1. 1 Developed by the Canadian Nurses Association and the Registered Nurses Association of Ontario Adapted for use by [name of PEACE site]

2. 2 MODULE 5: HEALTHY WORK ENVIRONMENTS

3. 3 Two-year national project between Canadian Nurses Association and the Registered Nurses Association of Ontario from April 2010 – March 2012 A series of education sessions implemented in 10 PEACE Sites across Canada Topics included are recognizing elder abuse; when and how to report elder abuse; how to intervene; and what you can do to prevent elder abuse Resources and materials on NurseONE Promoting Awareness of Elder Abuse in Long-Term Care

4. Objectives By the end of this module, the learner will be able to: 1.Define healthy work environment 2.State three factors that contribute to abuse within long term care 3.Explain the relevance of a healthy work environment to elder abuse 4.Explain how a healthy work environment may be improved within your own long-term care setting 4

5. Definition Practice settings that maximize the health and well-being of all staff, quality resident outcomes, organizational performance and societal outcomes RNAO, Healthy Work Environment Best Practice Guidelines Program 5

6. How would you describe a healthy work environment?

7. Why Promote a Healthy Work Environment? Results in improvement in: Quality of care provided to Residents Quality of work environment and Resident outcomes Staff satisfaction and retention A healthy workplace can promote an abuse free environment! 7

8. Features of a healthy work environment are: Manageable work load Flexibility of schedules Availability of continuing education Freedom to make independent decisions Interprofessional team work is supported Positive relationships with colleagues Effective communication among team and throughout organization

9. Features of a healthy work environment: Participation in decision making at unit and organizational levels A Resident/person centered culture is nurtured Occupational and health safety policies exist Appreciation of cultural diversity Processes in place to address ethical concerns

10. Work Environment Factors Which May Contribute to Abuse: Nature of policies Nature of staff training Staffing levels Work-related stress Types of residents in our care 10

11. Factors in the long term care work environment that may contribute to elder abuse Increased complexity of resident care needs Increased percentage of individuals with dementia and responsive behaviors Limited education in managing behaviors related to dementia Attempts to control responsive behaviors get out of hand Task focused care versus person centered care Limited resources

12. At [your home] Within [your organization] Regionally/provincially What has been done in our organization to improve the work environment?

13. Factors in the long term care work environment that may contribute to elder abuse Increased complexity of resident care needs Increased percentage of individuals with dementia and responsive behaviors Limited education in managing behaviors related to dementia Attempts to control responsive behaviors get out of hand Task focused care versus person centered care Limited resources

14. What can you do to create a healthy work environment? Teamwork: Mutual respect Trust Openness Communication Cooperation 14

15. What can you do to create a healthy work environment? Professionalism: Refer to educational resources Share your ideas Think about your strengths and areas for improvement Provide your input into decisions Get involved 15

16. What can you do to create a healthy work environment? Diversity: Be open minded and respectful of all colleagues Be co-operative with one another Refuse to participate in discrimination, harassment, gossiping and bullying 16

17. How do you see the Healthy Work Environment being improved in your long-term care setting? 17

18. [Optional Excercise] Write down one thing that you will change or do differently as a result of attending the PEACE Prevention of Elder Abuse education sessions? 18

19. Taking care of each other and the Residents Home that we work in is critical because we are the caretakers of Residents in LTC! 19 Key Points

20. Questions?

21. 21 Resources

22. 22 Thank you for participating in the educational curriculum for this national initiative.