POSSIBILITIES UNLIMITED - Year Three Highlights 2019-2020 - Healthy Nurse, Healthy Nation

 
CONTINUE READING
POSSIBILITIES UNLIMITED - Year Three Highlights 2019-2020 - Healthy Nurse, Healthy Nation
POSSIBILITIES UNLIMITED

              leading the way to better health

   Year Three Highlights 2019-2020
POSSIBILITIES UNLIMITED - Year Three Highlights 2019-2020 - Healthy Nurse, Healthy Nation
Join the
Movement
As nurses, we face unique hazards in the
workplace and multiple health, safety, and
wellness risks in our daily lives. Ongoing
data from the HealthyNurse® Survey show
an urgent need to improve our health,
particularly in the areas of physical activity,
nutrition, rest, safety, and quality of life.

We can’t do it alone. We need the support
of our nurse colleagues, employers, profes-
sional organizations, and schools of nurs-
ing. In all, 70% of nurses surveyed report
putting the health, safety, and wellness of
their patients before their own, proving
that now is the right time to make our-
selves a priority. When we are working at
peak wellness, we give the best care.

Healthy Nurse, Healthy Nation™ is here to
help. This national movement is gaining
momentum, touching the lives of thou-
sands of nurses. Get support, assess your
health, and take action.

Join us today at hnhn.org or text
healthynurse to 52-886.
POSSIBILITIES UNLIMITED - Year Three Highlights 2019-2020 - Healthy Nurse, Healthy Nation
Healthy Nurse, Healthy Nation™

Year in Review
Possibilities unlimited, indeed! Nurses are facing COVID-19, racial
inequities, financial concerns, and an increasing public mental
                                                                                    HNHN by the numbers
health crisis. But nurses are prevailing everywhere we look. En-
gaging with and participating in racial inequity protests, putting                  D Launched May 1, 2017
                                                                                        D 183,000 + participants
their lives on the line with pandemic screening and care, and
doing what they do best—promoting wellness, advocating for all
(particularly those most at risk), educating the public, healing the                        D 550+ partners
sick, delivering babies, and easing patients’ journey from this life
to the next.
    But all of this comes with a high toll on nurses’ health. That’s        Forging connections
where ANA Enterprise’s Healthy Nurse, Healthy Nation™ (HNHN)                HNHN operates in many ways. Our main platform, HNHN Connect,
comes in. As we enter our fourth year, our focus on transforming            is online. Here, participants can set up a home page, similar to
the health of our nation by first improving the health of its 4 mil-        other forms of social media. They post a health commitment, take
lion RNs continues.                                                         a health risk survey, chat on discussion boards, access wellness
                                                                            resources, read timely blogs, participate in fun health challenges,
                                                                            and engage in contests with prizes. Nurses have the opportunity
                            “The third year of                              to be featured in our #healthynurse Spotlights, which are shared
                            Healthy Nurse,                                  in blogs, social media, and other communications. You will see
                            Healthy Nation,                                 many of these Spotlights throughout this report; all are available
                                                                            at engage.healthynursehealthynation.org/blogs/13.
                            which also hap-
                            pened to be the                                                    Twitter: @HealthyNurseUSA
                            Year of the Nurse,                                                  Instagram: HealthyNurse
                            saw the COVID-19                                                     Pinterest: HealthyNurse
  pandemic overwhelm our healthcare system.                                             Facebook: Healthy Nurse, Healthy Nation
  Now, along with the pandemic, a history of                                   An additional popular option is our text-to-join campaign. By
  systemic racism is reaching a boiling point                               texting healthynurse to 52-886, you’ll receive our monthly chal-
  in our communities. However, through it                                   lenge tips by text. Visit our social media platforms, and when you
                                                                            post, use #healthynurse!
  all, nurses have embodied the ideals of the
  Healthy Nurse, Healthy Nation movement,                                   HealthyNurse® Survey
                                                                            Participants can now take the survey annually and compare re-
  pushing through their own fears on the front                              sults from year to year. Survey respondents can access a heat map
  lines of COVID-19 and serving as positive role                            graph of their responses, indicating whether they’re at no/low,
  models who can lead the way for change.”                                  medium, or high risk for certain health and safety hazards, and
                                                                            they can compare their results to national averages and ideal stan-
  — ANA President Ernest Grant, PhD, RN, FAAN                               dards. Participants also can track their own wellness progress over
                                                                            time, making personal adjustments as needed. An Index Score, a
                                                                            numeric representation of responses to specific questions, is also
    HNHN is a free nurse health, safety, and wellness initiative that       provided. The information in this report is based on data received
is open to all. We connect nurses, nursing students, employers of           between May 29, 2019, and May 28, 2020, with 6,142 participant
nurses, schools of nursing, universities, healthcare facilities, nurs-      responses analyzed. The data set includes RNs, licensed practical
ing organizations, and other stakeholders. We concentrate on five           nurses/licensed vocational nurses, advanced practice registered
domains: physical activity, nutrition, quality of life, safety, and rest.   nurses, and nursing students (pre-RN licensure).

