2021 Research and Innovation Showcase
One of the most effective initiatives for staff support during the Covid-19 pandemic was the White Plains Hospital’s Care Code. The Care Code team consists of members from Pastoral Care, Caregiver Support, Holistic Nursing, Healing Touch, and Volunteer Services. Representatives of the team will share how they continually addressed the evolving physical, emotional, and spiritual needs of all staff, the outcomes of Care Code interventions, and how a similar program could be introduced in your institution.
Rabbi Fredda Cohen, MA, JD, BCC
Director, Department of Pastoral Care & Education, White Plains Hospital
The coronavirus pandemic has amplified stress and anxiety for many of us working in healthcare. This presentation will discuss how to most effectively and compassionately communicate through stressful times to allow more room for productive interactions. Attendees will learn how to utilize effective communication skills to lessen or even prevent stress from occurring and will also learn evidence-based communication strategies to better mitigate stressful scenarios.
In today’s complex medical system, patients need a team of healthcare providers to care for them. The medical literature shows that communication problems among healthcare team members are frequent and can result in significant harm to patients. Creating psychological safety, sharing mental models, ensuring situational awareness and clarifying with read-backs are keys to wellness in staff and improved outcomes for patients. I START-END is a tool that enables these elements for safer kinder healthcare in every team setting.
To address the high levels of stress, exhaustion, and moral distress impacting healthcare teams during the COVID-19 pandemic, a multidisciplinary Stress Resource Team formed to provide a range of social-emotional interventions. A robust and complex support response can be quickly activated during crisis, resulting in innovative, compassionate approaches to improve access to psychological assessment and aid and to embed support within healthcare teams. Discussion will focus on lessons learned and ongoing efforts to promote psychological recovery.
This interactive session involves hands-on techniques that will train healthcare providers and care team members on how to use all their sensory skills to provide compassionate care to all patients. The methods and strategies covered in this presentation can be used prior to every assessment and treatment of patients. If you have experienced extreme fatigue and burn out in healthcare this training is for you. You will leave this session clearly aware of the difference between sympathetic, empathetic and compassionate healthcare. After this session you will be ready and rejuvenated to provide the “best healthcare” a person can deliver and a patient and family can receive!
Being in an emergency department at hospital can be a disorientating experience for an older person. Particularly if they are alone or if they live with dementia or other cognitive impairments. This session will introduce a research study that explored the lived experiences of older, potentially disorientated older people in an accident and emergency department who were offered support for their emotional needs: an Intentional Compassionate Communication Intervention (ICCI).
In line with BIDMC’s principle of interdependence and teamwork in the “new normal,” this project addresses the need for optimal interprofessional communication and teamwork in the perioperative setting, especially during stressful times such as the COVID 19 pandemic. During such times, many patient care and safety requirements can create tensions and friction among different professionals. Optimal communication and relationships can help alleviate operational issues arising in the perioperative setting.
Jenny Kwak and Francis Gallego, will present on Self-Care Strategies for providers who work with patients with Cancer. They will focus on ways they continue to support patients and staff and balance their own ability to care for themselves. They are both seasoned clinicians with over 25 years of experience, who work to advocate for disenfranchised patients. They will share how they have had to adapt and share resilience and therapeutic tools since the COVID pandemic.
Narrative life writing can be transformative for those persons living with the reality of cancer. Participants in this qualitative study at the UVA Cancer Center responded to a series of specific writing prompts over several months, and demonstrated significant positive shifts as measured by several different forms of assessment. While touching on the theoretical framework for the study, this presentation will focus primarily on project design and implementation, including specific writing prompts, writing samples, and significant data collected.
This session will explore early findings from the Relational Leadership Institute (RLI), a 3-month interprofessional, cross-generational leadership learning collaborative currently held at Oregon Health & Science University, the University of North Carolina at Chapel Hill, and University of Utah and developed in partnership with Primary Care Progress. A core premise of RLI is a focus on psychological safety, and this session will explore how this focus holds the promise to equip healthcare professionals with strategies to more effectively engage people/patients, team members, and communities and, in the process, advance health for all.
Brian Park, MD, MPH
Assistant Professor of Family Medicine, School of Medicine, OHSU
Director, RELATE Lab
Shawna Mitchell Sisler, MS, MA, MAPP, RN, NP, PhD(c)
Evaluation Lead for RLI, University of Utah
Advanced Wellness Practitioner and Research Associate, University of Utah School of Medicine
Be inspired when strangers unite! Here’s How. Triggered by the desire to give thanks to Frontline Healthcare workers during COVID-19 and expressing the need via social media, a community supported project was born fueled by strangers’ generosity. Leave with ideas on how to connect with your community and create your next project.
This presentation discusses my qualitative research on effective informal peer support for physicians, which focuses on understanding the experience of receiving effective peer support, the conditions in which it arises, qualities of support which make it valuable, and how receiving this support affects recipients over the long term. Incorporating this knowledge into our practice as physicians has the power to transform the experience of practitioners.
