Becoming An Effective CCLS While Maintaining A Healthy Work Life Balance Michelle Ashford, CCLS...

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Becoming An Effective CCLS While Maintaining A Healthy Work Life BalanceMichelle Ashford, CCLSJessica Palumbo Dufur, CCLSChristy Winfree, MS,LRT/CTRS,CCLS1Everyone add your name as you want it and title pleaseObjectivesParticipants Will Be Able To: Identify superhero identities versus effective professional habitsIdentify approaches to advocacy and ways in which child life advocatesIdentify prioritization and its relationship to professional efficiencyArticulate reasons quality of care can be shifted from quality to quantityIdentify professional boundaries and clinical scopeEmbrace the ability to say noMaster and maintain good self careRecognize qualities of a healthy mentor/mentee relationshipIdentify challenges related to work/family/life balance.

2The Superhero Complex

Certified Child Life SpecialistChild Life SpecialistCCLSProfessional StudentHow do we overcome the superhero complex that can attach itself to our position? How do we avoid falling into the trap of fixing things. For myself, as a way to avoid the fixing I labeled myself as an advocate, a teacher, a supporter For many this complex can start as early as a student. How many of us find students walking in wanting to fix everything ? If we are not able to adjust the mentality early on and help students learn to adapt to their environment we can possibly groom a superhero complex that grows when placed in the wrong conditions IE: peers who cross boundaries, disciplines who dont fully understand the role of CHIld life,etc. 3Have a few ideas for the intro slide and capes1) just our titles on them as seen, 2) our titles starting from student to senior CCLS showing how we start out with this complex and it only grows with us...that we must really work to derobe this complexSuperhero Complex Q & A

Many Child Life Specialists work for several years before they realize they are being seen as a superhero and find themselves starting to feel that theyre losing the joy and value behind their work.Go through the stages of how a CLS ends up in the super hero complex! If we understand HOW you get there, we will know how to get back to finding the joy and value behind our work, thereby making our work more effective!

The superhero cape wears you, you dont wear it. When did you realize it was wearing you? How do you hang up your cape? What transition like ? Did you miss the cape?

4Ethics & EffectivenessChild Life Council Code of Ethical ResponsibilityPrinciple 5: Individuals shall promote the effectiveness of the child life profession by continuous efforts to improve professional services and practices provided in the diverse settings in which they work and in the community at large.

Source: www.childlife.org

Thought this might be a nice slide to mention the CLCs ethical codes and the direct tie to effectiveness of our profession.5AdvocacyDefinition ofADVOCATE1 one that pleads the cause of another;specifically:one that pleads the cause of another before a judicial court 2 one that defends or maintains a cause or proposal 3 one that supports or promotes the interests of another

Source: Miriam WebsterIf we dont advocate for our role/what we can and cant do---superhero cape gets placed on us, we must advocate for ourselves, our role, etc.What I find interesting here is that there isnt anything about supporting oneself, advocating for ones specific cause. It is very much focused on others. This ties in with exactly what we do as CLS, focusing on others, often not thinking of our own needs.

What are different forms of advocacy, how do we advocate?6Conflicting Priorities

High Priorities

Administrative versus patient care

Trauma versus bereavement

Staffing Considerations

Unrealistic expectations of role/goals

Unrealistic expectations- needed to maybe tie into moving to the transition to goal setting slide needs to be tweaked with the written language.= but how a RN could be pressuring with what they view as our priority versus what we think is a priority. 7Strategies to Promote EffectivenessAdvocacy Prioritizing Responsibilities Mentorship Relationships Goal SettingWork Life BalanceSelf CareConcept for transition slide similar to Maslow's hierarchy of needs but we can decide how to frame it I can see it two ways.

8Advocating For Our Profession & Our Specific Role

We got here due to our passion to support others, but how do we advocate for ourselves? Graceful advocacy:Confident in our professionFind your allies Understand your organizations leadership structure

Graceful Advocacy: what does it look like? Healthy , solid child life specialists advocate gracefully for the needs of not only patients and families, but themselves

Confident in our profession: Before we can advocate for others, we must first hold a passion for our profession and advocate for ourselves. We must be 110% confident in our role and care plans we create.