MyAmericanNurse.com                                                                         September 2020       American Nurse Journal          3
POSSIBILITIES UNLIMITED - Year Three Highlights 2019-2020 - Healthy Nurse, Healthy Nation
Healthy Nurse, Healthy Nation™

Funders                                                                Partners
Our funders not only provide financial assistance for HNHN, but        Partner organizations can join HNHN at no cost, with varying lev-
also make meaningful contributions to content and dissemination        els of participation. Our partners include healthcare systems and
of developed resources.                                                facilities, schools of nursing, universities, nursing organizations,
                                                                       other employers of nurses, and additional stakeholders. The high-
                                                                       est levels are featured as Champion Spotlights in our communica-
                                                                       tions and receive de-identified aggregated data reports quarterly
    HNHN is made possible through the                                  once 25 or more participants take the HealthyNurse Survey and
                                                                       indicate affiliation with their organization. See more about part-
    support of ANA and many generous                                   nership opportunities at hnhn.org. You’ll notice several Champion
    contributors, including the American                               Spotlights throughout this report; access these and many more at
                                                                       engage.healthynursehealthynation.org/blogs/24.
    Nurses Foundation, Humana, CeraVe,                                     In April 2020, HNHN began a
    and Compass One Healthcare.                                        partnership with Headspace to
                                                                       provide all HNHN participants
                                                                       with a free 1-year subscription
                                                                       to Headspace PLUS. More than
   “The nursing community and those of us who depend                   3,800 HNHN participants signed
upon nurses for care must prioritize nurses’ mental and phys-          up for an account via the mobile app and have completed
ical well-being as a vital part of the healthcare system. The          over 14,400 meditations for a total of 305,000 minutes. HNHN
health of nurses is critical to the health of all of us, which is      looks forward to a continued partnership with Headspace
why HNHN is a priority for the Foundation.” — Kate Judge,              to support HNHN participants as they cultivate meditation,
executive director, American Nurses Foundation                         mindful eating, gratitude, and healthy sleep with guided exer-
                                                                       cises, sleepcasts, and more. HNHN participants can sign up at
“Humana’s partnership with HNHN solidifies our focus and com-          https://bit.ly/HNsHS.
mitment to the health and well-being of our nurse community.
HNHN provides support and resources for nurses to prioritize           Updates
their own well-being and model a healthy lifestyle to be able to       On January 23, 2020, the American Nurses Association’s (ANA’s)
impact and influence the communities they serve.”                      Board of Directors approved adding “financial health” to ANA’s
— Joanie Howard, BSN, RN, CMCN, chief nursing officer, Humana          healthy nurse definition. The definition now reads, “A healthy
                                                                       nurse actively focuses on creating and maintaining a balance
    “CeraVe values the immeasurable work of nurses and is proud        and synergy of physical, intellectual, emotional, social, spiritual,
to support the American Nurses Association mission of improv-          financial, personal and professional well-being. A healthy nurse
ing nurses’ quality of life by partnering on the HNHN initiative.      lives life to the fullest capacity, across the wellness/illness con-
CeraVe believes skin health plays an important role in quality of      tinuum, as they become stronger role models, advocates, and
life and recognizes that as nurses are on the frontlines of health-    educators, personally, for their families, their communities and
care, so is their skin, facing irritation from constant hand wash-     work environments, and ultimately for their patients.”
ing, mask wearing and other factors. CeraVe is committed to                For ANA Enterprise’s Year of the Nurse, HNHN contributed blogs on
giving the nurse community the recognition they deserve and            meaningful nurse recognition and the importance of nurses prioritiz-
the support they need.” — Caitlin King, marketing director, CeraVe     ing their own well-being. The first week of ANA’s Nurses Month cen-
                                                                       tered on self-care. For 5 days, a different #healthynurse Spotlight was
   “The partnership between Compass One Healthcare and                 featured on ANA’s and HNHN’s websites and social media channels.
HNHN has catalyzed the development of valuable resources that              HNHN and American Association of Colleges of Nursing are
support the health and well-being of all participating nurses. It is   continuing their student ambassador program to expand HNHN
very exciting to see both of our organizations’ intellect and spirit   participation with nursing students. Several of the ambassadors
come together to create lasting impact.”— Bobby Kutteh, chief          are featured in this report.
executive officer, Compass One Healthcare
                                                                       The future is looking bright!

