Finding Joy in Your Workplace Emily K. Ward BSN, RN, MBA, CCRN-K Associate Chief Nurse Executive University of Iowa Hospitals & Clinics November 7, 2018

Disclosure I have no actual or potential conflict of interest in relation to this program/presentation.

Objectives Discuss the effects of burnout, engagement and turnover on workplace joy Review the Institute for Healthcare’s framework for a practical path to nurture and restore joy in healthcare Discuss and learn leadership strategies to engage staff and foster a culture of accountability

We face a challenging time. Today’s Reality We face a challenging time.

We will continue to face challenging times. My Prediction We will continue to face challenging times.

The Circumstances High customer expectations Rising cost of doing business Increased regulation The pace of change Budget Cuts Being asked to do more with less

JOY Shifting the Focus 54% of US physicians are burned out Engagement Burnout Turnover JOY Shifting the Focus 54% of US physicians are burned out 37% newly licensed RNs are thinking of leaving their jobs

organizational & individual Joy in work relies on organizational & individual resilience

Components of Joy in Work Framework

Four Steps for Leaders & Team Members

organizational & individual Joy in work relies on organizational & individual resilience

The Circumstances….Our Reality High customer expectations Rising cost of doing business Increased regulation The pace of change Budget Cuts Being asked to do more with less

Who has heard someone you work with gossip about someone or something related to work?

Instead of engaging with reality, most argue against it! 71% of employees think about quitting their job once a day They continue to work, but they’ve quit mentally & emotionally The average employee spends 2 hours & 20 minutes per day in drama. These tend to be our BMWs

What do we end up with? Leading to… Reasons Stories Excuses More drama Disengagement Judgement Ineffective leadership

What is Reality-Based Leadership? Someone who… Deals with the facts Clarifies roles Gives clear and direct feedback Uncover destructive thought patterns with yourself and others DIFFUSES THE DRAMA

Get rid of the drama that is holding you back from truly being great. Happiness is a Choice Innovation Creativity Collaboration Get rid of the drama that is holding you back from truly being great.

Here’s the moral of the story… Our circumstances aren’t the reasons we can’t succeed. They are the reasons in which we must succeed! Your circumstances may not be negotiable, but your suffering is.

Your Ego Hates Change The narrator playing in your mind Most believe the commentary Makes things ambiguous None of it is true until you give it your agreement Overreactive & looks for insult https://www.youtube.com/watch?v=4rcdAiEYVBg&feature=youtu.be&inf_contact_key=a9c71b8df959300604be4924641355ab9e5604e013f14209ba43ac952c56d052

Working Through a Story Event Thinking Feeling Action Results

The Event

Thinking

Feeling

Action

Results Ditch the Drama!

Your ego is not your amigo.

Playing Favorites Work with the willing Call people to greatness What does a ‘favorite’ look like? Personally Accountable Results Driven Flexible Low Drama Emotionally Inexpensive Great with Change Supportive of the direction of the organization

Okay, so now what?

Competencies Competency 1: The ability to respond to adversity Competency 2: A profound commitment to succeed in spite of the facts Competency 3: The will to resolve and move through conflict very quickly

Stay In Your Lane… …Focus on yourself Your development Your assumptions Your choices …Focus on what you can affect Your own thoughts Your own behaviors

Learn & Grow from Feedback Welcome the news. Check your ego and see what you can learn. Take in the message. If you find yourself defensive, take a step back. Stay in your lane

Stop Judging & Start Helping This is a non-negotiable. Trust is about your own courage and confidence, not some one else’s integrity. If our reality was perfect we could just automate everything. We add value to our imperfect circumstances.

Get on a positive track: Reality Check Get clear about motives Be the change See others through a lens of love & respect, not anger and fear Invoke a clearer, higher perspective

Life’s Messy, Live Happy