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The experience of a learner who used an immersive simulation program called Mursion to have a difficult conversation between two members of an Emergency Department (ED) staff. The learner focused on the five power skills of social-emotional intelligence during the conversation and utilized the Institute for Healthcare Improvement’s Framework for Improving Joy in Work to find a solution that would make both parties happy.
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Reflection: Mursion Simulation and Lessons Learned About Implementing Joy in the Workplace Department of Graduate Nursing, Western Governor’s University D024 Professional Presence and Influence Mursion Simulation The learner utilized an immersive simulation program called Mursion to have a difficult conversation between two members of an Emergency Department (ED) staff. The hospital’s CEO recently announced a 10% reduction in workforce (RIF) throughout the system. This RIF resulted in the ED’s pharmacy making the decision to no longer focus on medication reconciliation and patient education. These duties now fell to the nursing staff, who were already experiencing feelings of stress and burnout. The learner focused on the five power skills of social-emotional intelligence (self-awareness, self-management, interpersonal communication, executive function, and social awareness) during the difficult conversation. The learner utilized an in-person meeting between Raymond, the nurse manager, and Jenna, the PharmD. Raymond came to the meeting in an emotional state, while Jenna came to the meeting very withdrawn. It was evident that Raymond did not think that the nursing staff should have to take on the additional responsibilities from pharmacy. His rationale was that the nursing staff was already overworked and stressed, and this would only add to that. While Jenna’s emotions were not as evident, she also felt that her team was being stretched very thin. It was important to be mindful during the conversation so that both parties felt that their concerns were being heard and were valid. The learner practiced self-awareness by being patient while listening to Raymond and Jenna.
It was important for the learner to first resolve the conflict that was inadvertently being caused by Raymond’s emotions. Conflict resolution is important because if it is left unchecked, it can lead to emotional upheaval. Unresolved conflict can be detrimental to physical health and work performance, especially in the healthcare setting where patient safety may be at risk (Kennison, 2019). The learner made sure to also manage their own stress and biases in regard to the situation, which is an important aspect of self-management. The learner first asked both participants the question, “What matters to you?” following the Institute for Healthcare Improvement’s (IHI) Framework for Improving Joy in Work. The act of listening with the intent to truly understand is known as empathic listening. Empathy is also an important component of social awareness. The learner practiced empathic listening during this conversation by maintaining eye contact, nodding when appropriate, and understanding the way that both individuals felt (Vaduva, 2018). Not only does asking this question help to identify bright spots for each individual, it also helps remove barriers to workplace joy (Perlo et al.,2017). Upon asking, the learner discovered that both Raymond and Jenna shared the same top value: patient care and safety. Identifying this shared value helped to foster a sense of camaraderie between the two individuals and gave them a common goal to work toward. The learner, as the leader of this department, was responsible for finding the solution to improve efficiency, which will help the individual employees to be happier and promote joy in the ED. Interpersonal communication and collaboration between the nursing and pharmacy teams was used to formulate a solution. The learner utilized conversation focused on problem-solving, a characteristic of the executive function power skill, to propose a solution that would make both parties happy. Utilizing another characteristic of executive function, critical thinking, it was decided by the group that the pharmacy team would act as a resource to the nursing team to help facilitate education about their new task. Since the nursing team did not remember how to
References Kennison, M. (2019, February 22). Overcoming workplace interprofessional conflict. Nursing Centered. https://nursingcentered.sigmanursing.org/features/more-features/overcoming- workplace-interpersonal-conflict Perlo, J., Balik, B., Swensen, S., Kabcenell, A., Landsman, J., & Feeley, D. (2017). IHI framework for improving joy in work. IHI White Paper. http://www.ihi.org/resources/ Pages/IHIWhitePapers/Framework-Improving-Joy-in- Work.aspx Vaduva, A. (2018, August 28). What is empathic communication and 6 ways to enhance this powerful skill. Learning Mind. https://www.learning-mind.com/empathic- communication-skills/