Building Social Resilience in Nursing: A Workbook
By Phil Callahan, Michael Marks, Heidi Kosanke and
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About this ebook
“It is unrealistic to expect that we can be immersed in critical healthcare and not be affected by it. Indeed, we can look to decades of research and see just how much we are affected by these work-related exposures and stressors.”
“The goal of this workbook is to foster resilience by applying positive-coping skills to personal challenges and by developing and sustaining a social support system in the context of integrative nursing”
Excerpt From: Owner. “Building Social Resilience in Nursing: A Workbook.” iBooks.
Phil Callahan
Philip Callahan, Ph.D., EMTP is currently an Emeritus Professor at the University of Arizona.He has served on government and community committees focusing on the research,development and evaluation of resilience-oriented education addressing first responders andcombat veterans and in leadership and academic positions at he University of Arizona toinclude Arizona Health Sciences Center, Assoc Professor Ed Psychology, Assoc ProfessorVeterans Education and as a firefighter and paramedic in southern Arizona. He was a2013 JEMS 10 recipient.
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Book preview
Building Social Resilience in Nursing - Phil Callahan
Philip Callahan, Ph.D, EMTP
Michael Wm. Marks, Ph.D., ABPP
Heidi Kosanke, MS-Ed, RN
Wanda Larson, PhD, RN, CEN
Patty Wilger, MS, RN
Kenneth Oja, PhD, RN
Christine Pasquet, MSN, RN
Deborah Williams, PhD, MPH, RN
Pam Fick, MS, MBA 2018
© MMarks and PCallahan
Smashwords Edition
Table of Contents
Resilience and Integrative Nursing
Introduction
Belief
Persistence
Strength
Trust
Adaptability
Appendix
Resilience and Integrative Nursing
Remember when you first realized you wanted to be a nurse? When you felt called? For those of you that are students that revelation is probably fresh in your minds. For those of you who have been in healthcare, that spark may seem a distant memory, but when pushed, you will reluctantly admit to that passion.
While that passion may drive us, it is important to recognize that burnout, posttraumatic stress, and even suicide are far too common in the nursing community. As you will learn, the very passion that brought you to this profession can sometimes contribute to these problems. This workbook will introduce you to an evidence-based program to increase your personal resilience as well as that of those closest to you, your social support system. You will examine positive coping skills and how to apply them to yourself, your social support system and your community in the context of the principles of integrative nursing. You will further examine ways to sustain a resilient and healthy social support system.
The goal of this workbook is to foster resilience by applying positive-coping skills to personal challenges and by developing and sustaining a social support system in the context of integrative nursing. There are a number of key objectives or steps at achieve that goal that include:
• Recognize the importance of developing personal resilience through positive-coping skills and social support system.
• Relate the principles of integrative nursing to resilience and the social support system.
• Relate past challenges to resilient positive-coping skills.
• Apply resilient positive-coping skills to current challenges in conjunction with a member of your social support system.
• Redefine, in your own words, the meaning of resilient positive-coping skills.
• Create a personal social support system based on your needs with attention to why you are selecting those individuals.
• Identify how you will sustain that social support system over time.
Introduction
It is unrealistic to expect that we can be immersed in critical healthcare and not be affected by it. Indeed, we can look to decades of research and see just how much we are affected by these work-related exposures and stressors (Marks, Callahan & Grill, 2018).
While stress will affect us both mentally and physically in a variety of ways, one of the more frequent terms we hear is that of Post-Traumatic Stress Disorder or PTSD. PTSD can follow an event or cumulative events where one experiences a potential or actual loss of life or a traumatic event that results in a sense of helplessness or horror. This might show as anxiety or fear-based symptoms, uneasiness, an inability to experience pleasure, externalizing anger or aggressive symptoms, and detactiment. These symptoms could appear as avoidance, numbing, blame of self or others, persisting poor emotional state, difficulty concentrating, and reckless or destructive behavior (American Psychiatric Association, 2013).
Why is PTSD so critical? A very high percentage of all individuals who die by suicide have at least one identifiable psychiatric disorder (Bertolote, Fleischmann, De Leo, & Wasserman, 2004; Bolton, James, Gunnell, & Turecki, 2015; Ilgen, Bohnert, Ignacio, McCarthy, Valenstein, Kim, & Blow, 2010). Thus, those individuals dealing with PTSD are potentially at higher risk of suicide (Sareen, Cox, Stein, Afifi, Fleet, & Asmundson, 2007; Sareen, Houlahan, Cox, & Asmundson, 2005).
A tragic consequence of these personal struggles can lead to completing suicide. Suicide is problematic across the caregiver community, from physicians to first responders (Davis, Detre, Ford, Hansbrough, Hendin, Laszlo, J., ... & Miles, 2003; Newland, Barber, Rose,& Young, 2015;.Stanley, Hom,& Joiner, 2016). A female nurse, for example, is four times more likely to commit suicide than other women (Nurses at Risk, 2018).
Increases in nursing turnover have led the profession to consider the causes and methods to address this loss (Bae, Mark,& Fried, 2010; Cleary, Hunt,& Horsfall, 2010; Sumner & Townsend-Rocchiccioli, 2003).