#WeDNs - Wednesday 29th November 2017 8pm (GMT Standard Time) Staff Resilience

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Hosted by WeDistrictNurse using #WeDNs

Staff Resilienc

Growing caseloads, increasingly complex care and limited resources are some of the challenges associated with modern day district nursing (Gray, 2016). Brennan (2017) suggests building resilience amongst staff to help overcome challenges associated with the current working environment. Resilience has been described as maintaining equilibrium in challenging situations, remaining optimistic through changing situations and using negative experiences as learning opportunities (Lee et al. 2015, Itzhaki et al. 2015). Conversely, Barker (2016) highlights that there can be many barriers to building resilience including poor working relationships, overwhelming workload and a negative working environment. Rolfe(2011), Munir et al. (2012) and Antill (2015) suggest that the District Nurse could adopt a transformational leadership approach in order to overcome these challenges and also build relationships and empower the workforce. The results of a qualitative study by Cameron & Brownie (2010) indicated that support from colleagues and de-briefing were the most successful methods to promote wellbeing and build resilience.  Similarly a study by Lee (2010) found that informal discussions out-with the working environment was deemed the most effective yet underused resource to promote resilience. Furthermore, Brennen (2017) highlights that utlising processes that already exist such as peer support, reflection and clinical supervision are valuable methods. These results indicate the importance of informal discussions in building resilience.

This chat will explore the following:

What is your understanding of staff resilience and is this a relevant topic?

Do you think the effects of stress/ stress related sickness adversely effect patient care?

- What methods are used in practice to combat employee stress?

Can leadership style affect stress levels?

- How does your employer address stress and what methods do they offer?

- Is clinical supervision a tool used in your area? If so what benefits do you think it brings?

- What are the challenges associated with clinical supervision ?

-  How can any challenges be overcome?

- If there was one change you could make in the workplace to reduce stress and promote resilience what would it be?


References

ANTILL, C., 2015. Rocking the boat: the link between transformational leader and advocacy. British Journal of Healthcare Assistants  [online]. 9(2), pp. 93-99. [viewed 25th July 2017]. Available from: http://www.magonlinelibrary.com.gcu.idm.oclc.org/doi/10.12968/bjha.2015.9.2.93
BARKER, K., 2016. Building resilience: the way forward. British Journal of Midwifery [online]. 24(3), pp. 158-158. [viewed 25th July 2017]. Available from: http://www.magonlinelibrary.com.gcu.idm.oclc.org/doi/10.12968/bjom.2016.24.3.158
BRENNAN, E.J., 2017. Towards resilience and wellbeing in nurses. British Journal of Nursing[online]. 26(1), pp. 43. [viewed 25th July 2017]. Available from: http://www.magonlinelibrary.com.gcu.idm.oclc.org/doi/abs/10.12968/bjon.2017.26.1.43
CAMERON, F. & BROWNIE, S., 2010. Enhancing resilience in registered aged care nurses. Australasian Journal on Ageing [online]. 29(2), pp. 66-71[viewed 25th July 2017]. Available from; http://onlinelibrary.wiley.com.gcu.idm.oclc.org/doi/10.1111/j.1741-6612.2009.00416.x/abstract
ITZHAKI, M., PELES-BORTZ, A., KOSTISTKY, H., BARNOY, D., FILSHTINSKY, V. & BLUVSTEIN, I., 2015. Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth. International Journal of Mental Health Nursing [online]. 24(5), pp. 403-412. [viewed 25th July 2017]. Available from: http://onlinelibrary.wiley.com.gcu.idm.oclc.org/doi/10.1111/inm.12151/abstract
LEE, K.J., FORBES, M.L., LUKASIEWICZ, G.J., WILLIAMS, T., SHEETS, A., FISCHER, K. & NIEDNER, M.F., 2015. Promoting Staff Resilience in the Pediatric Intensive Care Unit. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 24(5), pp. 422-430.  
MUNIR, F., NIELSEN, K., GARDE, A.H., ALBERTSEN, K. and CARNEIRO, I.G., 2012. Mediating the effects of work–life conflict between transformational leadership and health-care workers’ job satisfaction and psychological wellbeing. Journal of nursing management [online]. 20(4), pp. 512-521. [viewed 25thJuly 2017]. Available from: https://search-proquest-com.gcu.idm.oclc.org/docview/1793668971?pq-origsite=summon
ROLFE, P., 2011. Transformational Leadership Theory: What Every Leader Needs to Know. Nurse Leader[online]. 9(2), pp. 54-57. [viewed 25th July 2017]. Available from: http://www.sciencedirect.com.gcu.idm.oclc.org/science/article/pii/S1541461211000164?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb





