Self Care of Nurses

Jordan Mullauer
Capstone Presentation

The Issue
Nursing is the nations largest health care
profession (3.06 million RNs)

The nursing lifestyle as risk factors

Nurses are role models!

Relevance to new nurses

https://www.youtube.com/watch?v=XsjNXWIW28w
Objectives
Discuss the importance of self care to nursing
Discuss relevant theories related to self care
practices
Evaluate the healthcare environment associated
with self care and use a root cause analysis to
further explain
Discuss likely outcomes of self care deficit and
recommendations to improve self care
Identify ANA standards and QSEN competencies
related to self care of nurses


Nursing Theory
Dorothea Orems Self Care Theory
Non-Nursing Theory
Maslows Hierarchy of Needs
Interdisciplinary Perspective
Assessment of the Healthcare
Environment
Policies

Resources

Quality and Safety
Assumptions
Nurses dont need help

My health isnt as
important as my patients

Root Cause Analysis
Brooklyn has been working as an RN on a progressive med/surg floor for
the past 5 years. She has 2 small children at home, but works the night shift
4 days a week and often works weekends as well. She rarely ever exercises
and often skips breaks during her shift because she believes the patients
well-being is more important than her own. Today she gets to work and is
already a little upset because she knows she will be missing her daughters
first dance recital tomorrow due to work. She also didnt have enough time
to pack a lunch because she was helping her other daughter with homework
so she grabbed McDonalds on her way to work for later during her shift.

Brooklyn has been assigned a rather difficult patient that happens to be
quite a bit overweight. While she is in the room doing an assessment the
patient asks to use the restroom. Brooklyn is in a hurry so instead of asking
for help to assist the patient out of bed she does it herself and ends up
hurting her back in the process. She misses work the next day and is laid up
in bed with back pain, which makes her even more upset because she had to
miss work and her daughters dance recital. To console her feelings,
Brooklyn spends the day eating ice cream and watching soap operas.
Root Cause Analysis
LACK OF
SELF CARE
Non-ideal
schedule
Rarely
exercises
Skips
breaks
Doesnt
believe own
health is
important
Lack of
time
Lack of
planning
Did not ask for
help
Bad eating
habits
Inferences and Implications

Burnout
https://www.youtube.com/watch?v=0ILcmfHmpfI

Nursing Shortage
Recommendations for Quality and
Safety Improvements
Employee Wellness Programs
Psycho-educational program
Nurses Living Fit
Spectrums Healthy Lifestyles Program
Magnet Recognition
Education in Nursing School

What can you do?


http://www.youtube.com/watch?v=C05WaFWnjLs
QSEN Competencies
Patient-Centered Care
K: Physical comfort and emotional support
S: Assess levels of physical and emotional comfort
A: Value continuous improvement of own communication
and conflict resolution skills
Teamwork and Collaboration
K: Describe own strengths, limitations, and values in
functioning as a member of the team
S: Initiate requests for help when appropriate to situation
A: Acknowledge own potential to contribute to effective
team functioning

ANA Standards

Standard 10: Quality of Practice
Standard 14: Professional Practice Evaluation
Standard 16: Environmental Health







https://www.youtube.com/watch?v=4peIFulusSk
References:
American Association of Colleges of Nursing [AACN]. (2014). Nursing shortage. Retrieved from:
http://www.aacn.nche.edu/media-relations/fact-sheets/nursing-shortage
American Holistic Nurses Association [AHNA]. (2014). What is self care? Retrieved from:
http://www.ahna.org/Membership/Member-Advantage/Self-care
American Nurses Association [ANA]. (2006). Assuring patient safety: The employers role in
promoting healthy nursing work hours for registered nurses in all roles and settings. Retrieved
from: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-
Resolutions/ANAPositionStatements/Position-Statements-
Alphabetically/AssuringPatientSafety.pdf
American Nurses Association [ANA]. (2010). Nursing: Scope and standards of practice (2nd
ed.). Silver Spring, MD: American Nurses Association.
American Nurses Association [ANA]. (2014). Mandatory overtime. Retrieved from:
http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-
Reports/MandatoryOvertime
American Nurses Credentialing Center. (2014). Magnet recognition program overview.
Retrieved from: http://www.nursecredentialing.org/Magnet/ProgramOverview
Hasson, D., Lindfors, P., & Gustavsson, P. (2010). Trends in self-rated health among nurses: a 4-
year longitudinal study on the transition from nursing education to working life. Journal of
Professional Nursing, 26(1), 54-60.
Health Resources and Services Administration. (2010). The registered nurse population:
Findings from the 2008 national sample survey of registered nurses. Washington, DC: U.S.
Department of Health and Human Services.
References Continued:
Hensel, D. (2011). Relationships among nurses professional self-concept, health, and
lifestyles. Western journal of nursing research, 33(1), 45-62.
Kravits, K., McAllister-Black, R., Grant, M., & Kirk, C. (2010). Self-care strategies for
nurses: A psycho-educational intervention for stress reduction and the prevention of
burnout. Applied Nursing Research, 23(3), 130-138.
Maslach C, Jackson S. (1982).Burnout in health professions: A social psychological
analysis. Social psychology of health and illness. Hillsdale, NJ: Lawrence Erlbaum.

Nahm, E. S., Warren, J., Zhu, S., An, M., & Brown, J. (2012). Nurses' self-care behaviors
related to weight and stress. Nursing outlook, 60(5), e23-e31.
Nursing Theories. (2012). Dorothea Orems self-care theory. Retrieved
from:http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
QSEN. (2014). Definitions and pre-licensure KSAs. Retrieved from:
http://qsen.org/competencies/pre-licensure-ksas/
Simply Psychology. (2014). Maslows hierarchy of needs. Retrieved from:
http://www.simplypsychology.org/maslow.html
Speroni, K. G., Williams, D. A., Seibert, D. J., Gibbons, M. G., & Earley, C. (2013). Helping
nurses care for self, family, and patients through the nurses living fit intervention. Nursing
administration quarterly, 37(4), 286-294.
Wood, D. (2005). Hospitals find ways for nurses to take breaks. Retrieved from:
http://www.nursezone.com/nursing-news-events/more-news/Hospitals-Find-Ways-for-
Nurses-to-Take-Breaks_25738.aspx