Under Pressure: Nursing Care During Community Crises - April 26, 2021 We will get started shortly. Your lines are muted upon entry. This event ...
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Under Pressure:
Nursing Care During Community Crises
April 26, 2021
We will get started shortly. Your lines are muted upon entry. This event will be recorded.
Help When You Need It • Drop-in peer support meetings open to all frontline workers • Virtual Wellness Rooms • Visit Oregon Helpers web page for more info www.linesforlife.org/helpers
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Under Pressure:
Nursing Care During Community Crises
Moderator:
Susan King, RN, MS, CEN, FAAN
Retired Executive Director, Oregon Nurses Association
Panelists:
Margaret Ngai, DNP, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Debdeep Nath, PNP-BC, PMHS
Founder, Clarity PDX, LLC
Diane Solomon, PhD, PMHNP-BC, CNM
Behavioral Health Clinician
Rep. Rachel Prusak (D)
District 37 (Tualatin/West Linn)
Susan King, RN, MS, CEN, FAAN
Retired Executive Director,
Oregon Nurses Association
Margaret Ngai, DNP, PMHNP-BC Psychiatric Mental Health Nurse Practitioner
Mental Health of Nursing Workforce
Photo by Anna Shvets from PexelsBurnout in Oregon Nurses
Defining
Burnout
Photo by Sebastian Sørensen from PexelsPosttraumatic
Stress
DisorderMental Health Crises: Another Pandemic Photo by Curioso Photography from Pexels
Debdeep Nath, PNP-BC, PMHS Founder, Clarity PDX, LLC
Introduction
● Perspectives of a nurse behind the front lines
during COVID
● Impact on children’s health - local & global
● Role of nurses in a post-pandemic worldTelemedicine
● Telehealth visits were up 154% in the last week of March 2020
compared with the same period the previous year. (CDC)
● 46% of patients now say they use telehealth for some visits,
compared to 11% in 2019. (McKinsey)
● 48% of physicians now say they are treating patients via telemedicine.
(Merritt Hawkins)
● More than 20% of U.S. medical visits are expected to be conducted
virtually this year. (Doximity)
● Among behavioral and mental health clinicians, 94% said they would
like to continue offering these services virtually after the pandemic.
(COVID-19 Healthcare Coalition)Mental Health
● In 2020, emergency rooms have seen a 31% increase in
mental health-related visits from children ages 12 to 17
compared to 2019. (CDC)
● Food banks have served an estimated 17 million
children in 2020— many largely cut off from free school
lunches— an increase from 6 million hungry children
before the pandemic. (Feeding America)
● For 2020-21, estimated that students will start academic
year with 63-68% of the learning gains in reading relative
to a typical school year and with 37-50% of the learning
gains in math. Black, Hispanic and poor students are
falling even further behind. (NWEA, McKinsey)Silver Lining
Diane Solomon, PhD, PMHNP-BC, CNM
Behavioral Health ClinicianThe ABCDEs of Self Care* in Pandemic Times (and
Beyond); AJN 4/2020
Background:
• 2017: 3,957,661 RNs, of those leaving job, >31% burnout as a reason (Shah, et al., 2021)
• 2018-19: ANA’s Healthy Nurse, Healthy Nation report >117,000 nurses:“70% of nurses surveyed
report putting the health, safety, and wellness of their patients before their own”
• Jan/Feb 2020: Wuhan, 1257 HC workers: women, nurses esp. implicated in increased
dep/anx/insom/distress (Lai, et al., 2020)
• Mar/Apr 2020: 33,062 HCW; anx 23.2 prevalence, dep 22.8, insom 38.9; w/ “female HCPs and
nurses exhibiting higher rates of affective sx compared to male and medical staff,” (Pappa, et
al., 2020)
• 2020: Independent Panel on Pandemic Preparedness and Response reports 70% of national nsg
associations reporting MH distress among nurses (Independent Panel Pandemic
Preparedness/Response, 2021)
• *Known to mitigate emotional and physiological harm associated with external stressorsANF/ANA Year One
COVID-19 Impact
Assessment
Survey: Mental
Health and
Wellness; >22K
nursesStay informed as you need to, then pull away and unplug
A:
About Sensory diet: limit anxiety-provoking exposure to TV/radio/social
media
Fearful news is addictive—don’t let the powers that be make you an
addict
Yes: PPE, handwashing, masks, social distancing, vaccines
B:
Body What mother taught: sleep, physical activity, nutrition, healthy
relationships
Care for yourself exactly as you would advise a patientYes, socially to others; make
C: proactive time to schedule video
Connect calls, safe, in person connections
Meditation and breath (Insight Timer, Calm, Ten Percent Happier, Breathwrks)
Connect internally:
Note negative, anxiety-based thoughts and distract into positive
Play: TV/movies, games, pets, gardening, laughter
Think #COVIDSilverLinings: less
D: traffic, more downtime, positive
Develop solitary pursuits
New hobbies
Think innovation and creativity: Creativity: Journaling, writing, painting, dance
telehealth, restaurants, curbside Creating scheduling templates with breaks for you: reading, walks, one yoga pose, “five minute
vacations”
pickup Focus on “post-traumatic growth” (for the long-term) in wake of traumas (vs. PTSD)E: Emotion: The Bottomline
• The pandemic created unprecedented fear and uncertainty
• More emotion can mean irritability, insomnia, depression, anxiety for everyone
• Women and healthcare providers are especially vulnerable
• We all deserve to reach for support—a cardinal sign of strength, not weakness
• Behavioral health: psychotherapy and medication
• Lines for Life Helpers virtual wellness rooms or other support groups (e.g. Behavioral
Health Support Line)
• emotionalppe.org
• Oregon Wellness Program (for prescribers)
• A trusted friend/partner*
• Avoid “The tyranny of personal responsibility”—it’s not all on you and your self care; we
can rise up together and change unhealthy healthcare cultures—nurses can transform
healthcare!Rep. Rachel Prusak (D)
District 37 (Tualatin/West Linn)
Chair, House Health Care Committee
Member, House Economic Recovery
& Prosperity Committee
Member, Task Force on Adverse Health Care
Incidents
Member, Oregon State Hospital Advisory BoardThank you to our annual sponsors!
Thank you to our presenting sponsor!
Audience Q&A
Thank you for attending!
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