No-Judgment Zone final version

©2012 MFMER | slide-1

No-Judgment Zone

Transplant Surgical Services, 9/13/12David Cox RN BBA


As the old saying goes, “Things are not always what they seem”


Illusions and Misunderstandings have long been sources of

fascination and amusement!

All the more so when People are involved…


Misunderstood—Contemporary Version


“EASY A”, A 2010 TEEN COMEDY STARRING EMMA STONE

A humorous modern take on the Nathaniel Hawthorne classic, “The Scarlet Letter”, shows what happens when a bright but under-the-social-radar teenager decides to use the school's gossip grapevine to advance her social standing. Now her classmates are turning against her and the school board is becoming concerned…


Why are people sometimes misunderstood by everybody around them?


Rush to Judgment

Like the people around Olive in “Easy A”, sometimes we pass judgments on others based on misunderstandings, unreasonable expectations, erroneous data, or “discernment” of behavioral “patterns” that don’t actually exist.


Rush to Judgment

Even though CARING is said to be the heart & soul of nursing, passing judgments on others—patients or colleagues—does not demonstrate CARING to the one on whom the “sentence” is passed!


Caring for the Newbies

More than ever, our hospital has New Nurses coming on board as our colleagues.



This trend is expected to continue because:

• All hospitals, on average, have more New Nurses as part of the mix

• As existing older nurses retire, more Newbies will be hired to replace them

• Mayo Clinic Florida is committed to supporting the growth of nursing and to supporting our area nursing schools



Mayo Clinic Hospital’s support of the new nurse includes:• Excellent orientation program, featuring one-on-one support from

an experienced and committed staff nurse• A cutting-edge nurse residency program, the first of its kind in

this area



So how long will all this support be necessary? How long will it take before the Newbies can “sail their own ship”?


THE EXPERT NURSE

•The Research & writings of Dr. Patricia Benner help us to quantify both what it takes to be an expert nurse, and how long it takes for this process to come to completion

•By understanding this process, we can have an idea of how long it should take before our Newbie Nurses can function at the higher levels we all aspire to




To get to Competent Practitioner Level (the 3rd of Benner’s 5 levels): at least 2 YEARS

SO HOW LONG DOES IT TAKE TO CLIMB THIS MOUNTAIN?


To get to Proficient Practitioner Level (the 4 th of Benner’s 5 levels): 3-5 YEARS

SO HOW LONG DOES IT TAKE TO CLIMB THIS MOUNTAIN?


HOW ABOUT THE NEWBIE?

Let’s take a closer look at Benner’s “Advanced Beginner” stage:

According to Benner, a nurse in this stage:

o recognizes the meaningful aspects of real clinical situationso has experienced enough real situations to start to make judgments about them, but…o struggles to determine which aspects of a situation are important and which are noto demonstrates marginally accepted performance

For the non-newbies among us, WE’VE ALL BEEN THERE! This includes PCTs & Monitor Techs too! Do you remember those days? What was it like to be that “advanced beginner”? How were you received by your colleagues?


So…based on what we’ve learned today,

IS IT REASONABLE TO EXPECT THE NEWBIE NEVER TO MAKE A MISTAKE?


Unfortunately, despite the fact that we’re ALL imperfect, and we’ve ALL “been there” (as a newbie), that doesn’t stop some of us from unfairly judging our newest--and most vulnerable--colleagues…

“We judge ourselves by our intentions, but others by their actions.”--unknown


Mayo Clinic Service Essentials

Our unreasonable expectations of the new staff members often cause us to criticize and gossip about them. So let me ask you:

Which one of the Mayo Service Essentials does this reflect?


Instead of “nurses eating their young”…


…let’s resolve to help ‘em out a little!


No-Judgment Zone


No-Judgment Zone

The Benefits of a No-Judgment Zone on our unit include:

•Positive work environment•Less employee turnover•Positive self-esteemo for the newbie—ALL new staffo for the rest of us

Does this sound like something you’d like to have here?


No-Judgment Zone

Sounds good! So how do I get there?


No-Judgment Zone

In the No Judgment Zone, the nursing staff pledges to:

• Refrain from judging our Newbie Nurses

• Give them positive, yet accurate, feedback about their work

• Discuss any perceived deficiencies directly with them or with their preceptor

• Hold colleagues to the same standards

• WE CAN DO THIS!


Celebrate Together!

• While we shouldn't depend on others to make us happy, by building a positive team or support group at work we will be happier.

• So instead of expecting others to make you happy, you proactively create the positive relationships that enhance your engagement, productivity and happiness.


Celebrate Together!

• One great way to HELP OUR NEWBIE NURSES is to do what pastor and organizational guru Andy Stanley calls “celebrating the win”.

• Try this—ask the Newbie Nurse a simple question: “What happened last week that made you feel like you’ve made progress in your mission to become a great nurse?” And then, celebrate that with the Newbie!

• WHY? Because, as Andy says, “what is celebrated is repeated.” It’s human nature!


In Conclusion…

“Blessed are the merciful, for they will be shown mercy!”

Isn’t mercy what nursing is all about?


Questions & Comments?


THANK YOU!!!

Documents

No-Judgment Zone final version