4   American Nurse Journal         Volume 14, Number 9                                                                 MyAmericanNurse.com
Healthy Nurse, Healthy Nation™

COVID-19 and mental health
Past and present findings from the HealthyNurse® Survey and                 Before the pandemic, Linda Roney assisted her nursing school to
other nurse mental health research have shown that nurses strug-            stress less by collaborating with other disciplines such as public
gle with significant stress, as well as anxiety and depression.             health, developing a holistic nurses retreat, and providing a
    With mental health in mind, the American Nurses Association             laughter yoga session.
(ANA), at its 2019 Membership Assembly, moved to examine the                    Ochsner Health System has been providing staff with meal
issue of nurse suicide in the United States. HNHN was designated            tickets, emotional and social counseling, dedicated space for staff
to take on this critical work with an emphasis on suicide preven-           to decompress and restore during shifts, nurse-led resilience ac-
tion. In early 2020, with the help of volunteer subject matter ex-          tivities, sidewalk chalk messages, and coping resources. Even pre-
perts, psychiatric nurses, researchers, and other interested nurses,        COVID-19, pet therapy was popular.
HNHN launched the Nurse Suicide Prevention Committee. Berna-                    The Hospital of the University of Pennsylvania (HUP),
dette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, and Judy                through Penn Medicine, launched a digital platform offering
Davidson, DNP, RN, FCCM, FAAN, cochaired the committee.                     behavioral health and well-being resources for employees.
    Later renamed the Strength through Resiliency Committee, the            Employees can complete targeted assessments that stream-
group took a pivot when COVID-19 struck. They developed and                 line content triaged to the right level and type of support. Re-
collated mental health resources for nurses in response to the un-          sources include videos, meetings with a coach or peer, contact
fathomable stress, anxiety, fear, isolation, depression, anger, and         with a psychiatrist, and more.
grief nurses were experiencing during the COVID-19 pandemic.
A comprehensive blog, Mental Health Help for Nurses (engage.
healthynursehealthynation.org/blogs/8/3645) was created to
assist nurses in crisis, helping to build resiliency, and giving nurses
needed mental health resources. The committee is now working
on a nurse suicide prevention website, which will be available at
nursingworld.org.
    Here are a few examples of our participants and partners sup-
porting nurse mental health and fighting COVID-19.
                                                     HNHN Student
                                                 Ambassador Sarah
                                                 Oerther volunteered            And finally, North Shore University Hospital, Northwell Health,
                                                 for the Missouri Disas-    tells us, “Music has a way of improving our quality of life. For our
                                                 ter Medical Assistance     2020 Nurses Week, we had a mini concert series featuring our
                                                 Team. Subsequently,        very own team members who
                                                 she was deployed           performed at change of shift.
                                                 for several weeks at a     This band was able to interact
                                                 psychiatric prison that    with our staff, lift spirits, and
was experiencing a COVID-19 outbreak. Her faith and her family’s            bring joy to those walking in
love and support, including this beautiful letter from her daugh-           and out of work. During a time
ter, are getting her through these tough times.                             when we could not be phys-
    Frances Akubuilo advises                                                ically together, these perfor-
scrupulous self-care during these                                           mances brought us together
tough times, including incorpo-                                             in a different way.” Nurses have
rating a mindfulness practice                                               also taken brief moments to
like meditation or prayer into                                              meditate, and staff have cre-
your daily routine. Linda Lowry                                             ated flowers of hope for an art
advocates for lung health, which                                            installation on the property.
now has special significance as
COVID-19 can damage the lungs.                           Frances Akubuilo

MyAmericanNurse.com                                                                          September 2020       American Nurse Journal           5
Healthy Nurse, Healthy Nation™

     Powered by

    Physical Activity
Data points                                                                                     Success spotlight #healthynurse spotlight
Results from the HealthyNurse® Survey show that nurses could benefit from                       “The bulk of my patients have issues with something
increasing their physical activity level.                                                       diet-related, like high blood pressure, obesity, or high
  AVERAGE NUMBER OF WEEKLY WORKOUTS                                                             cholesterol. My motivational strategy is to lead by
                                                                                                example as far as what’s possible for them.” — Melvin
                    0                1-2                   3-5               >5                 Viney, APRN, FNP-BC, ENP-C
                   42% 45%
                                                                                                    Mel can empathize
                                                                                                with patients. Nine years
                                                     42%
                              32% 33%                                                           ago, he was disabled for
   PERCENT