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 #WeDNs transcript

 
@WeDistrictNurse
29 November 2017 20:00
Good evening everyone and thanks to @erinfAPDN for joining us tonight. #weDNs Tell us where you are all from.
@HeatherBain9
29 November 2017 20:00
Hi from snowy Aberdeen and thanks to @erinfAPDN for hosting this chat, she will be tweeting from her own account #wedns
@erinfAPDN
29 November 2017 20:02
Good evening! Thanks for having me! Im Erin, a newly qualified DN from Glasgow #weDNs
@mdrumm88
29 November 2017 20:03
Hi from Glasgow @erinfAPDN, @WeDistrictNurse and everyone else! #weDNs
@WeDistrictNurse
29 November 2017 20:03
Hope you had a good graduation day #wedns https://twitter.com/erinfapdn/status/935962289840295937
@janet_r007
29 November 2017 20:04
@WeDistrictNurse @erinfAPDN Hi from Edinburgh #wedns
@erinfAPDN
29 November 2017 20:04
Excited to chat to you all about staff resilience #wedns
@WeDistrictNurse
29 November 2017 20:04
A Scottish group tonight , anyone else joining #wedns
@WeDistrictNurse
29 November 2017 20:05
So question 1 What is your understanding of staff resilience #wedns
@HeatherBain9
29 November 2017 20:05
RT @WeDistrictNurse: A Scottish group tonight , anyone else joining #wedns
@HeatherBain9
29 November 2017 20:08
Do you think all nurses need to be resilient ? #wedns
@GlasgowJives
29 November 2017 20:08
RT @mdrumm88: Hi from Glasgow @erinfAPDN, @WeDistrictNurse and everyone else! #weDNs
@Helenakelly73
29 November 2017 20:08
Strength to lead no matter what is thrown at us? #wedns
@JiveEdinburgh
29 November 2017 20:09
RT @janet_r007: @WeDistrictNurse @erinfAPDN Hi from Edinburgh #wedns
@HeatherBain9
29 November 2017 20:09
@Helenakelly73 Is that always possible? #weDNs
@HeatherBain9
29 November 2017 20:09
#wedns https://twitter.com/mjosiris/status/935963478325628928
@erinfAPDN
29 November 2017 20:10
For me staff resilience relates to dealing with stress well and learning from our mistakes #wedns
@WeDistrictNurse
29 November 2017 20:10
Remember the #wedns
@GlasgowJives
29 November 2017 20:10
RT @erinfAPDN: Good evening! Thanks for having me! Im Erin, a newly qualified DN from Glasgow #weDNs
@Helenakelly73
29 November 2017 20:10
@HeatherBain9 Not without appropriate education and support #Wedns
@erinfAPDN
29 November 2017 20:10
I think resilience is something we can learn, we are not all born resilient! #wedns
@janet_r007
29 November 2017 20:11
@HeatherBain9 #wedns i think we have to be in the current climate - poor staffing numbers, low morale, increased workload
@HeatherBain9
29 November 2017 20:11
#wedns I wonder about the link to emotional intelligence https://twitter.com/erinfAPDN/status/935964283829145600
@Helenakelly73
29 November 2017 20:11
@mdrumm88 @WeDistrictNurse How can we encourage this? @mdrumm88 #weDNS
@WeDistrictNurse
29 November 2017 20:11
RT @Helenakelly73: @HeatherBain9 Not without appropriate education and support #Wedns
@DeeDavies12
29 November 2017 20:11
@WeDistrictNurse Being able to articulate reflected thoughts about care provided to patients to the team.#weDNs
@WeDistrictNurse
29 November 2017 20:12
RT @DeeDavies12: @WeDistrictNurse Being able to articulate reflected thoughts about care provided to patients to the team.#weDNs
@Helenakelly73
29 November 2017 20:13
@janet_r007 @HeatherBain9 Can we as resilient and educated leaders challenge these challenges @janet_r007 #weDNS
@NRCUK
29 November 2017 20:13
RT @WeDistrictNurse: So question 1 What is your understanding of staff resilience #wedns
@WeDistrictNurse
29 November 2017 20:13
So question 2 Do you think if nurses are stressed to has an impact on patient care/outcomes #wedns
