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Professional Presence

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Professional Presence and Influence
Katie Douglas
4/10/16

A. Professional Presence 1. The body-mind model came about in the 1950’s and focused on powering your mind over your body to promote health and healing. This is when medical personnel began to look past just the physical aspect of the person’s illness. Body-mind medicine includes a “wide range of behavioral and lifestyle interventions, on an equal basis with traditional medical interventions” (Moss, n.d.). Instead of focusing solely on medicine to treat a patient, there are a variety of techniques that can be used to treat the whole patient. Meditation, relaxation techniques, cognitive behavioral therapy and hypnosis are all therapies that are used.
The next model, body-mind-spirt, captured the idea that the consciousness can extend beyond the body (Dossey, 1999). It is thought in this model that the brain and the mind are completely separate. It was thought that, even if you are unaware, outside factors could be present affecting your overall health. This is the first time where practitioners started taking in consideration the patients community, cultural preferences and spiritual ideas into account when treating their patients. It was found in this era that outside variables needed to be taken into account when treating patients. 2. I work on a general medical unit. I feel like my professional presence focuses more on the body-mind-spirit model of health and healing. When a patient is admitted to my unit, a variety of questions are asked to these patients regarding their home life, knowledge of their disease, cultural and spiritual beliefs. This helps to get a general assessment of the needs of the patient and the factors that affect their disease process. I have cared for patients who, because of their cultural beliefs, did not believe in certain treatments (such as blood transfusions). If a healthcare provider chose to only look at a patient’s physical body and ignore their cultural beliefs, that patient may feel as though they are harmed, even if it was not physical harm. 3. Being a mindful person means you are fully aware and fully present in the moment. Susan Stabler-Hass (2014) states that by healthcare workers being mindful allows you to be more focused, empathetic and less emotionally exhausted. I would love to say that I am a completely mindful person all of the time, but the truth is, at times I can be distracted. I currently work on a busy Medical unit that typically has 28-34 patients average daily. With the vast array of patient diagnosis’s and the flow of patients getting admitted and discharged throughout the day, it is easy to get stressed and feel overwhelmed.
In her article, Stabler-Hass (2014) also gave some techniques to help reduce these stressors and help become a more mindful nurse. She discusses using breathing techniques on the way to work to help prepare for your day. She also states that as you walk down the hall, when you are feeling stressed, you can focus your attention on your feet and walking. When focusing your attention to your feet, you help relax your mind and feel calmer.

B. Personality Preferences 1. Keirsey Temperament Personality Test.

2a. On the Keirsey temperament sorter personality test, I received the personality of a Guardian. I pride myself of being an honest and trustworthy person. I am very close to my family and friends and enjoy spending all my extra time with them. I enjoy spending all my free time outdoors and teaching my children the beauty in nature. Being a nurse is something I take great pride in. I have built some amazing relationships and work so well with my coworkers. My unit would not run a smoothly as it does if we all didn’t work so well as a team. I am very organized in my work and I am able to multitask efficiently.
Guardians are traditionalist and are known for their serving and giving behaviors. They focus on structure and order to keep the organization flowing smoothly.
Guardians are big on team work to get the job done right. This trait fits well with my personality. I value strong team work for my home and work life. It takes more than just one individual to keep any organization (home or business) flowing smoothly.

2b. After examining my personality profile and reading the descriptions of the other personalities, I realized there may be some barriers present. When having more of a take charge personality, I may have some issues working with other personality types. When put in the position of “charge nurse” when on my unit, I may not come off as approachable. Some of the other personality types tend to find quicker and easier ways to get to a solution where I tend to follow the proper procedures. I am not comfortable being unprepared for a situation.

C. Mindfulness Practice
1A.
Physical goals A. To exercise for 30 minutes, three times weekly. Exercise not only improves your physical health (decrease disease) but can also improve stress and mood. Regular exercise also helps increase energy. This is beneficial with fast paced work environment and busy home life. B. Eat a healthy, well balanced diet. Eating a healthy diet works similar to regular exercise. It helps improve physical health as well as improve mood, decrease stress and increase energy. When working 12 hour shifts on a busy nursing unit, finding the time to sit and eat a healthy meal can be difficult.
Vital/Rhythmic Goals A. Find a balance of work, family and school. Being able to find balance in work, family and school will help decrease stress. Finding this balance for myself will help me be more focused when caring for my patients and children. B. I will set a time to go to sleep and a time to wake each day. This will help get my body into a more natural sleep rhythm to avoid sleep deprivation. According to Dr. Breus (2015), this routine will make falling asleep and waking up easier, help reduce stress and be more relaxing.