                                           29%                                                  a year due to obesity,
             19%                                           23% 24%                              thoracic surgery, and
                                                                        7%
                                                                                                radiation treatments.
                                                                              2%   2%
                                                                                                His health was on a
              Light or moderate        Vigorous aerobic           Muscle-strengthening          downward slope, and
               aerobic workout             workout                      exercise                he knew something had
                                                                                                to be done. That “some-
  ACCESS TO EMPLOYER-BASED EXERCISE FACILITIES AND PROGRAMS                                     thing” turned out to be
                                                                                                biliopancreatic diversion
                                                                                                with duodenal switch surgery. After the surgery, the weight
                             26%                                                                began to fall off, which allowed Melvin to get active. He
                                                                 25%
                                                                             22%
                                                                                                progressed from walking to biking and started making
                                                                                                healthier food choices. Over a year and a half, Mel lost 250
   PERCENT

                                                 16%                                            pounds. He works hard to maintain his healthy lifestyle and
               11%                                                                              serves as an inspiration to his colleagues and patients.

              Strongly
                             Agree
                                           Neither agree
                                                             Disagree
                                                                             Strongly                 “Wellness training can include yoga
               agree                       nor disagree                      disagree
                                                                                                  and other holistic practices that are de-
                                                                                                  signed to offer tools that can help you
                                                                                                  to consistently focus on your physical,
      From the community                                                                 mental, emotional, spiritual, and environmental
      Physical activity challenges for Healthy Nurse, Healthy Nation™                    health.” — Frances Akubuilo, DNP, RN
      included Small Steps = Big Changes and Move More Now. Work                            A self-care video, developed as a prod-
      (Out) From Home was a particularly important challenge, given                      uct of Frances’s doctorate research, starts off with the question,
      the COVID-19 pandemic. All three challenges were powered by                        “Nurses, how can we take care of our nation, if we don’t take
      Humana. Suggestions from this challenge included using an                          care of ourselves?” She has dedicated her career to embracing
      app from a fitness gym and accessing YouTube fitness videos.                       the concept of integrating wholeness—physical, mental, emo-
         Nurses can be creative in how they keep physically active.                      tional, spiritual, and environmental factors—into everyday
                                          Nearly 80 nurses responded                     nursing practice.
                                          to the Facebook post “Fellow
                                          nurses, what are your favorite                                          “We have to set the example for our
                                          ‘nontraditional’ ways to exer-                                       patients and our families. We can’t tell
                                          cise?” Yoga, housework, and                                          our patients to lose weight when we’re
                                          gardening made a strong                                              standing in front of them overweight.” —
                                          showing. More unusual an-                                            Linda Lowry, RN
                                          swers included trampolining,                                            Ten years ago, when her son Michael
                                          hula hooping, woodworking,                                           passed away from an asthma attack at
                                          and belly dancing.                                                   the age of 15, Linda used her grief as fuel

    6        American Nurse Journal              Volume 15, Number 9                                                                  MyAmericanNurse.com
Healthy Nurse, Healthy Nation™

