uncovering joy amongst the pebbles...rrp. • real time measurement: keep having what matters to you...

Uncovering Joy Amongst the PebblesKristy Brenn MSN, RN, CPENLiz Flaker MSN-Ed, RN, CPN

About Akron Children’s

• Ranked a Best Children’s Hospital by U.S. News & World Report

• Magnet® Recognition for Nursing Excellence

• Largest independent pediatric provider in northern Ohio

• 2 hospital campuses

• 60+ locations offering primary care, specialty services and urgent care

• 5,800 employees

• With more than 1 million patient visits each year, we’ve been leading the way to healthier futures for children and communities through expert medical care, prevention and wellness programs since 1890.

Session Objectives

Learner will be able to identify the four steps of the Joy in Work initiative.

Learner will be able to apply the first two steps of the Joy in Work initiative.

Learner will recognize some of the challenges and successes that were encountered by staff that started projects here at Akron Children’s Hospital.

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JOY IN WORK Initiative

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Developed and tested by the Institute for Healthcare ImprovementEvidenced based initiative focusing improvement projects to increase Joy in Work“You cannot give what you do not have”Starts with “What Matters to You” Conversations to create a healthy and engaged workplaceTest new ideas, daily improvements, individual resilience strategies, and systematic approaches-to develop improvement projects.

Presenter

Presentation Notes

The recent buzz in health care improvement is focusing on joy in work and the work environment. Get involved in making a difference by focusing on deliberate activities and initiatives to increase joy in work!

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Presenter

Presentation Notes

With guidance from the Institute for Healthcare Improvement, we will use the proven, evidenced based framework for improving Joy in Work to increase camaraderie, teamwork, staff recognition and participation in decision making at the point of care. Join the conversations and multidisciplinary teams as we come together and share responsibility for discovering and removing impediments to connecting to meaning and purpose in work. This initiative will shine through the established Shared Governance and Quality Cabinet structures. Senior leaders, core leaders, bedside staff leaders, all of us must take action now and your commitment, communication and dedication is critical to the success of improving Joy in Work at Akron Children’s Hospital.

Project steps

Presenter

Presentation Notes

leaders need to engage colleagues to identify what matters to them in their work. This step is about asking the right questions and really listening to their answers to identify what contributes to or detracts from joy in work for staff. Listening to understand, not listening to respond — that's the key here.

“What Matters to You”

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What brings you Joy in Work?Joy is feeling connected to meaning and purposeFirst step in development of improvement projectShared responsibility at all levelsFocus on bright spots!

Activity: What Matters to You?

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Presenter

Presentation Notes

Liz

One department’s journey to joy in work

• Vision Center – Akron Children’s Hospital• Staff includes – RN, LPN, Ophthalmology Techs, PSRs,

MA, Surgery Scheduler.

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Joy in Work! Four related categories

Gathering Data March 4th – April 12th 2019

Added blue stickers for PTO days

• Asked the questions at the end of the day:

- Was it a good day?- Did you find joy in your

work today?Employees chose green,

yellow, or red stickers to describe their day.

Statistics

Responses Percentages

• Collected data from 18 individual employees

• 438 responses over a six week time frame

• 318 Green days• 113 Yellow days• 7 Red days

• 72.6% were “Joy” days

• 25.8% were “Eh” days

• 1.6% were “Bad” days

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Pebbles in our shoes:

Many categories –more individualized

Data collected again in Aug./Sept. 2019

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March/April 2019 statistics Aug./Sept. statistics

72.6% were “Joy” days 93.2% were “Joy” days

25.8% were “Eh” days 10.4 % were “Eh”days

1.6% were “Bad” days 0.8% were “Bad days

Presenter

Presentation Notes

Many variables were involved with the data collection – Six week collection first time, only five obtained second time; staff changes occurred; biggest variable is that the office moved from a fragmented office in the Locust Bldg. to a cohesive space in the Considine Professional Bldg.

What are the Pebbles in your Shoe?

Group by themes or high priority itemsWhat can you do by next Tuesday? quick wins — small, doable projects that gave us

some positive momentum Baseline to develop improvement projects

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Presenter

Presentation Notes

, leaders identify the processes, issues, or circumstances that you might call impediments. So things that we might describe as the pebbles in the shoes that get in the way of meeting professional, social, and psychological needs. Steps 1 and 2 often happen in the same conversations and continue over time. Having conversations about what really matters that each person builds the trust that we're going to need in order to identify frustrations that they experience during the workday. This may sound obviously, but one truth that stood out to us in the research was that everyone must feel like their ideas, opinions, and comments will be listened to. And they need to feel that before they're going to be open and honest in their responses. We took this information and grouped it by themes and high-priority items. We ran these by staff focus groups to make sure that these were still reflective of what the teams were feeling, and we ended up with four main themes to focus on.

Activity: Pebbles in Your Shoes

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Where do we go from here?

Refer back to the IHI wheel Journey to joy begins with focusing on self and what

can I do to increase joy in work for myself and my colleagues?

Examine your attitude and self care activities as well as your contributions to your work area.

True Source of Joy in Work is Connection to Meaning and Purpose

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Presenter

Presentation Notes

Look at the framework, Things will not improve on their own. It will take deliberate work to improve Joy in Work. First step is finding individual meaning and purpose in the work you are doing. Just as you have to study to pass exams, work out to get that Hot Bod, need to put in work to get results out!

Meaning and Purpose

• Vision Boards: unit and or personal vision boards to help verbalize Meaning and Purpose: unique to all of us. Pause to think about why you became a nurse, and who you want to become.

• Gratitude Journals

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Joy Projects:

• Camaraderie/ Teamwork: Commensality! The Profound Power of a Meal Together. Build Mentoring Relationships/ Programs

• Wellness and Resilience: Taking care of oneself! Stress Management, Desk Top Spa, wellness programs

• Choice and Autonomy: Self Scheduling, shift length, flexibility where can be flexible in assignments etc.

• Participative Management: Shared Governance and interdisciplinary committees

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Joy Projects

• Physical and Psychological Safety: Respectful interactions “What you permit you promote”. Thank You Campaign.

• Recognition and Rewards: UBC work group on each unit with this as a focus! Develop a robust unit level RRP.

• Real Time Measurement: Keep having What Matters to You Conversations!

Commit to Daily Improvement in Joy!

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ReferencesPerlo J, Balik B, Swensen S, Kabcenell A, Landsman J, Feeley D. IHI

Framework for Improving Joy in Work. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2017. (Available at ihi.org)

www.dailyfunnyquote.com retrieved from https://images.search.yahoo.com/search/images

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http://www.dailyfunnyquote.com/

uncovering joy amongst the pebbles...rrp. • real time measurement: keep having what matters to you...

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