@WeDistrictNurse
29 November 2017 20:14
RT @Helenakelly73: @janet_r007 @HeatherBain9 Can we as resilient and educated leaders challenge these challenges @janet_r007 #weDNS
@WeDistrictNurse
29 November 2017 20:15
#wedns Does everyone agree it has to come from the top https://twitter.com/mdrumm88/status/935965096341274624
@rgumscanp
29 November 2017 20:15
RT @WeDistrictNurse: So question 2 Do you think if nurses are stressed to has an impact on patient care/outcomes #wedns
@erinfAPDN
29 November 2017 20:17
evidence suggests chronic stress lead to burnout - this results in reduced performance which affects the care patients recieve #wedns
@janet_r007
29 November 2017 20:17
@Helenakelly73 @HeatherBain9 #wedns @Helenakelly73 yes, leading by example and seeing 'the wood through the trees'
@HeatherBain9
29 November 2017 20:17
@WeDistrictNurse #wedns I think the working culture has to support a resilient workforce but we are all people at t… https://twitter.com/i/web/status/935966088587657216
@Helenakelly73
29 November 2017 20:18
@erinfAPDN Absolutely if leadership is not person centred then staff may not be person centred in their care delivery #Wedns
@DeeDavies12
29 November 2017 20:18
@WeDistrictNurse #weDNs I have seen increased sickness levels in teams due to stress - so indirectly this impacts o… https://twitter.com/i/web/status/935966330582380544
@WeDistrictNurse
29 November 2017 20:19
@mdrumm88 Can you share the reference #weDNS
@erinfAPDN
29 November 2017 20:19
@mdrumm88 @WeDistrictNurse I think we as nurses often overlook our own health don't we? #weDNs
@WeDistrictNurse
29 November 2017 20:20
Q3 So what methods are used in district nursing practice to combat stress #wedns
@WeDistrictNurse
29 November 2017 20:21
RT @erinfAPDN: @mdrumm88 @WeDistrictNurse I think we as nurses often overlook our own health don't we? #weDNs
@HeatherBain9
29 November 2017 20:21
RT @WeDistrictNurse: Q3 So what methods are used in district nursing practice to combat stress #wedns
@rgumscanp
29 November 2017 20:21
RT @WeDistrictNurse: Q3 So what methods are used in district nursing practice to combat stress #wedns
@ADNEuk
29 November 2017 20:21
RT @WeDistrictNurse: Q3 So what methods are used in district nursing practice to combat stress #wedns
@NRCUK
29 November 2017 20:22
RT @WeDistrictNurse: So question 2 Do you think if nurses are stressed to has an impact on patient care/outcomes #wedns
@erinfAPDN
29 November 2017 20:22
Hello to everyone who's recently joined in! #wedns
@HeatherBain9
29 November 2017 20:23
That's a good point #wedns https://twitter.com/nrcuk/status/935967142478000129
@NRCUK
29 November 2017 20:24
@HeatherBain9 I make the odd one amongst my tweety rants :) #wedns
@mdrumm88
29 November 2017 20:24
@NRCUK @HeatherBain9 @WeDistrictNurse Spot on! #weDNs
@HeatherBain9
29 November 2017 20:24
@WeDistrictNurse #wedns It can be the little things like coffee and cake
@Helenakelly73
29 November 2017 20:25
Adopting the most positive workplace culture we can with good communication and accessible and visible leaders #Wedns
@hepworth_becky
29 November 2017 20:25
@WeDistrictNurse Debriefing, clinical supervision and supportive team working. The ability to laugh together is crucial #WeDNs
@rgumscanp
29 November 2017 20:25
Coffee and cake and taking a break is essential #wedns https://twitter.com/HeatherBain9/status/935967826984296448
@Helenakelly73
29 November 2017 20:26
@HeatherBain9 @WeDistrictNurse Totally, feeling valued and saying thanks at the end of the day #wedns
@WeDistrictNurse
29 November 2017 20:26