A diagnosis of cancer and the subsequent required treatments are devastating. The onset of the COVID-19 pandemic led to visitor restrictions, which progressed to a heartbreaking no visitor policy. This presentation describes how compassionate care was provided by the healthcare team. Nurses and other providers experienced moral distress. Leaders and physicians rallied to provide compassion to patients, family members and the healthcare team. The voices of a patient and his wife tell participants how the team did.
Melissa Barnes, MSN, RN, BMTCN, OCN
Nurse Manager, Inpatient Hematology/Oncology, Atrium Health – Carolinas Medical Center
Michael R. Grunwald, MD, FACP
Chief, Leukemia Division, Department of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Atrium Health
The secondary trauma from COVID-19 will multiply the disturbing trends in clinician burnout, which often manifests in compassion fatigue and mental illness. We will present on the creation, implementation and progress of a Wellness and Resiliency pilot program on-site for the staff of Peconic Bay Medical Center. This program seeks to create a culture of compassion, decrease stress, and improve staff’s overall emotional wellness.
Everyone has a story. My Six-Word Story is an innovative activity designed to support the psycho-social well-being and emotional resilience of our healthcare professionals. My Six-Word Story has the power to reconnect us to our purpose and connect us as a community.
The presentation will focus on the rationale behind and lessons learned through evolution and integration of a wellness program into the curriculum of an advanced practice interprofessional fellowship program in Hospice and Palliative Care. Highlighting the emphasis and impact of the pandemic on wellness strategies, presenters will offer practical strategies to sustain health and wellness elements for fellows without sacrificing the necessities of academic core competencies. Discussion will offer evidence of the feasibility and benefits of integrating wellness practice into daily clinical activities, through the outcome of a fellow-driving quality improvement project, “Palliwell.”
Sherry Echano, AGPCNP-BC
VA Hospice & Palliative Care Fellow, VA-Greater Los Angeles Health System, Hospice and Palliative Care Division
Brandon Hervey, MSW
VA Hospice & Palliative Care Fellow, VA-Greater Los Angeles Health System, Hospice and Palliative Care Division
This session highlights the unique challenges and associated self-care practices reported by nurses in a medium-size community hospital during the 2020 pandemic. While the World Health Organization planned 2020 as “The Year of the Nurse and Midwife” (WHO, 2020), no one could have anticipated that nurses worldwide would be thrust to the forefront of our world’s most significant public health crisis of the century. The pressures of the coronavirus pandemic continues to pose significant challenges for nurses and test the limits of resilience at unprecedented levels. In this session, researchers will provide results of the research that promote a deeper appreciation of the pandemic-related challenges faced by nurses, and will highlight individual, unit, and system-based approaches for facilitating self-care and resilience among the nursing staff.
This session presents the data on burnout in pediatric orthopaedic surgeons, reviews factors (including workplace culture) that contribute to it and discusses possible avenues for change.
Cordelia W. Carter MD
Associate Professor of Orthopedic Surgery
Director, Women's Sports Health Center
NYU Langone Health
What happens when current and future healthcare leaders – nurses, physicians, researchers, and administrators – take a graduate-level course designed to help them become more present, compassionate, and effective? During the course, learners are introduced to methods for doing the “inner and outer work” of leading self, teams, and organizations. Dr. Lili Powell and an interprofessional panel of students representing the University of Virginia’s School of Nursing, School of Medicine, and the Darden School of Business share the course content, design, and lessons learned.
Elisa Enriquez Hesles
MD-PhD Student, Biochemistry & Molecular Genetics, School of Medicine, University of Virginia
Jessica Kassay-McAllister, MSN, AGACNP-BC
Effector Cell NP, Cellular Therapy Program, University of Virginia Health System
DNP Student, School of Nursing, University of Virginia
This compassionate presentation provides a holistic perspective on the hidden issues of suicide, demonstrating that with awareness, we can shift from being organized around trauma, to being trauma-responsive and healing-centered.
Since the start of the pandemic healthcare workers of all kinds have been under incredible stress, putting the needs of others above their own, working longer hours, living with trauma and fear, and as a result, report increased exhaustion, stress, frustration, and anxiety. This presentation will focus on improving the wellbeing, emotional awareness, and mental health of these workers, highlighting the impact that fatigue experiences common in the context of the pandemic – pandemic fatigue, zoom fatigue, decision fatigue, and compassion fatigue – can have and learn interventions, coping strategies, and treatment approaches to manage emotional health and avoid burnout.
This presentation will explore an unique way of “pushing” wellness initiatives out to employees while they are working. A peer-to-peer initiative consisting of random unexpected visits from the You Matter Cart was initiated. The goal is to meet people where they are at, let them know they matter and providing meaningful recognition to them in terms of small tokens of appreciation geared towards wellness.
Elders may take interventions of mindfulness and compassion offered through senior community centers when they need physical activity engagement. Various yoga postures and breathing meditations may help elders to enhance the stress response. Aligned with the difficulties of the general population in the age of the Covid-19 pandemic, implications will be drawn from the elders’ stress response.