on her journey to change. Gastric bypass surgery and a new,            on WNA’s Facebook page. Members have completed the event on
healthier lifestyle helped her shed more than 100 pounds.              the beaches of Mexico with a group of friends, family members
Her advocacy for lung health spurred her to complete the               have participated across state lines, and groups of nurses have
American Lung Association’s Fight for Air Climb at Presidential        gathered in other locations for their own live events. Proceeds
Towers in Chicago, where she climbed 180 floors and 2,340              from the event are used to fund three different scholarships.
steps. She supports other nurses in their quest for wellness,
noting, “Try to live what you’ve learned as a nurse. Knowledge                                                   Global activity
is power. Don’t give up.”                                                                                         Florida Atlantic
                                                                                                                  University (FAU)
                         “People were amazed at my strength                                                       integrates physical
                     during treatment [chemotherapy and mul-                                                      activity into study
                     tiple surgeries related to breast cancer] and                                                abroad programs. For
                     I credit it to starting a healthy life before I                                              example, one phys-
                     was diagnosed.”— Uniqua Smith, PhD, MBA,                                                     ically active compo-
                     RN, NE-BC                                                                                    nent of the program
    Uniqua credits her efforts to improve her health before her                                                   in Guatemala is hiking
diagnosis as the reason she avoided complications from her                                                        volcanoes. On the
cancer treatments. She and three friends joined a fitness boot                                                    home front, students
camp that consisted of weekly meal preps and at least 5 days           and faculty engage in charity walks. These are just one com-
of exercise. The friends used a social media app to facilitate         ponent of a robust wellness program that includes an annual
accountability, and Uniqua used other apps to track her food           health fair that provides free flu shots and birth-control advice
intake and miles. She encourages everyone to “get your body            among other offerings.
in the best shape that you can in order to be strong enough to
fight off any illness that may occur in your future.”                  Walking for health
                                                                       Vanderbilt University Medical Center offers a wealth of well-
    “While posting exercise pictures on so-                            ness opportunities, including walking and step challenges,
cial media, one of my nursing colleagues,                              mindfulness breaks, and healthy food choices. The organiza-
Victoria Randle, sent me a private message.                            tion highlights how nurses can improve their health without
She wanted to discuss an idea. The idea has                            creating additional burden, such as walking laps around the
blossomed into a self-care initiative that                             nurses’ station or outside around the building during patient
we call Nurses 4 Ever Fit™! We host monthly                            lulls or downtime. Nurses can also access exercise bands at the
fitness experiences in Atlanta, where our guests participate in        stations.
fun, fitness, and fellowship!” — Cara Sevier, RN
    Cara is committed to self-care and has coauthored articles         On the road
to help others.                                                        Northwell Health makes HNHN a driving force to promote
                                                                       wellness across the health system. The organization’s physical
Champion spotlight                                                     activity initiatives include an employee fitness center, a mile-
Pumpkin rock and roll                                                  long indoor walking trail for when the weather is inclement,
An innovative approach to encourage physical activity comes            and team-based walking competitions (such as walking the
from the Wyoming Nurses Association (WNA). The association’s           distance from New York to Dublin and from New York to
“Fall in love with Wyoming Pumpkin Run and Roll” event was             Rome). More than one-third of all employees have partici-
designed to counter the effects of Halloween candy and to get          pated in a walking competition.
nurses, families, friends, and communities to participate in activ-
ity, regardless of the weather and location. A live event is held at
one location in the state, but those unable to attend are encour-
aged to log a 5k (treadmill, outdoors, biking, walking, jogging—
no limitations) at their place and pace and to share their pictures

MyAmericanNurse.com                                                                    September 2020     American Nurse Journal          7
Healthy Nurse, Healthy Nation™

         Powered by Compass One Healthcare

        Nutrition
          Data points                                                                                                                   “Lifestyle changes are not about
          According to the HealthyNurse® Survey, nurses’ average body                                                               dieting, but about long-term behav-
          mass index (BMI) is 27.94, which falls into the overweight category.                                                      ior change. Most people aren’t ready
                                                                                                                                    to jump in the deep end—changes
   DAILY INTAKE OF FRUITS AND VEGETABLES                                                                                            should be more mellow over time.”
                                                                                                                                    — Aaron Stuber, BSN, RN, DipACLM
                                    31%                                                                                             (Aaron uses Positive Prescriptions to
                                                         24%                                                help patients make change. For example, rather than tell patients
                                                                                                            what they should remove from their diet, he helps them discover
     PERCENT

                21%
                                                                              13%                           healthy options that could be added.)
                                                                                                  11%

                                                                                                                “I want to get the word out that lifestyle changes students
                  0-1                   2                   3                    4             5 or more*   make now will make a difference long-term.” — Susan Indvik,
                                                                                                            BSN, RN (Susan started the Healthy Lifestyle Change Wellness Pro-
                                                                                                            file Check for those on the Dakota College campus, which focuses
*USDA’s Dietary Guidelines for Americans recommend 2 cups of fruit and 2.5 cups of vegetables per day.
                                                                                                            on lifestyle changes not simply weight loss.)
    HAVE ACCESS TO HEALTHY FOOD CHOICES AT WORK

                                                                                                            Champion spotlight
                                     38%                                                                    Nutrition makeover
                                                                                                            Northwell Health’s North Shore University Hospital hired Miche-
                                                                                                            lin-star chef Bruno Tison to revolutionize the role food plays in
     PERCENT

                                                                              19%
                                                          17%                                               healthcare and revamp the hospital cafeteria. He incorporates
                14%                                                                               12%       produce grown at local farms, antibiotic-free chicken, beef, and
                                                                                                            milk, as well as a number of other changes, including teaching
               Strongly                             Neither agree                                Strongly
                agree
                                     Agree
                                                    nor disagree
                                                                            Disagree
                                                                                                 disagree   kitchens hosted by the chef to promote healthy eating.