RT @Helenakelly73: @HeatherBain9 @WeDistrictNurse Totally, feeling valued and saying thanks at the end of the day #wedns
@erinfAPDN
29 November 2017 20:27
@WeDistrictNurse meeting up for a coffee, informal conversations, have a wee joke ! #weDNs
@janet_r007
29 November 2017 20:28
@WeDistrictNurse #wedns being a positive influence, saying 'thank you' and 'well done' to your team..especially on the toughest of days
@hepworth_becky
29 November 2017 20:28
RT @Helenakelly73: @HeatherBain9 @WeDistrictNurse Totally, feeling valued and saying thanks at the end of the day #wedns
@WeDistrictNurse
29 November 2017 20:28
Your are all leading on to the next question. Does leadership style impact on stress #wedns
@hepworth_becky
29 November 2017 20:28
@Helenakelly73 @HeatherBain9 @WeDistrictNurse So important ?? #wedns
@WeDistrictNurse
29 November 2017 20:28
RT @erinfAPDN: @WeDistrictNurse meeting up for a coffee, informal conversations, have a wee joke ! #weDNs
@hepworth_becky
29 November 2017 20:29
@erinfAPDN @WeDistrictNurse A silly moment every now and again is essential! #wedns
@HeatherBain9
29 November 2017 20:31
RT @WeDistrictNurse: Your are all leading on to the next question. Does leadership style impact on stress #wedns
@janet_r007
29 November 2017 20:31
@WeDistrictNurse #wedns absolutely. Positive leadership is vital in creating and maintaing a positive team
@DeeDavies12
29 November 2017 20:31
@WeDistrictNurse Yes most certainly- Leaders need to demonstrate compassion and kindness to the team plus support and time to listen #weDNs
@WeDistrictNurse
29 November 2017 20:33
So how does your employer support those who demonstrate stress #WeDNs
@erinfAPDN
29 November 2017 20:33
@Helenakelly73 mentioned person centred leadership, do you think this style promotes resillience? Any other leadership styles? #wedns
@mjosiris
29 November 2017 20:34
@Helenakelly73 @WeDistrictNurse 100% agree with this - a like was not enough #weDNS
@HeatherBain9
29 November 2017 20:39
@erinfAPDN @NRCUK @warnetony #weDNS I agree but you have to be selfish at times and look after own mental health an… https://twitter.com/i/web/status/935971515211964416
@WeDistrictNurse
29 November 2017 20:40
So is clinical supervision a tool used in your area to support you #WeDNs
@NRCUK
29 November 2017 20:43
RT @HeatherBain9: @erinfAPDN @NRCUK @warnetony #weDNS I agree but you have to be selfish at times and look after own mental health an…
@HeatherBain9
29 November 2017 20:44
@warnetony #wedns yes agreed but often after a stressful day in your homelife we still try to be superwoman ??
@erinfAPDN
29 November 2017 20:44
CS can be a great way to reduce stress and build relationships. I think this should be encouraged by employers more #weDNS
@NRCUK
29 November 2017 20:45
@mjosiris @HeatherBain9 @erinfAPDN @warnetony Try running, 20mins a day via a couch to 5k app works physical and mental wonders :) #wedns
@HeatherBain9
29 November 2017 20:45
In many areas in Scotland used more routinely in health visiting/school nursing rather than district nursing #wedns https://twitter.com/hepworth_becky/status/935972404035284992
@HeatherBain9
29 November 2017 20:46
@mdrumm88 @WeDistrictNurse #weDns would you try and set up your own normal supervision?
@WeDistrictNurse
29 November 2017 20:47
Leads soon to next question - what are the challenges of clinical supervision #wedns https://twitter.com/erinfAPDN/status/935972869552726016
@janet_r007
29 November 2017 20:47
@WeDistrictNurse #wedns Just started using it in my area, staff are finding it beneficial
@erinfAPDN
29 November 2017 20:48
