Umm. Right. Sorry. Umm. Thanks.”
Anyway, Michael was right of course. To him it might have been a throw-away comment on a footy oval. To me it was a valuable life lesson. We were both about 20 years old at the time. I don’t know how Michael was so wise at that age, but it was something I remembered and practiced. Saying, ‘thank you’ to compliments, that is.
2. Self Esteem
Fast-forward 10+ years after playing that game of footy, and I have started work as a mental health nurse. At Glenside Hospital senior nursing staff encouraged junior nursing staff (as I was at the time) to facilitate group discussions and activities. I was asked to facilitate a group about self esteem. It went really well.
I told the John Nolan/Michael Forde story. Then we practiced giving and accepting compliments. Of course, saying ‘thank you’ is just the start; especially if you actually feel really shitty about yourself. So we started slow with shallow superficial stuff (haircuts, tans, shirts etc). That served as a practice run for more meaningful compliments. We took turns saying, “One of the things I really like/admire about you is…”, with the person receiving the compliment practicing saying ‘thank you’ without adding a disclaimer or self-depreciating comment. That can be really hard for some of us. Not everyone has accumulated the habit of saying ‘thanks’ as a way to acknowledge and accept a compliment.
We finished the session with our group of 2 mental health nurses and about 10 inpatient mental health consumers going out to the Glenside Hospital football oval (it used to be about here, I think). While there we learned and practiced a skill that none of us felt at all confident in: kicking a checkside goal. It took us all quite a few goes to get it right, but all of us in the group eventually kicked three checkside goals (three to prove that the first one wasn’t a fluke). We left the oval as happy, chatty, cohesive and confident as any winning sport team. It was a great session.
3. Giving Thanks.
In my current role I don’t do group work, but I still speak to people about their self-esteem, and occasionally find myself trotting-out the John Nolan/Michael Forde story. In mental health nurse parlance sharing life experience/stories like this is called ‘therapeutic use of self’. Even though I haven’t seen Michael or John for over 20 years, they’re part of my story, part of my self. I’m very grateful for my family and friends, past and present.
The other thing is the Adelaide Crows won the AFLW Grand Final today! They played a fantastic brand of team football in front of 53,034 people. It was a terrific, well-deserved win. Back in 2012 when the meta4RN blog started, in the About section I claimed that the blog would comment on how watching Adelaide play in the AFL can inform nursing clinical practice. The Adelaide Crow’s Grand Final winning Registered Nurse Deni Varnhagen has done a better job of telling that story than me:
Sincere congratulations to Deni and all the other Adelaide AFLW players. You’re a terrific team to watch, and have bought many people a lot of joy in the 2019 AFLW season. Thanks!
End
That’s it. As always please feel free to use the comments section below.
The nature of nursing will mean that we are likely to be are exposed to a range of challenges. It’s not unusual for nurses to witness aggression, feel unsafe, have first-hand exposure to other people’s tragedies, and to deal with the physical and emotional outcomes of trauma. This emotionally taxing environment can be pretty stressful. It’s something we should talk about.
I’m often asked to talk about this sort of stuff at inservice education sessions. This page is a 2019 update to support those sessions.
Printed handouts are so last century.
“Self care: Surviving emotionally taxing work environments” is planned as an interactive session accompanied by visual cues to give the discussion a bit of structure. Consequently, the transcript/dialogue of the presentation can not be included here. The visual presentation itself doesn’t use powerpoint slides. It uses the prettier (and free!) platform Prezi instead: prezi.com/skmu0lbnmkm5/first-thyself/#
I’m recycling and combining a lot of old ideas for the 2019 sessions. Self-plagiarism? Nah – it’s a groovy remix of some favourite old songs. Regular visitors to meta4RN.com may recognise the repetition, and be quite bored with me using the website as a place to store updated versions of old stuff. Sorry about that. I’ll pop-up a new and original post in coming days.
Here are the resources and references used in the presentation: (because I’m recycling old ideas this list is ridiculously self-referential).
Australian College of Mental Health Nurses [www.acmhn.org], Australian College of Nursing [www.acn.edu.au], and Australian College of Midwives [www.midwives.org.au] (2019) Joint Position Statement: Clinical Supervision for Nurses + Midwives. Released online April 2019, PDF available via each organisation’s website, and here: ClinicalSupervisionJointPositionStatement
Eales, Sandra. (2018). A focus on psychological safety helps teams thrive. InScope, No. 08., Summer 2018 edition, published by Queensland Nurses and Midwives Union on 13/12/18, pages 58-59. Eales2018
Emotional Aftershocks (the story of Fire Extinguisher Guy & Nursing Ring Theory) meta4RN.com/aftershocks
Football, Nursing and Clinical Supervision (re validating protected time for reflection and skill rehearsal) meta4RN.com/footy
Hand Hygiene and Mindful Moments (re insitu self-care strategies) meta4RN.com/hygiene
Lalochezia (getting sweary doesn’t necessarily mean getting abusive) meta4RN.com/lalochezia
Nurse & Midwife Support nmsupport.org.au phone 1800 667 877
– we have specifically targeted 24/7 confidential support available
Nurses, Midwives, Medical Practitioners, Suicide and Stigma (re the alarming toll of those who undertake emotional labour) meta4RN.com/stigma
Nurturing the Nurturers (the Pit Head Baths and clinical supervision stories) meta4RN.com/nurturers
Queensland Health. (2009). Clinical Supervision Guidelines for Mental Health Services. PDF
Spector, P., Zhiqing, Z. & Che, X. (2014) Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. Vol 50(1), pp 72-84. www.sciencedirect.com/science/article/pii/S0020748913000357
Zero Tolerance for Zero Tolerance (a reframing of reducing aggression) meta4RN.com/zero
It’s OK if you forget everything about today’s talk, just don’t forget that there is 24 hour support available via 1800 667 877 or https://nmsupport.org.au