Allies: who will help you advocate for Child Life--- this also transitions into helping advocate for patients.Leadership Structure: knowing where to go, who makes key decisions and the politics behind the why and how things are helps tremendously. 9Simply writing out ideas for each areaAdvocating for Patients & FamiliesWhen to advocate?How to balance your advocacy duties in the workplaceResourcesProfessional BoundariesNot burn bridgesKnow when to push and when to yield

Has anyone ever wondered am I helping or hurting by intervening? How do we know when to push the envelope/when to advocate? How do we balance those duties while continuing patient care, administrative duties, and other needsWhat are our resources? Who are resource persons? Do we have a patient advocate or a social worker who can take on this specific cause so I can do other work? Has anyone ever experienced a situation where you outline a solution to a problem and no one listens until you get someone higher up the totem pole? While wonderful to have your solution heard it can be a frustrating experience, but we all need advocates and must remember the bottom line is to propel the profession and assist families.Keep in mind professional boundaries (which we will talk more about later) are an absolute must to always follow. While advocating we must mind bridges and find that fine line of when to push and yieldhow do we do that? Any suggestions? ---maybe this could be a topic to discuss later? For me this was a professional difficulty I encountered in a new to child life area/area where adult ppl also worked- as to knowing when to push the issue and when to let it go.10Professional Boundaries

Google search yielded 1.7 million hits for healthcare relationship professional boundaries clearly this is a hot topic! speak on how good boundaries promote self care and longevity in the field MA: I was thinking that professional boundaries can often become something that messes up prioritization, especially when working with long term patients. Sharing a way to be effective with this can be a way for people to learn the warning signs that these boundaries are being crossed. What do we do when nursing or another member of the team pushes for something to happen with a patient that we would not normally do for all kids?

11Professional Boundaries = RespectRespect for our patientsRespect for ourselvesRespect for our profession

Professional boundaries ensure a secure and therapeutic environment where both the provider and patient are respected. Source: ncctinc.com Even the most diligent CLS risk burnout and can skimp on the true richness of our role due to professional boundaries and the shades of gray which can creep across your census. Physical, mental and emotional boundaries can be at risk. 12Professional Boundaries ZonesZone Of HelpfulnessSource: www.ncsbn.org/professionalboundariesExact quote A zone of helpfulness is in the center of the professional behavior continuum. This zone is where the majority of client interactions should occur for effectiveness and client safety. over-involvement with a client is on the right side of the continuum; this includes boundary crossings, boundary violations and professional sexual misconduct. under-involvement lies on the left side; this includes distancing, disinterest and neglect, and it can also be detrimental to the client and the nurse. There are no definite lines separating the zone of helpfulness from the ends of the continuum; instead, it is a gradual transition or melding. https://www.ncsbn.org/Professional_Boundaries_2007_Web.pdf

Guiding overlying principles of professional boundaries, however we must evaluate this for each family/child individually.

13Professional BoundariesRespectful BoundariesDisrespectful Boundariesproviding therapeutic careproviding care above therapeutic measurechecking on patient while hospitalized checking on discharged patient through social mediaexploring patients understanding of a proceduresharing your own personal experience with a procedureactive listeninggossipingWe can easily add more bars for your awesome examples!BUT I do think this may be too similar to the last slide? What to do, what to do??

These are just a few examples, a FOCUS study entited Navigating Family Relationships In Child Life was done by Paul Thayer was published in child life focus summer 2006

Add pictures/charts here.14Prioritization

15PrioritizationSuch a Delicate BalanceWhere do I even start? You mean I can say no?What does No Mean?Difficult to really grasp for some, inability to say noWe must prioritize!We must ask for help!We must say no sometimes!CE- think about no no no with toddlers! Its not always saying no it is redirecting..Must prioritize,