Mental/Emotional Goals
A. Reduce daily stress and frustrations to improve overall happiness. I will attempt to confront issues when they occur instead of pushing them aside. I will not ignore issues or frustrations and allow them to “build up” and cause more stress.
B. Challenge myself daily by making my education a priority. Making time daily to study and push myself to obtain my MSN. I will continue to grow and learn in my studies and my career.
Biographical/Spiritual
A. Start a “blessings” book. When things are tough it’s easy to loose site of the good things that are present in our life and the blessings that our given to us.
B. Pray daily. With the hustle of daily life, it’s easy to forget to stop and pray.
1B.
Physical- To achieve my physical goal I will need the support and encouragement of my family to maintain a healthy lifestyle. I plan to join a gym and obtain a workout buddy to help with accountability. I will rely on my husband to help with meal planning and prep. This will help get my family involved and improve their overall health as well.
Vital/Rhythmic- To achieve these goals I must find balance in my daily life. Setting a daily schedule will allow my family and myself to be on the same page. This will help me achieve my balance and promote a more relaxing environment. In this schedule there will be specific sleep and wake times for my sleep rhythm goal.
Mental/Emotional- I will be sure to continue to challenge myself intellectually. I will work hard and make time to study so I can obtain my end goal of MSN. With the added stress of school and life stressors that come with work and family, I will not push away my feelings or frustrations. I will deal with them in that moment instead of pushing them away.
Biographical/Spiritual-To achieve this goal I will start my “blessings” book. I will journal things that I am blessed with daily and the prayer that have been answered. This will help my not loose site of all the wonderful things that I have in my life. I will not forget to stop each day and that the lord for the blessings he has given me. I will not forget to stop and pray for every patient and family that I see each day because this is the time they need prayers the most.

D. Healing Environments
1. When researching healing environments, the two that caught my eye were the Mayo Clinic and Grinnell Regional Medical Center. Both facilities have set similar practices to promote optimal healing environments. Both facilities offer massage, healing touch and animal assisted therapies to help improve mental state and to distract for the patient’s pain or depression. Spiritual care is provided to both patients and their families. Both facilities also offered a tranquil place (healing gardens or meditation room) to promote relaxation to both patients and their families. Grinnell Regional Medical Center also offered a fitness room for immediate family members as a way to promote stress relief. Both of these facilities offer community outreach educational programs as well. They focus on preventative services as well as education on lifestyle changes to improve quality of life.
2. I currently am employed at a small community hospital. The reading and research I have done has provided me insight on how to be a more mindful nurse and provide better more rounded care to my patients. I plan to be a better advocate for my patients. I hope to be more aware of my patient’s needs. With this awareness I will be sending my patients home better educated, with proper resources, and all their home needs met. This will allow my patients to be more successful at home, and hopefully help them avoid hospital admissions in the future.

E. Sources
Breus, M., PhD. (2015). Both Bedtimes and Wake Times Matter for Good Sleep. Retrieved April 17, 2016, from http://www.belsomra.com/static/pdf/wake-times-matter-to-good-sleep.pdf

Dossey,L., MD (1999). Reinventing Medicine: Beyond Mind-Body to a New Era of Healing. Harper Collins Publisher.

Moss, D., PhD. (n.d.). Mind Body Medicine, Evidence-Based Medicine, Clinical Psychophysiology, and Integrative Medicine. Retrieved April 10, 2016, from http://www.aapb.org/i4a/pages/index.cfm?pageID=3386

Stabler-Hass, S., PMHCNS-BC, LMFT (2014). Benefits of “Mindfulness” in Nursing. Retrieved April 18, 2016, from http://nursing.advanceweb.com/Features/Articles/Benefits-of-Mindfulness-in-nursing.aspx

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