What challenges have you come up against Janet? #WeDNs https://twitter.com/janet_r007/status/935973551210946561
@hepworth_becky
29 November 2017 20:48
@mdrumm88 @WeDistrictNurse How would you like clinical supervision? What style? #wedns
@WeDistrictNurse
29 November 2017 20:49
RT @hepworth_becky: @mdrumm88 @WeDistrictNurse How would you like clinical supervision? What style? #wedns
@WeDistrictNurse
29 November 2017 20:49
RT @erinfAPDN: What challenges have you come up against Janet? #WeDNs https://twitter.com/janet_r007/status/935973551210946561
@warnetony
29 November 2017 20:49
RT @HeatherBain9: @warnetony #wedns yes agreed but often after a stressful day in your homelife we still try to be superwoman ??
@NRCUK
29 November 2017 20:50
@mdrumm88 @mjosiris @HeatherBain9 @erinfAPDN @warnetony Putting it off is a skill we need to avoid :) http://wecommunities.org/blogs/3319 #wedns
@sallyann8
29 November 2017 20:51
RT @erinfAPDN: @mdrumm88 @WeDistrictNurse I think we as nurses often overlook our own health don't we? #weDNs
@erinfAPDN
29 November 2017 20:52
lack of knowledge about CS can be a barrier, busy caseloads, low staff. Why not incorporate informal discussions in daily handovers? #weDNS
@WeDistrictNurse
29 November 2017 20:52
How can the challenges of implementing cs be overcome? #WeDNs
@janet_r007
29 November 2017 20:54
@erinfAPDN #wedns @erinfAPDN staff unsure of what it's meant to do..reasured that it can be really effective in ide… https://t.co/djc6wCtd8e
@mjosiris
29 November 2017 20:54
@erinfAPDN This is what we do quite often & a bit of group reflection too #weDNS
@Helenakelly73
29 November 2017 20:54
@WeDistrictNurse Plan it, commit to it and fully support it #Wedns
@erinfAPDN
29 November 2017 20:56
fab, reflection is such a useful tool, encourage staff to use it not just when things go wrong ! #WeDNs https://twitter.com/mjosiris/status/935975215112376320
@Helenakelly73
29 November 2017 20:56
@mjosiris @erinfAPDN Helpful for revaluation too MJ #wedns
@warnetony
29 November 2017 20:56
a really good point - well made! #weDNs https://twitter.com/NWMHgrads/status/935975266765041664
@WeDistrictNurse
29 November 2017 20:56
So last question if there was one change you could make in the workplace to reduce stress and promote resilience what would it be #wedns
@Helenakelly73
29 November 2017 20:56
@mjosiris @erinfAPDN Helpful for revalidation too MJ #weDNS
@WeDistrictNurse
29 November 2017 20:57
RT @warnetony: a really good point - well made! #weDNs https://twitter.com/NWMHgrads/status/935975266765041664
@NWMHgrads
29 November 2017 20:57
RT @warnetony: a really good point - well made! #weDNs https://twitter.com/NWMHgrads/status/935975266765041664
@WeDistrictNurse
29 November 2017 20:57
RT @Helenakelly73: @WeDistrictNurse Plan it, commit to it and fully support it #Wedns
@erinfAPDN
29 November 2017 20:58
@WeDistrictNurse Free subscription to headspace app for a year! Breathe people #WeDNs
@warnetony
29 November 2017 20:59
introducing more flexibility, autonomy and respect in the way our work is organised and delivered #weDNs https://twitter.com/WeDistrictNurse/status/935975833289789440
@erinfAPDN
29 November 2017 20:59
@NRCUK @sallyann8 @AgencyNurse Will have to have a read of this! #WeDNs
@AgencyNurse
29 November 2017 20:59
@NRCUK @sallyann8 Thanks for sharing #wedns :)
@WeDistrictNurse
29 November 2017 20:59
Thanks all for joining us and a special thanks to @erinfAPDN #wedns Great discussion
@Helenakelly73
29 November 2017 20:59
@WeDistrictNurse Bring back protected time to effectively communicate with the team #Wedns




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