Eunmi Kim, PhD
Co-Founder, Center for Contemplative Science, Korea Advanced Institute of Science and Technology, Republic of Korea
Chaeyeong Seo, BS
Graduate Student, Department of Chemical and Biomolecular Engineering, Korea Advanced Institute of Science and Technology, Republic of Korea
What are the unique challenges facing the elderly ethnic minorities in the United States? What unique challenges do caregivers face when caring for those from other cultures and those who have different religious backgrounds? Attendees will learn how we can allocate resources for elderly minorities population in a system that is already heavily burdened. Attendees will also learn how we can bridge the gap on access to affordable health care and senior care in this minority group.
“Look for the helpers in times of crises”, Mr. Rogers advises. But who will help the helpers in the time of the Covid pandemic? The BWell Center was created to provide hospital staff a quiet space to utilize modalities for stress-relief, relaxation and rejuvenation. Learn about its creation, contents, and utilization in a live panel discussion from staff whose mental health and well-being was preserved through the practice of self-care during the Covid Crisis.
Engaging in difficult conversations with patients and families is a fundamental physician responsibility. Faced with the need for remote learning during the COVID-19 pandemic, we adapted our annual multidisciplinary training utilizing parents in role-playing exercises to a virtual platform. The sessions were well received and found to be as effective as in-person training in enhancing participant’s confidence in delivering bad news. This virtual approach can broaden access to training for satellite programs without patient/family advocacy groups by allowing partnering with home institutions or other patient/family organizations and address the need to prepare trainees for compassionate communication in the world of increased telemedicine utilization.
Patients and healthcare workers experience intense feelings of isolation and fear during COVID-19 pandemic, and personal protective equipment (PPE) can amplify feelings of disconnection. One approach to bridging this divide is the use of PPE Portraits, or postcard-sized pictures affixed to PPE, to humanize care. This panel discussion includes a multi-center, interdisciplinary presentation featuring the art professor who created the project; a public health researcher who has studied its early impact on healthcare workers, and palliative care specialists who share lessons on implementation at their health system.
Nancy McCool, LICSW, ACHP-W, APHSW-C
Lead Social Worker, Palliative Care, UMass Memorial Medical Center
Clinicians need an organizational culture that prioritizes our shared humanity, self-care, professional well-being, compassion, and teamwork. This culture is particularly important at a time when clinicians and healthcare institutions are confronting the challenges presented by COVID-19, systemic burnout, and long-standing social inequities. Some examples of system-wide initiatives to build a supportive and compassionate culture include providing peer support programs and having a patient memorial service.
All clinicians with all budgets can build a culture of mutual respect, compassion, and support. We will share successes from the literature and our home institution and participants will practice them together.
Eileen Barrett, MD, MPH, SFHM, MACP
Associate Professor of Medicine and Director of Continuing Medical Education, University of New Mexico
Liz Lawrence, MD
Professor of Internal Medicine, Chief Wellness Officer and Assistant Dean for Professional Well-being, University of New Mexico School of Medicine
In 2015 Massachusetts General Hospital rolled out recovery coaching as a compassionate intervention providing individuals with SUD coaching from peers with lived experience in recovery. In the past 6 years recovery coaching has expanded across the MassGeneral Brigham (MGB) system to 5 institutions and currently employs 25 peer recovery coaches. As peer recovery coaching is a relatively new intervention there is much to learn about successful engagement of participants with coaches. It is also essential to understand how to equitably serve the diverse patient population across MGB. In this research presentation we will be analyzing the impacts of race, ethnicity, and language of peer recovery coaches in enrollment of diverse participants.
At the outset of the coronavirus pandemic, the COVID team at Parkland Hospital committed to maintaining a pipeline of daily communication for families of critically ill patients admitted to the COVID ICU. As ICU numbers swelled, the team was nearly overrun. In order to meet the unprecedented demands of the pandemic, a multidisciplinary team adopted innovative strategies for mass production of accurate, compassionate, and daily communication about serious illness for over 465 intubated patients. In this session, we will share our methodology for mass delivery of compassionate communication about serious illness in the time of COVID-19 and beyond.
Catherine Chen, MD
Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, University of Texas Southwestern Medical Center
Bethany Lussier, MD, FCCP
Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine
Department of Neurosurgery, Neurology & Neurotherapeutics, Division of Neurocritical Care
University of Texas Southwestern Medical Center
Geoffrey McCrossan, MD
Hospice and Palliative Care Fellow, University of Texas Southwestern Medical Center
Padmaja Reddy, MD
Department of Internal Medicine, Palliative Medicine Section, University of Texas Southwestern Medical Center
Bullying can happen intentionally or unintentionally and can impact the delivery of providing compassionate care to patients, thus create environments that have negative consequences on nurses and organizations. This study investigated the prevalence of self-reported bullying among a group of Southern California Nurses. Implications include educational awareness to clinical nurses, offer evidenced based strategies to reduce bullying, and create healthy work environments.
Quincyann Tsai, MSN, RN
Regional Nursing Research and EBP Practice Specialist, Southern California Patient Care Services, Kaiser Permanente
Lina Najib Kawar, PhD, RN, CNS
Translational Research; Regional Nursing Research Program, Southern California Patient Care Services, Kaiser Permanente