                                                                                                            Care for the caregiver
          From the community                                                                                In this Ochsner Health System program, each “campus champion”
          Nutrition challenges for Healthy Nurse, Healthy Nation™                                           collaborates with the chief nurse executive to develop events and
          included one on hydration and Healthy Recipe                                                      initiatives that encourage nurse well-being, such as education, a
          Toolbox powered by support from Compass One                                                       website with health resources, and incorporation of self-care ac-
          Healthcare. The recipes focused on ancient grains,                                                tivities into meetings. Employees also can access the Ochsner Eat
          healthy snacks, plant-based foods, nonalcoholic                                                   Fit app, which includes nutrition facts for Eat Fit–approved menu
          beverages, and sustainability.                                                                    items at local restaurants and Eat Fit–approved recipes.

          Success spotlight #healthynurse spotlight                                                                                            Providing nourishment
                                       “Having the structure of being able to log food,                                                     In response to the COVID-19
                                       re-evaluate, and notice when I’ve done well and                                                      pandemic, Hospital of the Uni-
                                       could do better is what made Weight Watchers                                                         versity of Pennsylvania (HUP)
                                       successful for me.” — Jean Ivey, PhD, PNP-PC,                                                        nurses banded together to
                                       FAANP ( Jean has maintained a healthy weight for                                                     create a nonperishable food
                                       over 15 years.)                                                                                      pantry for their fellow essential
                                                                                                                                            employees in need. Since its
              “Educate yourself, especially when it comes to a weight-loss                                                                  launch in May 2020, initiative
          goal. Information is power, and it can help change the way you                                                                    has distributed more than 800
          think and do certain things.” — Nikolay Zuyev, RN (Nikolay’s switch                               bags of food so that HUP employees stay nourished during this
          to a vegetarian diet resulted in a 65-pound weight loss over 4 years.)                            unprecedented time.

         8      American Nurse Journal                           Volume 15, Number 9                                                                     MyAmericanNurse.com
Healthy Nurse, Healthy Nation™

        Powered by Compass One Healthcare

       Quality of life
        Data points                                                                   taken those small steps. After experiencing serious health prob-
        Most respondents (44%) to the HealthyNurse® Survey, rate                      lems compounded by childhood trauma and current stress, she
        their health as good (very good = 25%, fair = 22%), excellent =               replaced toxicity with real meaningful things, revamped her
        5%, poor = 4%).                                                               exercise program, and started eating better. She says her journey
                                                                                      made her a “better mom and nurse.”)
   I PUT MY PATIENTS’ HEALTH, SAFETY, AND
   WELLNESS BEFORE MY OWN
                                                                                      Champion spotlight
                                                                                      Supporting students and faculty
                                     39%                                              School can be stressful. To mitigate the stress, Florida Atlantic
               30%                                                                    University (FAU) has taken a multipronged approach that ben-
    PERCENT

                                                                                      efits students—and faculty. FAU has an outdoor labyrinth for
                                                   22%
                                                                                      walking, and yoga, tai chi, and reiki are offered in an on-site
                                                                            1%        studio. The food court serves up nutritious meals, and a food
                                                                 7%
                                                                                      bank is available for students experiencing food insecurity.
              Strongly                          Neither agree              Strongly
                                     Agree                      Disagree
               agree                            nor disagree               disagree   Psychiatric services include a university mental health survey
                                                                                      and an online class to identify depression and other disorders.
(Total is less than 100% due to rounding.)

                                                                                      Outdoor therapy
        From the community                                                            Members of UConn Campuses
        Many Healthy Nurse, Healthy Nation™ challenges addressed                      Chapter of the American Ho-
        quality of life, including Mindfulness, Better Work-life Balance,             listic Nurses Association enjoy
        and Screen Time Detox. The Meditate and Recalibrate Chal-                     outdoors options for keeping
        lenge, powered by Compass One Healthcare, encourages                          healthy. Forest bathing is par-
        nurses to carve out some time, even if it’s for 5 minutes, to try             ticularly popular: Students use
        one of the six types of meditation: Mindfulness, Spiritual, Fo-               all their senses to truly experi-
        cused, Movement, Mantra, and Transcendental.                                  ence nature. Yoga in the park
                                                                                      provides another way to savor
                                             Success spotlight                        the outdoors.
                               #healthynurse spotlight
                               “So many nurses give, give, give but are               Relax…
                               unable to receive. Only to the measure                 At Ochsner Health System provides multiple ways to ease
                               that we ourselves are healed can we heal               nurses’ stress, including stress management classes, health
                               others.” — Mary Turner, RN (Mary, who                  and wellness fairs, relaxation rooms, and foot massagers. And a
                               hosts the annual Holistic Playshop & Well-             nurse researcher measures nurses’ perceptions of work-related
        ness Retreat for nurses, notes that when you change your mind-                quality of life, which provides valuable insights.
        set, you change your life.)

           “Before nursing school, I found that
        negative conversations were detrimental
        to my mental health. Now I try to stay as
        positive as possible.” — Matthew Padgett,
        student nurse (Matthew says it’s important
        to know what brings you joy and to make it a
        priority in your life.)

          “Small steps forward can lead to the biggest impacts of
        your life.” — Adrianne Ewald-Peterson, BSN, RN (Adrianne has

       MyAmericanNurse.com                                                                            September 2020      American Nurse Journal          9
Healthy Nurse, Healthy Nation™

       Safety
         Data points                                                                                                              WORKLOAD
         The HealthyNurse® Survey shows that nurses face many hazards
                                                                                                                                  I often have to arrive early or
         at work. Nurses reported they were at “significant level of risk”                                                           stay late to get work done         15%                   36%           20%            22%        7%
         for the following (respondents could choose more than one):
                                                                                                                                         I often have to work
                                                                                                                                  through breaks to complete            16%                   35%           20%            22%        7%
                                                                                                                                           assigned workload

 Workplace stress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77%                   I am often assigned a
                                                                                                                                         higher workload than           8%        21%           30%                  31%          10%
 Lifting/repositioning heavy objects (including patients). . . . . . . . 42%                                                            I am comfortable with

 Prolonged standing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40%                                                  0        10   20     30    40    50    60   70    80    90        100

 Needlesticks and other sharps injuries. . . . . . . . . . . . . . . . . . . . . . . . . . . 35%                                                   n Strongly agree n Agree n Neither agree nor disagree
                                                                                                                                                               n Disagree n Strongly disagree
 Excessive fatigue impacting my quality of life. . . . . . . . . . . . . . . . . . . 32%
 Blood-borne pathogens (e.g., HIV, hepatitis). . . . . . . . . . . . . . . . . . . . . 31%                                        MY EMPLOYER VALUES MY HEALTH
 Infectious disease agents (e.g., tuberculosis). . . . . . . . . . . . . . . . . . . . . 29%                                                                                                                                          2%

 Unsafe staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29%                    26%                                   49%                                17%         6%

 Slips, trips, and falls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26%
                                                                                                                                  0        10        20        30            40         50      60        70         80     90        100
 Noise level. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19%                    n Strongly agree n Agree n Neither agree nor disagree
                                                                                                                                                               n Disagree n Strongly disagree
 Violence at work (e.g., assaults, physical threats). . . . . . . . . . . . . . . . . 16%
 Bullying at work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16%
                                                                                                                                  HAVE ACCESS TO SAFE PATIENT HANDLING AND MOBILITY TECHNOLOGY

           Danger doesn’t occur just on the job: 20% of respondents                                                                                                                                                              2% 2%
        admitted that they sometimes text while driving, with 3%                                                                                     42%                                             46%                         8%
        reporting “nearly always.” On the other hand, 39% seldom
        text while driving, and 38% never do so.                                                                                  0        10        20        30            40         50      60        70         80     90        100
                                                                                                                                                   n Strongly agree n Agree n Neither agree nor disagree
                                                                                                                                                               n Disagree n Strongly disagree

 AGGRESSION DURING PAST YEAR

During the past year, I have:                                                                                                                                                     emotional, physical, and financial
Experienced verbal or nonverbal                                                                                                                                                   burdens. Another well-received
   aggression from a person in a 5% 18% 11%                                          38%                        28%
        higher level of authority                                                                                                                                                 challenge was Celebrate Civility,
                                                                                                                                                                                  which encouraged nurses to take
Experienced verbal or nonverbal 5%                       26%            11%              35%                      23%
         aggression from a peer                                                                                                                                                   steps to making lasting positive
                                                                                                                                                                                  changes in the workplace.
 Been verbally and/or physically
    threatened by a patient or a 11%                         24%           8%              33%                    24%
       patient’s family member
                                              0     10      20       30      40       50 60          70      80      90 100
                     n Strongly agree n Agree n Neither agree nor disagree                                                        Success spotlight
                                 n Disagree n Strongly disagree
                                                                                                                                  #healthynurse spotlight
                                                                                                                                  “Of course, with certain illnesses
         From the community                                                                                                       like strep throat, an antibiotic is
         As part of the Healthy Nurse, Healthy Nation™ Embracing                                                                  essential, but many times, we can
         Caregivers challenge, powered by EMD Serono, nurses                                                                      alter our lifestyle to get better while
         shared with other caregivers best practices and resources                                                                avoiding antibiotics.” — Sarah
         on the importance of self-care for caregivers. Nurses are                                                                Oerther, MSN, MEd, RN, FRSPH (Sarah
         well-positioned to help safeguard caregivers against                                                                     also has a passion for immuniza-

        10        American Nurse Journal                                   Volume 15, Number 9                                                                                                            MyAmericanNurse.com
Healthy Nurse, Healthy Nation™

tion. She and her family celebrate when they get their annual                 Team wellness
flu vaccine by sharing a treat such as ice cream, while taking                ANA-Illinois set up Healthy Nurse, Healthy Nation-Illinois
the time to discuss the importance of vaccination to keeping                  (HNHN-IL), which includes a private Facebook group and a
their community healthy.)                                                     dedicated committee. Representatives from six regions in the
                                                                              state collaborate to develop strategies for encouraging nurses
Champion spotlight                                                            to adopt healthy habits that lead to lifelong improvements in
Preventing workplace violence                                                 their health and well-being.
No one should feel unsafe at work. Unfortunately, workplace
violence is one of the biggest challenges facing nurses work-                 Keeping safe
ing in the emergency department. The Emergency Nurses As-                     At Florida Atlantic University (FAU), safety is addressed through
sociation is committed to keeping nurses safe on the job. The                 the distribution of whistles that can be used to call for help
association created a Workplace Violence Prevention educa-                    and reinforcement of security measures such as exit awareness
tion program for its members and uses email and social media                  and what to do in the case of an active shooter.
to spread the message about mitigating violence.

Rest
Data points*                                                                       if necessary (tinyurl.com/y7sex2ve).
Adequate sleep is missing for many nurses, according to the                   •   Meditate or exercise for 30 minutes before bedtime (tinyurl.
HealthyNurse® Survey.                                                              com/y9hdq9z4).

                                                                                   Many nurses weighed in, sharing their own tips, such as:
 NUMBER OF HOURS SLEPT (INCLUDING NAPS)
            IN A TYPICAL 24-HOUR PERIOD*                                      “I tried turmeric tea, stopped looking at my phone screen 2 hours
 n 5 or less 13%        n 8 21%                                               before I went to bed, and I slept through the night.” — JudyAnn
 n6          27%        n > than 8 6%
 n7          33%                                                              “Even a 15-minute power nap (being sure to set an alarm!) in
          Yes                                                                 the middle of the day when I feel overwhelmed, cranky, or
          14%         DURING THE PAST 30 DAYS, HAVE NODDED OFF                plain tired [is helpful].” — Melevine
                      OR FALLEN ASLEEP WHILE DRIVING
                      *The National Sleep Foundation recommends 7 to          Success spotlight #healthynurse spotlight
                      9 hours for those 18 to 64 years old and 7 to 8 hours
        No                                                                    Carol Kight-Dufour,
                      for those 65 years old and older.
       86%
                                                                              BSN, CCRN, CPAN, un-
                                                                              derstands the role of
From the community                                                            exercise as it relates to
The Healthy Nurse, Healthy Nation™ Your Best Sleep Yet! Chal-                 sleep. She participates
lenge, powered by Compass One Healthcare provided tips on                     in endurance riding.
healthy practices to enhance sleep hygiene.                                   It’s not unusual for her
                        • Eat sleep-friendly foods such as nuts              to ride anywhere from
                           and bananas right before bed (tinyurl.             25 to 100 miles on her
                           com/y89l9dbp).                                     mare, named Dixiegirl.
                        • Make your bedroom a sleep sanctu-                  The rides take anywhere
                           ary; for example, use room-darkening               from 6 to 24 hours. She
                           shades and read a calming book                     says nurses should take
                           (tinyurl.com/ycof66na).                            breaks when needed
• Skip alcoholic beverages close to bedtime                                  and do something phys-
   (tinyurl.com/y8zr3ull).                                                    ical every day.
• Avoid blue light (from TV screens, tablets, and phones) be-
   fore bedtime; use a filter or wear blue-light–blocking glasses

MyAmericanNurse.com                                                                            September 2020      American Nurse Journal     11
®

DEVELOPED WITH DERMATOLOGISTS

                                ®

 leading the way to better health
You can also read